scholarly journals Supply chain regulation in Scottish social care: Facilitators and barriers

2021 ◽  
pp. 0143831X2199756
Author(s):  
Philip James ◽  
Alina M Baluch ◽  
Ian Cunningham ◽  
Anne-Marie Cullen

Drawing on a study of a Scottish government initiative to ensure the provision of a living wage to social care workers, the article sheds new light on the value of regulating domestic supply chains to enhance labour standards in supplier organisations, and the factors that facilitate and hinder such regulation. The study confirms that supply chains driven by monopsonistic purchasers tend to drive down employment conditions, while indicating that the studied initiative met with a good deal of success due to a combination of the government generated ‘soft’ regulation and support from care providers that reflected both value and pragmatic considerations. It also highlights the contradictory tensions that can arise between policy aspirations and business objectives and suggests that to be effective, initiatives to enhance labour standards in supply chains need to address adverse market dynamics.

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 628-631
Author(s):  
Devangi Agrawal ◽  
Namisha Khara ◽  
Bhushan Mundada ◽  
Nitin Bhola ◽  
Rajiv Borle

In the wake of the current outbreak of novel Covid-19, which is now declared as a 'pandemic' by the WHO, people around the globe have been dealing with a lot of difficulties. This virus had come into light in December 2019 and since then has only grown exponentially. Amongst the most affected are the ones who have been working extremely hard to eradicate it, which includes the hospitals, dental fraternity and the health-care workers. These people are financially burdened due to limited practise. In the case of dentistry, to avoid the spread of the virus, only emergency treatments are being approved, and the rest of the standard procedures have been put on hold. In some cases, as the number of covid cases is rising, many countries are even trying to eliminate the emergency dental procedures to divert the finances towards the treatment of covid suffering patients. What we need to realise is that this is probably not the last time that we are facing such a situation. Instead of going down, we should set up guidelines with appropriate precautionary measures together with the use of standardised PPEs. The government should also establish specific policies to support dental practices and other health-care providers. Together, we can fight this pandemic and come out stronger.


2020 ◽  
Author(s):  
◽  
Elisha Pitarella

In England, the Adult Social Care (ASC) sector continues to grow and is faced with repeated scrutiny regarding the availability and effectiveness of care workers. This results in difficult challenges for organisations, such as funding demands, recruitment costs, and job satisfaction. These challenges are combined with the increasing demand to meet the needs of vulnerable adults and provide high-quality care. Some organisations have improved their delivery of care, whilst others have declined in quality as providers have struggled with the challenges they face (Care Quality Commission (CQC), 2019). These challenges are exacerbated by the high turnover in staffing levels. Although organisations have processes in place, such as exit interviews, there appears to be a lack of clear identification of the causes of turnover in ASC settings. This research study contributes to the debate on how to improve recruitment and retention in ASC settings. This research takes a qualitative approach and seeks to highlight key factors affecting recruitment and retention issues through the views and experiences of care workers to consider strategies to improve the workforce and quality of care for vulnerable adults. This thesis presents findings from semi-structured interviews with present care workers and managers from 2019-2020 working in residential care homes, domiciliary care providers and supported accommodation. The research identified that individual personalities, pay, training, management, and organisational practices are all influential to care worker satisfaction.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 492-492
Author(s):  
Hiroko Umegaki-Costantini ◽  
Glenda Roberts

Abstract A rapidly emerging set of carers are men who combine care for older relatives with employment. In Japan, a 2015 government initiative aimed at reforming work to make employment and care compatible by 2020 failed to reduce the approximately 100,000 annually quitting employment mainly due to care for older relatives. This paper aims to evaluate the initiative’s limited impact through a multilevel understanding of the roll-out of the family care policy. Stakeholder views, based on 32 interviews including with employers, the Japanese Business Federation, local care providers and NPOs, are juxtaposed with the perspectives of employed male family carers drawn from 37 qualitative in-depth narrative interviews complemented by participant observation in the Tokyo area in 2019. The ethnographic fieldwork evidences informants’ diverse engagement with care for older relatives underpinned by strongly held cultural views of care provision being a ‘private’ issue, which contrasts with government attempts to make family care a ‘social’ issue by broadening stakeholder participation. Further, corporates tend to have tacit reluctance to transform working practices to accommodate care. Thus, employed men’s devotion to work competes with the culturally embedded notion that carers should be committed to care provision. In conclusion, such a disjuncture is a major factor in the government initiative’s failure. Although cultural values and meanings in policy evaluation theories are often neglected, this research points to the significance of ongoing (re)construction of the socio-cultural notions congruent with social policy enablement.


2016 ◽  
Vol 18 (5) ◽  
pp. 266-276 ◽  
Author(s):  
Jill Manthorpe ◽  
Esther Njoya ◽  
Jess Harris ◽  
Caroline Norrie ◽  
Jo Moriarty

Purpose The purpose of this paper is to present an analysis of media reactions to the BBC Television Panorama programme, Behind Closed Doors’ and to set this in the context of interviews with care staff about their reflections on publicity about poor practice in the care sector. Design/methodology/approach This paper reports on an analysis of media reactions to recent exposé of abuse in social care in England and data from an interview-based study of care workers. The interviews were analysed to consider the impact of such media reports on staff and to explore their views of action that might be need to be taken about care failings. Findings There are mixed reactions to exposé of poor care on television and to the debates that precede and follow their broadcast. Debates occur in print and on television, but also in social media. The particular exposé of care home practices by the Panorama programme, Behind Closed Doors, led to debate in England about the potential role of covert cameras in care homes. The interviews revealed that while care staff are affected by scandals in the media about social care, they do not necessarily focus on themes that the media stories subsequently highlight. Overall some are disenchanted while others have ideas of what needs to change to improve practice. Care staff consider that there remain problems in raising concerns about practices and some staff feel unable to stay in workplaces where they have made complaints. Research limitations/implications The care workers interviewed may not be representative of the sector and they may have wished to provide socially acceptable answers to the researchers. Practice was not observed. Practical implications Local Safeguarding Adult Boards may wish to develop a communications strategy to deal with requests for reactions to media reports locally and nationally. Safeguarding practitioners may wish to prepare for increased referrals following media coverage of poor care in their areas. They may later be able to use media reports to discuss any local differences of interpretation over matters such as prosecutions for abuse. Trainers and educationalists may wish to clarify the importance given by care providers to raising concerns, the ways in which difficult conversations can be held, and the protections available to whistle-blowers or those raising concerns – with local examples to provide assurance that this is not mere rhetoric. Originality/value Television reports of problems with social care attract wide media interest but the authors know very little about how care workers respond to depictions of their work and their occupational grouping. This paper links media and expert commentator reactions to television exposé with data acquired from interviews with those on the frontline of care.


2010 ◽  
Vol 10 (1) ◽  
pp. 55-65 ◽  
Author(s):  
Kate Baxter ◽  
Mark Wilberforce ◽  
Caroline Glendinning

Drawing on two studies in England, this paper explores the workforce-related impacts that social care providers envisage, and have so far experienced, from an increase in the number of people using personal budgets. It presents findings in relation to financial and workforce planning, recruitment and retention, workforce training and service user/provider relations. The discussion considers the implications not only for providers but also care workers, service users and local authorities.


Author(s):  
Margrethe Amalie Tresselt ◽  
Grethe M. Borgerød

Background: Governmental documents must provide guidance and knowledge for social workers with a focus on child care. They must describe legislative changes, meet employee expectations and evaluate any reforms. To do so, it is important that the language and use of any concepts are interpreted in the same way. One of the terms used by the government in Norway is the word ‘competence’, which intends to describe to employees in social care services their tasks. The purpose of this chapter is to highlight challenges related to governmental use of the concept of the word ‘competence’. The term is used frequently, in the assumption that there is a common and equal interpretation of the word. Method: This study is a text analysis of relevant governmental documents published from 2014. The purpose of this method is to create structured data out of the documents. Theory: The study applies the perspectives of hermeneutics and phenomenology, combined with the organizational theories by Skau (2017) and Røvik (2007). Result: We have three findings concerning the term ‘competence’. The first is that the term is barely defined. The second is that the term is used without a proper structure. The third is that there are few governmental documents that are aimed specifically at child health care workers. Conclusion: This study shows that the term ‘competence’, which is used frequently in various contexts, lacks proper definition. This may lead to confusion and misunderstanding with respect to governmental directions and intents versus professional job execution amongst employees at social care services in Norway.


2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Youstiana Dwi Rosita

ABSTRAK Rumah sakit adalah institusi penyedia jasa layanan kesehatan, Rumah Sakit Umum Daerah Dr. R. Sosodoro Djatikoesoemo Bojonegoro sebagai salah satu Rumah Sakit milik pemerintah kabupaten Bojonegoro. Sebagai pusat rujukandari beberapa rumah sakit di daerah Bojonegoro dan sekitarnya. Dalam penelitian ini menggunkan suatu pen dekatan dengan analisis SWOT yang merupakan langkah awal dari suatu perencanaan strategi pengembangan yang dimulai dengan identifikasi masalah, tujuan organisasi sampai pada menimbang kekuatan dan kelemahan sendiri serta peluang dan ancaman dari luar dan juga melakukan beberapa langkah penting yang menunjang pemasaran atau pengembangan. Jenis penelitian ini adalah penelitian studi kasus dengan menggunakan rancangan penelitian deskriptif kualitatif dan Populasi dalam penelitian ini populasinya adalah pasien rawatinap dan pasien rawat jalan sebanyak 200 orang responden Sampel merupakan sebagian atau wakil populasi yang diteliti. Dalam penelitian ini mengunakan sampling pertimbangan (Judgement Sampling) Dari hasil pendekatan dengan analisis SWOT perlunya pelaksanaan atau realisasi dari struktur organisasi yang menempatkan farmasis dalam farmasi klinik, peningkatan kualitas dan kuantitas sumber daya manusia, serta perlunya penambahan fasilitas berhubungan dengan IPTEK untuk kegiatan pelayanan farmasi baik secara manajerial maupun ke arah farmasi klinik. Kata Kunci : Farmasi, Analisis SWOT ABSTRACT The hospital is an institution health care providers, Regional General Hospital Dr. R. Sosodoro Djatikoesoemo Bojonegoro as one of the government-owned hospital Bojonegoro. As the center rujukandari several hospitals in Bojonegoro and the surrounding area. In this study using the approach with a pen SWOT analysis is the first step of a development strategy planning which starts with the identification of the problem, the purpose of the organization came to weigh their own strengths and weaknesses, opportunities and threats from the outside and also did some important steps to support the marketing or development. This research is a case study using qualitative descriptive study design and population in this study population was rawatinap patients and outpatients as many as 200 people respondent sample is partially or representative of the population studied. In this study, using sampling considerations (Judgement Sampling) From the SWOT analysis approach with the need for the implementation or realization of the organizational structure that puts pharmacists in clinical pharmacy, improving the quality and quantity of human resources, as well as the need for additional facilities related to science and technology for good pharmaceutical service activities managerially and in the direction of clinical pharmacy. Key Words : Pharmacy, SWOT Analysis


2020 ◽  
Author(s):  
Venkatesh U ◽  
Aravind Gandhi P

UNSTRUCTURED Telemedicine is where health care intersects with Information Technology. In India, there has been no statutory regulations or official guidelines, specific for Telemedicine practice and allied matters, so far. For the first time, Government of India has released Telemedicine Practice Guidelines for Registered Medical Practitioners on March 25, 2020, amid the COVID-19 outbreak. Through this paper, we would like to initiate the discussion on the features of the guidelines, limitations, and its significance in times of COVID-19 pandemic. The guidelines are with a restricted scope for providing medical consultation to patients, excluding other aspects of Telemedicine such as research and evaluation, and the continuing education of health-care workers. The guidelines have elaborated on the eligibility for practicing Telemedicine in India, the modes and types of Teleconsultation, delved into doctor-patient relationship, consent, & management protocols, touched upon the data security & privacy aspects of the Teleconsultation. After releasing the guidelines, Telescreening of public for COVID-19 symptoms is being advocated by the Government of India. COVID-19 National Teleconsultation Centre (CoNTeC) has been initiated, which connects the doctors across the India to AIIMS in real-time for accessing expert guidance on treatment of the COVID-19 patients.


Vaccines ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 119 ◽  
Author(s):  
Rahul Shekhar ◽  
Abu Baker Sheikh ◽  
Shubhra Upadhyay ◽  
Mriganka Singh ◽  
Saket Kottewar ◽  
...  

Background: Acceptance of the COVID-19 vaccine will play a major role in combating the pandemic. Healthcare workers (HCWs) are among the first group to receive vaccination, so it is important to consider their attitudes about COVID-19 vaccination to better address barriers to widespread vaccination acceptance. Methods: We conducted a cross sectional study to assess the attitude of HCWs toward COVID-19 vaccination. Data were collected between 7 October and 9 November 2020. We received 4080 responses out of which 3479 were complete responses and were included in the final analysis. Results: 36% of respondents were willing to take the vaccine as soon as it became available while 56% were not sure or would wait to review more data. Only 8% of HCWs do not plan to get vaccine. Vaccine acceptance increased with increasing age, education, and income level. A smaller percentage of female (31%), Black (19%), Lantinx (30%), and rural (26%) HCWs were willing to take the vaccine as soon as it became available than the overall study population. Direct medical care providers had higher vaccine acceptance (49%). Safety (69%), effectiveness (69%), and speed of development/approval (74%) were noted as the most common concerns regarding COVID-19 vaccination in our survey.


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