Evidence map›Paper›PMID 40234896›Full record

ArticleBMC health services research2025

Learnings from providing integrated health, housing and wider care for people rough sleeping during the COVID- 19 pandemic: a national qualitative study of the 'Everyone In' policy initiative.

Neha Jain, Emma A Adams, Kate Haddow, Jo Brown, Dan Bleksley, Stephan Morrison, Joanna Kesten, Kelly Howells, Caroline Sanders, Ashley J Adamson and 2 more

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In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Neha JainPopulation Health Sciences Institute, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4 AX, UK. Neha.jain@newcastle.ac.uk.
Emma A AdamsPopulation Health Sciences Institute, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4 AX, UK.
Kate HaddowPopulation Health Sciences Institute, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4 AX, UK.
Jo Brown, Groundswell, London, UK.
Dan Bleksley, Groundswell, London, UK.
Stephan Morrison, Groundswell, London, UK.
Joanna KestenPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Kelly HowellsDivision of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK.
Caroline SandersDivision of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK.
Ashley J AdamsonPopulation Health Sciences Institute, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4 AX, UK.
Eileen KanerPopulation Health Sciences Institute, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4 AX, UK.
Sheena E RamsayPopulation Health Sciences Institute, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4 AX, UK.

Funding

National Institute for Health and Care Research NU-010978National Institute for Health and Care Research (NIHR) Applied Research Collaboration North East and North Cumbria NIHR200173NIHR Greater Manchester Patient Safety Research Collaboration NIHR204295
6 · The paper itself

Abstract

backgroundThe 'Everyone In' national policy initiative launched in England during the COVID- 19 pandemic provided accommodation and health and care support to people who were (or at risk of) sleeping rough. This study aims to understand what worked well and less well in implementing 'Everyone In' for improving physical and mental health outcomes for people experiencing homelessness.

methodsBetween January and October 2023, in-depth interviews/focus groups were conducted across England with those involved in the delivery/implementation of 'Everyone In' and those accommodated. Framework analysis and case study analysis were used for a contextual understanding of the implementation of the policy initiative.

resultsTwenty-five people accommodated through 'Everyone In' (28-58 years; 88% males) and 43 service providers (25-62 years; 40% males) were interviewed. Flexibility in funding and resources, 'joining up' services/support, and innovative responsiveness in services across health, care, and housing systems were key positive features of the initiative. In the long term, 'Everyone In' has provided positive learnings for delivering holistic and integrated health and social care. It has also highlighted the importance of accommodating psychosocial needs and addressing the complexities of alcohol and substance use in all homelessness strategies.

conclusionsPathways to care for people experiencing homelessness need to be flexible and responsive. Complexities such as substance use need to be approached with compassion while addressing the role of wider determinants in such health behaviours. Innovative approaches and joined-up work improve delivery of interventions and integrated care can reduce barriers to access to support.

Indexed as

COVID-19Delivery of Health Care, IntegratedHealth PolicyHousingIll-Housed PersonsAdultEnglandFemaleFocus GroupsHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSARS-CoV-2Health and housingHealth policyHomelessnessIntegrated systems

Identifiers

PMID40234896
PMCPMC11998433

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.