Understanding the influence of leadership, organisation, and policy on delivering an integrated child health and social care service in community settings
A qualitative exploration using the Selfie framework
Bibliographic Data
| ID | 21468030 |
|---|---|
| Authors | Ian Litchfield (0000-0002-1169-5392, University of Birmingham, corresponding author), Lorraine Harper (0000-0003-1343-9234, University of Birmingham), M Syed (0000-0003-4372-1935, Primary Health Care), F Dutton (West Heath Hospital), M Melyda (0000-0002-6740-4910, University of Birmingham), Charl Wolhuter (0000-0003-4602-7113, Green Chemistry), Chris Bird (0000-0002-1624-1533, Birmingham Women’s and Children’s NHS Foundation Trust) |
| Year | 2025 |
| Volume | 160 |
| Pages | 105335 |
| Publication date | 2025-10-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy (JOURNAL) |
| Journal identifiers | ISSN: 0168-8510 • E-ISSN: 1872-6054 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.healthpol.2025.105335 |
| PMID | 40360310 |
| OpenAlex | W4410053703 |
| Language | EN |
| Citations received | 1 |
| References cited | 66 |
BACKGROUND: The Sparkbrook Children's Zone is an example of a place-based integrated health and social care service developed to support children and young people living in marginalized populations in the United Kingdom. This model of care is expected to address both clinical need and the social determinants of health but evidence of the practical support needed is lacking. OBJECTIVE: To understand the infrastructural challenges of providing a service combining clinical and non-clinical staff from a range of organisations and settings. METHODS: A qualitative exploration of the experiences of staff delivering the service and used a directed content analysis to present the results within the Sustainable integrated chronic care model for multi-morbidity: delivery, financing, and performance (SELFIE) framework. RESULTS: A total of 14 staff were interviewed including clinicians, social care providers, local voluntary groups, and school-based family mentors. Participants described the gap between system-level integration and the lack of practical support for delivering a unified service on the ground; the training opportunities afforded by collocation; the complexity of securing staff from multiple employers using various funding sources; and the need for lengthier evaluations that extend beyond early instability. CONCLUSIONS: Despite decades of structural reform aimed at integrating the health and social care system in the UK, there was a surprising lack of practicable support for delivering a place-based integrated health and social care service. Their delivery is also hindered by short-term funding cycles limiting the reliability of evidence gathered from complex and evolving services
Health care · Health services · Political science · Population · Public relations · Qualitative research · Selfie · Social care · Social science · Sociology · Child and Adolescent Health · Computer Science · Health Policy Implementation Science · Interprofessional Education and Collaboration · Medicine · Nursing · Social Work
The Dahlgren-Whitehead model of health determinants
Reaching the hard-to-reach
The Selfie framework for integrated care for multi-morbidity
The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work
A new framework for developing and evaluating complex interventions
Accountable Health Communities — Addressing Social Needs through Medicare and Medicaid
Health equity in England
Directed qualitative content analysis
The qualitative content analysis process
Co-producing knowledge in health and social care research
Achieving the SDGs
Mapping definitions of co‐production and co‐design in health and social care
Administrative Work and Job Role Beliefs in Primary Care Physicians
Factors that promote and hinder joint and integrated working between health and social care services
Integrated care pilot in north west London
Sampling in Interview-Based Qualitative Research
Breaks Down Silos
Human Capital and Administrative Burden
Understanding and managing uncertainty in health care
| Citations per year | 1 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |