Impact of COVID-19
The COVID-19 pandemic impacted the lives of billions across the globe, and also disrupted implementation of the SUH study. The lockdown measures introduced by the UK government in March 2020 affected contact centre operations, and several centres adopted work from home or hybrid formats. The measures also meant that the SUH team could no longer make in-person visits. The study followed the stepped wedge schedule from July 2019 until January 2020, after which the design schedule, intervention delivery and data collection had to be altered and adapted (