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The Impact of Community Health Workers on the Uptake of Preventative Care Services in London, UK

NCT06144580 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 8400

Last updated 2023-11-22

No results posted yet for this study

Summary

In 2021, Westminster Council, London, piloted a new Community Health and Wellbeing Worker (CHWW) role in the Churchill Gardens council estate. Four CHWWs were assigned to specific buildings on the estate, to proactively visit the same 120 households that they were responsible for, each month, whether there was a clinical need or not. This approach led to many positive outcomes. In households that were visited by the CHWWs, residents eligible for immunizations, screening or health checks were much more likely to receive them, than households that had not yet been visited. Based on this positive impact, the four Primary Care Networks of Westminster (called Healthcare Central London) have recruited a further twenty CHWWs for deployment in January 2024. In order to give households equal chance of receiving the CHWW services, they have been allocated at random to neighbourhoods of 120 households in two wards, Lisson Grove and Paddington Green. Our study will draw on routinely collected data using the Whole Systems Integrated Care (WSIC) data warehouse, to look back at whether households that were allocated a CHWW were more likely, or not, to receive the immunizations, screening and health checks they were eligible for, than households not allocated a CHWW. This robust evaluation of the impact of the CHWWs will help policy makers understand whether lay people from the community can aid the uptake of and access to preventative services. Already there is national interest in the use of CHWWs, particularly ones that have a mandate to visit households even before the residents express any clinical need, because understanding and supporting families before their problems become too big, makes sense for residents and the health and social care system. This has already been seen in many countries around the world, but for England this evidence base is yet to be developed because, until now, there are no services in place such as this.

Conditions

  • Immunization Uptake
  • Screening Uptake
  • Health Check Uptake

Interventions

OTHER

Community Health and Wellbeing Worker

Each CHWW will be deployed to cover 120 households in defined geographies ('villages') in North and South Westminster. LSOAs in the bottom 20% deprivation have been identified as priority areas for the CHWWs to be deployed. All households in the villages allocated to receive the intervention will be approached by the CHWW allocated to that village, irrespective of demographic characteristics and previous needs. CHWWs will visit all households each month, building a longitudinal relationship with each household so that problems arising from one month to the next can be captured in good time.

Sponsors & Collaborators

  • The George Institute

    collaborator OTHER

  • Imperial College London

    lead OTHER

Principal Investigators

  • Matthew Harris, DPhil MBBS · Imperial College London

Eligibility

Min Age
0 Years
Max Age
120 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2024-01-15
Primary Completion
2026-01-15
Completion
2027-01-15

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT06144580 on ClinicalTrials.gov