Health and social care use, costs, and satisfaction among key workers accessing Resilience Hub support during the COVID-19 pandemic
Abstract Key workers are vulnerable to adverse mental health. To ensure service sustainability during COVID-19, Resilience Hubs were established across England offering outreach, screening, and mental health support. This evaluation aimed to describe wider service use, associated costs, and satisfac...
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BMC
2025-02-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-024-12066-w |
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| author | Aleix Rowlandson Filippo Varese Linda M. Davies Paul French Kate Allsopp Lesley-Anne Carter Daniel Hind Katherine McGuirk Alan Barrett Gita Bhutani Fay Huntley Joanne Jordan May Sarsam Hein Ten Cate Holly Walker Ruth Watson Jack Wilkinson Jenni Willbourn Gemma E. Shields |
| author_facet | Aleix Rowlandson Filippo Varese Linda M. Davies Paul French Kate Allsopp Lesley-Anne Carter Daniel Hind Katherine McGuirk Alan Barrett Gita Bhutani Fay Huntley Joanne Jordan May Sarsam Hein Ten Cate Holly Walker Ruth Watson Jack Wilkinson Jenni Willbourn Gemma E. Shields |
| author_sort | Aleix Rowlandson |
| collection | DOAJ |
| description | Abstract Key workers are vulnerable to adverse mental health. To ensure service sustainability during COVID-19, Resilience Hubs were established across England offering outreach, screening, and mental health support. This evaluation aimed to describe wider service use, associated costs, and satisfaction among Hub clients (key workers) accessing Hub support. Clients accessing support across four Hubs were invited to complete a service use questionnaire, between 5 and 8 months post referral, collecting satisfaction, wider service use and cost data. Exploratory linear regression assessed the relationship between demographic variables and service use. Most Hub clients reported Hub contact post referral (219/299, 73.2%), with many accessing mental health support (171/299, 57.2%) or on waitlists (34/299, 11.4%). Satisfaction was high, with median helpfulness rated 92 (out of 100), and many stating that Hubs either fully (148/299, 49.5%) or partially (54/299, 18.1%) met their needs. Mental health support accounted for most service use, with higher total service use and costs when including Hub services (£514 versus £213). Key workers have complex needs. Hub services helped clients to access support, with high reported satisfaction indicating that Hubs met clients needs. Further research is required to assess how service use varies according to occupation or demographic characteristics, and whether Hubs are clinically and cost-effective. |
| format | Article |
| id | doaj-art-1fb367efbe3a466c85b9a95499177b19 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-1fb367efbe3a466c85b9a95499177b192025-02-09T12:26:59ZengBMCBMC Health Services Research1472-69632025-02-0125111310.1186/s12913-024-12066-wHealth and social care use, costs, and satisfaction among key workers accessing Resilience Hub support during the COVID-19 pandemicAleix Rowlandson0Filippo Varese1Linda M. Davies2Paul French3Kate Allsopp4Lesley-Anne Carter5Daniel Hind6Katherine McGuirk7Alan Barrett8Gita Bhutani9Fay Huntley10Joanne Jordan11May Sarsam12Hein Ten Cate13Holly Walker14Ruth Watson15Jack Wilkinson16Jenni Willbourn17Gemma E. Shields18School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of ManchesterGreater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre, Research and InnovationSchool of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of ManchesterFaculty of Health, Psychology and Social Care, Manchester Metropolitan UniversityGreater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre, Research and InnovationSchool of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of ManchesterSchool of Health and Related Research, University of SheffieldGreater Manchester Resilience Hub, Pennine Care NHS Foundation TrustGreater Manchester Resilience Hub, Pennine Care NHS Foundation TrustLancashire and South Cumbria Resilience Hub, Lancashire and South Cumbria NHS Foundation TrustCheshire and Merseyside Resilience Hub, Mersey Care NHS Foundation TrustHumber and North Yorkshire Resilience Hub, West Park Hospital, Tees Esk and Wear Valleys NHS Foundation TrustCheshire and Merseyside Resilience Hub, Mersey Care NHS Foundation TrustLancashire and South Cumbria Resilience Hub, Lancashire and South Cumbria NHS Foundation TrustHumber and North Yorkshire Resilience Hub, West Park Hospital, Tees Esk and Wear Valleys NHS Foundation TrustGreater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre, Research and InnovationSchool of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of ManchesterGreater Manchester Resilience Hub, Pennine Care NHS Foundation TrustSchool of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of ManchesterAbstract Key workers are vulnerable to adverse mental health. To ensure service sustainability during COVID-19, Resilience Hubs were established across England offering outreach, screening, and mental health support. This evaluation aimed to describe wider service use, associated costs, and satisfaction among Hub clients (key workers) accessing Hub support. Clients accessing support across four Hubs were invited to complete a service use questionnaire, between 5 and 8 months post referral, collecting satisfaction, wider service use and cost data. Exploratory linear regression assessed the relationship between demographic variables and service use. Most Hub clients reported Hub contact post referral (219/299, 73.2%), with many accessing mental health support (171/299, 57.2%) or on waitlists (34/299, 11.4%). Satisfaction was high, with median helpfulness rated 92 (out of 100), and many stating that Hubs either fully (148/299, 49.5%) or partially (54/299, 18.1%) met their needs. Mental health support accounted for most service use, with higher total service use and costs when including Hub services (£514 versus £213). Key workers have complex needs. Hub services helped clients to access support, with high reported satisfaction indicating that Hubs met clients needs. Further research is required to assess how service use varies according to occupation or demographic characteristics, and whether Hubs are clinically and cost-effective.https://doi.org/10.1186/s12913-024-12066-wKey workersCOVID-19Healthcare service useMental healthService satisfaction |
| spellingShingle | Aleix Rowlandson Filippo Varese Linda M. Davies Paul French Kate Allsopp Lesley-Anne Carter Daniel Hind Katherine McGuirk Alan Barrett Gita Bhutani Fay Huntley Joanne Jordan May Sarsam Hein Ten Cate Holly Walker Ruth Watson Jack Wilkinson Jenni Willbourn Gemma E. Shields Health and social care use, costs, and satisfaction among key workers accessing Resilience Hub support during the COVID-19 pandemic BMC Health Services Research Key workers COVID-19 Healthcare service use Mental health Service satisfaction |
| title | Health and social care use, costs, and satisfaction among key workers accessing Resilience Hub support during the COVID-19 pandemic |
| title_full | Health and social care use, costs, and satisfaction among key workers accessing Resilience Hub support during the COVID-19 pandemic |
| title_fullStr | Health and social care use, costs, and satisfaction among key workers accessing Resilience Hub support during the COVID-19 pandemic |
| title_full_unstemmed | Health and social care use, costs, and satisfaction among key workers accessing Resilience Hub support during the COVID-19 pandemic |
| title_short | Health and social care use, costs, and satisfaction among key workers accessing Resilience Hub support during the COVID-19 pandemic |
| title_sort | health and social care use costs and satisfaction among key workers accessing resilience hub support during the covid 19 pandemic |
| topic | Key workers COVID-19 Healthcare service use Mental health Service satisfaction |
| url | https://doi.org/10.1186/s12913-024-12066-w |
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