scholarly journals A Review of the Evidence of Third Sector Performance and Its Relevance for a Universal Comprehensive Health System

2010 ◽  
Vol 9 (4) ◽  
pp. 515-526 ◽  
Author(s):  
Elke Heins ◽  
David Price ◽  
Allyson M. Pollock ◽  
Emma Miller ◽  
John Mohan ◽  
...  
Keyword(s):  
Literature Review ◽  
Health System ◽  
Systematic Literature Review ◽  
Social Care ◽  
Third Sector ◽  
The Third ◽  
Health And Social Care ◽  
Comprehensive Health ◽  
Third Sector Organisations ◽  
Sector Performance

UK policy promotes third sector organisations as providers of NHS funded health and social care. We examine the evidence for this policy through a systematic literature review. Our results highlight several problems of studies comparing non-profits with other provider forms, questioning their usefulness for drawing lessons outside the place of study. Most studies deem contextual factors and the regulatory framework in which providers operate as much more important than ownership form. We conclude that the literature does not support the policy of a larger role for the third sector in healthcare, let alone a switch to a market-based system.

Partnership working across sectors: a multi-professional perspective

2019 ◽  
Vol 27 (4) ◽  
pp. 328-345 ◽  
Author(s):  
Nancy El-Farargy
Keyword(s):  
Integrated Care ◽  
Workforce Development ◽  
Social Care ◽  
Third Sector ◽  
Adult Health ◽  
Content Type ◽  
The Third ◽  
Health And Social Care ◽  
Professional Perspective ◽  
The Third Sector

Purpose The Public Bodies (Joint Working) (Scotland) Act 2014 set the framework for the integration of adult health and social care services. Teams, organisations and sectors are now required to work in partnership and interdependently to deliver shared outcomes for the people they serve. The purpose of this paper is to explore any features, practices and behaviours that could influence effective partnership working across sectors. Design/methodology/approach A questionnaire was designed and distributed to a range of stakeholders working in health, social care and the third sector. With reference to the changing health and social care reform agenda, the aims of the survey were to gather views, experiences and perceptions of working across sectors, and any workforce development needs. Findings The majority of respondents were from the NHS (80.3 per cent, 118/147), and experiences were largely drawn from those working with the third sector. The utility of working with the third sector was positively highlighted; however, there were limited opportunities to fully engage. Whilst formal education and training was welcomed, workforce development needs were mostly related to fostering relationships and building mutual trust. Originality/value This paper highlights views, perceptions, enablers and barriers to integrated care in Scotland. Whilst the Scottish integration landscape is currently not fully fledged, insights into prevailing attitudes towards integrated care, by a cohort of the Scottish health and care workforce, are offered. In particular, reflections by the NHS workforce to working with third sector services are discussed.

scholarly journals Transparency as a Key Element in Accountability in Non-Profit Organizations: A Systematic Literature Review

2020 ◽  
Vol 12 (14) ◽  
pp. 5834 ◽  
Author(s):  
Cristina Ortega-Rodríguez ◽  
Ana Licerán-Gutiérrez ◽  
Antonio Luis Moreno-Albarracín
Keyword(s):  
Sustainable Development ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Voluntary Disclosure ◽  
Third Sector ◽  
Non Profit ◽  
The Third ◽  
Disclosure Of Information ◽  
Non Profit Organizations ◽  
The Third Sector

The purpose of this article is to present a framework to understand transparency in the third sector and then to explore the main research streams regarding the disclosure of information and accountability by conducting a systematic literature review on the antecedents and dimensions of the transparency of information disclosed by non-profit organizations (NPOs). The essential questions of this work are addressed from an international perspective. In particular, we explore three research questions: (1) why should NPOs disclose transparent information to stakeholders? (2) Why do not all NPOs disclose transparent information? (3) What means do NPOs use to disclose transparent information? Our results highlight the lack of transparency legislation in the third sector, leading NPOs to adopt the voluntary disclosure of information policies to improve the perceived credibility of these entities by their stakeholders. In conclusion, our study highlights the importance of developing a systematic body of knowledge regarding the situation of transparent, voluntary information disclosure in the sector. Moreover, the Sustainable Development Goals promulgated by the United Nations place a high value on transparency for the accountability of institutions. To achieve sustainable development, both peace and the governance of institutions are needed. Reducing corruption and promoting transparency are among the goals which should be reached to achieve social sustainability.

scholarly journals The costs of functional gastrointestinal disorders and related signs and symptoms in infants: a systematic literature review and cost calculation for England

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e015594 ◽  
Author(s):  
James Mahon ◽  
Carlos Lifschitz ◽  
Thomas Ludwig ◽  
Nikhil Thapar ◽  
Julie Glanville ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Functional Gastrointestinal Disorders ◽  
Signs And Symptoms ◽  
Third Party ◽  
Gastrointestinal Disorders ◽  
Over The Counter ◽  
Party Payer ◽  
The Third ◽  
The Cost

ObjectivesTo estimate the cost of functional gastrointestinal disorders (FGIDs) and related signs and symptoms in infants to the third party payer and to parents.Study designTo estimate the cost of illness (COI) of infant FGIDs, a two-stage process was applied: a systematic literature review and a COI calculation. As no pertinent papers were found in the systematic literature review, a ‘de novo’ analysis was performed. For the latter, the potential costs for the third party payer (the National Health Service (NHS) in England) and for parents/carers for the treatment of FGIDs in infants were calculated, by using publicly available data. In constructing the calculation, estimates and assumptions (where necessary) were chosen to provide a lower bound (minimum) of the potential overall cost. In doing so, the interpretation of the calculation is that the true COI can be no lower than that estimated.ResultsOur calculation estimated that the total costs of treating FGIDs in infants in England were at least £72.3 million per year in 2014/2015 of which £49.1 million was NHS expenditure on prescriptions, community care and hospital treatment. Parents incurred £23.2 million in costs through purchase of over the counter remedies.ConclusionsThe total cost presented here is likely to be a significant underestimate as only lower bound estimates were used where applicable, and for example, costs of alternative therapies, inpatient treatments or diagnostic tests, and time off work by parents could not be adequately estimated and were omitted from the calculation. The number and kind of prescribed products and products sold over the counter to treat FGIDs suggest that there are gaps between treatment guidelines, which emphasise parental reassurance and nutritional advice, and their implementation.

Enterprising activism

2017 ◽  
Author(s):  
Leah Bassel ◽  
Akwugo Emejulu
Keyword(s):  
Social Justice ◽  
Third Sector ◽  
Minority Women ◽  
Enterprise Culture ◽  
Women's Activism ◽  
The Third ◽  
Welfare Mix ◽  
Third Sector Organisations ◽  
The Third Sector ◽  
The Impact

In this chapter, we explore how the changing politics of the third sector under austerity problematises minority women’s intersectional social justice claims in Scotland, England and France. We begin by exploring the ‘governable terrain’ of the third sector in each country since the 1990s. As the principle of a ‘welfare mix’ becomes normalised in each country, the reality of having different welfare providers vying for state contracts seems to prompt isomorphic changes whereby third sector organisations refashion themselves in the image of the private sector as a necessity for survival. We then move on to discuss the impact these changes in the third sector are having on minority women’s activism. We analyse how the idea of enterprise has become entrenched within these organisations and how an enterprise culture is problematically reshaping the ways in which organisations think about their mission, practices and programmes of work—especially in relation to minority women. We conclude with a discussion about what the marketisation of the third sector means for minority women. We argue that political racelessness is enacted through enterprise as minority women’s interests are de-politicised and de-prioritised through the transformation of the third sector.

scholarly journals 211 - Changes to post-diagnostic dementia support in England and Wales during the COVID-19 pandemic

2021 ◽  
Vol 33 (S1) ◽  
pp. 13-13
Author(s):  
Alison Wheatley ◽  
Marie Poole ◽  
Louise Robinson
Keyword(s):  
Social Care ◽  
Third Sector ◽  
Full Time ◽  
England And Wales ◽  
Team Meetings ◽  
Use Of Technology ◽  
People With Dementia ◽  
Health And Social Care ◽  
The Impact ◽  
Diagnostic Support

Background:The COVID-19 pandemic precipitated widespread change across health and social care in England and Wales. A series of lockdowns and UK Government guidance designed to reduce the spread of COVID-19 which emphasised social distancing and increased use of personal protective equipment led to changes such as increased use of remote consultation technologies and the closure of services deemed non-essential. This included many services for people with dementia and their families, such as day centres and dementia cafes.Objective:To explore the changes made to services during the pandemic and the impact of these changes on the delivery of good post-diagnostic dementia support.Method:Professionals who had previously been recruited to the ongoing PriDem qualitative study were approached for follow up interview. Eighteen interviews with a total of 21 professionals working in health, social care and the third sector were conducted using telephone or video conferencing.Interviews were audio recorded, transcribed and checked prior to thematic analysis.Results:Key themes emerging from preliminary analysis of the data include: uncertainty about the future and the need to adapt quickly to shifting guidance; changing job roles and ways of working; the emotional and physical impact of the pandemic on staff working with people with dementia and their families; and the impact of changes made (e.g. increased PPE, remote working) on the ability to deliver post-diagnostic support. However, there were also some unintended positive outcomes of the changes. These included the ability to include family members living at a distance in remote consultations, allowing for more robust history-taking, as well as the uptake of technology to facilitate cross-sector and multidisciplinary working between professionals.Conclusion:Delivering post-diagnostic dementia support during COVID-19 was challenging and forced dementia services to make adaptations. Participants expected that some of these changes would be incorporated into post-pandemic work, for example increased use of technology for multidisciplinary team meetings or blended approaches to patient-facing services involving both virtual and face to face work as appropriate. However, most participants agreed that it was not appropriate nor desirable to provide fully remote post-diagnostic support on a full time basis.

A place-based approach to healthy, happy lives

2020 ◽  
pp. 105-120
Author(s):  
Ruth Dombey ◽  
Adrian Bonner
Keyword(s):  
Cultural Change ◽  
Third Sector ◽  
Good Health ◽  
Models Of Care ◽  
The Public ◽  
Health And Wellbeing ◽  
Care Integration ◽  
Health And Social Care ◽  
Third Sector Organisations

This chapter outlines innovative approaches to maintain a healthy, happy, and safe community. The wider determinants of health — housing, environment, leisure, income, and education — are well recognised and are just as important as access to good health care. If we want to develop long-term strategies to enable social and cultural change with new models of care, more community-based responsibility for our neighbours and more freedoms and flexibilities to help us make better choices, then the role of place is key. place-based approaches, involving health and social care integration and outcome commissioning, have been developed with a view to a consideration of 'health' in all council planning. This reflects the place-based approach that is being promoted by the London Borough of Sutton as it delegates its statutory duties across the range of services it manages, collaborating with other statutory and third sector organisations within and beyond the two parliamentary constituencies of Sutton and Cheam, and Carshalton and Wallington. A place-based approach to health and wellbeing, in its widest sense, can bring together all parts of the public sector to focus on positive outcomes.

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