This research project mapped and monitored responses to household food insecurity during the COVID-19 pandemic.

During the COVID-19 pandemic, governments, local authorities, charities and local communities worked to ensure access to food for those facing new risks of food insecurity due to being unable to go out for food or due to income losses arising from the crisis. New schemes were developed, such as governments replacing incomes of people at risk of unemployment on account of lockdowns, providing food parcels for people asked to shield, referrals for people to receive voluntary help with grocery shopping, and free school meals replacement vouchers or cash transfers. These worked alongside existing provision for those unable to afford food – such as food banks – which have been adapting their services to continue to meet increasing demand from a range of population groups. This resulted in a complex set of support structures which developed and changed as the COVID-19 pandemic, and its impacts, evolved.

About the project

The project was funded by the Economic and Social Research Council (ESRC) through the UKRI Ideas to Address COVID-19 grant call and ran for two years from July 2020. The research aimed to provide collaborative monitoring and analysis of food support systems to inform food access policy and practice. The research team was led by the University of Sheffield and King’s College London alongside colleagues from Sustain: the alliance for better food and farming and Church Action on Poverty. Full details of the team are below. Collaboration with partners and stakeholders was at the heart of the project. The research team worked with stakeholders from national and local government, the civil service, third sector, NGOs as well as people who were accessing food and financial assistance during the pandemic.

The End of project summary of key findings were published in August 2022. Details of the workpackages and research reports can be found below.

Project work packages

Work package 1: National level food access systems mapping and monitoring

Looking at food access support across the UK during the COVID-19 pandemic, national level mapping and monitoring was undertaken in England, Northern Ireland, Scotland and Wales as well as at a UK level. National level stakeholders (for example from devolved governments and national voluntary organisations) from across the four nations worked with us to understand and monitor how support for food access has operated and evolved across the UK.

Work package 1 publications: Mapping responses to the risk of rising food insecurity during the COVID-19 crisis across the UK (published August 2020) Monitoring responses to the risk of rising food insecurity during the COVID-19 crisis across the UK (published December 2020) Mapping and monitoring responses to the risk of rising food insecurity during the COVID-19 crisis across the UK - Autumn 2020 to Summer 2021 (published August 2022)

Work package 2: Participatory Policy Panel

To fully understand food access responses, it was crucial to hear directly from those with lived experience of food insecurity during the pandemic. In partnership with Church Action on Poverty, we convened a participatory policy panel made up of people who have direct experience of a broad range of support to access food. Meeting regularly throughout the project (Oct 2020-Dec 2021), the panel used a range of participatory and creative methods to share and reflect on their experiences and contribute these to policy recommendations.

Work package 2 publications: Navigating Storms (published October 2021) Food Experiences During COVID-19 Participatory Panel Deliberative Policy Engagement (published August 2022) Food Experiences During COVID-19 - Participatory Methods in Practice: Key Learning (published August 2022)

Work package 3: Local area case studies

Fourteen local areas across the UK were the focus for more in depth case study research. Working with local stakeholders in each area, the research mapped what local responses looked like and how they operated. The research followed the developments in these areas throughout the duration of the project.

Work package 3 publications: Comparing local responses to household food insecurity during COVID-19 across the UK (March – August 2020) – Executive Summary (published July 2021) Comparing local responses to household food insecurity during COVID-19 across the UK (March – August 2020) (published July 2021). Eight local case study reports covering responses in those areas between March and August 2020: Argyll and Bute, Belfast, Cardiff, Derry and Strabane, Herefordshire, Moray, Swansea, West Berkshire (published July 2021). Local Area Case Studies – Methodological Appendix (published July 2021) Local responses to household food insecurity during COVID-19 across the UK (March – August 2020): Full report (published July 2021) Local responses to household food insecurity across the UK...

This test dataset consists of one table of variables collected in PRIEST dataset. The PRIEST (Pandemic Respiratory Infection Emergency System Triage) Study for Low and Middle-Income Countries (DP – PRIEST)

To ensure hospitals in low- and middle- income countries are not overwhelmed during the COVID-19 pandemic by developing a risk assessment tool for clinicians to quickly decide whether a patient needs emergency care or can be safely sent home.

Carl Marincowitz and colleagues at the University of Sheffield in the United Kingdom and the University of Cape Town in South Africa have developed a risk assessment tool to help emergency clinicians quickly decide whether a patient with suspected COVID-19 needs emergency care or can be safely treated at home to avoid overburdening hospitals particularly in low- and middle- income countries (LMICs). They have used existing data to which they have access on 50,000 patients with suspected COVID-19 infection who sought emergency care in the United Kingdom, South Africa, and Sudan to develop prediction models for specific COVID-19 related outcomes in all income settings. These prediction models have been used to develop risk stratification tools, which enable providers to identify the right level of care and services for distinct subgroups of patients. These have been developed with input from patient and clinical stakeholders. The team have tested the performance of their risk assessment tools for identifying high-risk patients with existing triage methods.

The COVID-19 Psychological Research Consortium (C19PRC) Study aims to monitor and assess the long-term psychological, social, political and economic impact of the COVID-19 pandemic on the UK general population. A longitudinal, internet panel survey was designed to assess: (1) COVID-19 related knowledge, attitudes and behaviours, (2) the occurrence of common mental health disorders, as well as the role of (3) psychological factors, and (4) social and political attitudes in influencing the public’s response to the pandemic. Quota sampling was used to recruit a nationally representative sample of adults in terms of age, sex and household income. The first C19PRC survey was launched on 23 March 2020 (Wave 1), the day that a strict lockdown was enforced across the UK, and recruited 2025 UK adults. As of February 2022, six follow-up surveys have been conducted: Wave 2, April/May 2020; Wave 3, July/August 2020; Wave 4, Nov/Dec 2020; Wave 5, March/April 2021; Wave 6, Aug/Sept 2021; and Wave 7, Nov/Dec 2021. The baseline sample was representative of the UK population in relation to economic activity, ethnicity, and household composition. Data collection for the C19PRC Study is ongoing, with subsequent follow-up surveys being conducted during 2022 (Waves 8 and 9). C19PRC Study data has strong generalisability to facilitate and stimulate interdisciplinary research on important pandemic-related public health questions. It will allow changes in mental health and psychosocial functioning to be investigated from the beginning of the pandemic, identifying vulnerable groups in need of support. Find out more about the study at https://www.sheffield.ac.uk/psychology-consortium-covid19

The COVID-19 pandemic has led to unprecedented global restrictions on freedom of movement, social and economic activity. Pandemics may cause fear in the population, affecting behaviour which in turn may propagate or restrict the further spread of the virus. Social and economic restrictions may also have a major impact on population mental health, especially affecting vulnerable groups, influencing the nation's ability to recover once the pandemic is over. To investigate these mental health effects, it is necessary to collect data using validated measures capturing mental health and decision-making early and throughout the pandemic. Prior to our work leading to this application, no research has addressed this. With initial seed funding from the Universities of Sheffield and Ulster, we assessed mental health and other relevant variables in 2025 UK adults who are highly representative of the UK population in the week of March 23rd, and followed them up in a second wave between April 20th and 30th, with a 69% follow-up rate. We measured not only mental health but many other social and Our work is already being used by the Cabinet Office, Public Health England and the Department of Health and Social Care. We request funding for five further waves of data collection (including one wave of increased sampling to ensure that the four nations/provinces of the UK are fully represented). We also seek funding for more detailed investigations of subgroups within our sample using qualitative interviews of vulnerable people (e.g. older people, people with pre-existing medical conditions) conducted over the telephone, cognitive testing of decision-making processes relevant to the perception of infection risk, and momentary experience sampling (in which people are contact at random intervals throughout the day to ask them about their experiences and feelings) extending until March 2021 after the hoped-for end of the crisis. We will achieve a complete picture of the psychology of a country during crisis and release our findings to the public and government in a timely manner, and make the data available to other scientists.

The data collection consists of 40 qualitative interviews with Polish migrant essential workers living in the UK and 10 in-depth expert interviews with key stakeholders providing information and support to migrant workers in the UK. All migrant interviews are in Polish. Six of the expert interviews with key stakeholders are in English and four are in Polish. Fieldwork was conducted fully online during the Covid-19 pandemic between March and August 2021, following the third UK-wide Covid-19 lockdown. Restrictions were still in place in some localities. Interviews took place shortly after the end of the transition period concluding the UK’s European Union exit on 1 January 2021. All Polish migrant worker interviewees entered the UK before 1 January 2021 and had the option to apply to the EU Settlement Scheme.

The objectives of the qualitative fieldwork were to: 1. To synthesise empirical and theoretical knowledge on the short- and long-term impacts of COVID-19 on migrant essential workers. 2. To establish how the pandemic affected Polish migrant essential worker's lives; and expert interviews with stakeholders in the public and third/voluntary sector to investigate how to best support and retain migrant essential workers in COVID-19 recovery strategies. The project also involved: - co-producing policy outputs with partner organisations in England and Scotland; and - an online survey to measure how Polish migrant essential workers across different roles and sectors were impacted by COVID-19 in regard to health, social, economic and cultural aspects, and intentions to stay in the UK/return to Poland (deposited separately to University of Sheffield). Key findings included significant new knowledge about the health, social, economic and cultural impacts of Covid-19 on migrant essential workers. Polish essential workers were severely impacted by the pandemic with major mental health impacts. Mental health support was insufficient throughout the UK. Those seeking support typically turned to private (online) services from Poland as they felt they could not access them in the UK because of language or cultural barriers, lack of understanding of the healthcare system and pathways to mental health support, support being offered during working hours only, or fear of the negative impact of using mental health services on work opportunities. Some participants were in extreme financial hardship, especially those with pre-settled status or those who arrived in the UK during the pandemic. The reasons for financial strain varied but there were strong patterns linked to increased pressure at work, greater exposure to Covid-19 as well as redundancies, pay cuts and rejected benefit applications. There was a tendency to avoid applying for state financial support. These impacts were compounded by the sense of isolation, helplessness, or long-distance grief due to inability to visit loved ones in Poland. Covid-19 impacted most detrimentally on women with caring responsibilities, single parents and people in the health and teaching sectors. The most vulnerable Polish migrant essential workers - e.g. those on lower income, with pre-existing health conditions, restricted access to support and limited English proficiency - were at most risk. Discrimination was reported, including not feeling treated equally in the workplace. The sense of discrimination two-fold: as essential workers (low-paid, low-status, unsafe jobs) and as Eastern Europeans (frequent disciplining practices, treated as threat, assumed to be less qualified). In terms of future plans, some essential workers intended to leave the UK or were unsure about their future place of residence. Brexit was a major reason for uncertain settlement plans. Vaccine hesitancy was identified, based on doubts about vaccination, especially amongst younger respondents who perceived low risks of Covid-19 for their own health, including women of childbearing age, who may have worries over unknown vaccine side-effects for fertility. Interview participants largely turned to Polish language sources for vaccination information, especially social media, and family and friends in Poland. This promoted the spread of misinformation as Poland has a strong anti-vaccination movement.

COVID-19 has exposed the UK's socio-economic dependence on a chronically insecure migrant essential workforce. While risking their lives to offset the devastating effects of the pandemic, migrant workers reportedly find themselves in precarious professional and personal circumstances (temporary zero-hours contracts, work exploitation, overcrowded accommodation, limited access to adequate health/social services including Universal Credit). This project will investigate the health, social, economic and cultural impacts of COVID-19 on the migrant essential workforce and how these might impact on their continued stay in the UK. It will focus on the largest non-British nationality in the UK, the Polish...