TY - JOUR
AU - I. Litchfield
AU - L. Harper
AU - M. Syed
AU - F. Dutton
AU - M. Melyda
AU - C. Wolhuter
AU - C. Bird
A1 - 
AB - BACKGROUND: The UK's National Health Service has provided funds for developing localized services integrating health and social care intended to address the health inequities prevalent in children and young people living in marginalized communities. However, little is understood of the factors that influence their design and delivery, nor which combined health and social care models are most effective. OBJECTIVE: To use evidence drawn from staff delivering a collocated integrated health and social support service for children, also known as the Sparkbrook Children's Zone, to inform similar care offers. METHODS: A qualitative exploration of staff experience using a directed content analysis to populate and present the results within the Sustainable integrated chronic care model for multi-morbidity: delivery, financing, and performance (SELFIE) framework. The analysis presented here focusses on the domain of Service delivery, predominantly relating to the content and access of care. RESULTS: A total of 14 staff were interviewed: clinicians from primary and secondary care, social care providers, local voluntary groups, and school-based family mentors. Participants described at the Micro- level how the service increased engagement of families and facilitated referral to social support and preventive care; at a Meso- level the benefits of collocation, collaborative working, and community outreach and at the Macro level, improvements to the access and availability of appropriate care. CONCLUSIONS: The pilot appeared to deliver multiple benefits for both patients and staff particularly through collocating health care and social support. However, sustainable integrated health and social care requires greater institutional commitment and leadership.
AD - Department of Applied Health Research, University of Birmingham, UK. Electronic address: I.Litchfield@bham.ac.uk.; Department of Applied Health Research, University of Birmingham, UK.; Clinical Research Department, Primary Health Care Corporation, Qatar.; Small Heath Medical Practice, Birmingham, UK.; GreenSquareAccord, UK.; Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
AN - 41077510
BT - Health Policy
C5 - Healthcare Disparities
DA - Oct
DO - 10.1016/j.healthpol.2025.105458
DP - NLM
ET - 20251007
JF - Health Policy
LA - eng
N2 - BACKGROUND: The UK's National Health Service has provided funds for developing localized services integrating health and social care intended to address the health inequities prevalent in children and young people living in marginalized communities. However, little is understood of the factors that influence their design and delivery, nor which combined health and social care models are most effective. OBJECTIVE: To use evidence drawn from staff delivering a collocated integrated health and social support service for children, also known as the Sparkbrook Children's Zone, to inform similar care offers. METHODS: A qualitative exploration of staff experience using a directed content analysis to populate and present the results within the Sustainable integrated chronic care model for multi-morbidity: delivery, financing, and performance (SELFIE) framework. The analysis presented here focusses on the domain of Service delivery, predominantly relating to the content and access of care. RESULTS: A total of 14 staff were interviewed: clinicians from primary and secondary care, social care providers, local voluntary groups, and school-based family mentors. Participants described at the Micro- level how the service increased engagement of families and facilitated referral to social support and preventive care; at a Meso- level the benefits of collocation, collaborative working, and community outreach and at the Macro level, improvements to the access and availability of appropriate care. CONCLUSIONS: The pilot appeared to deliver multiple benefits for both patients and staff particularly through collocating health care and social support. However, sustainable integrated health and social care requires greater institutional commitment and leadership.
PY - 2025
SN - 0168-8510
SP - 105458
ST - Understanding the influences on the design and delivery of an integrated child health and social care service in underserved communities in the UK: A qualitative exploration using the SELFIE framework
T1 - Understanding the influences on the design and delivery of an integrated child health and social care service in underserved communities in the UK: A qualitative exploration using the SELFIE framework
T2 - Health Policy
TI - Understanding the influences on the design and delivery of an integrated child health and social care service in underserved communities in the UK: A qualitative exploration using the SELFIE framework
U1 - Healthcare Disparities
U3 - 10.1016/j.healthpol.2025.105458
VL - 160
VO - 0168-8510
Y1 - 2025
ER -