scholarly journals Opening up the NHS to market

2016 ◽  
Vol 15 (3) ◽  
pp. 288-303 ◽  
Author(s):  
Gavin Brookes ◽  
Kevin Harvey
Keyword(s):  
Critical Discourse Analysis ◽  
Social Relations ◽  
Service Provision ◽  
Social Care ◽  
Corporate Identity ◽  
Critical Discourse ◽  
Care Provision ◽  
Textual Evidence ◽  
Health And Social Care ◽  
Opening Up

Abstract Since its implementation, the British Government’s controversial 2013 Health and Social Care Act has had far-reaching effects on health care provision in England, not least the creation of 212 regional practitioner-led clinical commissioning groups (CCGs) which are now responsible for much of the service provision across the country. Taking as an example the website of one of these new commissioning groups, this study shows that multimodal critical discourse analysis (MCDA) can reveal how health and social care matters are being increasingly framed within a corporate and neoliberal set of ideas, values, identities and social relations. Despite government assurances that the Act preserves the (non-commercial) founding values of the NHS, our MCDA provides textual evidence of the influence of neoliberal and commercial discourses operating across this particular website, which appear to be just as much about promoting an appealing corporate identity as responding to the practical, day-to-day concerns of patients.

scholarly journals Meeting the complex challenge of health and social care provision for rapidly-ageing populations: introducing the concept of “avoidable displacement from home”

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Peter Lloyd-Sherlock ◽  
Jenny Billings ◽  
Janaína de Souza Aredes ◽  
João Bastos Freire Neto ◽  
Ana Amélia Camarano ◽  
...  
Keyword(s):  
Decision Making ◽  
Service Provision ◽  
Social Care ◽  
Care Provision ◽  
Individual Decision ◽  
Individual Decision Making ◽  
Specific Policy ◽  
Health And Social Care ◽  
Different Levels ◽  
Ageing Populations

Abstract: The increasing numbers of people at very old ages pose specific policy challenges for health and social care and highlight the need to rethink established models of service provision. The main objective of this paper is to introduce the concept of “avoidable displacement from home” (ADH). The study argues that ADH builds on and adds value to existing concepts, offering a holistic, person-centered framework for integrated health and social care provision for older people. It also demonstrates that this framework can be applied across different levels, ranging from macro policymaking to organizational and individual decision-making. The paper pays attention to the Brazilian context but argues that ADH is a universally applicable concept.

scholarly journals A Critical Discourse Analysis of Representations of Travellers in Public Policies in Ireland

Societies ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 14
Author(s):  
Claire Jane Snowdon ◽  
Leena Eklund Eklund Karlsson
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Social Relations ◽  
Social Practice ◽  
Expert Knowledge ◽  
Minority Group ◽  
Critical Role ◽  
Critical Discourse ◽  
Discursive Practice ◽  
Negative Stereotypes

In Ireland, negative stereotypes of the Traveller population have long been a part of society. The beliefs that surround this minority group may not be based in fact, yet negative views persist such that Travellers find themselves excluded from mainstream society. The language used in discourse plays a critical role in the way Travellers are represented. This study analyses the discourse in the public policy regarding Travellers in the National Traveller and Roma Inclusion Strategy (NTRIS) 2017–2021. This study performs a critical discourse analysis (CDA) of the policy with the overall aims of showing signs of the power imbalance through the use of language and revealing the discourses used by elite actors to retain power and sustain existing social relations. The key findings show that Travellers are represented as a homogenous group that exists outside of society. They have no control over how their social identity is constructed. The results show that the constructions of negative stereotypes are intertextually linked to previous policies, and the current policy portrays them in the role of passive patients, not powerful actors. The discursive practice creates polarity between the “settled” population and the “Travellers”, who are implicitly blamed by the state for their disadvantages. Through the policy, the government disseminates expert knowledge, which legitimises the inequality and supports this objective “truth”. This dominant discourse, which manifests in wider social practice, can facilitate racism and social exclusion. This study highlights the need for Irish society to change the narrative to support an equitable representation of Travellers.

scholarly journals Facilitating integrated delivery of services across organisational boundaries: Essential enablers to integration

2017 ◽  
Vol 80 (5) ◽  
pp. 302-309
Author(s):  
Stephanie Best
Keyword(s):  
United Kingdom ◽  
Qualitative Study ◽  
Service Provision ◽  
Social Care ◽  
Occupational Therapists ◽  
Leadership Communication ◽  
The United Kingdom ◽  
Health And Social Care ◽  
Integration Of Services ◽  
Integrated Delivery

Introduction Integrating services is a key tenet to developing services across the United Kingdom. While many aspects of integration have been explored, how to facilitate integration of services remains unclear. Method An exploratory qualitative study was undertaken in 2015 to explore occupational therapists’ perceptions on integrating service provision across health and social care organisational boundaries. The views of practitioners who had experienced integration were sought on a range of aspects of integrating services. This paper focuses on the facilitators for delivering integration and the essential enablers are identified. Findings Numerous factors were noted to facilitate integration and three essential enablers were highlighted. Leadership, communication and joint education were recognised as playing a central role in integrating services across organisational boundaries; without these three essential enablers, integration is liable to fail. Conclusion Integration is a process rather than an event; continued emphasis will be required on leadership, communication and joint education to progress integration achievements made to date.

scholarly journals Introducing the Care Certificate Evaluation: Innovative practice

Dementia ◽  
2017 ◽  
Vol 19 (2) ◽  
pp. 512-517
Author(s):  
Elaine Argyle ◽  
Louise Thomson ◽  
Antony Arthur ◽  
Jill Maben ◽  
Justine Schneider ◽  
...  
Keyword(s):  
Staff Development ◽  
Social Care ◽  
Policy Research ◽  
Research Programme ◽  
Direct Care ◽  
Care Staff ◽  
Care Provision ◽  
Front Line ◽  
Department Of Health ◽  
Health And Social Care

Although investment in staff development is a prerequisite for high-quality and innovative care, the training needs of front line care staff involved in direct care have often been neglected, particularly within dementia care provision. The Care Certificate, which was fully launched in England in April 2015, has aimed to redress this neglect by providing a consistent and transferable approach to the training of the front line health and social care workforce. This article describes the early stages of an 18-month evaluation of the Care Certificate and its implementation funded by the Department of Health Policy Research Programme.

scholarly journals Understanding complex trajectories in health and social care provision

2004 ◽  
Vol 26 (7) ◽  
pp. 1008-1030 ◽  
Author(s):  
Davina Allen ◽  
Lesley Griffiths ◽  
Patricia Lyne
Keyword(s):  
Social Care ◽  
Care Provision ◽  
Health And Social Care ◽  
Complex Trajectories

Predictors of carer distress following stroke

1999 ◽  
Vol 9 (3) ◽  
pp. 265-271 ◽  
Author(s):  
Valerie Morrison
Keyword(s):  
Depressed Mood ◽  
Social Care ◽  
Stroke Survivors ◽  
Care Provision ◽  
Health And Social Care ◽  
Informal Carers ◽  
The Impact ◽  
The Relationship

Whilst there is a considerable literature surrounding predictors of depressed mood in stroke survivors, much less research has been directed towards identifying the impact of a stroke on primary informal carers and the nature of the relationship between patient and carer characteristics, stroke consequences and carer distress. This review attempts to elucidate such relationships so that implications for health and social care provision can be drawn.

Good practice in health and social care provision for LGBT older people in the UK

2017 ◽  
pp. 145-158
Author(s):  
Sue Westwood ◽  
Andrew King ◽  
Kathryn Almack ◽  
Yiu-Tung Suen ◽  
Louis Bailey
Keyword(s):  
Older People ◽  
Social Care ◽  
Good Practice ◽  
Care Provision ◽  
Health And Social Care ◽  
The Uk

PERAN MAJAS SARKASME DAN NILAI PENDIDIKAN KARAKTER DALAM PUISI MENCARI TANAH LAPANG KARYA WIJI THUKUL DAN RELEVANSINYA DENGAN PENGAJARAN SASTRA DI PERGURUAN TINGGI

2019 ◽  
Vol 7 (1) ◽  
pp. 94
Author(s):  
Andromeda Nova Hartavi ◽  
Sarwiji Suwandi ◽  
Sri Hastuti
Keyword(s):  
Character Education ◽  
Critical Discourse Analysis ◽  
Social Care ◽  
Document Analysis ◽  
Critical Discourse ◽  
World Health ◽  
Study Program ◽  
Analysis Techniques ◽  
The Subject

<em>This research aims to describe and explain the role of sarcasm, the value of character education in the collection of poetry Mencari Tanah Lapang by Wiji Thukul, and the relevance the role of sarcasm and the value of character education in the collection of poetry Mencari Tanah Lapang by Wiji Thukul on the teaching of literature in universities. Technique of subject sampling is purposive sampling. Data collection techniques used are document analysis and interviews. The validity of data in this study is done by using critical discourse analysis techniques. The results of this research are: (1) there are 62 sarcasm in the collection of poetry Mencari Tanah Lapang that serve as satirical of rules, satire of politics, satire of development, satire of education, satire of social inequality, and satire world health; (2)  the value of character education contained in the collection of poetry Mencari Tanah Lapang is religious values, honesty, tolerance, hard work, democracy, reading, and social care;(3) the role of sarcasm majors and the value of character education contained in the collection of poetry Mencari Tanah Lapang can be used as a literary teaching material with the subject of poetry in the study program of Indonesian literature.</em>

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