Apart but not Alone? Neighbour support during lockdown

Posted on

By Amy Beardmore, Research Associate in Public Health and Community Development

As the UK went into lockdown on 23 March in response to the Covid-19 pandemic, communities across the country sprang into action and initiated a rapid process of self-organisation, the likes of which had never been seen before. Help for people within communities was quickly coordinated using online platforms such as Facebook, WhatsApp and the hyperlocal social network Nextdoor, alongside more traditional forms of communication such as phoning neighbours or dropping notes through letterboxes. The pace at which this unprecedented community response to the crisis was organised appeared to overtake the implementation of more formalised voluntary and statutory sector support in the area. The result was a complex network of street, neighbourhood and community level help, support and resources.

Rapid research

It quickly became apparent to researchers in the Centre for Public Health and Wellbeing that a unique opportunity was emerging to document the extent of this sudden surge in ground level support and how it might be affected by levels of social deprivation. Enlisting the help of colleagues from within the centre and external partner organisations, as well as a number of community researchers and public contributors, the team designed a piece of research consisting of three distinct phases. This work began just four days after lockdown on 27 March under the heading Apart but not Alone, starting with an online cross-sectional survey.

Survey One

Launched on 2 April and promoted largely through online channels, email and text messages, the first survey asked respondents about who and how they were helping, and their wider experiences of personal involvement in neighbourhood life. Of the 862 people who responded to the survey, a total of 539 responses from the Bristol built-up area were eligible for analysis.

Complex picture in areas of higher deprivation

The results showed that help and support unsurprisingly tended to be aimed at the most vulnerable in communities – specifically the over 70s and those self-isolating. Interestingly, the data also indicated that respondents from more deprived areas of the city and surrounding areas tended to be disproportionately supporting those with disabilities and mobility issues, those with no access to outdoor space and those experiencing financial difficulties. These areas of higher deprivation were also less likely to strongly agree that neighbours were supporting each other well.

Women shouldering majority of the burden?

It is notable that 80.9% of survey respondents were female. There could be a number of reasons for this, including the possibility that women are more actively engaged in social and community networks – both on and offline – and men’s helping behaviours therefore exist but are simply less visible. It may also be that women are shouldering the burden of caring for their community as well as immediate family members, with many also trying to work from home, often with children present.

Low BAME response rate

Bristol has a BAME population of around 14% (although this figure is much lower for South Gloucestershire and North Somerset), so a survey response rate of 5.3% does not appear to be representative of the local population. This may well be due to the restrictive nature of an online survey promoted largely via social media, although the sample did specifically include BAME organisations. It is hoped that the experiences of the BAME population will be explored in more detail through the qualitative element of the project.

In-depth interviews reveal lived experience

The second phase of the project consists of in-depth qualitative interviews with some of the survey participants in order to get a better understanding of how social capital – the resources and connections that people have access to that can influence their ability to navigate systems or to generally do well in life – influences individual and community experiences of lockdown. Eighteen interviews have been conducted so far as part of a unique piece of research in which the researchers themselves are living through the same experience as their interviewees.

“Two of my neighbour’s cousins have died because of Covid-19…and it’s difficult for her because they can’t get together as a family to mourn…”

Research participant

Follow-up survey on community spirit

Participants from the original survey who expressed an interest in taking part in further research were also invited to take part in Phase Three – a follow up survey, published on 27 May. This survey asked about positive and negative experiences in communities since the easing of lockdown on 10 May, and early analysis suggests that whilst many reported a continuation of positive activity (such as increased communication, street level events and volunteering), participants also identified a number of emerging concerns. These tended to indicate that tensions were starting to creep in, particularly associated with confusion over the rules and social distancing as well as more general concerns about previous negative behaviours being exhibited by some members of the community. Of particular note were a number of negative comments about the behaviour of young people and teenagers, indicating potential generational conflict.

What next?

Results from Survey One were recently published in Emerald Open Research, and it is hoped that a second article will be published in the next few weeks summarising the findings of Survey Two, which is currently undergoing analysis. The qualitative element remains ongoing as we continue to explore the participant links to social capital and the impact it has had on their experiences of lockdown. For regular project updates, please follow us on Twitter @ApartAlone.

Hosting a hospital – how an NHS Nightingale hospital was created in three weeks at UWE Bristol

Posted on

By Professor Steve West, Vice-Chancellor at UWE Bristol

As the COVID-19 pandemic has taken hold of the country, universities have radically changed how they operate to best support students and staff, and UWE Bristol is no different. But alongside all of our efforts to ensure that our students’ academic and student experience is able to continue virtually, we have also found ourselves as one of the hosts for an NHS Nightingale Hospital on our Frenchay campus.

Creating a 300-bed hospital in our Exhibition and Conference Centre (ECC) has been no mean feat, but when we were approached by the NHS, it was a very easy decision for us to offer everything we could to help. Along with many universities, UWE Bristol has a very long history of being embedded in its local community, and if this pandemic has taught us anything, it’s the importance of community support and collaboration to tackle the unprecedented situation we find ourselves in. Universities are uniquely placed to help in the current crisis, so we knew that no matter how complex the creation of this hospital would be, we were ready to get involved.

Although the prospect of having a fully operational intensive care bed hospital on our campus has been daunting at times, the reality of the construction has been remarkably smooth. I have been on the project from the outset with fantastic colleagues at all levels and disciplines playing their part in delivering this facility. Our collective effort has given hope to NHS frontline staff, and the hospital is now ready if needed to treat the sickest patients battling COVID-19.

We were first approached in late March, when a team from land surveyors CBRE, the NHS, plus the Army Logistics team, arrived onto campus to survey the ECC and surrounding area. A project team was established and after that things began to move extremely quickly, with a full project Board established two days later and increasing numbers of Kier, NHS and contractor staff arriving on site.

We collaborated with the NHS and Kier leads from the very beginning, which was essential as there was an ambitious 15 day build plan to deliver 300 fully ventilated beds in one building – one that is usually put to use for everything from student exams to events to weddings, so it has been incredible to witness how it has been turned into such a different facility.

For me, one of the most important aspects of this whole project has been ensuring that we are not simply a geographical location for the hospital but a partner in this endeavour, consistently looking for new ways to support and adapt to having this facility on campus. To that end, we provided a bespoke 2 day training programme for volunteers to be able to work safely in the Nightingale which was designed and delivered for over 350 people over the Easter break, and UWE Bristol Academic and Technical Teams also started to train clinical leads and staff in the Nightingale protocols. We have been providing 1000s of litres of disinfectant and hand gel to the site, GP, practices, pharmacies and even the local businesses such as Rolls Royce and Airbus to keep the economy moving, and now we have begun making face visors in the Bristol Robotics Laboratory.

For now, the hospital stands ready if required, and the NHS continue to have our full support. Following the official opening of the hospital last week, we are now working very closely with NHS colleagues across the region to determine how the facility might change and adapt as the disease progresses and clinical needs change.

The fact that we are host to such an important part of the UK’s fight against COVID-19 is a source of great pride to our staff and students. While having a hospital spring up in the space of two weeks across from my office is not something I could ever have predicted at the start of the year, everyone here has risen to the challenge with all the energy, willingness to collaborate and community spirit I’ve come to expect from our students and staff. This is us at our best, and demonstrates how we and the higher education sector can play such a vital role in the current pandemic.

This article was first published by Universities UK