A service mapping exercise of four health and social care staff mental health and wellbeing services, Resilience Hubs, to describe health service provision and interventions
Abstract Background NHS England funded 40 Mental Health and Wellbeing Hubs to support health and social care staff affected by the COVID-19 pandemic. We aimed to document variations in how national guidance was adapted to the local contexts of four Hubs in the North of England. Methods We used a mod...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-024-10835-1 |
| _version_ | 1797219925122613248 |
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| author | Kate Allsopp Filippo Varese Paul French Ellie Young Hannah White Priscilla Chung Jessica Davey Alysha A. Hassan Sally-Anne Wright Alan Barrett Gita Bhutani Katherine McGuirk Gemma Shields Fay Huntley Joanne Jordan Aleix Rowlandson May Sarsam Hein Ten Cate Holly Walker Ruth Watson Jenni Willbourn Daniel Hind |
| author_facet | Kate Allsopp Filippo Varese Paul French Ellie Young Hannah White Priscilla Chung Jessica Davey Alysha A. Hassan Sally-Anne Wright Alan Barrett Gita Bhutani Katherine McGuirk Gemma Shields Fay Huntley Joanne Jordan Aleix Rowlandson May Sarsam Hein Ten Cate Holly Walker Ruth Watson Jenni Willbourn Daniel Hind |
| author_sort | Kate Allsopp |
| collection | DOAJ |
| description | Abstract Background NHS England funded 40 Mental Health and Wellbeing Hubs to support health and social care staff affected by the COVID-19 pandemic. We aimed to document variations in how national guidance was adapted to the local contexts of four Hubs in the North of England. Methods We used a modified version of Price’s (2019) service mapping methodology. Service level data were used to inform the analysis. A mapping template was adapted from a range of tools, including the European Service Mapping Schedule, and reviewed by Hub leads. Key data included service model; staffing; and interventions. Data were collected between March 2021 – March 2022 by site research assistants. Findings were accuracy-checked by Hub leads, and a logic model developed to theorise how the Hubs may effect change. Results Hub goals and service models closely reflected guidance; offering: proactive outreach; team-based support; clinical assessment; onward referral, and rapid access to mental health support (in-house and external). Implementation reflected a service context of a client group with high mental health need, and high waiting times at external mental health services. Hubs were predominantly staffed by experienced clinicians, to manage these mental health presentations and organisational working. Formulation-based psychological assessment and the provision of direct therapy were not core functions of the NHS England model, however all Hubs incorporated these adaptations into their service models in response to local contexts, such as extensive waiting lists within external services, and/or client presentations falling between gaps in existing service provision. Finally, a standalone clinical records system was seen as important to reassure Hub users of confidentiality. Other more nuanced variation depended on localised contexts. Conclusion This study provides a map for setting up services, emphasising early understandings of how new services will integrate within existing systems. Local and regional contexts led to variation in service configuration. Whilst additional Hub functions are supported by available literature, further research is needed to determine whether these functions should comprise essential components of staff wellbeing services moving forward. Future research should also determine the comparative effectiveness of service components, and the limits of permissible variation. Study registration researchregistry6303. |
| first_indexed | 2024-04-24T12:41:23Z |
| format | Article |
| id | doaj.art-4a3b1e99d8564f55a405d255a4303807 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-24T12:41:23Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-4a3b1e99d8564f55a405d255a43038072024-04-07T11:12:53ZengBMCBMC Health Services Research1472-69632024-04-0124111110.1186/s12913-024-10835-1A service mapping exercise of four health and social care staff mental health and wellbeing services, Resilience Hubs, to describe health service provision and interventionsKate Allsopp0Filippo Varese1Paul French2Ellie Young3Hannah White4Priscilla Chung5Jessica Davey6Alysha A. Hassan7Sally-Anne Wright8Alan Barrett9Gita Bhutani10Katherine McGuirk11Gemma Shields12Fay Huntley13Joanne Jordan14Aleix Rowlandson15May Sarsam16Hein Ten Cate17Holly Walker18Ruth Watson19Jenni Willbourn20Daniel Hind21Complex Trauma & Resilience Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre, Research and InnovationComplex Trauma & Resilience Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre, Research and InnovationFaculty of Health, Psychology and Social Care, Manchester Metropolitan UniversityGreater Manchester Resilience Hub, Pennine Care NHS Foundation Trust, Trust HeadquartersComplex Trauma & Resilience Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre, Research and InnovationLancashire and South Cumbria Resilience Hub, Lancashire and South Cumbria NHS Foundation Trust, Sceptre PointHumber and North Yorkshire Resilience Hub, Tees Esk and Wear Valleys NHS Foundation Trust, West Park HospitalCheshire and Merseyside Resilience Hub, Mersey Care NHS Foundation TrustLancashire and South Cumbria Resilience Hub, Lancashire and South Cumbria NHS Foundation Trust, Sceptre PointGreater Manchester Resilience Hub, Pennine Care NHS Foundation Trust, Trust HeadquartersSchool of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of ManchesterGreater Manchester Health and Social Care PartnershipSchool of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of ManchesterCheshire and Merseyside Resilience Hub, Mersey Care NHS Foundation TrustHumber and North Yorkshire Resilience Hub, Tees Esk and Wear Valleys NHS Foundation Trust, West Park HospitalSchool of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of ManchesterCheshire and Merseyside Resilience Hub, Mersey Care NHS Foundation TrustLancashire and South Cumbria Resilience Hub, Lancashire and South Cumbria NHS Foundation Trust, Sceptre PointHumber and North Yorkshire Resilience Hub, Tees Esk and Wear Valleys NHS Foundation Trust, West Park HospitalGreater Manchester Mental Health NHS Foundation TrustGreater Manchester Resilience Hub, Pennine Care NHS Foundation Trust, Trust HeadquartersSchool of Health and Related Research, The Innovation Centre, University of SheffieldAbstract Background NHS England funded 40 Mental Health and Wellbeing Hubs to support health and social care staff affected by the COVID-19 pandemic. We aimed to document variations in how national guidance was adapted to the local contexts of four Hubs in the North of England. Methods We used a modified version of Price’s (2019) service mapping methodology. Service level data were used to inform the analysis. A mapping template was adapted from a range of tools, including the European Service Mapping Schedule, and reviewed by Hub leads. Key data included service model; staffing; and interventions. Data were collected between March 2021 – March 2022 by site research assistants. Findings were accuracy-checked by Hub leads, and a logic model developed to theorise how the Hubs may effect change. Results Hub goals and service models closely reflected guidance; offering: proactive outreach; team-based support; clinical assessment; onward referral, and rapid access to mental health support (in-house and external). Implementation reflected a service context of a client group with high mental health need, and high waiting times at external mental health services. Hubs were predominantly staffed by experienced clinicians, to manage these mental health presentations and organisational working. Formulation-based psychological assessment and the provision of direct therapy were not core functions of the NHS England model, however all Hubs incorporated these adaptations into their service models in response to local contexts, such as extensive waiting lists within external services, and/or client presentations falling between gaps in existing service provision. Finally, a standalone clinical records system was seen as important to reassure Hub users of confidentiality. Other more nuanced variation depended on localised contexts. Conclusion This study provides a map for setting up services, emphasising early understandings of how new services will integrate within existing systems. Local and regional contexts led to variation in service configuration. Whilst additional Hub functions are supported by available literature, further research is needed to determine whether these functions should comprise essential components of staff wellbeing services moving forward. Future research should also determine the comparative effectiveness of service components, and the limits of permissible variation. Study registration researchregistry6303.https://doi.org/10.1186/s12913-024-10835-1Service mappingMental health servicesHealthcare staffImplementation |
| spellingShingle | Kate Allsopp Filippo Varese Paul French Ellie Young Hannah White Priscilla Chung Jessica Davey Alysha A. Hassan Sally-Anne Wright Alan Barrett Gita Bhutani Katherine McGuirk Gemma Shields Fay Huntley Joanne Jordan Aleix Rowlandson May Sarsam Hein Ten Cate Holly Walker Ruth Watson Jenni Willbourn Daniel Hind A service mapping exercise of four health and social care staff mental health and wellbeing services, Resilience Hubs, to describe health service provision and interventions BMC Health Services Research Service mapping Mental health services Healthcare staff Implementation |
| title | A service mapping exercise of four health and social care staff mental health and wellbeing services, Resilience Hubs, to describe health service provision and interventions |
| title_full | A service mapping exercise of four health and social care staff mental health and wellbeing services, Resilience Hubs, to describe health service provision and interventions |
| title_fullStr | A service mapping exercise of four health and social care staff mental health and wellbeing services, Resilience Hubs, to describe health service provision and interventions |
| title_full_unstemmed | A service mapping exercise of four health and social care staff mental health and wellbeing services, Resilience Hubs, to describe health service provision and interventions |
| title_short | A service mapping exercise of four health and social care staff mental health and wellbeing services, Resilience Hubs, to describe health service provision and interventions |
| title_sort | service mapping exercise of four health and social care staff mental health and wellbeing services resilience hubs to describe health service provision and interventions |
| topic | Service mapping Mental health services Healthcare staff Implementation |
| url | https://doi.org/10.1186/s12913-024-10835-1 |
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