scholarly journals ‘Australia as the Coming Greatest Foster-Father of Children the World Has Ever Known’: The Post-war Resumption of Child Migration to Australia, 1945–1947

2021 ◽  
pp. 131-189
Author(s):  
Gordon Lynch
Keyword(s):  
Cost Effective ◽  
Standards Of Care ◽  
Home Office ◽  
The United Kingdom ◽  
Child Migration ◽  
Commonwealth Government ◽  
Post War ◽  
Foster Father ◽  
The Uk ◽  
To Receive

AbstractThis chapter examines the policy context and administrative systems associated with the resumption of assisted child migration from the United Kingdom to Australia in 1947. During the Second World War, the Australian Commonwealth Government came to see child migration as an increasingly important element in its wider plans for post-war population growth. Whilst initially developing a plan to receive up to 50,000 ‘war orphans’ shortly after the war in new government-run cottage homes, the Commonwealth Government subsequently abandoned this, partly for financial reasons. A more cost-effective strategy of working with voluntary societies, and their residential institutions, was adopted instead. Monitoring systems of these initial migration parties by the UK Government were weak. Whilst the Home Office began to formulate policies about appropriate standards of care for child migrants overseas, this work was hampered by tensions between the Home Office and the Commonwealth Relations Office about the extent to control over organisations in Australia was possible.

scholarly journals ‘A Serious Injustice to the Individual’: British Child Migration to Australia as Policy Failure

2021 ◽  
pp. 1-22
Author(s):  
Gordon Lynch
Keyword(s):  
Child Abuse ◽  
Child Welfare ◽  
Public Interest ◽  
The United Kingdom ◽  
Unaccompanied Children ◽  
Child Migration ◽  
Institutional Contexts ◽  
Post War ◽  
The Individual ◽  
The Uk

AbstractThe Introduction sets this book in the wider context of recent studies and public interest in historic child abuse. Noting other international cases of child abuse in the context of public programmes and other institutional contexts, it is argued that children’s suffering usually arose not from an absence of policy and legal protections but a failure to implement these effectively. The assisted migration of unaccompanied children from the United Kingdom to Australia is presented, particularly in the post-war period, as another such example of systemic failures to maintain known standards of child welfare. The focus of the book on policy decisions and administrative systems within the UK Government is explained and the relevance of this study to the historiography of child migration and post-war child welfare is also set out.

scholarly journals A study to improve the quality of writing clinic letters to patients attending the outpatient clinic

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S211-S211
Author(s):  
Irangani Mudiyanselage ◽  
Madhvi Belgamwar
Keyword(s):  
Outpatient Clinic ◽  
Standards Of Care ◽  
Multidisciplinary Teams ◽  
Patient Centered ◽  
Second Person ◽  
County Mental Health ◽  
Hospital Doctors ◽  
The Uk ◽  
To Receive

AimsIn many countries (including the UK and Australia) it is still common practice for hospital doctors to write letters to patients’ general practitioners (GPs) following outpatient consultations, and for patients to receive copies of these letters. However, experience suggests that hospital doctors who have changed their practice to include writing letters directly to patients have more patient centred consultations and experience smoother handovers with other members of their multidisciplinary teams. (Rayner et al, BMJ 2020)The aim of the study was to obtain patient's views to improve the quality of clinical letters sent to them, hence the level of communication and standards of care.MethodAn anonymous questionnaire was designed and posted to collect information from patients attending one of the South County Mental Health outpatient clinic in Derbyshire. 50 random patients were selected between March to November 2020. Patients were asked to provide suggestions to improve the quality of their clinic letters written directly to them and copies sent to their GPs.ResultOut of 50 patients 48% (n = 24) responded. Majority of patients (92%) expressed their wish to receive their clinic letters written directly to them and 79% preferred to be addressed as a second person in the letters. More than half (54%, N = 13) of them would like to have letter by post. Majority of them (92%, N = 22) wished to have their letter within a week of their consultations.Patients attending clinics felt that the communication could be better improved through writing clearly: a) reflection of what was discussed during the consultation b) updated diagnosis c) a clear follow-up plan d) current level of support e) medication change f) emergency contact numbers g) actions to be carried out by their GP and further referrals should there be any.ConclusionPatients in community prefer to have their clinic letters directly addressing them in second person. It was noted that the letters needed to reflect accurately on what was discussed during the consultation in order to have patient centered consultations. This in turn would improve communication and thus rapport, trust and overall therapeutic relationship.

Technical Innovation in Light Aircraft Aerial Dispersant Application Systems

2003 ◽  
Vol 2003 (1) ◽  
pp. 269-272
Author(s):  
David Salt ◽  
Roger Stockham ◽  
Stuart Byers
Keyword(s):  
United Kingdom ◽  
Low Cost ◽  
Cost Effective ◽  
Innovative Technology ◽  
Response Strategies ◽  
The United Kingdom ◽  
Application Systems ◽  
Significant Step ◽  
Cost Efficient ◽  
The Uk

ABSTRACT Recent changes in legislation within the United Kingdom created pressure for change in the response strategies applicable in the UK offshore environment. To meet the new requirements, innovative technology was required which was capable of speedily delivering a payload of approximately one ton of dispersant. To provide a cost efficient solution, a system was developed capable of being mounted on a non-dedicated aircraft, which can be rapidly adapted to meet the response requirements. This paper describes the design criteria for the system and goes on to detail the development, construction and flight testing programme for the dispersant pods. It then goes on to briefly describe the operational response system which has been established to provide a response for the offshore operators in the United Kingdom Continental Shelf (UKCS). The development represents a significant step forward in providing a low cost, effective solution to changing response requirements using innovative engineering solutions, allowing for potential application in other parts of the world.

scholarly journals Adapting to the COVID-19 pandemic: a survey of UK and European hand surgery units

2021 ◽  
Author(s):  
Abigail V Shaw ◽  
David GW Holmes ◽  
Victoria Jansen ◽  
Christy L Fowler ◽  
Justin CR Wormald ◽  
...  
Keyword(s):  
Reconstructive Surgery ◽  
Hand Surgery ◽  
Cost Effective ◽  
Future Research ◽  
Hand Surgeon ◽  
The United Kingdom ◽  
Survey Results ◽  
The Uk ◽  
Research Initiatives ◽  
Made In

Abstract Hand surgery services had to rapidly adapt to the coronavirus disease 2019 (COVID-19) pandemic. The aim of the Reconstructive Surgery Trials Network #RSTNCOVID hand surgery survey was to document the changes made in the United Kingdom and Europe and consider which might persist.A survey developed by the Reconstructive Surgery Trials Network, in association with the British Association of Hand Therapists, was distributed to hand surgery units across the UK and Europe after the first wave of COVID-19. It was completed by one consultant hand surgeon at each of the 44 units that responded.Adult and paediatric trauma was maintained but elective services stopped. Consultations were increasingly virtual and surgery was more likely to be under local anaesthetic and in a lower resource setting.Many of the changes are viewed as being beneficial. However, it is important to establish that they are clinically and cost effective. These survey results will help prioritise and support future research initiatives.

Reluctant European

2020 ◽  
Author(s):  
Stephen Wall
Keyword(s):  
British History ◽  
The European Union ◽  
The United Kingdom ◽  
Eu Membership ◽  
The Common ◽  
Post War ◽  
The 1960S ◽  
The Uk ◽  
Economic Need ◽  
Do So

In 2016, the voters of the United Kingdom decided to leave the European Union. The majority for ‘Leave’ was small. Yet, in more than forty years of EU membership, the British had never been wholeheartedly content. In the 1950s, governments preferred the Commonwealth to the Common Market. In the 1960s, successive Conservative and Labour administrations applied to join the European Community because it was a surprising success, whilst the UK’s post-war policies had failed. But the British were turned down by the French. When the UK did join, twelve years after first asking, it joined a club whose rules had been made by others and which it did not much like. At one time or another, Labour and Conservative were at war with each other and internally. In 1975, the Labour government held a referendum on whether the UK should stay in. Two thirds of the voters decided to do so. But the wounds did not heal. Europe remained ‘them’, not ‘us’. The UK was on the front foot in proposing reform and modernization and on the back foot as other EU members wanted to advance to ‘ever closer union’. This book tells the story of a relationship rooted in a thousand years of British history, and of our sense of national identity in conflict with our political and economic need for partnership with continental Europe.

scholarly journals The Church of England Advisory Council of Empire Settlement and Post-War Child Migration to Australia

2020 ◽  
Vol 71 (4) ◽  
pp. 798-826
Author(s):  
GORDON LYNCH
Keyword(s):  
Child Care ◽  
Church Of England ◽  
Advisory Council ◽  
Home Office ◽  
Child Migration ◽  
Post War ◽  
Child Care Professionals ◽  
The Church ◽  
Do So ◽  
British Children

Between 1947 and 1965, 408 British children were sent to Australia under the auspices of the Church of England Advisory Council of Empire Settlement and its successor bodies. Situating this work in wider policy contexts, this article examines how the council involved itself in this work with support from some senior clergy and laity despite being poorly resourced to do so. Noting the council's failure to maintain standards expected of this work by the Home Office and child-care professionals, the article considers factors underlying this which both reflected wider tensions over child migration in the post-war period as well as those specific to the council.

The United Kingdom: When a Coalition Meets the Westminster Model, Who Wins?

2021 ◽  
pp. 611-639
Author(s):  
Nick Barlow ◽  
Tim Bale
Keyword(s):  
United Kingdom ◽  
Coalition Government ◽  
Party Government ◽  
Westminster Model ◽  
Liberal Democrats ◽  
The United Kingdom ◽  
Post War ◽  
The Stability ◽  
The Uk

This chapter examines the United Kingdom’s sole post-war coalition government and how it interacted with the Westminster Model’s assumption of single-party government. It looks at the issue from two perspectives: firstly, how much the usual processes of single-party government changed to accommodate two parties in government, and secondly, how David Cameron’s Conservatives and Nick Clegg’s Liberal Democrats worked together as parties in government in ways that fitted with the expectations of the Westminster Model. It examines this single example of coalition government in its political and historical contexts, exploring why a coalition occurred in 2010 and how it managed to continue in office for a full parliamentary term. The chapter begins with the comparatively swift process of negotiation through which the coalition was formed, then proceeds to look at how the expectations of that negotiation survived contact with the actual processes of government. It concludes by examining what the procedural and political impacts of the coalition on the UK have been, including the role of the coalition’s Fixed-Term Parliament Act on the stability of it and future governments.

Beyond the 2011 Census in the United Kingdom: With an International Perspective

2011 ◽  
Vol 53 (5) ◽  
pp. 619-650 ◽  
Author(s):  
Keith Dugmore ◽  
Peter Furness ◽  
Barry Leventhal ◽  
Corrine Moy
Keyword(s):  
Market Research ◽  
Population Survey ◽  
Cost Effective ◽  
International Perspective ◽  
Current Approach ◽  
Administrative Records ◽  
Advantages And Disadvantages ◽  
National Statistics ◽  
The United Kingdom ◽  
The Uk

The recent census in the UK, taken in March 2011, may also have been our last - since the Office for National Statistics has announced that it intends to explore alternative more cost-effective options for ‘census taking’ in the future. In this paper, we consider what the options may be, based on approaches and experiences from other countries, and assess their implications for users. We start by reminding ourselves about the value of the census and the strengths and weaknesses of the current approach. We then identify the principal methods being followed in other countries, together with their advantages and disadvantages. This leads us to review methodological work in the UK, building up to the current ‘Beyond 2011’ ONS project. We focus on administrative records as a possible way of removing the need for a full population survey. Finally, we assess the options and discuss the implications for users in market research.

scholarly journals There Is Life After the UK Clozapine Central Non-Rechallenge Database

2021 ◽  
Author(s):  
Ebenezer Oloyede ◽  
Cecilia Casetta ◽  
Olubanke Dzahini ◽  
Aviv Segev ◽  
Fiona Gaughran ◽  
...  
Keyword(s):  
United Kingdom ◽  
Clinical Outcomes ◽  
Hematological Parameters ◽  
The United States ◽  
The United Kingdom ◽  
Number Of Patients ◽  
The Us ◽  
The Uk ◽  
To Receive ◽  
Health Trust

Abstract Background and Aims In the United Kingdom, patients on clozapine whose hematological parameters fall below certain thresholds are placed on the Central Non-Rechallenge Database (CNRD), meaning that they cannot be prescribed clozapine again except under exceptional circumstances. This practice was discontinued in the United States in 2015 by expanding the hematological monitoring guidelines, allowing more patients to receive clozapine. Our objective was to investigate the implications this policy change would have on clozapine utilization in the United Kingdom. Methods This was an observational, retrospective analysis of patients registered on the CNRD in a large mental health trust. The first objective was to compare the number of patients placed on the CNRD under the United Kingdom and the US Food and Drug Administration (FDA) criteria. The second objective was to explore the hematological and clinical outcomes of CNRD patients. The third objective was to investigate the hematological outcomes of patients rechallenged on clozapine after nonrechallengeable status. Results One hundred and fifteen patients were placed on CNRD from 2002 to 2019, of whom 7 (6%) met the equivalent criteria for clozapine discontinuation under the FDA guidelines. Clinical outcomes, as measured by the Clinical Global Impression-Severity scale, were worse 3 months after clozapine cessation than on clozapine (t = −7.4862; P < .001). Sixty-two (54%) patients placed on CNRD were rechallenged. Fifty-nine of those (95%) were successfully rechallenged; 3 patients were placed back on CNRD, only one of which would have had to stop clozapine again under FDA criteria. Conclusion Implementation of the updated FDA’s monitoring criteria in the United Kingdom would significantly reduce clozapine discontinuation due to hematological reasons. The evidence suggests an urgent need for revising the UK clozapine monitoring guidelines to improve outcomes in treatment-resistant schizophrenia.

scholarly journals JABS FOR THE BOYS

2019 ◽  
Vol 2 (1) ◽  
pp. e22-e32
Author(s):  
Peter Baker ◽  
Gillian Prue ◽  
Jamie Rae ◽  
David Winterflood ◽  
Giampiero Favato
Keyword(s):  
Public Health ◽  
Sex Discrimination ◽  
Cost Effective ◽  
Recurrent Respiratory Papillomatosis ◽  
Evidence Based ◽  
The United Kingdom ◽  
The Government ◽  
Sex With Men ◽  
The Uk ◽  
Selective Vaccination

The human papillomavirus (HPV) can cause a range of cancers as well as genital warts and recurrent respiratory papillomatosis in men and women. Most cases can be prevented by vaccination in adolescence. Many countries vaccinate girls and an increasing number, although still a minority, vaccinate both boys and girls. The case for vaccinating boys is based on arguments of public health, equity, ethics and cost-effectiveness. The selective vaccination of females does not protect males sufficiently and provides no protection at all for men who have sex with men. In the United Kingdom (UK), the government’s vaccination advisory committee (Joint Committee on Vaccination and Immunisation [JCVI]) began to consider whether boys should be vaccinated as well as girls in 2013 and made clear in draft statements that it considered this not to be cost-effective. A campaign group, HPV Action, was established to advocate gender-neutral vaccination. This group became a coalition of over 50 organisations and used evidence-based arguments, political advocacy and media campaigning to make its case. One of its members initiated legal action against the government on the grounds of sex discrimination. In July 2018, the government agreed that boys in the UK should be vaccinated. The lessons for other campaigns in the men’s and public health fields include: be prepared for the long haul, focus on clear and specific goals, build alliances, align the objectives with existing policies, make a financial case for a change of policy, and use all legitimate means to exert pressure.

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