scholarly journals Enablers and barriers in adopting a reablement model of domiciliary care

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Erin King ◽  
Alys Young

PurposeThe purpose of this paper is to explore the effectiveness of reablement as an outcome-focussed commissioning model within the English domiciliary care market from the perspective of two private domiciliary care agency (PDCA) managers/owners within one local authority (LA) in the North West of England. Specifically, it focusses on owner/managers' perceived ability to effect change from a dependency to a reablement model within the English domiciliary care market.Design/methodology/approachQualitative interviews with two contrasting owners/managers of PDCAs within one LA in the North West of England were carried out. Explorative analysis followed a constructionist grounded theory methodology.FindingsFindings revealed how two main factors interacted to effect change from a dependency model to a reablement model of domiciliary care: internal organisational structure and individual emotional investment of the owners/managers. Additionally, fiscal and external organisational systems impact on these drivers, and are perceived to act as potential barriers to the adoption of a reablement model of domiciliary care by PDCAs.Originality/valueAlthough based on only two idiographic accounts, the findings shed light on the policy and practice of commissioning models of domiciliary care within England and suggest further studies in this area of practice.

2016 ◽  
Vol 19 (2) ◽  
pp. 33-44 ◽  
Author(s):  
Martin Whiteford ◽  
Glenn Simpson

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.


2015 ◽  
Vol 11 (1) ◽  
pp. 4-23 ◽  
Author(s):  
Adam Richards ◽  
John Reed

Purpose – The purpose of this study is to evaluate how social capital is developed in a third sector organisation based in the north-west of England, a small food cooperative run by volunteers. Social capital comprises the bonds, bridges and linkages that hold together societal members, and it can be considered to be a precursor of economic capital. Design/methodology/approach – Qualitative data were collected through interviews with key informants, observations and documents. Data were analysed using either a template or a thematic analysis to identify aspects of social capital development. Findings – A model of the interactions between and within the three main stakeholder groups involved in the cooperative is presented. This model shows how these interactions can develop social capital, and it discusses how potential deficits in social capital can occur. Research limitations/implications – The findings have practical and theoretical implications, in that they may better equip third-sector organisations to understand how social capital is developed. Originality/value – This is one of few practical studies of social capital development in a social enterprise and provides valuable insights into the processes by which this is done.


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.


2019 ◽  
Vol 8 (3) ◽  
Author(s):  
Muyiwa A. Akindolire ◽  
Bukola R. Aremu ◽  
Collins N. Ateba

Here, we announce the complete genome sequence of bacteriophage PhiG17, which is virulent to Escherichia coli O157:H7 strains and was isolated from cattle feces in the North West province of South Africa. This report presents the major genetic features of the phage PhiG17 based on its whole-genome sequence.


2019 ◽  
Vol 8 (32) ◽  
Author(s):  
Johannes Cornelius Jacobus Fourie ◽  
Tomasz J. Sanko ◽  
Cornelius Carlos Bezuidenhout ◽  
Charlotte Mienie ◽  
Rasheed Adegbola Adeleke

Surface water systems in South Africa are experiencing a major decline in quality due to various anthropogenic factors. This poses a possible health risk for humans. Here, we present the draft genome sequences of three Clostridium perfringens isolates obtained from a fecally polluted river system in the North West province of South Africa.


Subject Auto manufacturing and corruption. Significance The government on August 25 appointed judicial administrators to manage three major companies whose chief executives were detained as part of a wide-ranging anti-corruption drive, including the Tahkout Manufacturing Company, which produces cars. Local auto manufacturing -- a flagship industry under ousted President Abdelaziz Bouteflika -- has been badly affected by the anti-corruption campaign, with some companies struggling to pay staff and import parts. It is also threatened by concurrent new regulations introduced by the government. Impacts In the longer term, a re-evaluation of the programme of state support for the industry could threaten all manufacturers. Projects underway to build new Nissan and Peugeot plants by 2020 may be delayed or cancelled. Damage to the industry poses particular risks to the economy of the north-west, where most factories are located. Foreign firms in other sectors will be reluctant to invest in Algeria, fearing that local partners could be caught up in criminal cases.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amanda Elizabeth Bruck ◽  
Kayleigh Garthwaite

PurposeWe explore how neoliberal logic has led to an erosion of social-welfare programs and pervades organizational structures and functions of a third-sector organization. Based upon fieldwork in a foodbank in the North-West of England, we discuss the impact of economic cuts upon organizational norms of the foodbank, and the intersection with the provision of charity support and personal relationships between the staff, volunteers and visitors.Design/methodology/approachThis article analyses pervasiveness of neoliberalism on a foodbank and the impact this has on organizational norms and relationships found within the organization. It integrates themes of structural violence, neoliberal discourse in the charity sector, notions of (un)deservingness and appropriate of time.FindingsOur research finds how a hostile environment transpires in a third-sector organization under increased economic and bureaucratic pressures and from this, organizational rules emerge that ignore the lived experiences of the people it serves. Herein, visitors must learn the organization's norms and garner relationships to be able to navigate the organization to successfully access essential resources.Originality/valueThe findings in this article will be of interest to academics researching poverty and organizational norms, professionals in the charity-sector and policy makers. Rules originating from economic and bureaucratic pressures can establish barriers to accessing essential material resources. It informs the pressures felt in balancing access to support services with personal timetables, and the need to include visitors' voices in establishing norms.


Subject The effects of natural gas pipeline supply constraints in the US North-east. Significance The shale 'revolution' has caused a sharp rise in US natural gas production, but it has been located in areas without gas infrastructure. Production has been concentrated along the Gulf Coast, and the pipeline network is oriented from that region to the North-east and Pacific North-west. Newer areas of energy production, such as Bakken in North Dakota, Eagle Ford in South Texas, and Marcellus in Appalachia, have poor connections to major markets, and constraints have led to pricing spikes in the North-east. Impacts The majority of proposed pipelines for the next several years target areas in the upper Midwest, Mid-Atlantic, and South-east markets. Manufacturers in the North-east will face competitive disadvantage from paying the highest energy costs in North America. Pipeline constraints will not dampen enthusiasm for liquefied natural gas (LNG) exports, especially out of West Coast ports.


Significance Still largely driven by a combination of criminal banditry and 'farmer-herder' conflicts but with hints of growing jihadist group involvement, the scope of insecurity has surpassed any hope of a military-led pacification campaign. Meanwhile, the pandemic and various pressing political challenges have sapped the will of President Muhammadu Buhari’s government to find political solutions to the underlying drivers. Impacts A lack of political will, insufficient local intelligence and limited manpower will impede Operation Sahel Sanity’s effectiveness. Pervasive violence and displacement across the north-west will hamper regional anti-COVID efforts and create widespread economic distress. Eased domestic travel restrictions may lead to a surge in criminal attacks and kidnappings.


Significance That comes despite widespread instances of crop destruction in recent months, especially in the north-west, and is largely attributable to excellent weather during the growing season. Aside from crop burning, successive bouts of armed conflict and population displacements have often affected parts of the country that are important for agricultural output. Impacts Investment in agriculture will remain minimal. Environmental challenges facing agriculture in Iraq will struggle to gain attention. Strong 2019 output will disincentivise addressing intentional crop destruction despite negative effects in many communities. Repeated instances of crop burning will pose a much greater danger during years with poor growing conditions. Harvest figures in 2019 also show a significant improvement thanks to the full inclusion of Anbar, Nineveh and Salah al-Din.


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