{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T19:38:05Z","timestamp":1794339485269,"version":"4.9.0"},"reference-count":66,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"unspecified","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["No.ES\/V016253\/1"],"award-info":[{"award-number":["No.ES\/V016253\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,1,16]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This research aims to explore the factors that hinder professionals in delivering integrated care for children under 5 in temporary accommodation (TA) and understand their experiences of collaboration during the pandemic to inform recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Semistructured qualitative interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>England, UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>45 professionals working across health, housing, education and non-profit sectors in England. Purposive and snowball sampling was employed to recruit a representation of key professionals across England. Those not eligible to take part in the study included people who did not work with families and\/or children in TA settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>To explore cross-sector learnings that are applicable to improving integrated care and to tailor recommendations to the needs of families and children under 5 experiencing homelessness in the UK today.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study highlights the complex, multilevel barriers that professionals face when delivering integrated care to children under 5 in TA. Findings are organised using a framework that distinguishes between practice-level, organisational and systemic challenges. From siloed working practices and limited training to staffing shortages and restrictive data-sharing policies, these challenges collectively hinder service continuity and collaboration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although this project was conducted during the COVID-19 pandemic, the challenges identified reflect deeper, long-standing issues in service delivery. As services continue to recover and prepare for future crises, these insights remain highly relevant and can inform more resilient, integrated recovery plans to support children in TA beyond the pandemic context. Addressing these barriers, through improved collaboration, training and data-sharing, is key to strengthening care for this vulnerable population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-106318","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T15:15:28Z","timestamp":1769613328000},"page":"e106318","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring barriers to integrated care for children under 5 living in temporary accommodation: a qualitative study of professionals\u2019 experiences during the COVID-19 pandemic in England"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0071-1469","authenticated-orcid":false,"given":"Poppy Angelica Spaceman","family":"Pierce","sequence":"first","affiliation":[{"name":"Medical School, University College London Faculty of Medical Sciences, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3085-6785","authenticated-orcid":false,"given":"Nadzeya","family":"Svirydzenka","sequence":"additional","affiliation":[{"name":"Applied Social Sciences, De Montfort University Faculty of Health and Life Sciences, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haleema","family":"Adil","sequence":"additional","affiliation":[{"name":"Medical School, University College London Faculty of Medical Sciences, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0275-3228","authenticated-orcid":false,"given":"Shereen","family":"Allaham","sequence":"additional","affiliation":[{"name":"Population, Policy and Practice Research and Teaching Department, UCL GOS ICH, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4246-8010","authenticated-orcid":false,"given":"Matthew","family":"Ankers","sequence":"additional","affiliation":[{"name":"Flinders University College of Nursing and Health Sciences, Bedford Park, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne Karen","family":"Parry","sequence":"additional","affiliation":[{"name":"School of Nursing & Midwifery, Flinders University, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1458-505X","authenticated-orcid":false,"given":"Michelle","family":"Heys","sequence":"additional","affiliation":[{"name":"Population, Policy and Practice Research and Teaching Department, UCL GOS ICH, London, UK"},{"name":"Specialist Children\u2019s and Young People\u2019s Services, East London NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5618-7247","authenticated-orcid":false,"given":"Marcella","family":"Ucci","sequence":"additional","affiliation":[{"name":"Bartlett School of Graduate Studies, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9855-2043","authenticated-orcid":false,"given":"Monica","family":"Lakhanpaul","sequence":"additional","affiliation":[{"name":"Population, Policy and Practice Research and Teaching Department, UCL GOS ICH, London, UK"},{"name":"Community Paediatrics, Nottingham University Hospitals NHS Trust, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"2026012807151486000_16.1.e106318.1","doi-asserted-by":"crossref","unstructured":"K. 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