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Table 4 summary of interventions delivered and evaluations performed (studies included in the review)

From: A systematic review of the health, social and financial impacts of welfare rights advice delivered in healthcare settings

Authors (date)

Intervention delivered

Evaluation performed

 

Who gave advice?

Where was advice given?

Referral system

Eligibility criteria (size of eligible population)

Financial

Non-financial, before-and-after design

Non-financial comp./control group

Qualitative

Abbott & Hobby (1999)[79]

CAB worker

primary care or client's home

PHCT, self

all registered at 7 practices

No

Yes

Yes

Yes

Abbott & Hobby (2002)[34]

CAB worker and city council welfare rights officer

primary care

variable

(94+ practices)

No

Yes

Yes

Yes

Actions (2004)[81]

welfare rights advisers

primary care, clients' homes, telephone

self, medical staff, friends and family, voluntary and community _rganizations, social services, various other services

not reported

Yes

No

No

Yes

Bennett (1997)[82]

CAB worker

CAB office

PHCT

all registered at 3 practices

Yes

No

No

No

Borland (2004)[83, 84]

CAB worker

primary care, community hospitals, CAB offices, client's home

PHCT, self, any other agency

(Wales wide)

No

No

No

Yes

Bowran (1997)[85]

CAB worker

primary care

not reported

(n = 12500)

No

No

No

Yes

Broseley Health and Advice Partnership (2004)[86]

CAB worker

Primar care

self and all those registered at practice aged over 75 invited to take part

those registered at health centre

Yes

No

No

Yes

Bundy (2002)[87, 88]

city council welfare rights officer and CAB worker

primary care

PHCT, self

(9 practices)

Yes

No

No

No

Bundy (2003)[88]

city council welfare rights officer and CAB worker

primary care

PHCT, self, any other agency

all registered at practices covering 1/3 of those registered in Salford

Yes

No

No

No

Coppell et al (1999)[43]

welfare rights officer

primary care

PHCT, self

anyone (n = 4057)

Yes

No

No

Yes

Cornwallis & O'Neil (1998)[65]

Money advice worker

primary care

PHCT, self

all registered at practice(s) (n = 7600)

No

No

No

Yes

Derbyshire CC WRS (1997)[89]

welfare rights officer

primary care

PHCT, self

all registered at practice(s) (n = 23 039)

Yes

No

No

No

Derbyshire CC WRS (1998a)[22]

welfare rights officer

primary care

not reported

all registered at 2 practices

Yes

No

No

No

Derbyshire CC WRS (1998b)[22]

Welfare rights service worker

primary care

PHCT and targeted mailshots

(4 practices)

Yes

No

No

No

Dow & Boaz (1994)[23]

Linkage worker trained to assist in application for benefit

Clients' home or treatment facility

All individuals registered at 2 community mental health centres over 18 not currently claiming benefits, random sample of those meeting criteria at third centre, possibly eligible for benefits at screening

Screening form used – US citizen or resident alien, income <$600/month ($900 if married), one of: HIV+, 65+, blind, deaf, disabled

No

No

Yes

No

Emanuel & Begum (2000)[90]

CAB worker

primary care

PHCT, self

anyone (n = 12 601)

No

Yes

Yes

Yes

Farmer & Kennedy (2001)[91]

CAB worker

primary care, hospital

at hospitals – from ward staff to social work staff to CAB worker

not reported

No

No

No

Yes

Fleming & Golding (1997)[92]

CAB worker

primary care

not reported

all registered at 21 practices

No

No

No

Yes

Frost-Gaskin et al (2003)[66]

Mind benefit advisor

Mental health resource and day centres (primary care)

None – advisors approached as many regular attendees as possible

all regular attendees (population of those eleigible to attend = 313 510)

Yes

No

No

No

Ferguson & Simmons[93]

Community Links workers (local advice provider)

primary care

Mailshot to registered patients, GP referral

(50% of surgeries in London Borough of Newham)

No

No

Mp

Yes

Galvin et al (2000)[67, 94]

CAB worker

primary care

PHCT

(7 practices)

No

No

No

Yes

Greasley (2003)[95] and Greasley & Small (2005)[96]

12 advisors from 6 agencies

primary care

PHCT, self, any other agency

(n = 106 707)

Yes

Yes

No

Yes

Griffiths (1992)[97]

city council welfare rights officer

primary care

PHCT, self, any other agency

(2 health centres)

Yes

No

No

No

Hastie (2003)[98]

CAB worker

primary care, 2 other local locations

GP, self

not reported

Yes

No

No

Yes

High Peak CAB (1995)[99]

CAB worker

primary care

not reported

all those in town (n = 2500)

No

No

No

No

High Peak CAB (2001)[100]

CAB workers

not reported

not reported

not reported

Yes

No

No

No

High Peak CAB (2003)[101]

CAB workers

primary care

PHCT, self, other agencies

all registered at practices involved

Yes

No

No

No

Hoskins & Smith (2002)[63]

welfare rights officer

client's home

community nurses screened for attendance allowance eligibility opportunistically from their client list and referred screen positive

those >64 who in community nurses opinion were physically/mentally frail (population>64 = 1690)

Yes

No

No

Yes

Hoskins et al (in press)[102]

money advice workers

clients' homes

community nurses screened for attendance allowance eligibility from their client list and referred screen positive

those over 64 who appeared to have unmet clinical needs

Yes

No

No

No

Knight (2002)[103]

welfare benefits advisor

primary care and client's home

all aged 75+ identified through GP and sent invitation to take part

all aged 75+ in central Liverpool PCT area (n = 31 000)

No

No

No

Yes

Lancashire CC WRS (2001)[104]

welfare rights officer

client's home

all patients aged 80+ invited to take part

all registered at 3 practices 80+

No

No

No

No

Langley et al (2004)[25]

Welfare benefits advice worker

primary care, hospital, client's home, local CAB

after consent obtained, sent health assessment questionnaire. Those with score >1/5 contacted by advisor and offered advice session

over 16 with rheumatoid arthritis or osteoarthritis of knee or hip for >1 yr plus NSAID recruited from 20 practices. If >100 eligible from any practice, random sample of 100

No

No

No

No

Lishman-Peat & Brown (2002)[105]

not reported

primary care and client's home

PHCT, self

(5 practices)

Yes

No

No

Yes

MacMillan & CAB Partnership (2004)[106]

CAB workers

clients' homes, "acute and primary care locations" and cancer information centres

from nursing staff at 3 hospitals and community MacMillan nurses

cancer patients and their families

Yes

No

No

Yes

Memel & Gubbay (1999)[57]

welfare rights advisor

primary care

not reported

not reported

No

No

No

No

Memel et al (2002)[24]

CAB worker

primary care or hospital

those with RA or OA from follow up patients at rheumatology outpatients at a teaching hospital and those from two GP surgeries who had take part in other research project

diagnosis of OA or RA, being seen at outpatients or registered at participating GP, health assessment questionnaire score of 2 or more, not currently claiming attendant's allowance or disability living allowance

No

No

No

No

Middlesbrough WRU (1999)[107]

city council welfare rights officer

primary care and client's home where necessary

PHCT

all registered at practice(s) (n = 90 500)

No

No

No

No

Middlesbrough WRU (2004)[108]

welfare rights officers

primary care and clients' homes

GPs, practice receptionists, district nurses, health visitors, health and social care assessors, Macmillan nurses, social workers, age concern

those registered at practice aged over 50

Yes

No

No

No

Middleton et al (1993a)[69]

housing department welfare rights advisor

primary care

not reported

(n = 15 000)

Yes

No

No

No

Middleton et al (1993b)[69]

CAB worker

primary care

not reported

(4 practices)

Yes

No

No

No

Moffatt (2004)[109]

Welfare rights worker

client's home

invitation to take part sent to random sample of those aged 65+

random sample (n = 400+) of those aged 65+ registered at 4 practices

Yes

No

No

Yes

Moffatt et al (2004)[110, 111]

CAB worker

primary care

PHCT, self

all registered at practice

No

No

No

Yes

Paris & Player (1993)[71]

CAB worker

primary care

PHCT

(n = 64 779)

Yes

No

No

No

Reading et al (2002)[72, 80]

CAB worker

primary care

letter to all eligible families

all families registered at 3 health centres with child under 1 year

Yes

No

Yes

Yes

Roberts (1999)[112]

CAB worker

primary care, client's home, letter, telephone

PHCT, self

(5 practices)

No

No

No

Yes

Sedgefield and district AIS (2004)[113]

CAB worker

primary care

PHCT

all registered at practice(s)

No

No

No

Yes

Sherratt et al (2000)[77]

CAB worker

3 models – primary care, telephone, client's home

PHCT (GP surgery, telephone) or targeted at housebound (home visits only)

all registered at 7 or 4 practices (in-surgery and telephone advice), all housebound patients registered with GP in Gateshead (home visits)

No

No

No

Yes

Southwark CC MAS (1998)[114]

welfare rights officer

primary care

not reported

(n = 76 417)

Yes

No

No

Yes

Toeg et al (2003)[61]

CAB worker

primary care, client's home or telephone

all those eligible invited by letter from GP

registered at practice, 80 years +, living in own home (n = 12 000)

Yes

No

No

No

Vaccarello (2004)[115]

HABIT officer

client's home

invitation letters from GPs to those aged 75+

all aged 75 in Liverpool (n = 31 000)

No

No

No

Yes

Veitch (1995) GP[21]

CAB worker

primary care

not reported

(21 practices)

Yes

Yes

No

No

Veitch (1995) mental health[21]

CAB worker

health and social services sites (mental health centres)

not reported

not reported

Yes

Yes

No

No

Veitch & Terry (1993)[44]

CAB worker

primary care

PHCT

(n = 64 779)

No

No

No

No

Widdowfield & Rickard (1996)[116]

CAB worker

primary care

PHCT, self

all registered at practice(s)

No

No

No

Yes

Woodcock (2004)[117]

city council welfare rights officer

primary care

PHCT

not reported

No

No

No

Yes

  1. CAB = Citizen's Advice Bureau; PHCT = any member of primary healthcare team; GP = general practitioner; OA = osteoarthritis; RA = rheumatoid arthritis