Evidence map›Paper›PMID 41513417›Full record

Observational studyBMJ open2026

Understanding the effects of reductions in local government expenditure on food safety services in England, 2009-10 to 2019-20: a longitudinal ecological study.

Lauren Murrell, Helen E Clough, Xingna Zhang, Roger Gibb, Marie Anne Chattaway, Mark A Green, Iain Edward Buchan, Ben Barr, Daniel Hungerford

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2026. 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

9 authors.

Lauren MurrellNational Institute for Health and Care Research Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK, Liverpool, UK murrell@liverpool.ac.uk.ORCID http://orcid.org/0000-0003-0203-5074
Helen E CloughNational Institute for Health and Care Research Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK, Liverpool, UK.
Xingna ZhangNational Institute for Health and Care Research Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK, Liverpool, UK.ORCID http://orcid.org/0000-0002-8849-2112
Roger GibbHealth Protection Research Unit Gastrointestinal Infection, University of Liverpool, Liverpool, UK, Public Contributor, PPI Advisor to, Liverpool, UK.
Marie Anne ChattawayNational Institute for Health and Care Research Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK, Liverpool, UK.
Mark A GreenGeography & Planning, University of Liverpool, Liverpool, UK.
Iain Edward BuchanDepartment of Public Health, Policy and Systems, University of Liverpool, Liverpool, Merseyside, UK.ORCID http://orcid.org/0000-0003-3392-1650
Ben Barr *Public Health and Policy, University of Liverpool, Liverpool, UK.
Daniel Hungerford *Clinical Infection, Microbiology and Immunology, University of Liverpool Institute of Infection Veterinary and Ecological Sciences, Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand how reductions in resource allocation affect food safety services in England.

designThis longitudinal ecological study analysed secondary observational data.

settingEngland, data at the local authority level.

participantsEcological study, without human participants. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measures were the number of staff, represented by the number of full-time equivalents per capita, number of interventions per establishment, and proportion of hygiene-compliant establishments.

resultsA £1 decrease in food safety expenditure per capita was associated with a 2% (-3.3 to -0.7) decrease in staffing levels and a 1.6% (-3.2 to -0.1) decrease in the number of interventions achieved per establishment. A one-unit reduction in staff was associated with a 42.2% (-80.5 to -11.9) decrease in the number of interventions achieved. No evidence of an association was found between expenditure or staff levels and the proportion of compliant establishments.

conclusionsSpending reductions negatively affected the capacity of food safety teams to provide key services. Reductions in food safety expenditure significantly affected food hygiene staff levels and service provision. This finding raises concerns about the capacity of food safety teams to operate and the potential for increased public risk of gastrointestinal infections.

Indexed as

Food SafetyLocal GovernmentEnglandHumansLongitudinal StudiesEpidemiologyGastrointestinal infectionsPublic health

Identifiers

PMID41513417
PMCPMC12815172

What OpenQuestion holds

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LicenceCC BY
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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.