scholarly journals Views of NHS commissioners on commissioning support provision. Evidence from a qualitative study examining the early development of clinical commissioning groups in England

BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e005970 ◽  
Author(s):  
Christina Petsoulas ◽  
Pauline Allen ◽  
Kath Checkland ◽  
Anna Coleman ◽  
Julia Segar ◽  
...  
Keyword(s):  
Case Study Research ◽  
Support Functions ◽  
Support Provision ◽  
For Profit ◽  
Administrative Costs ◽  
Not For Profit ◽  
Initial Stage ◽  
Key Factor

ObjectiveThe 2010 healthcare reform in England introduced primary care-led commissioning in the National Health Service (NHS) by establishing clinical commissioning groups (CCGs). A key factor for the success of the reform is the provision of excellent commissioning support services to CCGs. The Government's aim is to create a vibrant market of competing providers of such services (from both for-profit and not-for-profit sectors). Until this market develops, however, commissioning support units (CSUs) have been created from which CCGs are buying commissioning support functions. This study explored the attitudes of CCGs towards outsourcing commissioning support functions during the initial stage of the reform.DesignThe research took place between September 2011 and June 2012. We used a case study research design in eight CCGs, conducting in-depth interviews, observation of meetings and analysis of policy documents.Setting/participantsWe conducted 96 interviews and observed 146 meetings (a total of approximately 439 h).ResultsMany CCGs were reluctant to outsource core commissioning support functions (such as contracting) for fear of losing local knowledge and trusted relationships. Others were disappointed by the absence of choice and saw CSUs as monopolies and a recreation of the abolished PCTs. Many expressed doubts about the expectation that outsourcing of commissioning support functions will result in lower administrative costs.ConclusionsGiven the nature of healthcare commissioning, outsourcing vital commissioning support functions may not be the preferred option of CCGs. Considerations of high transaction costs, and the risk of fragmentation of services and loss of trusted relationships involved in short-term contracting, may lead most CCGs to decide to form long-term partnerships with commissioning support suppliers in the future. This option, however, limits competition by creating ‘network closure’ and calls into question the Government's intention to create a vibrant market of commissioning support provision.

scholarly journals Helping Yourself or Others? Motivation Dynamics for High-Performing Volunteers in GLAM Crowdsourcing

2020 ◽  
Vol 24 ◽  
Author(s):  
Sultana Lubna Alam ◽  
Ruonan Sun ◽  
John Campbell
Keyword(s):  
Financial Incentives ◽  
Incentive Structure ◽  
Open Communication ◽  
Non Profit ◽  
High Performing ◽  
For Profit ◽  
Not For Profit ◽  
Over Time

While most crowdsourcing (CS) cases in the literature focus on commercial organisations, little is known about volunteers’ motivation of initial and continued participation in not-for-profit CS projects and importantly, about how the motivations may change over time. It is vital to understand motivation and motivational dynamics in a not-for-profit context because a fundamental challenge for not-for-profit CS initiations is to recruit and keep volunteers motivated without any formal contract or financial incentives. To tackle this challenge, we explore high performing volunteers’ initial motivation for joining and sustaining with a GLAM (galleries, libraries, archives and museums) CS project. We situated our interpretive exploration in a case study of the Australian Newspapers CS project initiated by the National Library of Australia. Based on the case study, we found that high-performing volunteers were motivated by a combination of personal, collective, and external factors classified into intrinsic, extrinsic, and internalised extrinsic motivations. Further, we found that these motivations changed over time. Specifically, many volunteers presented substantial personal (i.e., personal interest and fun) and community-centric motivations (i.e. altruism and non-profit cause) when they initially joined the project, whereas external motivations (i.e., recognition and rewards) had a greater impact on long-term participation. Our findings offer implications for CS system design (e.g., user profiles, tagging and commenting), incentive structure (e.g., reputation-based ranking, leader boards), and relational mechanisms (e.g., open communication channels) to stimulate sustainable contributions for not-for-profit CS initiatives.

scholarly journals Achieving Carbon Neutral Airport Operations By 2025: The Case of Sydney Airport, Australia

2021 ◽  
Vol 22 (1) ◽  
pp. 1-14
Author(s):  
Glenn Baxter
Keyword(s):  
Case Study Research ◽  
Carbon Reduction ◽  
Instrumental Case Study ◽  
For Profit ◽  
Carbon Neutrality ◽  
Not For Profit ◽  
Wide Range ◽  
Level 3 ◽  
Carbon Neutral

AbstractUsing a qualitative instrumental case study research design, this study examines the strategies and carbon reduction measures implemented by Sydney Airport to achieve their goal of being a carbon neutral airport by 2025. The study period was from 2013 to 2019. The qualitative data was analyzed using document analysis. Sydney Airport has implemented a wide range of carbon reduction measures that underpin its strategy to become a carbon neutral airport. Sydney Airport’s annual emissions intensity per passenger declined in each year examined in study. Sydney Airport has participated in the Airports Council International Airport Carbon Accreditation Program since 2014 and currently holds Accreditation Level 3: Optimization. Sydney Airport’s goal is to be awarded Accreditation Level 3+: Carbon Neutrality by 2025. Sydney Airport has a carbon offsets agreement in place with a not-for-profit organization.

scholarly journals Hackathons as Instruments for Settlement Sector Innovation

2020 ◽  
Vol 4 (2) ◽  
pp. 123-133
Author(s):  
Eliana Trinaistic
Keyword(s):  
Social Services ◽  
Legal Services ◽  
Data Sets ◽  
Non Profit ◽  
For Profit ◽  
Not For Profit ◽  
Modes Of Engagement ◽  
New Instruments

In Canada, the non-profit organizations (NPO) and settlement sectors are increasingly re-examining their responsibility for service delivery and service design. With a growing interest in understanding how to include design principles and an “innovation” mindset in addressing the long-term outcomes of social services, new instruments are introduced as a way to experiment with different modes of engagement among the various stakeholders. The aim of community hackathons or civic hacks—a derivative of tech gatherings customized to fit public engagement—is to collaboratively rethink, redesign, and resolve a range of social and policy issues that communities are facing, from settlement, the environment, health, or legal services. Although hackathons and civic hacks aspire to be democratic, relationship-driven instruments, aligned with non-profit principles of inclusion and diversity, they are also risky propositions from the perspective of the non-profit organizational culture in Canada in that they tend to lack solid structure, clear rules, and fixed outcomes. Despite the challenges, the promise of innovation is too attractive to be disregarded, and some non-profits are embarking (with or without the government’s help) on incorporating hackathons into their toolkits. This case study will present a practitioner’s perspective on the outcomes of two community hackathons, one exploring migration data sets and the other on language policy innovation, co-developed between 2016 and 2019 by MCIS Language Solutions, a Toronto based not-for-profit social enterprise, in partnership with various partners. The case study examines how the hackathon as an instrument can aid settlement sectors and governments in fostering non-profit innovation to rethinking the trajectory of taking solutions to scale.

scholarly journals Decolonising Namibian Arts and Design through Improvisation

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Melanie SARANTOU ◽  
Caoimhe Isha BEAULÉ ◽  
Satu MIETTINEN
Keyword(s):  
Focus Group ◽  
Case Study Research ◽  
For Profit ◽  
Not For Profit ◽  
Start Up ◽  
Group Members ◽  
The Impact

The research investigates the role of service design and improvisation as decolonising practice. It is based on case study research with a focus group consisting of Namibian artists, designers, artisans and arts organisations who participated in artistic and cultural exchange activities of the Art South-South Trust (ASST), a start-up Namibian not for profit (NFP) organisation. The goal of ASST was to increase visibility of the focus group members, enable global exposure and create an arena for multi-vocality. The paper creates a practical framework for decolonising practices in Namibian arts and design by drawing on reflective practice to analyse the activities of ASST alongside interview data collected from Namibian and Australian partner organisations and participants in the program. Critical thinking is used to evaluate the impact of realised activities and processes both in situ in Namibia and in exchange in Australia. This paper explores practices that can enable decolonising processes in Namibian arts and design spheres

scholarly journals How performance measurement influences stakeholders in not-for-profit organizations

2017 ◽  
Vol 37 (9) ◽  
pp. 1164-1184 ◽  
Author(s):  
Haley Allison Beer ◽  
Pietro Micheli
Keyword(s):  
Performance Measurement ◽  
Single Case ◽  
Institutional Logics ◽  
Performance Goals ◽  
Content Type ◽  
For Profit ◽  
Not For Profit ◽  
And Performance ◽  
The Uk

Purpose The purpose of this paper is to examine the influences of performance measurement (PM) on not-for-profit (NFP) organizations’ stakeholders by studying how PM practices interact with understandings of legitimate performance goals. This study invokes institutional logics theory to explain interactions between PM and stakeholders. Design/methodology/approach An in-depth case study is conducted in a large NFP organization in the UK. Managers, employees, and external partners are interviewed and observed, and performance-related documents analyzed. Findings Both stakeholders and PM practices are found to have dominant institutional logics that portray certain goals as legitimate. PM practices can reinforce, reconcile, or inhibit stakeholders’ understandings and propensity to act toward goals, depending on the extent to which practices share the dominant logic of the stakeholders they interact with. Research limitations/implications A theoretical framework is proposed for how PM practices first interact with stakeholders at a cognitive level and second influence action. This research is based on a single case study, which limits generalizability of findings; however, results may be transferable to other environments where PM is aimed at balancing competing stakeholder objectives and organizational priorities. Practical implications PM affects the experience of stakeholders by interacting with their understanding of legitimate performance goals. PM systems should be designed and implemented on the basis of both their formal ability to represent organizational aims and objectives, and their influence on stakeholders. Originality/value Findings advance PM theory by offering an explanation for how PM influences attention and actions at an individual micro level.

scholarly journals Incapacitated and Alone: Prevalence of Unbefriended Residents in Alberta Long-Term Care Homes

SAGE Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 215824401988512 ◽  
Author(s):  
Stephanie A. Chamberlain ◽  
Wendy Duggleby ◽  
Janet Fast ◽  
Pamela B. Teaster ◽  
Carole A. Estabrooks
Keyword(s):  
Online Survey ◽  
Long Term Care ◽  
Survey Methods ◽  
Population Level ◽  
Urban Centers ◽  
Cross Sectional ◽  
Term Care ◽  
For Profit ◽  
Not For Profit

The objective of this study was to assess the prevalence of residents who are incapacitated and have no surrogate decision maker, known as the “unbefriended” in Alberta long-term care (LTC) homes. Using cross-sectional online survey methods, data were collected from 123 staff (i.e., directors of care/nursing, administrators) from Alberta LTC homes. Information was collected on survey respondents’ demographic characteristics, number of unbefriended residents, and on organizational characteristics. The overall prevalence of unbefriended residents in LTC homes was 4.14% in Alberta ( SD = 6.28%, range: 0%-34.6%). Homes with the highest prevalence (nearly 15%) of unbefriended residents had >135 beds and were public not-for-profit and located in large urban centers. Fifty-three percent of unbefriended residents were male. The highest prevalence of unbefriended residents lived in homes located in large urban centers and public not-for-profit operators. Population level and LTC home level prevalence data are needed to assess the scope of unmet needs.

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