scholarly journals Healthcare scandals and the failings of doctors

2019 ◽  
Vol 33 (2) ◽  
pp. 221-240 ◽  
Author(s):  
Russell Mannion ◽  
Huw Davies ◽  
Martin Powell ◽  
John Blenkinsopp ◽  
Ross Millar ◽  
...  
Keyword(s):  
Professional Practice ◽  
Medical Profession ◽  
Content Type ◽  
Documentary Analysis ◽  
Large Numbers ◽  
Public Inquiry ◽  
Systemic Factors ◽  
Uk National Health Service ◽  
The Uk

Purpose The purpose of this paper is to explore whether official inquiries are an effective method for holding the medical profession to account for failings in the quality and safety of care. Design/methodology/approach Through a review of the theoretical literature on professions and documentary analysis of key public inquiry documents and reports in the UK National Health Service (NHS) the authors examine how the misconduct of doctors can be understood using the metaphor of professional wrongdoing as a product of bad apples, bad barrels or bad cellars. Findings The wrongdoing literature tends to present an uncritical assumption of increasing sophistication in analysis, as the focus moves from bad apples (individuals) to bad barrels (organisations) and more latterly to bad cellars (the wider system). This evolution in thinking about wrongdoing is also visible in public inquiries, as analysis and recommendations increasingly tend to emphasise cultural and systematic issues. Yet, while organisational and systemic factors are undoubtedly important, there is a need to keep in sight the role of individuals, for two key reasons. First, there is growing evidence that a small number of doctors may be disproportionately responsible for large numbers of complaints and concerns. Second, there is a risk that the role of individual professionals in drawing attention to wrongdoing is being neglected. Originality/value To the best of the authors’ knowledge this is the first theoretical and empirical study specifically exploring the role of NHS inquiries in holding the medical profession to account for failings in professional practice.

scholarly journals Policy-relevant insights for regional renewable energy deployment

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Carla De Laurentis ◽  
Peter J. G. Pearson
Keyword(s):  
Renewable Energy ◽  
Policy Design ◽  
Comparative Case Study ◽  
Geographical Differences ◽  
Governance Capacity ◽  
Policy Makers ◽  
Case Study Analysis ◽  
Documentary Analysis ◽  
The Uk

Abstract Background The paper explores how regional actors engage with energy systems, flows and infrastructures in order to meet particular goals and offers a fine-tuned analysis of how differences arise, highlighting the policy-relevant insights that emerge. Methods Using a novel framework, the research performs a comparative case study analysis of three regions in Italy and two of the devolved territories of the UK, Wales and Scotland, drawing on interviews and documentary analysis. Results The paper shows that acknowledging the socio-materialities of renewable energy allows a fine-tuned analysis of how institutions, governance and infrastructure can enable/constrain energy transitions and policy effectiveness at local and regional levels. The heuristic adopted highlights (i) the institutions that matter for renewable energy and their varied effects on regional renewable energy deployment; (ii) the range of agencies involved in strategically establishing, contesting and reproducing institutions, expectations, visions and infrastructure as renewable energy deployment unfolds at the regional level and (iii) the nature and extent of infrastructure requirements for and constraints on renewable energy delivery and how they affect the regional capacity to shape infrastructure networks and facilitate renewable energy deployment. The paper shows how the regions investigated developed their institutional and governance capacity and made use of targets, energy visions and spatial planning to promote renewable energy deployment. It shows that several mediating factors emerge from examining the interactions between regional physical resource endowments and energy infrastructure renewal and expansion. The analysis leads to policy-relevant insights into what makes for renewable energy deployment. Conclusion The paper contributes to research that demonstrates the role of institutional variations and governance as foundations for geographical differences in the adoption of renewable energy, and carries significant implications for policy thinking and implementation. It shows why and how policy-makers need to be more effective in balancing the range of goals/interests for renewable energy deployment with the peculiarities and specificities of the regional contexts and their infrastructures. The insights presented help to explain how energy choices and outcomes are shaped in particular places, how differences arise and operate in practice, and how they need to be taken into account in policy design, policy-making and implementation.

scholarly journals The newly created Publicly Available Specification (PAS 141) for reusable electrical/electronic products

2014 ◽  
Vol 25 (8) ◽  
pp. 1135-1147 ◽  
Author(s):  
Joao Quariguasi-Frota-Neto ◽  
Andrew Reade ◽  
Azadeh Dindarian ◽  
Andrew Gibson
Keyword(s):  
Necessary Conditions ◽  
Future Research ◽  
Electronic Products ◽  
Content Type ◽  
Business Innovation ◽  
Scant Attention ◽  
The Uk ◽  
Comprehensive Framework ◽  
Future Work

Purpose – In 2011, a governmental initiative driven by the Department for Business Innovation and Skills invited the British Standards Institute (BSI) to write and publish a publicly available specification (PAS) for the reuse of waste electrical and electronic equipment entitled PAS 141. The specification's ambitious goals, chief among them to reduce the amount of e-waste generated in the UK, has prompted debate as to whether they are realistic and the extent to which they can be influenced by the certification. The purpose of this paper is to propose a comprehensive framework that can be used in future research to enhance understanding of the mechanisms by which the introduction of PAS 141 certification could lead to the fulfillment of its goals, that is, successful uptake. The authors believe this framework can serve as a roadmap for those interested in the investigation of this novel certification and its effect on the market for reusable electrical and electronic products. Design/methodology/approach – This paper is based on interviews with reuse organizations and first hand experience as a participant in the steering group that elaborated the certification being investigated, i.e. PAS 141. Findings – It is uncertain whether PAS 141 will fulfill its promises, which are, in the view of the authors, rather ambitious, e.g. reduce e-waste. Furthermore, more research is needed to examine the effect that the introduction of the certification has on the materialization of its goals, and on the complex inter-relationship that exist between the goals and what the authors define as intermediary necessary conditions. Research limitations/implications – This is the first attempt the outline the research needs that arise from the introduction of PAS-141, and the authors believe that there are other equally important questions that are yet to be presented and examined. Practical implications – This paper proposes 28 hypotheses which will help future work to empirically establish: the possibility of PAS-141 attaining its goals and the main necessary conditions for that to happen. This information is pivotal to determine whether the certification is working and to pinpoint opportunities for improvement. Social implications – This works contributes to the understanding of the role of certification on the market of reused products, which employs a large number of people, and in particular, whose coming from disadvantaged backgrounds. Originality/value – Although certification in general has been widely investigated in prior research, scant attention has been paid to certification in the context of electronic products. To the best of the knowledge, this is the first paper of its kind, as it is the first to examine certification in that context.

The effectiveness of e-corporate governance: an exploratory study of internet voting at shareholders’ annual meetings in France

2020 ◽  
Vol 20 (4) ◽  
pp. 673-702
Author(s):  
Sonia Abdennadher ◽  
Walid Cheffi
Keyword(s):  
Corporate Governance ◽  
Practical Implementation ◽  
Business Law ◽  
Content Type ◽  
Internet Voting ◽  
Documentary Analysis ◽  
Governance Effectiveness ◽  
Voting System ◽  
The Relationship

Purpose E-corporate governance or the use of technologies and information systems (ISs) in corporate governance, is still a subject that is too seldom addressed in business research. This paper is at the intersection between two fields of research (corporate governance and the management of ISs), which are interdependent in ways that are still unexplored. The paper analyzes the implications of internet voting (IV) at shareholders’ annual meetings (SAM) for the corporate governance of listed companies in France, in particular for the relationship between executives and shareholders. Most of the studies that have dealt with IV at SAM have focused on techno-legal issues and were often conducted by business law researchers. The purpose of this paper is to investigate the implications of the new voting system through the prism of corporate governance. Design/methodology/approach The authors proceeded by triangulation of methods. This qualitative study is based on observations, interviews and documentary analysis. It assessed the IV implications for both the issuing companies and the shareholders. Findings The new voting system brings undeniable competitive advantage to the issuing company and facilitates shareholders’ activism, yet it has serious risks both for the corporations and for certain categories of the shareholder. Interestingly, the authors propose an original and field-grounded typology that distinguishes the risks and benefits associated with IV in relation to executives’ attitudes. Social implications The paper shows that the resolving of identified deficiencies with IV development could contribute to the alignment of companies’ interests with those of shareholders. Moreover, the study calls for policymakers to appoint an official body to regulate the practical implementation of the new system and to prevent its dissemination being held hostage to the executives’ willingness. Originality/value An original aspect of this research lies in the effective operationalization of the constructs of corporate governance effectiveness with a view to examining corporate governance as a set of technologically mediated practices. Moreover, this study emphasizes the key role of the construct of “executives’ willingness” in facilitating/impeding IV diffusion. This underlies their attempts to reverse the corporate governance relationship.

Mapping the contours of fairness

2014 ◽  
Vol 1 (2) ◽  
pp. 191-204 ◽  
Author(s):  
Lilian Otaye ◽  
Wilson Wong
Keyword(s):  
Job Satisfaction ◽  
Factor Analysis ◽  
Regression Analysis ◽  
Turnover Intention ◽  
Content Type ◽  
Mediating Role ◽  
The Uk ◽  
The Relationship

Purpose – The purpose of this paper is to explore the contours of fairness by showing how different facets of fairness impact three important employee outcomes (job satisfaction, turnover intention and employer advocacy) and examining the mediating role of quality of management and leadership (through perceptions of both senior management and the quality of exchange with immediate supervisors) in attenuating negative impacts of unfairness on these outcomes. The study extends the concept of fairness beyond the traditional focus on organizational justice and models the mediating role of leadership on the relationship between (un)fairness and the three employee-level outcomes in a sample of employees representative of the UK workforce. Design/methodology/approach – Data were obtained from a nationally representative sample of 2,067 employees in the UK. Exploratory factor analysis and then confirmatory factor analysis is used to refine three unfairness factors and address their dimensionality of the unfairness scale and then multiple regression analysis is used to test a fairness-leadership-employee performance outcome model. Findings – Results of multiple regression analysis revealed that both trust in leadership and leader-member exchange partially mediate the relationship between organizational (un)fairness and job satisfaction, advocacy and turnover intention, respectively. Practical implications – The findings highlight the important role that leaders play in influencing the relationship between perception of unfairness and employee outcomes. This has implications for both theory and practice as it suggests that the pattern of inclusion that leaders create through the relationships that they develop with their followers has a significant impact on the relationship between unfairness and the work outcomes. They not only must manage traditional perceptions of justice, but also the assessments employees make about trust in management judgements and the perceived consequences of such judgements. Originality/value – In an environment where perceptions of unfairness are becoming both more endemic but also more complex, the study shows that both senior leaders and immediate supervisors have important agency in managing negative consequences. Through the measurement of satisfaction, turnover intention and employer advocacy it also provides potential links to link fairness into the engagement literature.

Participatory Design Practices in Mental Health in the UK: Rebutting the Optimism

Design Issues ◽  
2018 ◽  
Vol 34 (4) ◽  
pp. 25-36 ◽  
Author(s):  
Paola Pierri
Keyword(s):  
Professional Practice ◽  
Participatory Design ◽  
Complex Dynamics ◽  
Community Organizations ◽  
Political Engagement ◽  
Public Realm ◽  
The Public ◽  
Design Practices ◽  
The Uk

In what has been defined as an “era of participation,” design practices have become very central to the process of making publics and in bringing to life the dream of developing new ways of political engagement. By reflecting on my professional practice, I highlight the overly optimistic attitude that—most of the time—over-simplifies the role of design, especially when applied in public and community organizations. I illustrate participation as a paradox in itself, by problematizing the role and meaning of participatory encounters, and revealing some complex dynamics of exclusion and self-exclusion that are at play in the public realm.

Introducing physician associates

2017 ◽  
Vol 10 (12) ◽  
pp. 746-753
Author(s):  
Susan Denton ◽  
Krishni Manorajan ◽  
Pahim Miah
Keyword(s):  
Medical Profession ◽  
Healthcare Delivery ◽  
Health Needs ◽  
Delivery Of Healthcare ◽  
The Public ◽  
Health Delivery ◽  
Care Models ◽  
The Uk ◽  
Multi Disciplinary Team

Physician associate (PA) is a new profession that has the potential to change healthcare delivery in the UK. However, it is poorly understood by both the medical profession and the public. Evolving health needs, patient expectations, treatment and delivery of healthcare have led to proposed new care models that require a different skill mix to underpin health delivery. We explore the role of PAs, who as part of a multi-disciplinary team while being supervised by doctors, can help support a sustainable future for primary care.

scholarly journals State substitution for the trade union good: the case of paid holiday entitlements

2019 ◽  
Vol 2 (1) ◽  
pp. 5-23
Author(s):  
John Forth ◽  
Alex Bryson
Keyword(s):  
Design Methodology ◽  
Union Wage ◽  
Content Type ◽  
Paid Leave ◽  
Union Wage Premium ◽  
Union Representation ◽  
Nationally Representative ◽  
The Uk ◽  
Statutory Regulation

Purpose The literature on the union wage premium is among the most extensive in labour economics but unions’ effects on other aspects of the wage-effort bargain have received much less attention. The purpose of this paper is to contribute to the literature through a study of the union premium in paid holiday entitlements. Design/methodology/approach The authors examine the size of the union premium on paid holidays over time, with a particular focus on how the premium was affected by the introduction of a statutory right to paid holidays. The data come from nationally representative surveys of employees and workplaces. Findings The authors find that the union premium on paid holidays is substantially larger than the union premium on wages. However, the premium fell with the introduction of a statutory minimum entitlement to paid leave. Originality/value This is the first study to examine explicitly the interaction between union representation and the law in this setting. The findings indicate the difficulties that unions have faced in protecting the most vulnerable employees in the UK labour market. The authors argue that the supplanting of voluntary joint regulation with statutory regulation is symptomatic of a wider decrease in the regulatory role of unions in the UK.

Inclusion and exclusion of sexual minorities at organisations

2020 ◽  
Vol 33 (3) ◽  
pp. 567-578
Author(s):  
Erhan Aydin ◽  
Emir Ozeren
Keyword(s):  
Thematic Analysis ◽  
Sexual Minorities ◽  
Public Discourse ◽  
Comparative Approach ◽  
Content Type ◽  
Individual Level ◽  
Unique Nature ◽  
The Uk ◽  
Depth Interviews

Purpose The purpose of this paper is to explore the inclusion and exclusion of LGBT individuals at organisations towards providing evidence from LGBT non-governmental organisations (NGOs) in Turkey and the UK. Design/methodology/approach In order to achieve this aim, 40 semi-structured qualitative in-depth interviews (20 in each country) were conducted. The empirical dimension of this study was invigorated by thematic analysis of interviews that composed of the individuals and members who work in LGBT organisations in Turkey and the UK. Findings The significance and the role of context in shaping public discourse, policies and practices of LGBT organisations in Turkey and the UK were explored in greater details. Based on the coding and thematic analysis of the interviews, three main findings were presented, which are “inclusion and exclusion at work”, “inclusion and exclusion in politics” and “inclusion in LGBT organisations”. Originality/value The originality of this research comes from its unique nature with a comparative approach on the contrary of current LGBT research that mostly focusses on an individual level of analysis and workplace discrimination. Research evidence demonstrates that there are a number of complexities, contradictions and tensions based on the specific characteristics of each country setting where various cultural, societal, political and legislative/regulative forces come into play in LGBT inclusion at organisations. Consequently, this research provides valuable insights for the inclusion of sexual minorities drawing on the evidence from LGBT NGOs in Turkey and the UK.

Black men, religiosity and desistance: exploring Islam, desistance and identity

2018 ◽  
Vol 17 (1) ◽  
pp. 47-67 ◽  
Author(s):  
Shona Robinson-Edwards ◽  
Craig Pinkney
Keyword(s):  
Lived Experience ◽  
Black Men ◽  
Social Science Research ◽  
Science Research ◽  
Father Absence ◽  
Structured Interviews ◽  
Efficient Manner ◽  
Content Type ◽  
The Uk

Purpose The purpose of this paper is to explore the experiences of Ibrahim, an ex-offender who has embraced Islam. Ibrahim professes Islam to be the influential element to his desistance process. This study explores Ibrahim’s journey, emphasising and reflecting upon youth; criminality and religiosity. Much of the current research relating to Black men and offending is limited to masculinity, father absence, gangs and criminality. The role of religiosity in the lives of offenders and/or ex-offenders is often overlooked. The authors suggest that identity, religiosity and desistance can raise a host of complexities while highlighting the unique challenges and benefits experienced by Ibrahim, following the practice of religion. Design/methodology/approach This paper took a qualitative, ethnographic approach, in the form of analysing and exploring Ibrahim’s personal lived experience. The analysis of semi-structured interviews, and reflective diaries, utilising grounded theory allowed the formation of the following three core themes: desistance, religion and identity. Findings The findings within this paper identify an interlink between desistance, religion and identity. The role of religiosity is becoming increasingly more important in academic social science research. This paper highlights the complexities of all three above intersections. Research limitations/implications This paper explores the complexities of religiosity in the desistance process of Ibrahim. Research in relation to former gang members in the UK and the role of religiosity in their lives is fairly under-researched. This paper seeks to build on existing research surrounding gang, further exploring religiosity from a UK context. Practical implications Time spent with Ibrahim had to be tightly scheduled, due to the work commitments of both Ibrahim and the researcher. Therefore, planning had to be done ahead in an efficient manner. Social implications Researching the way individuals experience the world is a “growing phenomenon”. This paper aimed to explore the lived experience of religiosity from the perspective of Ibrahim. However, it was important to not stereotype and label all Black males who have embraced Islam and desisted from crime. Therefore, this paper’s intention is not to stereotype Black men, but to raise awareness and encourage further discussion surrounding the role of religiosity in the lives of ex-offenders’. Originality/value To the authors’ knowledge, studies specifically focusing on the role of Islam in the life of an ex-offender are few and far between. Therefore, findings from this study are important to develop further understanding surrounding religiosity, offending and desistance. This study explores the lived experiences of Ibrahim, an former gang member and ex-offender who professes Islam to be a fundamental source to his desistance process.

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