Holiday clubs—publicly or privately operated organizations that provide child care services and healthy food to disadvantaged children in the United Kingdom (UK) when schools are not in session—are increasing in number. We know a good deal about the effectiveness of the clubs in terms of nutrition-related outcomes, but little is known about the anti-poverty resources these holiday clubs may provide. The possibility that club funding may be centralized through the national government requires a better understanding of holiday club resources. This study describes the range of resources that holiday clubs deliver and reports on how these resources are acquired and brokered by club staff and volunteers. We use data from seventeen clubs operating in disadvantaged communities in North East England during the summer of 2017, and find that clubs deliver an assortment of anti-poverty resources that are often tied to staff (personal and professional) networks.

AimTo understand what contextual influences, mechanisms and outcomes affect the implementation and use of localised, online care pathways (HealthPathways) in primary and secondary care.Design and procedureMixed-measures design. Quantitative data included number of page views and conditions viewed. Qualitative data from semistructured interviews and focus groups were gathered over a 6-month period, and analysed using NVivo software.SettingThe first HealthPathways UK site, South Tyneside, England.ParticipantsGeneral practitioners, nurses, practice managers, hospital consultants and system leaders (managers, commissioners) (n=76).ResultsUse of the pathways significantly increased over time. Themes were developed showing how online care pathways were used—leadership, pre-existing networks and relationships; development of systems and processes for care pathways, the use of online care pathways to support decision-making and referral, and perceived availability of resources. Inter-related themes were arranged into configurations consisting of contextual influences, mechanisms and outcomes. Recommendations were made for future implementations, such as improved data collection processes to understand how and why there was variance in the use of pathways.ConclusionsThis study was early in the implementation process; however, emerging themes will facilitate the future implementation and use of online care pathways. Recommendations are made for further research to include other health and social care users and patients to inform future developments.

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Background: The needs of older people in Black Minority and Ethnic (BAME)