TY - JOUR
AU - N. Jain
AU - E. A. Adams
AU - K. Haddow
AU - J. Brown
AU - D. Bleksley
AU - S. Morrison
AU - J. Kesten
AU - K. Howells
AU - C. Sanders
AU - A. J. Adamson
AU - E. Kaner
AU - S. E. Ramsay
A1 - 
AB - BACKGROUND: The 'Everyone In' national policy initiative launched in England during the COVID- 19 pandemic provided accommodation and health and care support to people who were (or at risk of) sleeping rough. This study aims to understand what worked well and less well in implementing 'Everyone In' for improving physical and mental health outcomes for people experiencing homelessness. METHODS: Between January and October 2023, in-depth interviews/focus groups were conducted across England with those involved in the delivery/implementation of 'Everyone In' and those accommodated. Framework analysis and case study analysis were used for a contextual understanding of the implementation of the policy initiative. RESULTS: Twenty-five people accommodated through 'Everyone In' (28-58 years; 88% males) and 43 service providers (25-62 years; 40% males) were interviewed. Flexibility in funding and resources, 'joining up' services/support, and innovative responsiveness in services across health, care, and housing systems were key positive features of the initiative. In the long term, 'Everyone In' has provided positive learnings for delivering holistic and integrated health and social care. It has also highlighted the importance of accommodating psychosocial needs and addressing the complexities of alcohol and substance use in all homelessness strategies. CONCLUSIONS: Pathways to care for people experiencing homelessness need to be flexible and responsive. Complexities such as substance use need to be approached with compassion while addressing the role of wider determinants in such health behaviours. Innovative approaches and joined-up work improve delivery of interventions and integrated care can reduce barriers to access to support.
AD - Population Health Sciences Institute, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4 AX, UK. Neha.jain@newcastle.ac.uk.; Population Health Sciences Institute, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4 AX, UK.; , Groundswell, London, UK.; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.; The National Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.; The National Institute for Health and Care Research (NIHR) Health Protection Research Unit (HPRU) in Behavioural Science and Evaluation, University of Bristol, Bristol, UK.; Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK.; The National Institute for Health Research (NIHR) Greater Manchester Patient Safety Research Collaboration, Manchester, UK.
AN - 40234896
BT - BMC Health Serv Res
C5 - Healthcare Disparities; Education & Workforce; Healthcare Policy
CP - 1
DA - Apr 15
DO - 10.1186/s12913-025-12713-w
DP - NLM
ET - 20250415
IS - 1
JF - BMC Health Serv Res
LA - eng
N2 - BACKGROUND: The 'Everyone In' national policy initiative launched in England during the COVID- 19 pandemic provided accommodation and health and care support to people who were (or at risk of) sleeping rough. This study aims to understand what worked well and less well in implementing 'Everyone In' for improving physical and mental health outcomes for people experiencing homelessness. METHODS: Between January and October 2023, in-depth interviews/focus groups were conducted across England with those involved in the delivery/implementation of 'Everyone In' and those accommodated. Framework analysis and case study analysis were used for a contextual understanding of the implementation of the policy initiative. RESULTS: Twenty-five people accommodated through 'Everyone In' (28-58 years; 88% males) and 43 service providers (25-62 years; 40% males) were interviewed. Flexibility in funding and resources, 'joining up' services/support, and innovative responsiveness in services across health, care, and housing systems were key positive features of the initiative. In the long term, 'Everyone In' has provided positive learnings for delivering holistic and integrated health and social care. It has also highlighted the importance of accommodating psychosocial needs and addressing the complexities of alcohol and substance use in all homelessness strategies. CONCLUSIONS: Pathways to care for people experiencing homelessness need to be flexible and responsive. Complexities such as substance use need to be approached with compassion while addressing the role of wider determinants in such health behaviours. Innovative approaches and joined-up work improve delivery of interventions and integrated care can reduce barriers to access to support.
PY - 2025
SN - 1472-6963
SP - 549
ST - Learnings from providing integrated health, housing and wider care for people rough sleeping during the COVID- 19 pandemic: a national qualitative study of the 'Everyone In' policy initiative
T1 - Learnings from providing integrated health, housing and wider care for people rough sleeping during the COVID- 19 pandemic: a national qualitative study of the 'Everyone In' policy initiative
T2 - BMC Health Serv Res
TI - Learnings from providing integrated health, housing and wider care for people rough sleeping during the COVID- 19 pandemic: a national qualitative study of the 'Everyone In' policy initiative
U1 - Healthcare Disparities; Education & Workforce; Healthcare Policy
U3 - 10.1186/s12913-025-12713-w
VL - 25
VO - 1472-6963
Y1 - 2025
ER -