Evidence map›Paper›PMID 40484414›Full record

ArticleBMJ open quality2025

Improving local authority financial support services for users with complex health needs: a mixed-method economic evaluation of Social Navigators in South Tyneside, UK.

Peter van der Graaf, Andrew McCarthy, Murali Krishnan Perumbakkam Subramanian, Bronia Arnott, Dilupa Samarakoon, Sarah Lee, Joanne Gray, Angela Bate

Abstract read
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Peter van der GraafNorthumbria University, Newcastle upon Tyne, UK peter.graaf@northumbria.ac.uk.ORCID 0000-0002-2466-2792
Andrew McCarthyNorthumbria University, Newcastle upon Tyne, UK.ORCID 0000-0002-3385-6302
Murali Krishnan Perumbakkam SubramanianNewcastle University, Newcastle upon Tyne, UK.ORCID 0000-0001-8592-6985
Bronia ArnottNewcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-4940-2137
Dilupa SamarakoonNorthumbria University, Newcastle upon Tyne, UK.
Sarah LeeSouth Tyneside Council, South Shields, UK.ORCID 0009-0006-2224-127X
Joanne GrayNorthumbria University, Newcastle upon Tyne, UK.ORCID 0000-0001-6157-230X
Angela BateNorthumbria University, Newcastle upon Tyne, UK.ORCID 0000-0001-5277-4188

Funding

UK National Institutes of Health and Care Research NIHR134419
6 · The paper itself

Abstract

Despite social prescribing being promoted by the UK government for the last decade, the evidence supporting social prescribing remains weak and has mainly been confined to clinical contexts. Our study aimed to evaluate the impact of a Social Navigator (SN) service in South Tyneside on the health and well-being of users who experience financial hardship with complex health needs and limited access to mental health services.Using a mixed-methods design combining secondary analysis of service data (n=330), qualitative interviews with service users (n=15) conducted by peer researchers, and a social return On investment analysis that matched service data with health economic indicators from the UK Social Value Bank.Our findings demonstrate clear value for money with a £3 return for every £1 invested in the service, with a positive return confirmed in sensitivity analysis. SNs were able to improve the confidence of service users, with statistically significant changes across all eight confidence-related outcomes, and helped them to access other advice and financial services. This resulted in one-off financial gains (average £1237) and annual financial gains (average £1703) for service users. The interviews identified that relieving financial burden and stress improved the quality of life and mental well-being of users as a result of their involvement with the service.SN can break the cycle of multiple visits to crisis teams by building trusting relationships and providing emotional and practical support, while being responsive to the service users' needs and available when they have needs. They play a key intermediary role in integrated care systems with a unique focus on the wider determinants of health and financial hardship, advocating for service users without time limits and navigating the complexities of the system across local government. Greater integration of local support services could be achieved by mapping all available pathways for support.

Indexed as

Financial SupportAdultAgedCost-Benefit AnalysisFemaleHumansMaleMiddle AgedQualitative ResearchUnited KingdomHEALTH ECONOMICSHealth EquityMental health

Identifiers

PMID40484414
PMCPMC12161336

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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 OpenQuestion graph.