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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

Harron, Katie, Cavallaro, Francesca L, Bunting, Catherine, Clery, Amanda, Kendall, Sally, Cassidy, Rebecca, Atkins, Julie, Saloniki, Eirini-Christina, Bedford, Helen, Woodman, Jenny and others. (2023) 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, 13 (4). Article Number e073313. ISSN 2044-6055. (doi:10.1136/bmjopen-2023-073313) (KAR id:100934)

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<h4>Introduction</h4>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.<h4>Methods and analysis</h4>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.<h4>Ethics and dissemination</h4>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.

Item Type: Article
DOI/Identification number: 10.1136/bmjopen-2023-073313
Uncontrolled keywords: Public Health, Community Child Health, Health Economics, Health Policy, Humans, Family, Parents, Child, England, Pediatric Obesity
Subjects: R Medicine
R Medicine > RA Public aspects of medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Funders: National Institute for Health Research (
SWORD Depositor: JISC Publications Router
Depositing User: JISC Publications Router
Date Deposited: 18 Apr 2023 15:31 UTC
Last Modified: 21 Apr 2023 14:28 UTC
Resource URI: (The current URI for this page, for reference purposes)
Harron, Katie:
Cavallaro, Francesca L:
Bunting, Catherine:
Clery, Amanda:
Kendall, Sally:
Woodman, Jenny:
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