scholarly journals Cultures of caring: Healthcare ‘scandals’, inquiries, and the remaking of accountabilities

2018 ◽  
Vol 48 (1) ◽  
pp. 101-124 ◽  
Author(s):  
Dawn Goodwin

In the UK, a series of high-profile healthcare ‘scandals’ and subsequent inquiries repeatedly point to the pivotal role culture plays in producing and sustaining healthcare failures. Inquiries are a sociotechnology of accountability that signal a shift in how personal accountabilities of healthcare professionals are being configured. In focusing on problematic organizational cultures, these inquiries acknowledge, make visible, and seek to distribute a collective responsibility for healthcare failures. In this article, I examine how the output of one particular inquiry – The Report of the Morecambe Bay Investigation – seeks to make culture visible and accountable. I question what it means to make culture accountable and show how the inquiry report enacts new and old forms of accountability: conventional forms that position actors as individuals, where actions or decisions have distinct boundaries that can be isolated from the ongoing flow of care, and transformative forms that bring into play a remote geographical location, the role of professional ideology, as well as a collective cultural responsibility.

2021 ◽  
Vol 33 (1) ◽  
pp. e50-e53
Author(s):  
J. Best ◽  
T. Starkey ◽  
A. Chatterjee ◽  
D. Fackrell ◽  
L. Pettit ◽  
...  

2021 ◽  
Vol 27 (4) ◽  
pp. 1-6
Author(s):  
Imose Itua ◽  
Bruce Sheppy ◽  
Bryan McIntosh

The growing pressure of an ageing population has resulted in an increased focus and interest in home or domiciliary care. This, plus changing lifestyle trends and the COVID-19 pandemic, necessitates a review of care in the UK. The number of domiciliary carers has increased; of the 1.62 million social workers active in 2018, 685 000 were categorised as domiciliary carers. However, this group of carers are not recognised as healthcare professionals. Indeed, there is no formal recognition or definition of the role of the carer in the UK, and there seems to be an overlap between support workers and carers, without adequate explanation of what either of these roles mean in practice. This article highlights the need to pay particular attention to this care sector, particularly in light of both the COVID-19 pandemic and Brexit.


2020 ◽  
Vol 33 (1) ◽  
pp. 36-53
Author(s):  
Catharina Landstrom ◽  
Stewart Kemp

Investigating the role of geographical location in public engagement with science we examine the West Cumbria Managing Radioactive Waste Safely (MRWS) Partnership’s undertaking of one of the most extensive local public engagements with environmental risk science in the UK. The case study highlights the transformative impacts of this three-year long local engagement on both science and the public. Differently from other invited public engagements, organised as experiments controlled by scientists in spaces set aside from the everyday, the Partnership’s lay members led a process unfolding in the place that was potentially at risk. The Partnership had the authority to demand that scientists addressed issues of local interest. We frame the analysis with the notions ‘re-situating technoscience' and ‘re-assembling the public' to illuminate how scientific knowledge claims were modified and a new local public emerged, at the intersection of public engagement with science and public participation in environmental risk governance.


2020 ◽  
pp. 214-236
Author(s):  
Alison Scott-Baumann ◽  
Mathew Guest ◽  
Shuruq Naguib ◽  
Sariya Cheruvallil-Contractor ◽  
Aisha Phoenix

These research findings show that the higher education research agenda can become distorted by imperatives coloured by political ideologies and a caricatured polarization of religion and secularity. These impulses originate outside the higher education sector and should be challenged. The UK universities need to improve the religious literacy of university students and to tackle ignorance towards Muslims in order for campuses to be inclusive spaces where all students can learn from the diversity around them. Islamic colleges need to interrogate some of their patriarchal assumptions about gendered roles in line with the important feminist work that their syllabi explore. This would be aided by recruitment of high profile women Islamic Studies lecturers and critical reflection on gender roles on campus. We call for the prophetic role of the universities and the Islamic colleges to be reclaimed through a transparent, joint programme of robust and critical cultural engagement for all.


2021 ◽  
pp. 175791392097825
Author(s):  
D Vishnubala ◽  
A Pringle

The UK Chief Medical Officer guidelines provide convincing evidence of the role of physical activity (PA) in the prevention and management of a number of long-term conditions. Yet physical inactivity remains an important public health priority. Healthcare professionals (HCP) have been identified as being very important for the promotion of PA to their patients. Yet a number of barriers are faced by HCP in this respect including awareness, knowledge, self-efficacy, perceived competence, and time. This paper aims to share current projects and practices and reflect on the challenges of changing the behaviour of HCP to provide physical activity advice.


2021 ◽  
Vol 27 (1-2) ◽  
pp. 188-202 ◽  
Author(s):  
Sara Cantillon ◽  
Elena Moore ◽  
Nina Teasdale

Author(s):  
Ben Worthy

This chapter examines how the same complex dynamics that shape FOI formulation continue after the passage of legislation. This chapter looks across the country cases, beginning with the UK, to see how FOI interacts with its wider environment and new ideas around openness (Posen 2013). It examines thematically the role of various, sometimes competing and contradictory, influences on the legislation post-implementation: including high profile scandal Lock-in of FOI legislation with the gradual ‘normalising’ of openness systems within bureaucracies over time, assisted by the integration of independent appeal bodies, helping to entrench FOI within systems as an ‘everyday’ activity (Hazell and Worthy 2010: Kimball 2012). It looks at attempts to strengthen FOI and attempts to weaken FOI. The chapter ends by mapping out the complex dynamics and pattern of post –implementation FOI. It examining what groups (government factions, users, media) and what events, both real and symbolic, (crisis, electoral victory, reform programmes) can help trigger the different dynamics and how they can change (Hillebrandt, Curtin and Meijer 2012).


2012 ◽  
Vol 42 (1) ◽  
pp. 73-89 ◽  
Author(s):  
HANNAH LAMBIE-MUMFORD

AbstractThis article charts the rise of one of the UK's most high profile forms of food banks: the Trussell Trust Foodbank franchise. Employing empirical data it seeks to embed the phenomenon of the growth of Foodbanks within a social policy research context. In the first instance, the role of recent and on-going shifts in the social policy context are examined, notably the importance of welfare diversification under previous Labour governments (1997–2010) and the current public spending cuts, welfare restructuring and Big Society rhetoric of the Conservative−Liberal Democrat Coalition government. The paper goes on to explore the nature of Foodbanks as emergency initiatives, providing relief and alleviation for the ‘symptoms’ of food insecurity and poverty. Data are presented which demonstrate some of the ways in which the Foodbank model and those who run the projects navigate the tension between addressing symptoms rather than ‘root causes’ of poverty and food insecurity. In the face of the simultaneous growth in emergency food initiatives and significant upheavals in social policy and welfare provision, the article culminates with an argument for social policy research and practice to harness and prioritise the human rights-based approach to food experiences.


2020 ◽  
Vol 11 (2) ◽  
pp. 60-64
Author(s):  
Ian Wright

In recent years, the threat posed to both pets and people by parasites has grown, fuelled by a milder climate and increased pet movement. Fleas and ticks are growing in numbers and infest pets all year round. Angiostrongylus vasorum has rapidly spread North up the country and Echinococcus granulosus is potentially being spread through abattoirs. In addition to this, pet travel and importation is increasing in the face of a widening distribution of vectors and vector-borne pathogens abroad. This is increasing the risk of exposure and the risk of bringing novel infections back to the UK. Veterinary practices remain on the front line of keeping pets and their owners safe from these threats and veterinary nurses play a pivotal role in giving accurate advice to clients. This article summarises information given to nurses at the recent parasite CPD day held by The Veterinary Nurse and sponsored by Bayer, considering the current parasitic threats to UK cats and dogs and how to address them.


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