Heworth opened in 1981 as the terminus of the Tyne and Wear Metro. In 1984, the line extended eastwards to South Shields. The railway station had opened on 5 November 1979, with the closure of Felling and Pelaw railway stations. Prior to that, BR passenger trains had run on the southern pair of tracks, now used by Metro services, and for a short period they ran through the completed Metro platforms. For much of the time Heworth was a Metro terminus, trains reversed in the platforms, using the crossovers west of the station in passenger service. Reversals later took place at the new sidings at Pelaw once they had been completed.
Above the four platforms there is a bus station. The services that operate there are mainly operated by Go North East.
This interchange provides connections from the Tyne and Wear Metro to South Tyneside, Sunderland and Washington as well as other areas of Gateshead.