scholarly journals Policy translation through localisation: implementing national policy in the UK

2016 ◽  
Vol 44 (4) ◽  
pp. 563-589 ◽  
Author(s):  
Charlotte Sausman ◽  
Eivor Oborn ◽  
Michael Barrett
Keyword(s):  
National Policy ◽  
Policy Translation ◽  
The Uk

The political background to arts in health

2017 ◽  
Author(s):  
Daisy Fancourt
Keyword(s):  
National Policy ◽  
Health Departments ◽  
Arts Funding ◽  
Health And Wellbeing ◽  
The Arts ◽  
Policy And Strategy ◽  
The Usa ◽  
Political Background ◽  
The Uk ◽  
Arts In Health

In recent decades, there has been an increasing number of national policy and strategy papers discussing arts in health in countries around the world. Some of this activity has been driven by national arts bodies, championing the value of the arts in health and wellbeing and advocating for their inclusion within core arts funding and practice. Other activity has been led by health bodies, including health departments within governments and health services themselves. This chapter explores some of the most influential documents and considers their implication for research and practice. It draws on case studies of activity within Ireland, the UK, the USA, Australia, and Nordic countries.

scholarly journals Observations from a small country: mental health policy, services and nursing in Wales

2021 ◽  
pp. 1-12
Author(s):  
Ben Hannigan
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Policy ◽  
National Policy ◽  
Ageing Population ◽  
Small Country ◽  
Mental Health Nurses ◽  
Face To Face ◽  
Health Need ◽  
The Uk

Abstract Wales is a small country, with an ageing population, high levels of population health need and an economy with a significant reliance on public services. Its health system attracts little attention, with analyses tending to underplay the differences between the four countries of the UK. This paper helps redress this via a case study of Welsh mental health policy, services and nursing practice. Distinctively, successive devolved governments in Wales have emphasised public planning and provision. Wales also has primary legislation addressing sustainability and future generations, safe nurse staffing and rights of access to mental health services. However, in a context in which gaps always exist between national policy, local services and face-to-face care, evidence points to the existence of tension between Welsh policy aspirations and realities. Mental health nurses in Wales have produced a framework for action, which describes practice exemplars and looks forward to a secure future for the profession. With policy, however enlightened, lacking the singular potency to bring about intended change, nurses as the largest of the professional groups involved in mental health care have opportunities to make a difference in Wales through leadership, influence and collective action.

scholarly journals Robert Le Rossignol, 1884–1976: Engineer of the ‘Haber’ process

2017 ◽  
Vol 71 (3) ◽  
pp. 263-296 ◽  
Author(s):  
Deri Sheppard
Keyword(s):  
World War Ii ◽  
World War I ◽  
High Power ◽  
Financial Support ◽  
National Policy ◽  
Professional Life ◽  
World War ◽  
Power Sources ◽  
The Uk ◽  
Fritz Haber

In March 1908, the BASF at Ludwigshafen provided financial support to Fritz Haber in his attempt to synthesize ammonia from the elements. The process that now famously bears his name was demonstrated to BASF in July 1909. However, its engineer was Haber's private assistant, Robert Le Rossignol, a young British chemist from the Channel Islands with whom Haber made a generous financial arrangement regarding subsequent royalties. Le Rossignol left Haber in August 1909 as BASF began the industrialization of their process, taking a consultancy at the Osram works in Berlin. He was interned briefly during World War I before being released to resume his occupation. His position eventually led to His Majesty's Government formulating a national policy regarding released British internees in Germany. After the war Le Rossignol spent his professional life at the GEC laboratories in the UK, first making fundamental contributions to the development of high-power radio transmitting valves, then later developing smaller valves used as mobile power sources in the airborne radars of World War II. Through his share of Haber's royalties, Le Rossignol became wealthy. In retirement, he and his wife gave their money away to charitable causes.

The SNP Government and Poverty

2008 ◽  
Vol 23 (4) ◽  
pp. 255-260 ◽  
Author(s):  
Ivan Turok
Keyword(s):  
Public Interest ◽  
National Policy ◽  
Policy Framework ◽  
Political Agenda ◽  
The Political ◽  
Social Policies ◽  
Discussion Paper ◽  
Poverty And Inequality ◽  
Election Victory ◽  
The Uk

There is considerable public interest across the UK in whether distinctive economic and social policies will emerge from the Scottish National Party's election victory in 2007. The SNP manifesto did not have very much to say about poverty and inequality, but early in 2008 the new Government published a discussion paper, Tackling Poverty, Inequality and Deprivation in Scotland (TPID), laying the basis for a national policy framework due at the end of 2008. At a time when there are tentative signs of poverty moving up the political agenda across Britain, TPID offers the first indication of how the SNP Government views the problem and what it might do to make a difference.

P–466 Fertility preservation for medical reasons: International and intra-national variation in provision and the gap between guideline and practice

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
E Yasmin ◽  
S Latif ◽  
C Dia. Garcia ◽  
S. Martin. D Silva
Keyword(s):  
Northern Ireland ◽  
Fertility Preservation ◽  
Ovarian Tissue ◽  
National Policy ◽  
Cytotoxic Agents ◽  
Ovarian Tissue Cryopreservation ◽  
The Uk ◽  
And Storage ◽  
Tissue Cryopreservation ◽  
Health Boards

Abstract Study question What is the gap between guidance and practice of fertility preservation between countries and within countries with common clinical guidelines? Summary answer Substantial variation in provision of FP exists between countries and within individual countries with gaps between national and international guidelines and policies governing provision. What is known already A robust guideline on female FP was published by ESHRE in 2020, advising the application of FP in cancer and other conditions where treatment with cytotoxic agents or surgery will compromise reproductive function. Across Europe, in 13 countries (43.3%) FP is funded for all available FP procedures, in 13 countries (43.3%) no FP funding is available, and in 4 countries (13.3%) at least one FP option is funded. Variation in state provision of fertility care in different countries in Europe was highlighted in the ESHRE guidance. It did not specifically examine individual national policies or whether a national policy exists. Study design, size, duration Five clinicians performing FP in Europe were contacted to collect current FP provision data. Policies retrieved from the internet were not included as they could not be verified. Finally, FP funding policies for 135 Clinical Commissioning Groups (CCGs) in England, 14 Health Boards in Scotland, 7 Health Boards in Wales and 5 Trusts in Northern Ireland and 17 policies for regional heath services in Spain were included were included. Participants/materials, setting, methods Policies on FP for the UK and Spain were reviewed (n = 178), including policies from the 161 regions from the four nations of the UK and policies of 17 autonomous bodies in Spain. Information on funded procedures, type of conditions included for funding and duration of storage were extracted. The provision of FP was compared to the current European Society of Human Reproduction and Embryology (ESHRE) and National Institute for Health and Care Excellence (NICE) guidelines. Main results and the role of chance In England, 127/128 (99%) CCGs fund cryopreservation of oocytes, sperm and embryos. Cancer is the exclusive indication in 11%. Provision of FP for transgender individuals is specified in 28%, ovarian tissue cryopreservation is funded in 8% and storage funding varies from five to ten years. In Scotland, a national policy is applied. All 14 health boards equitably fund cryopreservation of oocytes, sperm, embryos and ovarian and testicular tissue. Funding is provided for cancer, medical conditions which may impair fertility and transgender individuals. Storage funding is based on a five yearly review until age 43 in women and 60 in men. In Wales and Northern Ireland, cryopreservation of oocytes, sperm and embryos is funded for people undergoing medical or surgical treatment that is likely to make them infertile, provision for transgender individuals is not specified and ovarian tissue cryopreservation is not funded. In Spain, all 17 Health Services fund cryopreservation of oocytes, sperm and embryos for patients whose fertility is at risk due to gonadotoxic treatments or other pathological processes. Ovarian tissue cryopreservation is funded in 94%, provision for transgender individuals is specified in 12%, and storage funding is available until the age of 50 in women and 55 in men. Limitations, reasons for caution Inability to retrieve fertility preservation policies for every country in Europe is a limitation, for which ongoing collaboration is sought. The variable nature of FP provision is likely to be multi-factorial; a lag in publication of guidelines and updated policies, ethical considerations and resource distribution may govern health policies. Wider implications of the findings: The study highlights that provision of FP not only varies between countries but is also inconsistent within the same country. It is clear that there is a gap between ideal, evidence-based practice and actual provision. Variation in policies limits uniform access to care for patients. Trial registration number Not applicable.

Foreign States in Domestic Markets

2021 ◽  
Author(s):  
Mark Thatcher ◽  
Tim Vlandas
Keyword(s):  
Political Economy ◽  
Financial Markets ◽  
Domestic Politics ◽  
National Policy ◽  
Sovereign Wealth Funds ◽  
Policy Makers ◽  
Domestic Markets ◽  
The Us ◽  
The Uk ◽  
Domestic Economies

Political economy debates have focused on the internationalization of private capital. But foreign states increasingly enter domestic markets as financial investors. How do policy makers in recipient countries react? Do they treat purchases as a threat and impose restrictions or see them as beneficial and welcome them? What are the wider implications for debates about state capacities to govern domestic economies in the face of internationalization of financial markets? In response, the book develops the concept of ‘internationalized statism’—governments welcoming and using foreign state investments to govern their domestic economies—and applies it to the most prominent overseas state investors: Sovereign Wealth Funds (SWFs). Many SWFs are from Asia and the Middle East and their number and size have greatly expanded, reaching $9 trillion by 2020. The book examines policies towards non-Western SWFs buying company shares in four countries: the US, the UK, France, and Germany. Although the US has imposed significant legal restrictions, the others have pursued internationalized statism in ways that are surprising given both popular and political economy classifications. The book argues that the policy patterns found are related to domestic politics, notably the preferences and capacities of the political executive and legislature, rather than solely economic needs or national security risks. The phenomenon of internationalized statism underlines that overseas state investment provides policy makers in recipient states with new allies and resources. The study of SWFs shows how and why internationalization and liberalization of financial markets offer national policy makers opportunities to govern their domestic economies.

scholarly journals User and carer involvement in mental health training

2004 ◽  
Vol 10 (2) ◽  
pp. 85-92 ◽  
Author(s):  
Gill Livingston ◽  
Claudia Cooper
Keyword(s):  
Mental Health ◽  
Professional Training ◽  
National Policy ◽  
Service Users ◽  
Mental Health Training ◽  
User Training ◽  
Local Initiatives ◽  
The Uk ◽  
Future Work ◽  
Voluntary Organisations

National policy in the UK emphasises the importance of involving service users and caregivers in all types of mental health provision. The training of mental health care and social service professionals has always relied on seeing patients, but the patients' role has usually been a passive one. This is now changing, and service users and carers are becoming active educators in professional training, benefiting both the teachers and those taught. Provision is still very variable and is dependent on local initiatives. Voluntary organisations are active in this field, and there are now two academic posts for service users in the UK. This article explores the current forms of service user training, its benefits and drawbacks, and makes recommendations for future work.

Plan B Earth v Secretary of State for Transport: Airport Expansion, the Paris Agreement and the Planning Act 2008

2020 ◽  
Vol 32 (3) ◽  
pp. 559-575
Author(s):  
Sonam Gordhan
Keyword(s):  
National Policy ◽  
Paris Agreement ◽  
Planning System ◽  
Policy Statement ◽  
Secretary Of State ◽  
Plan B ◽  
The Uk ◽  
The Relationship ◽  
Court Of Appeal

Abstract This case analysis considers the Court of Appeal’s decision in R (Plan B Earth and ors) v Secretary of State for Transport [2020] EWCA Civ 214, which followed the High Court challenge to the Secretary of State’s designation of the UK Airports National Policy Statement. The Court of Appeal found that the Secretary of State’s failure to take into account the UK’s commitment to the Paris Agreement when carrying out his duties under the Planning Act 2008 was unlawful. While permission to appeal this decision has been granted, it remains a notable judgment. The Plan B Earth case confirms the interaction between the UK’s climate change commitments and the statutory framework of the UK’s planning system. It also highlights the complexity of the Court’s institutional role in the context of environmental problems. Analysing the implications of this decision through a policymaking lens risks overlooking the role of public law principles that shaped the Court’s reasoning, defining the relationship between the Paris Agreement and the Planning Act.

scholarly journals PP32 Electronic records in ambulances – an observational study (ERA)

2019 ◽  
Vol 36 (10) ◽  
pp. e14-e14
Author(s):  
Alison Porter ◽  
Sarah Black ◽  
Jeremy Dale ◽  
Robert Harris-Mayes ◽  
Robin Lawrenson ◽  
...  
Keyword(s):  
National Policy ◽  
Patient Data ◽  
Information Support ◽  
Electronic Records ◽  
Health Economy ◽  
Local Health ◽  
Full Potential ◽  
Data Set ◽  
Emergency Ambulance ◽  
The Uk

BackgroundThe introduction of information technology (IT) in emergency ambulance services to electronically capture, interpret and store patient data can support out of hospital care. Although electronic health records (EHR) in ambulances and other digital technology are encouraged by national policy across the UK, there is considerable variation across services in terms of implementation. We aimed to understand how electronic records can be most effectively implemented in a pre-hospital context, in order to support a safe and effective shift from acute to community-based care.MethodsWe conducted a mixed-methods study with four work packages (WPs): a rapid literature review, a telephone survey of all 13 freestanding UK ambulance services, detailed case studies in four selected sites, and a knowledge sharing workshop.ResultsWe found considerable variation in hardware and software. Services were in a state of constant change, with services transitioning from one system to another, reverting to paper, or upgrading. Ambulance clinicians were dealing with partial or unclear information, which may not fit comfortably with the EHR. Clinicians continued to use indirect data input approaches such as first writing on a glove. The primary function of EHR in all services seemed to be as a store for patient data. There was, as yet, limited evidence of their full potential being realised to transfer information, support decision making or change patient care.ConclusionsRealising the full benefits of EHR requires engagement with other parts of the local health economy, dealing with the challenges of interoperability. Clinicians and data managers are likely to want very different things from a data set, and need to be presented with only the information that they need.

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