Implementing World Class Commissioning Competencies

2012 ◽  
Vol 17 (1_suppl) ◽  
pp. 40-48 ◽  
Author(s):  
Sara McCafferty ◽  
Iestyn Williams ◽  
David Hunter ◽  
Suzanne Robinson ◽  
Cam Donaldson ◽  
...  
Keyword(s):  
Primary Care ◽  
Organizational Culture ◽  
Central Government ◽  
Primary Care Trust ◽  
Government Control ◽  
The North ◽  
The World ◽  
World Class ◽  
Depth Interviews ◽  
Improve Health

Background The world class commissioning (WCC) programme was introduced in the English NHS in 2007 to develop primary care trust (PCT) commissioning of health services. There has been limited evaluation of health commissioning initiatives over the years and in particular little is known about how commissioners interpret and implement initiatives and guidance intended to strengthen commissioning. This research explores the development and implementation of WCC and draws implications for future commissioning arrangements. Methods This research draws on interviews with key informants (n = 6) and a literature review to analyse the aims of, and stimulus for, WCC. In-depth interviews (n = 38) were conducted in three PCTs in the north of England in 2009 to analyse the interpretation and implementation of WCC. Results The aims and rationale of WCC, in particular, the specification of commissioning skills and the aspirations to improve health outcomes, were largely welcomed and supported by interviewees. However, the implementation of WCC posed a number of challenges, including: availability of resources and knowledge; lack of a supportive organizational culture and networks; and the dominance of central government control. Conclusions The findings have implications for emerging clinical commissioning groups (CCGs) in the English NHS. Specifically, the research highlights the need for a system-wide approach to improving commissioning, including appropriately aligned policy and objectives underpinned by a co-ordinated and supportive organizational culture.

Improving Access to Oral Surgery Services in Primary Care

2009 ◽  
Vol os16 (4) ◽  
pp. 137-142 ◽  
Author(s):  
Nick Kendall
Keyword(s):  
Primary Care ◽  
Oral Surgery ◽  
Waiting Times ◽  
Primary Care Trust ◽  
Hospital Setting ◽  
Substantial Improvement ◽  
Dental Services ◽  
Collaborative Working ◽  
World Class ◽  
Further Development

This paper describes the innovative use of National Health Service (NHS) dental commissioning powers to develop specialist primary care based oral surgery services. The outcomes, after one full year of the scheme, have been substantial improvement in access and reduced waiting times for patients, further development of NHS primary care dental services through commissioning processes, increased use and engagement of oral surgery specialists outside of a hospital setting, and considerable ongoing savings to the NHS. Collaborative working between hospital consultants and managers, Primary Care Trust dental commissioners, general dental practice providers, specialist oral surgeons and a dental public health consultant has resulted in sustainable benefits to patients and the NHS within the World Class Commissioning framework.

scholarly journals Combating childhood obesity

2016 ◽  
Vol 20 (4) ◽  
pp. 464-472 ◽  
Author(s):  
Lawrence Achilles Nnyanzi
Keyword(s):  
Primary Care ◽  
Primary Schools ◽  
Primary Care Trust ◽  
Structured Interviews ◽  
Weight Category ◽  
North East ◽  
The North ◽  
Weight Problems ◽  
Correct Weight ◽  
The Impact

The aim of this study was to explore the reactions of children aged 10–11 years towards being weighed and measured and subsequently told their correct weight as part of the National Child Measurement Programme (NCMP). The study was undertaken in primary schools in a Primary Care Trust (PCT) in the North East of England, UK. One-to-one semi-structured interviews were conducted post-NCMP measurement (and the feedback) with a sample of 21 children, aged 10–11 years, conveniently sampled from the primary schools in the PCT. Findings from the study indicate that the NCMP, especially the weight feedback letter caused annoyance, panic and worry among children who were indicated to have weight problems and oversensitised all children about weight issues, regardless of their weight category. The NCMP is a potentially useful ‘wake-up call’ to the fact that something needs to be done for children identified to be overweight or obese but needs to be delivered with a sensitivity to the impact of the news on the child.

THE GENESIS OF CONSERVATIVE IDEOLOGY, DEVELOPMENT TRENDS AND PROSPECTS IN THE POLITICAL REFORM OF MODERN COUNTRIES (ON THE EXAMPLE OF RUSSIA AND FRANCE)

2020 ◽  
Vol 10 (4) ◽  
pp. 38-43
Author(s):  
MARIETA EPREMYAN ◽  
Keyword(s):  
Political Reform ◽  
Point Of View ◽  
The Political ◽  
Development Trends ◽  
Conservative Ideology ◽  
The World ◽  
Christian Conservatism ◽  
The Future ◽  
Conservative Policy ◽  
Depth Interviews

The article examines the epistemological roots of conservative ideology, development trends and further prospects in political reform not only in modern Russia, but also in other countries. The author focuses on the “world” and Russian conservatism. In the course of the study, the author illustrates what opportunities and limitations a conservative ideology can have in political reform not only in modern Russia, but also in the world. In conclusion, it is concluded that the prospect of a conservative trend in the world is wide enough. To avoid immigration and to control the development of technology in society, it is necessary to adhere to a conservative policy. Conservatism is a consolidating ideology. It is no coincidence that the author cites as an example the understanding of conservative ideology by the French due to the fact that Russia has its own vision of the ideology of conservatism. If we say that conservatism seeks to preserve something and respects tradition, we must bear in mind that traditions in different societies, which form some kind of moral imperatives, cannot be a single phenomenon due to different historical destinies and differing religious views. Considered from the point of view of religion, Muslim and Christian conservatism will be somewhat confrontational on some issues. The purpose of the work was to consider issues related to the role, evolution and prospects of conservative ideology in the political reform of modern countries. The author focuses on Russia and France. To achieve this goal, the method of in-depth interviews with experts on how they understand conservatism was chosen. Already today, conservatism is quite diverse. It is quite possible that in the future it will transform even more and acquire new reflections.

Eating NAFTA

2018 ◽  
Author(s):  
Alyshia Gálvez
Keyword(s):  
Public Health ◽  
Chronic Disease ◽  
Low Income ◽  
Food System ◽  
Dietary Habits ◽  
Trade Agreement ◽  
Well Being ◽  
Health Crisis ◽  
The North ◽  
The World

In the two decades since the North American Free Trade Agreement (NAFTA) went into effect, Mexico has seen an epidemic of diet-related illness. While globalization has been associated with an increase in chronic disease around the world, in Mexico, the speed and scope of the rise has been called a public health emergency. The shift in Mexican foodways is happening at a moment when the country’s ancestral cuisine is now more popular and appreciated around the world than ever. What does it mean for their health and well-being when many Mexicans eat fewer tortillas and more instant noodles, while global elites demand tacos made with handmade corn tortillas? This book examines the transformation of the Mexican food system since NAFTA and how it has made it harder for people to eat as they once did. The book contextualizes NAFTA within Mexico’s approach to economic development since the Revolution, noticing the role envisioned for rural and low-income people in the path to modernization. Examination of anti-poverty and public health policies in Mexico reveal how it has become easier for people to consume processed foods and beverages, even when to do so can be harmful to health. The book critiques Mexico’s strategy for addressing the public health crisis generated by rising rates of chronic disease for blaming the dietary habits of those whose lives have been upended by the economic and political shifts of NAFTA.

Examining the Kinships System of the Bodo

Think India ◽  
2019 ◽  
Vol 22 (3) ◽  
pp. 186-192
Author(s):  
Dr. Oinam Ranjit Singh ◽  
Dr. Nushar Bargayary
Keyword(s):  
Social Relationships ◽  
Social Cohesion ◽  
Social Relationship ◽  
Vital Role ◽  
Eastern Region ◽  
The North ◽  
Kinship System ◽  
North Eastern ◽  
The World ◽  
The Relationship

The Bodo of the North Eastern region of India have their own kinship system to maintain social relationship since ancient periods. Kinship is the expression of social relationship. Kinship may be defined as connection or relationships between persons based on marriage or blood. In each and every society of the world, social relationship is considered to be the more important than the biological bond. The relationship is not socially recognized, it fall outside the realm of kinship. Since kinship is considered as universal, it plays a vital role in the socialization of individuals and the maintenance of social cohesion of the group. Thus, kinship is considered to be the study of the sum total of these relations. The kinship of the Bodo is bilateral. The kin related through the father is known as Bahagi in Bodo whereas the kin to the mother is called Kurma. The nature of social relationships, the kinship terms, kinship behaviours and prescriptive and proscriptive rules are the important themes of the present study.

Westward Palaearctic range expansion of Papilio demoleus Linnaeus, 1758 (Lepidoptera: Papilionidae) and its arrival at Mediterranean coastal regions of Turkey and Syria

2020 ◽  
Vol 71 (4) ◽  
pp. 257-272
Author(s):  
Onat Başbay ◽  
Mudar Salimeh ◽  
Eddie John
Keyword(s):  
Eastern Mediterranean ◽  
Economic Importance ◽  
Invasive Pest ◽  
Pest Species ◽  
Coastal Regions ◽  
The North ◽  
North Eastern ◽  
The World ◽  
Invasive Pest Species ◽  
Papilio Demoleus

We review the continuing and extensive spread of Papilio demoleus in south-eastern Turkey and in regions of Turkey and Syria adjacent to the north-eastern Mediterranean. Since the authors documented the arrival of this attractive but potentially destructive papilionid species at coastal areas of Syria in 2019, regular monitoring has confirmed successful overwintering there, as well as in Turkey. As previously indicated, P. demoleus is widely recognized as an invasive pest species in Citrus-growing areas of the world and hence its arrival is of potential economic importance to a region in which citrus is widely grown.

Her Majesty Queen Rania Al Abdullah

2019 ◽  
Author(s):  
Adib Rifqi Setiawan
Keyword(s):  
Education System ◽  
Ministry Of Education ◽  
Childhood Experiences ◽  
The Sustainable Development ◽  
American University ◽  
The North ◽  
The World ◽  
Development Goals ◽  
High Level ◽  
Education And Development

“The real treasure is in the minds of our children, and all we have to do is extract it.” Her Majesty Queen Rania Al Abdullah writes in website Queen Rania Foundation For Education And Development www.qrf.org/en. Rania Al Yassin was born on August 31, 1970. She obtained her Bachelor’s degree in Business Administration from the American University of Cairo in 1991. She applied this, first, to a banking career in Jordan and, later, to the information technology sector. After marrying Prince Abdullah bin Al Hussein on June 10, 1993, they went on to have four children: Prince Hussein, Princess Iman, Princess Salma, and Prince Hashem. In addition to being a wife and mother, Queen Rania works hard to lift the lives of Jordanians by supporting their endeavours and helping to create new opportunities for them. Locally, she is committed to breathe new life into the public education system; empower communities and women especially through microfinance initiatives; protect children and families; and drive innovation, technology and entrepreneurship, especially amongst young people. Internationally, Queen Rania is an advocate for tolerance, compassion and bridge building between people of all cultures and backgrounds. Her efforts to simultaneously challenge stereotypes of Arabs and Muslims, and promote greater understanding and acceptance between people of all faiths and cultures, have won her global recognition. Her Majesty’s passion is education. She believes that every Jordanian girl and boy, and all children, should have access not only to stimulating classrooms and modern curricula, but inspiring teachers and technology that can connect Jordan’s children to the world and the world to Jordan’s children. Her efforts in the education sector complement the work of the Ministry of Education through initiatives such as the Jordan Education Initiative, the Queen Rania Teachers Academy, Madrasati, Edraak and others. To realize these and so much more, Queen Rania has encouraged private sector partners to drive improvements and strengthen the foundations of Jordan’s education system. Queen Rania is also a global voice for access to quality education for children around the world. In 2009, Her Majesty championed the 1 Goal campaign for education; she is Honorary Chair of the UN Girl’s Education Initiatives and has advocated access to education in forums and gatherings around the world. Her work and her efforts to improve the learning opportunities for children have been recognized at the highest levels, nationally, regionally and internationally. Additionally, through her position on their boards, Her Majesty contributes to the work of the United Nations Fund and the World Economic Forum. She is the Eminent Advocate for UNICEF; and she was part of the UN appointed High Level Panel who advised on the shape and content of the Sustainable Development Goals which aim to improve the lives of millions of people before 2030. In recognition of her work, Her Majesty has humbly accepted many awards, locally, regionally and globally. These include the Walther Rathenau Award from the Walther RathenauInstitut in Germany for her efforts to greater peace and understanding; the James C. Morgan Global Humanitarian Award from Tech Awards, USA; the Arab Knight of Giving Award from Arab Giving Forum, UAE; the North South Prize by the North South Prize, Portugal; as well as the YouTube Visionary Award. Her Majesty authored several books primarily for children including the Sandwich Swap, which was inspired by her own childhood experiences.

Late Cretaceous stratigraphy and vertebrate faunas of the Markagunt, Paunsaugunt, and Kaiparowits plateaus, southern Utah

2016 ◽  
Vol 3 ◽  
pp. 229-291 ◽  
Author(s):  
Alan L. Titus ◽  
Jeffrey G. Eaton ◽  
Joseph Sertich
Keyword(s):  
Late Cretaceous ◽  
Foreland Basin ◽  
Alluvial Plain ◽  
Terrestrial Vertebrate ◽  
The North ◽  
Single Region ◽  
The World ◽  
Kaiparowits Plateau ◽  
Fossil Preservation ◽  
Fossil Records

The Late Cretaceous succession of southern Utah was deposited in an active foreland basin circa 100 to 70 million years ago. Thick siliciclastic units represent a variety of marine, coastal, and alluvial plain environments, but are dominantly terrestrial, and also highly fossiliferous. Conditions for vertebrate fossil preservation appear to have optimized in alluvial plain settings more distant from the coast, and so in general the locus of good preservation of diverse assemblages shifts eastward through the Late Cretaceous. The Middle and Late Campanian record of the Paunsaugunt and Kaiparowits Plateau regions is especially good, exhibiting common soft tissue preservation, and comparable with that of the contemporaneous Judith River and Belly River Groups to the north. Collectively the Cenomanian through Campanian strata of southern Utah hold one of the most complete single region terrestrial vertebrate fossil records in the world.

HUBUNGAN ANTARA PENDIDIKAN DAN STATUS EKONOMI IBU DENGAN KEJADIAN DIARE PADA BALITA DI PUSKESMAS SEKIP PALEMBANG TAHUN 2014

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Wulan Citra Sari Wulan Citra Sari
Keyword(s):  
Economic Status ◽  
Chi Square ◽  
Cross Sectional ◽  
Diarrhea Case ◽  
The World ◽  
Diarrhea Disease ◽  
United Nation ◽  
Research Show ◽  
Improve Health ◽  
Children Under 5

  ABSTRACT Diarrhea is cause the number one of a death in the world. The united Nation Children’s Found (UNICEF) thinks about every 30 second there one a child die because diarrhea. Diarrhea disease still be a problem for society healthy in Indonesia well reviewed of morbidity and mortality ant the mark of deaths and “Kejadian Luar Biasa (KLB)” that caused. Accrodin to WHO the mark of diarrhea illness 2010 is 411 patients per 1.000 population. The digit of death diarrhea is 14% from the digit of death over all. The purpose of this research to know a connection between education and mother economic status with toodler (children under 5 years old) diarrhea case at Puskesmas Sekip Palembang in February 2014. Desaign of this research to survey analitic by do coloser Cross Sectional in Accidental Sampling tehnic which one the variable who get research, include education and mothers economic status. The sampel in this research in 33 mothers who come by bring their toodler to MTBS Puskesmas Sekip Palembang at February 2014. Each variabel who get research, then get analysis by use analysis Chi-Square by decisios X² table (3,481). The result of this research show that the respondent by diarrhea as many is 15 respondent (45,5%) and didn’t diarrhea 18 respondent (54,5%). This of high education 13 repondent (39,4%) and less education is many as 20 respondent (60,6%), the respondent based to the high economic status as many as 13 respondent (39,4%). From statistic test Chi-Square show that, there a connection between education  with diarrhea case in X² count = 4,313, and there a connection between mothers economic status with case diarrhea at X² count= 4,917. From the results of this study are expected to further improve health education, especially regarding the incidence of diarrhea in infants to mothers who have young children understand more about the incidence of diarrhea.     ABSTRAK Diare adalah penyebab nomor satu kematian di dunia. The United Nations Children’s Fund (UNICEF) memperkirakan bahwa setiap 30 detik ada anak meninggal karena diare. Penyakit diare masih merupakan masalah kesehatan masyarakat di Indonesia baik ditinjau dari angka kesakitan dan angka kematian serta kejadian luar biasa (KLB) yang ditimbulkan. MenurutWHO angka kesakitan diare pada tahun 2010 yaitu 411 penderita per 1000 penduduk. Angka kematian diare 14% dari angka kematian balita secara keseluruhan. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan status ekonomi ibu dengan kejadian diare pada balita di Puskesmas SekipPalembang pada bulan Februari Tahun 2014. Desain penelitian ini adalah survey analitik dengan pendekatan Cross Sectional dalam teknik Accidental Sampling dimana variableyang diteliti meliputi pendidikan dan status ekonomi ibu. Sampel pada penelitian ini adalah 33ibu yang datang membawa anak balitanya berobat ke MTBS puskesmas Sekip Palembang pada bulan FebruariTahun 2014. Masing-masing variabel yang diteliti kemudian dianalisa dengan menggunakan analisis Chi-Square dengan ketetapan X² Tabel (3,481). Hasil penelitian ini menunjukan bahwa responden dengan diare sebanyak 15 responden (45,5%) dan tidak diare 18 responden (54,5%), responden berdasarkan pendidikan tinggisebanyak 13responden (39,4%) dan pendidikan rendah sebanyak 20 responden (60,6%), responden berdasarkan status ekonomi tinggi sebanyak 20 responden (60,6%) dan yang status ekonomi rendah sebanyak 13 responden (39,4%). Dari uji statistik Chi-Square menunjukkan ada hubungan antara pendidikan dengan kejadian diare pada X²hitung= 4,313, dan ada hubungan antara status ekonomi ibu dengan kejadian diare pada X²hitung= 4,917. Dari hasil penelitian ini diharapkan agar lebih meningkatkan penyuluhan kesehatan khususnya tentang kejadian diare pada balita agar ibu yang mempunyai balita lebih memahami tentang kejadian diare.  

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