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2.  Supporting homeless people living with HIV 
Retrovirology  2010;7(Suppl 1):P161.
doi:10.1186/1742-4690-7-S1-P161
PMCID: PMC3316097
3.  The challenges of joint working: lessons from the Supporting People Health Pilot evaluation 
Purpose
This paper reports the findings of the evaluation of the Supporting People Health Pilots programme, which was established to demonstrate the policy links between housing support services and health and social care services by encouraging the development of integrated services. The paper highlights the challenges of working across housing, health and social care boundaries.
Method
The evaluation of the six health pilots rested on two main sources of data collection: Quarterly Project Evaluation Reports collected process data as well as reporting progress against aims and objectives. Semi-structured interviews—conducted across all key professional stakeholder groups and agencies and with people who used services—explored their experiences of these new services.
Results
The ability of pilots to work across organisational boundaries to achieve their aims and objectives was associated not only with agencies sharing an understanding of the purpose of the joint venture, a history of joint working and clear and efficient governance arrangements but on two other characteristics: the extent and nature of statutory sector participation and, whether or not the service is defined by a history of voluntary sector involvement. In particular the pilots demonstrated how voluntary sector agencies appeared to be less constrained by organisational priorities and professional agenda and more able to respond flexibly to meet the complex needs of individuals.
Conclusion and discussion
The pilots demonstrate that integrating services to support people with complex needs works best when the service is determined by the characteristics of those who use the service rather than pre-existing organisational structures.
PMCID: PMC2092398  PMID: 18043723
governance; housing support; joint working
4.  Reshaping the NHS workforce  
BMJ : British Medical Journal  2000;320(7241):1023-1024.
PMCID: PMC1117930  PMID: 10764346
5.  A qualitative study of uptake of free vitamins in England 
Archives of Disease in Childhood  2013;98(8):587-591.
Objective
To identify reasons why eligible families are not accessing free ‘Healthy Start’ vitamin supplementation (providing vitamins A, C and D) in England.
Design
Qualitative study using in-depth interviews.
Setting
13 primary care trusts in England.
Participants
Purposive sample of 15 Healthy Start coordinators, 50 frontline health and children's professionals and 107 parents.
Results
Vitamin take-up was low across all research sites, reported as below 10% of eligible beneficiaries for free vitamins. Reasons identified by both parents and professionals included (1) poor accessibility of vitamins, (2) low promotion of the scheme by health professionals, (3) a lack of awareness among eligible families, and (4) low motivation among mothers to take vitamins for themselves during pregnancy or for children under 4 years old.
Conclusions
Low uptake rates can be explained by poor accessibility of vitamins and lack of awareness and motivation to take vitamin supplements among eligible families. Universal provision (at least for pregnant women) and better training for health professionals are identified as potential solutions worthy of further research and evaluation.
doi:10.1136/archdischild-2013-303838
PMCID: PMC3717763  PMID: 23702436
Epidemiology; General Paediatrics; Nursing; Health services research; Qualitative research

Results 1-5 (5)