scholarly journals Learning from the transfer of a fellowship programme to support primary care workforce needs in the UK: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023384 ◽  
Author(s):  
Carol Bryce ◽  
Rachel Russell ◽  
Jeremy Dale
Keyword(s):  
Health Service ◽  
Qualitative Study ◽  
Workforce Development ◽  
Urgent Care ◽  
The South ◽  
The West ◽  
Clinical Placements ◽  
Funding Model ◽  
West Midlands ◽  
The Impact

ObjectivesService redesign, including workforce development, is being championed by UK health service policy. It is allowing new opportunities to enhance the roles of staff and encourage multiprofessional portfolio working. New models of working are emerging, but there has been little research into how innovative programmes are transferred to and taken up by different areas. This study investigates the transferability of a 1-year post-Certification of Completion of Training fellowship in urgent and acute care from a pilot in the West Midlands region of England to London and the South East.DesignA qualitative study using semistructured interviews supplemented by observational data of fellows’ clinical and academic activities. Data were analysed using a thematic framework approach.Setting and participantsTwo cohorts of fellows (15 in total) along with key stakeholders, mentors, tutors and host organisations in London and the South East (LaSE). Fellows had placements in primary and secondary care settings (general practice, emergency department, ambulatory care, urgent care and rapid response teams), together with academic training.ResultsSeventy-six interviews were completed with 50 participants, with observations in eight clinical placements and two academic sessions. The overall structure of the West Midlands programme was retained and the core learning outcomes adopted in LaSE. Three fundamental adaptations were evident: broadening the programme to include multiprofessional fellows, changes to the funding model and the impact that had on clinical placements. These were felt to be key to its adoption and longer-term sustainability.ConclusionThe evaluation demonstrates a model of training that is adaptable and transferable between National Health Service regions, taking account of changing national and regional circumstances, and has the potential to be rolled out widely.

scholarly journals Parent experiences with paediatric allergy pathways in the West Midlands: A qualitative study

2019 ◽  
Vol 49 (3) ◽  
pp. 357-365 ◽  
Author(s):  
Lavanya Diwakar ◽  
Carole Cummins ◽  
Scott Hackett ◽  
Martyn Rees ◽  
Lynette Charles ◽  
...  
Keyword(s):  
Qualitative Study ◽  
The West ◽  
Parent Experiences ◽  
West Midlands ◽  
Paediatric Allergy

Forest Dialect

English Today ◽  
2020 ◽  
Vol 36 (3) ◽  
pp. 70-76
Author(s):  
Michelle Straw
Keyword(s):  
Identity Construction ◽  
Nation State ◽  
The South ◽  
The West ◽  
South West ◽  
Special Place ◽  
West Midlands ◽  
National Borders

The Forest of Dean (henceforth Forest) is one of the lesser known English Royal Forests. The area is considered locally to be a special place with a distinctive dialect. The Forest lies at the intersection of three regions: South East Wales, West Country, also known as the South West, and the West Midlands. The Forest is situated between two rivers: the River Severn to the East separates it from the rest of Gloucestershire; the River Wye to the West separates it from Wales. National borders and physical boundaries seem to play an important role in identity construction. ‘Identities matter most’ (Llamas & Watt, 2010: 17) to those communities ‘at the physical margins of the nation state’ (Llamas, 2010: 225). Such communities may engage in practices that differentiate their dialect and situate it at the centre of their own region.

“Have a Sip of This”: The Impact of Family on the Drinking Patterns of Untreated Heavy Drinkers Living in the West Midlands, UK

1999 ◽  
Vol 26 (3) ◽  
pp. 413-437 ◽  
Author(s):  
Maria Ferrins-Brown ◽  
Sue Dalton ◽  
Jenny Maslin ◽  
Elizabeth Hartney ◽  
Cicely Kerr ◽  
...  
Keyword(s):  
Drinking Patterns ◽  
The West ◽  
West Midlands ◽  
Heavy Drinkers ◽  
The Impact

‘The do-gooders and scroungers’: examining narratives of foodbank use in online local press coverage in the West Midlands, UK

2020 ◽  
Vol 28 (3) ◽  
pp. 279-298
Author(s):  
Catherine Price ◽  
Martine Barons ◽  
Kayleigh Garthwaite ◽  
Andrew Jolly
Keyword(s):  
Grounded Theory ◽  
Qualitative Study ◽  
Online News ◽  
Press Coverage ◽  
Theory Approach ◽  
The West ◽  
West Midlands ◽  
Grounded Theory Approach ◽  
Undeserving Poor

This qualitative study using a grounded theory approach, assesses the construction of claims in online news articles and below the line comments in connection with foodbank use in the West Midlands region, UK. The sample includes 146 online news articles and 132 below the line comments, commencing 23 September 2010 until 8 April 2019. Individual foodbank users’ stories are told and these relay discourses of stigma, shame, embarrassment and desperation. In contrast, the below the line comments centre on the undeserving poor. Here, emphasis is on the migrants who are ‘flooding’ the country, and the scroungers who are work-shy.

scholarly journals Effectiveness of Online Teaching During COVID-19 Pandemic for West Midlands Urology Trainees

2020 ◽  
Vol 3 (4) ◽  
pp. e25-e31
Author(s):  
Anton Wong
Keyword(s):  
Online Teaching ◽  
Online Survey ◽  
Statistical Significance ◽  
Postgraduate Education ◽  
Learning Approach ◽  
The West ◽  
Face To Face ◽  
West Midlands ◽  
Virtual Presence ◽  
The Impact

Background and Objective Urology trainees in the West Midlands are provided with protected compulsory teaching sessions by the deanery. These teaching sessions are usually held in a regional centre, on a face-to-face basis. However, the coronavirus (COVID-19) pandemic has had a profound impact not only on individuals, the healthcare system, but has affected medical education for trainees. All regional teaching sessions have been moved online for the safety of individuals and to comply with social distancing guidelines. The aim of this study is to evaluate the effectiveness of online teaching during the pandemic. Material and Methods An online survey was sent out to all urology trainees in the West Midlands. The questionnaire, comprised of a mixture of open, closed and Likert-10-point scale questions was used to compare online teaching against face-to-face teaching. An independent t-test was carried out as the data was presumed to follow a normal distribution. Statistical significance was set at p<0.05. Results 70% of trainees responded and participated in the survey. Attendance rates were higher when teaching was online compared to face-to-face sessions. 100% of trainees were able to attend at least 80% of online teaching sessions whilst 89% were able to attend face-to-face sessions. However, the quality of teaching were not statistically significant between face-to-face and online teaching sessions (mean = 7.95 and 8.11 respectively, p= 0.316). The study found that trainees benefited from the accessibility of online teaching sessions but lost out on social networking and interactivity of face-to-face sessions. Most participants recommended a hybrid or blended learning approach once the pandemic is over. Conclusion The impact of COVID-19 has almost forced all undergraduate and postgraduate education to have a form of virtual presence. All teaching sessions will remain online for the foreseeable future. Our study found no difference between the qualities of teaching for both approaches. However, benefits and drawbacks of online teaching have been identified. Hence, we recommend a mixed learning approach of face-to-face and online teaching for the future.  

Educating for the Cooperative Society

2019 ◽  
pp. 355-373
Author(s):  
Suzanna Tomassi
Keyword(s):  
Case Studies ◽  
Soft Skills ◽  
Public Institution ◽  
The West ◽  
Cooperative Society ◽  
West Midlands ◽  
The Uk ◽  
The Impact ◽  
The Relationship

This chapter investigates the relationship between industry and academia from the perspective of industry. In addition to the theoretical review, it is based on feedback from industry leaders on how they see the role of their organizations in wider society. This chapter utilizes case studies to examine the relationship between specific companies, their academic partners, and the wider society. It focuses on the UK experience reflecting the location of its author. It specifically looks at the links between Coventry University, a British public institution located in the West Midlands, and its selected partners: the Unipart Group, Horiba MIRA, Interserve, and KPIT in India. It also refers to a bespoke Global Leaders Programme which is an exclusive, extra-curricular offering, designed to enhance students’ leadership and soft skills and prepare them for future employment after graduation. Wherever possible, the author aimed to obtain feedback from the industry representatives to assess their views on the impact of their companies on the wider society. In the same spirit, relevant colleagues from Coventry University were asked for their feedback to ensure that both perspectives were fairly captured. The examples given, and indeed, the philosophy behind the projects could be transferred to other countries and applied to other industries.

scholarly journals How does the outcome of research training fellowships funded via the NHS compare with that from competitively funded fellowships from the MRC and other charities: a cross-sectional retrospective survey of trainees undertaking research training in the West Midlands

BMJ Open ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. e019630
Author(s):  
Charlotte Maybury ◽  
Matthew David Morgan ◽  
Russell Smith ◽  
Lorraine Harper
Keyword(s):  
Clinical Training ◽  
Online Survey ◽  
Research Training ◽  
Clinical Care ◽  
Clinical Work ◽  
Research Experience ◽  
The West ◽  
Cross Sectional ◽  
West Midlands ◽  
The Impact

ObjectivesThis study aimed to investigate the impact of research training funded via the National Health Service (NHS) on medical trainees compared with traditional clinical research training fellowships (CRTFs).Design, setting and participantsOnline survey of 221 clinical trainees who had completed a period of research during their clinical training between 2009 and 2015 in the West Midlands.Main outcome measuresResearch outcomes.ResultsOverall response rate was 59%, of whom 72 participants were funded by CRTFs and 51 funded by the NHS. Although participants with CRTFs were more likely to be awarded a higher degree compared with those on NHS-administered funding (66/72 CRTFs and 37/51 NHS, P=0.005), similar proportions of NHS-funded and CRTF-funded participants entered clinical lecturer posts on completing initial research training (8/51 NHS and 16/72 CRTF, P=0.37). 77% of participants had three or more publications (CRTF 57 and NHS 39, P=0.72). 57 participants had completed clinical training; similar proportions of CRTF-funded and NHS-funded trainees had research included in their consultant contract (12/22 NHS and 14/26 CRTF, P=0.96) or were appointed to academic posts (3 of 25 NHS funded and 6 of 32 CRTF, P>0.05). 95% of participants would recommend to colleagues and 82% of participants felt the research experience improved their provision of clinical care with no difference between CRTF-funded and NHS-funded participants (P=0.49). Continuing to participate in clinical work during the research reduced reports of trainee difficulty on returning to clinical work (23/108 continued clinical work vs 12/22 no clinical work, P=0.001).ConclusionResearch training funded by the NHS provides a quality experience and contributes to the clinical academic capacity within the UK. More needs to be done to support NHS participants to successfully achieve a higher degree.

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