T. Helliwell

Exploring mental health experiences and support in Montserrat: A healthcare professional’s qualitative study

Background In Montserrat, mental health remains poorly understood, with limited services, and reliance on community-based care and visiting specialists. This study aims to explore the experiences of healthcare professionals (HCPs) working in mental health services in Montserrat and identify barriers and facilitators to...

Building an evidence base for the use of Advice and Guidance Referrals at the primary-secondary care interface: multistage mixed-methods study

Background: Advice and Guidance (A&G) was introduced in NHS primary care to reduce waiting times for elective care and improve access to specialist input without the need for an outpatient referral. However, its impact on care pathways and equity remains unclear, especially for underserved populations.   Approach: Th...

Evaluating the impact of Advice and Guidance on diagnostic pathways and healthcare use in England: retrospective cohort study, 2015-2022