Welfare benefits

This study argues that there is a strong case for scaling up and resourcing the embedded welfare advisor approach across the city’s GP practices, which includes 80 of the 100 Deep End GP practices in Scotland. The findings reflect concerns and possible solutions to promoting increased access to benefit entitlements in Deep End communities that were explored in preceding Deep End Reports.

Integrating money advice workers into primary care settings: an evaluation
(James Egan, Glasgow Centre for Population Health, Jan 2019)
Integrating money advice workers into primary care settings
At the Deep End: integrating money advice workers into GP practices

Deep End Report 16 summarised recent Deep End GP experience of austerity and welfare benefits changes as they had affected their patients and their practice in the previous week.

REPORT 16 GPs at the Deep End Austerity Report (March 2012)
Full report

Deep End Report 21 provided further GP experience and views based on examples of the impact of welfare benefit reforms

REPORT 21 GP experience of welfare reform in very deprived areas (Oct 2013)
Summary | Full report

Deep End Report 25 summarised a joint meeting between Deep End GPs and colleagues working in financial and welfare benefit advice services in Glasgow.

REPORT 25 Strengthening primary care partnership responses to the welfare reforms (Nov 2014)
Summary | Full report

A subsequent review conference in was reported in Deep End Report 27.

REPORT 27 Improving partnership working between general practices and financial advice services in Glasgow: one year on (Dec 2015)
Summary | Full report

In 2015, Sarah Littler, a medical student on sabbatical leave from the University of Edinburgh wrote a report based on 5 months attached to the Keppoch Medical Centre at Possilpark Health Centre, describing and quantifying the help she was able to give the practice in dealing with patients’ welfare benefit problems.

Welfare benefits and general practice (A study at Keppoch Medical Practice, Possilpark Health and Care Centre) Sarah Littler, University of Edinburgh

In 2016, the Wheatley Housing Group in Glasgow funded a pilot project at Parkhead Health Centre, based a financial advice worker in the Health Centre to facilitate closer links and increase patients’ benefit income.

In 2016, a Deep End response was submitted to the Scottish Government’s consultation on new Social Security arrangements for Scotland.

A new future for social security: consultation on social security in Scotland A response from GPs at the Deep End (Oct 2016) http://www.gla.ac.uk/media/media_498285_en.pdf

A project embedding a financial advice worker in two general practices at Parkhead Health Centre resulted in increased referrals for financial advice and an average annual financial benefit of £7,000 per patient taking up the advice. Key aspects of the project were the embedding of the attached worker within the practice (which was more effective than simple co-location, which had been tried and found wanting), the acceptability and familiarity of the practice setting for patients and the avoidance of any increased workload for the two general practices, allowing GPS to spend more time on clinical issues.

Associated coverage

Lead article in "Health Equalities" Issue 2 (abridged version of Austerity Report)

At the Deep End: what are the problems with welfare reforms? Health Equalities Issue 3, 2014 [no link available]

Planning capacity of welfare benefit advice in GP practice: a toolkit London Regional Public Health Group, London Health Inequalities Network (March 2013) http://www.lho.org.uk/viewResource.aspx?id=18148

Blane, D., and Watt, G. (2012) Altogether now? Austerity at the deep end. British Journal of General Practice, 62(600), pp. 374-375. (doi:10.3399/bjgp12X652463)

See also the summary of the following session held as part of the Day Release Programme for the GP Pioneer Scheme

Financial inclusion (15 Feb 2017)