Beardon, Sarah;
(2022)
Implementation of Health-Justice Partnerships: Integrating welfare rights advice services with patient care.
Doctoral thesis (Ph.D), UCL (University College London).
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Abstract
Background: Health-justice partnerships exist to support patients with social welfare legal issues, which occur among more deprived population groups and are significant causes and consequences of illness. Integrating welfare rights advice with patient care is a means towards important policy goals of both health and legal sectors, including improving access to justice, supporting health outcomes and addressing health inequalities. However, myriad approaches exist and there are clear challenges in delivering and sustaining these partnerships in practice. / Methods: This research investigates the question ‘How can health-justice partnerships be implemented successfully?’ The systematic scoping review examined existing evidence on the impacts and implementation of the partnerships. The comparative case study investigated service design and delivery in practice, drawing on a diverse sample of health-justice partnerships across England. The stakeholder engagement exercise explored professionals’ responses to the findings and their priorities to support implementation in future. / Results: 118 publications were included in the review. The strength of evidence for impacts of the partnerships varied across different topics. Evidence on implementation was of low quality but identified prominent factors affecting service delivery. Nine partnerships participated as case studies in the primary research, from various geographical regions and care settings. The extent of collaborative working between health and welfare rights teams was variable and influenced strongly by individual attitudes and capabilities. Close collaborative working contributed to more impactful partnerships. Some partnerships were currently operating, while others had closed. Decisions to discontinue had been influenced predominantly by resource constraints and strategic priorities. Stakeholders were concerned with how best to design partnerships and engage effectively with healthcare organisations, as well as how to evaluate partnerships and fund them sustainably. / Conclusion: This research provides new evidence to support the successful implementation of health-justice partnerships and identifies priorities for future research and policy work in the field.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | Ph.D |
| Title: | Implementation of Health-Justice Partnerships: Integrating welfare rights advice services with patient care |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2022. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research UCL |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10152199 |
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