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other·public health, pediatrics, epidemiology, family medicine, research methods·PMC10083857

Study protocol: evaluation of the 0–5 public health investment in England – a mixed-methods study integrating analyses of national linked administrative data with in-depth case studies

BMJ Open · 10 authors, 7 centres

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TL;DR

This is a protocol for a mixed-methods study that will use linked administrative data and case studies to evaluate the association between different health visiting service models in England and various child and maternal outcomes. No results are reported; the study aims to inform future policy and spending decisions.

Full summary

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The study will analyse individual-level health visiting data for 2018/2019 and 2019/2020 linked with longitudinal data from children’s social care, hospitals, and schools. The primary aim is to estimate the association between the number and type of health visiting contacts and a range of child and maternal outcomes, including hospitalisations, breastfeeding, vaccination, childhood obesity, and maternal mental health. It will also use aggregate local authority data to link local service models to area-level outcomes. A cost-benefit analysis of different delivery models is planned where feasible. Qualitative case studies will provide context to the quantitative findings. The study is a protocol; therefore, no completed results, statistical findings, or outcome data are available.

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other

SPECIALTY

public health

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ORIGINAL PAPER

PMC10083857

Study protocol: evaluation of the 0–5 public health investment in England – a mixed-methods study integrating analyses of national linked administrative data with in-depth case studies

BMJ Open

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ABSTRACT

Introduction Health visiting is a long-established, nationally implemented programme that works with other services at a local level to improve the health and well-being of children and families. To maximise the impact and efficiency of the health visiting programme, policy-makers and commissioners need robust evidence on the costs and benefits of different levels and types of health visiting, for different families, in different local contexts. Methods and analysis This mixed-methods study will analyse individual-level health visiting data for 2018/2019 and 2019/2020 linked with longitudinal data from children’s social care, hospitals and schools to estimate the association of number and type of health visiting contacts with a range of children and maternal outcomes. We will also use aggregate local authority data to estimate the association between local models of health visiting and area-level outcomes. Outcomes will include hospitalisations, breast feeding, vaccination, childhood obesity and maternal mental health. Where possible, outcomes will be valued in monetary terms, and we will compare total costs to total benefits of different health visiting service delivery models. Qualitative case studies and extensive stakeholder input will help explain the quantitative analyses and interpret the results in the context of local policy, practice and circumstance. Ethics and dissemination The University College London Research Ethics Committee approved this study (ref 20561/002). Results will be submitted for publication in a peer-reviewed journal and findings will be shared and debated with national policy-makers, commissioners and managers of health visiting services, health visitors and parents.

CITATION EXPORT

Katie Harron, Francesca L Cavallaro, Catherine Bunting et al.. Study protocol: evaluation of the 0–5 public health investment in England – a mixed-methods study integrating analyses of national linked administrative data with in-depth case studies. BMJ Open. (2023). https://doi.org/10.1136/bmjopen-2023-073313

AUTHORS

10 · 7 CENTRES

Katie Harron, Francesca L Cavallaro, Catherine Bunting, Amanda Clery, Sally Kendall, Rebecca Cassidy, Julie Atkins, Eirini-Christina Saloniki, Helen Bedford, Jenny Woodman

1UCL Great Ormond Street Institute of Child Health, University College London, London, UK
2The Health Foundation, London, UK
3Centre for Health Services Studies, University of Kent, Canterbury, UK
4Care City, London, UK
5Department of Applied Health Research, University College London, London, UK
6NIHR Applied Research Collaboration North Thames, London, UK
7Social Research Institute, UCL, London, UK