scholarly journals Large-scale health system transformation in the United Kingdom

2020 ◽  
Vol 34 (3) ◽  
pp. 325-344 ◽  
Author(s):  
Gregory Maniatopoulos ◽  
David J. Hunter ◽  
Jonathan Erskine ◽  
Bob Hudson
Keyword(s):  
Large Scale ◽  
National Policy ◽  
Successful Outcome ◽  
System Transformation ◽  
Structured Interviews ◽  
Policy And Practice ◽  
Content Type ◽  
North East ◽  
The North ◽  
New Vision

PurposeFollowing publication of a new vision for the English National Health Service (NHS) in 2014, known as the NHS Five-Year Forward View, a Vanguard programme was introduced by NHS England charged with the task of designing and delivering a range of new care models (NCMs) aimed at tackling deep-seated problems of a type facing all health systems to a greater or lesser degree. Drawing upon recent theoretical developments on the multilevel nature of context, we explore factors shaping the implementation of five NCM initiatives in the North East of England.Design/methodology/approachData collection was based on semi-structured interviews (66 in total) between December 2016 and May 2017 with key informants at each site and a detailed review of Trusts' internal documents and policies related to the implementation of each NCM. Our analysis explores factors shaping the implementation of five NCM pilot sites as they touched on the multiple levels of context ranging from the macro policy level to the micro-level setting of workforce redesign.FindingsIt is far too early to conclude with any confidence that a successful outcome for the NCM programme will be forthcoming although the NHS Long-Term Plan seeks to build on the earlier vision set out in the Five-Year Forward View. Early indications show some signs of promise, especially where there is evidence of the ground having been prepared and changes already being put in place prior to the official launch of NCM initiatives. At the same time our findings demonstrate that all five pilot sites experienced, and were subject to, unrealistic pressure placed upon them to deliver outcomes.Originality/valueOur findings demonstrate the need for a deeper understanding of the multilevel nature of context by exploring factors shaping the implementation of five NCMs in the North East of England. Exploring the wider national policy context is desirable as well as understanding the perceptions of front-line staff and service users in order to establish the degree of alignment or, conversely, to identify where policy and practice are at risk of pushing and pulling against each other.

scholarly journals Tourism in the post(?) COVID-19 era: evidence from the hotel sector in the North East of England

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Maria Zoi Spanaki ◽  
Andreas Papatheodorou ◽  
Nikolaos Pappas
Keyword(s):  
Business Practices ◽  
Structured Interviews ◽  
Content Type ◽  
North East ◽  
The North ◽  
Short Period ◽  
Managerial Implications ◽  
Hotel Sector ◽  
The Uk ◽  
Hotel Managers

Purpose This paper aims to examine developments in tourism during the COVID-19 pandemic using the hotel sector in the North-East of England as the area of study. The country has attracted a lot of attention not only because of its importance as a tourism destination but also due to its rather controversial management of the pandemic at least in its early stages. Design/methodology/approach Fifteen semi-structured interviews based on ten open-ended questions were conducted with North East of England-based hotel managers of international brands on the level of their hotels’ preparedness to effectively deal with pandemic cases. The interviews took place in August and September 2020 with participants kept anonymous. Findings Meeting new operational and bureaucratic requirements added to the cost structure and proved a major challenge for managers who saw their hotel occupancy rates and revenue collapsing within a short period of time. Innovative and aggressive pricing strategies were introduced to lure especially younger travelers in the absence of business clientele. Staff were made redundant and/or asked to work overtime making effective human resource management very difficult. Originality/value This is one of the first research attempts to highlight the importance of the COVID-19 pandemic for the hotel sector in a major region of the UK. The paper also attempts some generalization by discussing managerial implications and suggesting a possible way forward for the hotel sector. Developing resilience by building on previously used successful business practices proves of essence.

scholarly journals Creating sustainable cities through knowledge exchange

2016 ◽  
Vol 17 (6) ◽  
pp. 796-811 ◽  
Author(s):  
Alex Hope
Keyword(s):  
Design Methodology ◽  
Large Scale ◽  
Knowledge Exchange ◽  
Urban Housing ◽  
Sustainable Cities ◽  
Content Type ◽  
North East ◽  
The North ◽  
Use Of Knowledge

Purpose The purpose of this paper is to examine the use of knowledge transfer partnership (KTP)as a means for universities to generate and exchange knowledge to foster sustainable cities and societies. Design/methodology/approach This paper reports on a series of separate yet interrelated KTPs between a university and the local authority in the North East of England, designed to enhance the environmental, social and economic performance of a large-scale urban housing procurement project. Findings Results from the partnerships indicate that KTPs may play a crucial role in developing capacity within local authorities tasked with creating sustainable cities and societies, whilst at the same time, enhancing skills and knowledge within the communities whom they represent and their industry partners. Originality/value The paper contributes an understanding as to how universities can act as a conduit for the generation and exchange of knowledge for sustainability. It presents a case study which examines how a series of KTPs can provide a useful mechanism for enhancing environmental, social and economic sustainability.

“There is still a perception that homelessness is a housing problem”: devolution, homelessness and health in the UK

2016 ◽  
Vol 19 (2) ◽  
pp. 33-44 ◽  
Author(s):  
Martin Whiteford ◽  
Glenn Simpson
Keyword(s):  
Qualitative Interviews ◽  
Homeless People ◽  
Small Sample ◽  
Issue Salience ◽  
Structured Interviews ◽  
Healthcare Provision ◽  
Policy And Practice ◽  
Content Type ◽  
The Uk ◽  
Comparative Policy

Purpose The purpose of this paper is to provide an exploratory account of the links between devolution, homelessness and health in the UK. Specifically, it focusses on the policy context and governance structures that shape the systems of healthcare for homeless people in London, Scotland, Wales and Northern Ireland. Design/methodology/approach Empirically the paper draws on semi-structured interviews with a small sample of policy and practice actors from the devolved territories. Qualitative interviews were supplemented by a comparative policy analysis of the homelessness and health agenda within the devolved regions. Theoretically, it takes inspiration from Chaney’s concept of the “issue salience of homelessness” and explores the comparative character of healthcare as pertains to homeless people across the devolved territories. Findings The paper provides clear evidence of areas of divergence and convergence in policy and practice between the devolved regions. These features are shown to be strongly mediated by the interplay of two factors: first, the scope and scale of national and local homelessness prevention strategies; and second, intra-national variation in public health responses to homelessness. Originality/value The paper offers considerable insight from a comparative policy perspective into the nature of healthcare provision for homeless people in the devolved regions.

scholarly journals Employing Geographical Principles for Sampling in State of the Art Dialectological Projects

2013 ◽  
Vol 1 (2) ◽  
pp. 96-114 ◽  
Author(s):  
Isabelle Buchstaller ◽  
Seraphim Alvanides
Keyword(s):  
Large Scale ◽  
State Of The Art ◽  
Pilot Project ◽  
Linguistic Analysis ◽  
Human Geography ◽  
North East ◽  
The North ◽  
Functional Regions ◽  
Demographic Classification

The aims of this paper are twofold. First, we locate the most effective human geographical methods for sampling across space in large-scale dialectological projects. We propose two geographical concepts as a basis for sampling decisions: Geo-demographic classification, which is a multidimensional method used for the socio-economic grouping of areas; we also develop an updated version of functional regions that can be used in sociolinguistic research. We then report on the results of a pilot project that applies these models to collect data regarding the acceptability of vernacular morphosyntactic forms in the North East of England. Following the method of natural breaks advocated for dialectology by Horvath & Horvath (2002), we interpret breaks in the probabilistic patterns as areas of dialect transitions. This study contributes to the debate about the role and limitations of spatiality in linguistic analysis. It intends to broaden our knowledge about the interfaces between human geography and dialectology.

scholarly journals Exploring the intersections: researchers and communication professionals' perspectives on the organizational role of science communication

2020 ◽  
Vol 24 (3) ◽  
pp. 207-226 ◽  
Author(s):  
Kaisu Koivumäki ◽  
Clare Wilkinson
Keyword(s):  
Science Communication ◽  
Large Scale ◽  
Institutional Environment ◽  
Structured Interviews ◽  
Content Type ◽  
Organizational Influences ◽  
Research Organizations ◽  
Funding Policies ◽  
Negative Impacts

PurposeThis paper reports on research exploring the intersections between researchers and communication professionals' perspectives on the objectives, funders and organizational influences on their science communication practices.Design/methodology/approachExamining one context, the inter-organizational BCDC Energy Research project based at five different research organizations in Finland, this paper presents data from semi-structured interviews with 17 researchers and 15 communication professionals.FindingsThe results suggest that performance-based funding policies that drive the proliferation of large-scale research projects can create challenges. In particular, a challenge arises in generating a shared sense of identity and purpose amongst researchers and communication professionals. This may have unintended negative impacts on the quality and cohesiveness of the science communication which occurs.Research limitations/implicationsThe study was exploratory in nature and focuses on one organizational and institutional environment. Further research with a wider number of projects, as well as funders, would be conducive to a greater understanding of the issues involved.Practical implicationsOn a practical level, this research suggests that the creation of clearer communications awareness and guidance may be helpful in some large-scale projects, particularly involving broad numbers of organizations, individual researchers and funders.Originality/valueThis is one of the first studies examining the perspectives of both researchers and communication professionals working over one project, drawing together a range of different institutional and disciplinary perspectives. The results highlight the importance of the influences of funding on science communication aims, assumptions, cultures and structures. The article articulates the need for further research in this area.

scholarly journals Capitalismo distrettuale, localismi d'impresa, globalizzazione

2008 ◽  
Keyword(s):  
Industrial Development ◽  
Large Scale ◽  
International Markets ◽  
Scope Economies ◽  
North East ◽  
The North ◽  
Productive System ◽  
Dimensional Growth ◽  
It Revolution ◽  
Made In

From the late Sixties on, industrial development in Italy evolved through the spread of small and medium sized firms, aggregated in district networks, with an elevated propensity to enterprise and the marked presence of owner-families. Installed within the local systems, the industrial districts tended to simulate large-scale industry exploiting lower costs generated by factors that were not only economic. The districts are characterised in terms of territorial location (above all the thriving areas of the North-east and Centre) and sector, since they are concentrated in the "4 As" (clothing-fashion, home-decor, agri-foodstuffs, automation-mechanics), with some overlapping with "Made in Italy". How can this model be assessed? This is the crucial question in the debate on the condition and prospects of the Italian productive system between the supporters of its capacity to adapt and the critics of economic dwarfism. A dispassionate judgement suggests that the prospects of "small is beautiful" have been superseded, but that the "declinist" view, that sees only the dangers of globalisation and the IT revolution for our SMEs is risky. The concept of irreversible crisis that prevails at present is limiting, both because it is not easy either to "invent", or to copy, a model of industrialisation, and because there is space for a strategic repositioning of the district enterprises. The book develops considerations in this direction, showing how an evolution of the district model is possible, focusing on: gains in productivity, scope economies (through diversification and expansion of the range of products), flexibility of organisation, capacity to meld tradition and innovation aiming at product quality, dimensional growth of the enterprises, new forms of financing, active presence on the international markets and valorisation of the resources of the territory. It is hence necessary to reactivate the behavioural functions of the entrepreneurs.

scholarly journals The effect of the north-east ice stream on the Greenland ice sheet in changing climates

2007 ◽  
Vol 1 (1) ◽  
pp. 41-76 ◽  
Author(s):  
R. Greve ◽  
S. Otsu
Keyword(s):  
Large Scale ◽  
Ice Sheet ◽  
Greenland Ice Sheet ◽  
Simulation Code ◽  
North East ◽  
The North ◽  
Ice Stream ◽  
Basal Sliding ◽  
Speed Up ◽  
Fast Flow

Abstract. The north-east Greenland ice stream (NEGIS) was discovered as a large fast-flow feature of the Greenland ice sheet by synthetic aperture radar (SAR) imaginary of the ERS-1 satellite. In this study, the NEGIS is implemented in the dynamic/thermodynamic, large-scale ice-sheet model SICOPOLIS (Simulation Code for POLythermal Ice Sheets). In the first step, we simulate the evolution of the ice sheet on a 10-km grid for the period from 250 ka ago until today, driven by a climatology reconstructed from a combination of present-day observations and GCM results for the past. We assume that the NEGIS area is characterized by enhanced basal sliding compared to the "normal", slowly-flowing areas of the ice sheet, and find that the misfit between simulated and observed ice thicknesses and surface velocities is minimized for a sliding enhancement by the factor three. In the second step, the consequences of the NEGIS, and also of surface-meltwater-induced acceleration of basal sliding, for the possible decay of the Greenland ice sheet in future warming climates are investigated. It is demonstrated that the ice sheet is generally very susceptible to global warming on time-scales of centuries and that surface-meltwater-induced acceleration of basal sliding can speed up the decay significantly, whereas the NEGIS is not likely to dynamically destabilize the ice sheet as a whole.

Addressing the “gender gap” in the managerial labour market

2007 ◽  
Vol 30 (12) ◽  
pp. 942-954 ◽  
Author(s):  
Pooran Wynarczyk
Keyword(s):  
Labour Market ◽  
Glass Ceiling ◽  
Gender Gap ◽  
Role Model ◽  
Social Research ◽  
Firm Level ◽  
Content Type ◽  
North East ◽  
The North ◽  
Model Platform

PurposeThis paper aims to investigate the “gender management gap” in the scientific labour market in the North East of England. The paper seeks to compare and contrast employment, ownership, management structure and capacity between men and women in the Science, Engineering and Technology (SET) sector.Design/methodology/approachThe empirical investigation is based on a survey of 60 SET‐based small and medium‐sized enterprises (SMEs), operating in the North East of England.FindingsThe results show that women are particularly under‐represented in managerial and senior positions of scientific nature in the private sector in the North East of England. The “glass ceiling” effect appears to be widespread.Research limitations/implicationsThere are very limited empirical data and research on the nature and level of participation of women in the scientific managerial labour market at firm level in the UK. There is a need for more rigorous research at firm and regional levels to examine the cumulative effects of underlying factors that prevent women from progression, beyond the “glass ceiling”, in the scientific labour market.Practical implicationsThis paper builds upon a research project funded by the ESRC Science in Society Programme. The key findings have resulted in a subsequent award from the Economic and Social Research Council (ESRC) Impact Grants to establish the “North East Role Model Platform for Innovative Women” in the light of the Science City Initiative.Originality/valueThe “gender management gap” in the scientific labour market in the North East of England has not, empirically, been investigated before and appears to be a highly neglected area of public policy and research.

scholarly journals “The way things get done around here…” Exploring spatial biographies, social policy and governance in the North East of England

2017 ◽  
Vol 37 (11-12) ◽  
pp. 655-666 ◽  
Author(s):  
Jon Warren
Keyword(s):  
Social Policy ◽  
Empirical Work ◽  
Social Progress ◽  
Local Conditions ◽  
Content Type ◽  
North East ◽  
The North ◽  
Policy Interventions ◽  
Health Related

Purpose The purpose of this paper is to argue that the application of social policy in the North East of England is often characterised by tension and conflict. The agencies and professionals charged with implementation of Westminster driven policies constantly seek to deploy their knowledge of local conditions in order to make them both practical and palatable. Design/methodology/approach This paper examines the region via established literature from history, geography, sociology and social policy. The paper gives illustrations via empirical work which has evaluated initiatives to improve the health of long term health-related benefit recipients and to sustain individuals in employment in the region. Findings Central to the paper’s argument is the notion of “biographies of place”. The core of this idea is that places have biographies in the same way as individuals and possess specific identities. These biographies have been shaped by the intersections between environment, history, culture and economic and social policy. The paper identifies the region’s economic development, subsequent decline and the alliance of labour politics and industrial employers around a common consensus that sought economic prosperity and social progress via a vision of “modernisation” as a key component of this biography. Originality/value The paper argues that an appreciation of these spatial biographies can result in innovative and more effective social policy interventions with the potential to address issues that affect entire localities.

Nigeria's security chiefs may not ease north-east woes

2021 ◽  
Keyword(s):  
Displaced Persons ◽  
Content Type ◽  
North West ◽  
Border Regions ◽  
North East ◽  
The North ◽  
General Elections

Significance Although many recent jihadist attacks have occurred in border regions with Niger (to the north of Borno State) or Cameroon (to the east of Borno and neighbouring Adamawa State), the Maiduguri attack underscores that security in Borno’s major towns is tenuous. Impacts Already faltering efforts to resettle displaced persons could be further complicated if the security situation degrades in Maiduguri. The new service chiefs’ attention will be overstretched as they also attempt to respond to worsening insecurity in the north-west. With general elections in 2023, there is no immediate political outlet for public frustration with authorities’ poor handling of security.

Sign in / Sign up

Export Citation Format

Share Document