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The purpose of this paper is to consider how a South East project approached systems change to improve unsupported temporary accommodation (UTA) and the changes made for people experiencing multiple disadvantage (“multiple and complex needs”). This paper also covers some matters that are hard to change or uncertain, such as housing shortages and financial constraints. The paper focuses on a case study of the East Sussex Temporary Accommodation Action Group (TAAG) – a multi-agency action group.

A qualitative case study involving a thematic analysis of seven semi-structured interviews, with a review of published literature and internal documentation.

This example of setting up a TAAG shows us the value of having a dedicated forum to look at a part of the system that requires changing and to identify what works well. Creating a collaborative and democratic space with a common purpose brings different stakeholders and perspectives together and opens discussions to new ways of working. Equalising partners creates an opportunity to create change from the bottom-up within a system traditionally governed by statutory bodies. This study found that the TAAG has facilitated learning around trauma-informed practice and nurtured more sustainable changes towards a Standards Charter and women-only safe UTA.

This is one of the first qualitative case studies of a local systems change approach to improving UTA for people experiencing multiple disadvantage in East Sussex.

The purpose of this paper is to describe the delivery of the first clinically led, inter-professional Pathway Homeless team in a mental health trust, within the King’s Health Partners hospitals in South London. The Kings Health Partners Pathway Homeless teams have been operating since January 2014 at Guy’s and St Thomas’ (GStT) and Kings College Hospital and expanded to the South London and Maudsley in 2015 as a charitable pilot, now continuing with short-term funding.

This paper outlines how the team delivered its key aim of improving health and housing outcomes for inpatients. It details the service development and integration within a mental health trust incorporating the experience of its sister teams at Kings and GStT. It goes on to show how the service works across multiple hospital sites and is embedded within the Trust’s management structures.

Innovations including the transitional arrangements for patients’ post-discharge are described. In the first three years of operation the team saw 237 patients. Improved housing status was achieved in 74 per cent of patients with reduced use of unscheduled care after discharge. Early analysis suggests a statistically significant reduction in bed days and reduced use of unscheduled care.

The paper suggests that this model serves as an example of person centred, value-based health that is focused on improving care and outcomes for homeless inpatients in mental health settings, with the potential to be rolled-out nationally to other mental health Trusts.

The hosts' third-party certifications in the sharing accommodation platforms have largely overlooked how the provision of such certification information could facilitate the trust-building process and subsequently influence consumers' purchase intention. Adopting an institution-based trust perspective, the authors differentiate various types of hosts' certification information (i.e. financial certification and social certification) and examine their role in the trust-building process between the hosts and the customers on sharing accommodation platforms.

This study uses the property-month level data of Airbnb Beijing from January 2019 to June 2020. Econometric analyses are adopted to evaluate the impact of institution-based trust on consumers' purchase intention. Specifically, the ordinary least square is used to testify the relationship between institution-based trust and purchase intention.

The empirical results show that the information on institution-based trust increases the likelihood that customers would reach purchase decisions. More importantly, results show that both financial certification and social certification affect consumers' purchase intention. The results further show that listings' attributes moderate the relationship between institution-based trust and customer purchase intention. Moreover, the authors find that “Superhost” and “Experience” positively moderate such relationships.

This paper confirms that the host certification fosters institution-based trust and reveals the impact of hosts' certification on consumers' purchase intentions. This study is among one of the first studies to incorporate institution-based trust into the trust formation on the sharing economy platform, which can improve the understanding of trust in the sharing economy context. The authors emphasize the importance of trust types on sharing economy platforms.

Barriers to employment are a significant issue in the United States and abroad. As civil rights legislation continues to be enforced and as employers seek to diversify their workplaces, it is incumbent upon the management field to offer insights that address obstacles to work. Although barriers to employment have been addressed in various fields such as psychology and economics, management scholars have addressed this issue in a piecemeal fashion. As such, our review will offer a comprehensive, integrative model of barriers to employment that addresses both individual and organizational perspectives. We will also address societal-level concerns involving these barriers. An integrative perspective is necessary for research to progress in this area because many individuals with barriers to employment face multiple challenges that prevent them from obtaining and maintaining full employment. While the additive, or possibly multiplicative, effect of employment barriers have been acknowledged in related fields like rehabilitation counseling and vocational psychology, the Human Resource Management (HRM) literature has virtually ignored this issue. We discuss suggestions for the reduction or elimination of barriers to employment. We also provide an integrative model of employment barriers that addresses the mutable (amenable to change) nature of some barriers, while acknowledging the less mutable nature of others.

The purpose of this paper is to stimulate a wider debate around the coordination of workforce planning in non-statutory services (in this case, specialist housing for older people or those with long-term health and social care needs, such as learning disabilities). The authors argue that current NHS reforms do not go far enough in that they fail to include specialist housing and its workforce in integration, and by doing so, will be unable to optimise the potential efficiencies and streamlining of service delivery to this group.

The paper used exploratory study using existing research and data, enhanced by documentary analysis from industry bodies, regulators and policy think tanks.

That to achieve the greatest operational and fiscal impact upon the health care services, priority must be given to improving the efficiency and coordination of services to older people and those requiring nursing homes or registered care across the public and third sectors through the integration of service delivery and workforce planning.

Whilst generalisable and achievable, the model proposed within the paper cannot be fully tested theoretically and requires further testing the in real health and social care market to evidence its practicality, improved quality of care and financial benefits.

The paper highlights some potential limitations to the current NHS reforms: by integrating non-statutory services, planned efficiency savings may be optimised and service delivery improved.

The ex‐prisoner population is an under‐researched, socially excluded group, whose broad health needs are seldom assessed and often unmet. This qualitative study aims to identify the broad health needs of ex‐prisoners living in an urban borough in the NorthWest of England. We interviewed 27 exprisoners and 14 of the service providers who work with them, from all the resettlement pathways. We asked them about the resettlement experience and how it impacts on ex‐prisoners’ health, what broad health concerns ex‐prisoners have, and how these could be rectified or improved. This study contributes detail from the perspective of ex‐prisoners themselves, and the workers who know their needs best. We have been able to demonstrate that the transition from prison to community is often a health depleting experience, particularly when accommodation has not been adequately arranged. We have found that whilst ex‐prisoners doubtless suffer very poor health they do not often prioritise their own health. However, the majority of ex‐prisoners clearly suffer particularly from mental health and substance misuse problems. Much can be done to tackle these issues by improving communication and partnership working between key stakeholders.

This paper aims to provide a comprehensive understanding of factors that contribute to refugees’ exclusion from health-care services. More specifically, using institutional theory, this paper identifies regulative pillar-, normative pillar- and cultural/cognitive pillar-related challenges that result in refugees having limited or no access to health-care services.

The paper draws on both secondary research and empirical insights from two qualitative fieldwork studies totaling 37 semi-structured meso-level interviews, observations and focus groups in three Turkish cities (Izmir, Ankara and Edirne), as well as a total of 42 micro-level, semi-structured interviews with refugees and migrants in one large city (Izmir) in Turkey.

This study reveals that systematically stratified legal statuses result in different levels of access to public health-care services for migrants, asylum seekers or refugees based on their fragmented protection statuses. The findings suggest access to health-care is differentiated not only between local citizens and refugees but also among the refugees and migrants based on their legal status as shaped by their country of origin.

While the role of macro challenges such as laws and government regulations in shaping policies about refugees have been examined in other fields, the impact of such factors on refugee services and well-being has been largely ignored in service literature in general, as well as transformative service research literature in particular. This study is one of the first attempts by explicitly including macro-level factors to contribute to the discussion on the refugees’ access to public health-care services in a host country by relying on the institutional theory by providing a holistic understanding of cognitive, normative and regulative factors in understanding service exclusion problem.

The coronavirus disease (COVID-19) pandemic has caused a humanitarian crisis that will be followed by an economic crisis. Tourism is one of the most affected sectors of the economy. Forecasts are devastating. Many local communities lost an important source of income and employees lost their jobs. In Slovenia, where tourism represents approximately 10% of GDP, the Government, consulting with experts and scientists, introduced staycation vouchers. Each resident received a voucher worth €200, while children up to 18 years old received one worth €50. Through this scheme, the Government was subsidising residents to go on vacation with €350 million. The initial results are positive – in the first seven weeks, approximately 15% of staycation vouchers were used. Industry representatives are optimistic and the tourism industry may end up with a 40% drop in total revenue instead of the forecasted 70% for the year 2020. The pandemic has had some positive outcomes, since holidays in Slovenia this year were available to all.

The purpose of this paper is to start a debate about older people who are in groups that are not readily visible to policy makers and practitioners.

The paper is based on information obtained from academic literature, government statistics and other publications from relevant organisations. The authors investigated one “invisible” group each and comparisons and conclusions were then made collaboratively.

Many groups of older people seem to be absent from statistics and from policy making. The paper suggests that there needs to be more research to identify the scale of any problems and how they may be solved.

This is not a systematic review but a preliminary account of the problem.

There are practical implications for health and social care professionals if they do not recognise that there are groups in society about whom little is known. Lack of knowledge and empathy may affect their approach to these groups.

There are implications for society if these groups are not taken into account in decision making and especially over the allocation of resources.

There is little written which brings together the lack of attention paid to these groups as a whole.