Introduction: what size is ‘just right’ for a care provider?

Author(s):  
Catherine Needham ◽  
Kerry Allen ◽  
Kelly Hall

This chapter sets out the context for the research, highlighting the growing salience of debates about the size of care organisations, but a lack of consensus about whether small is beautiful or large is efficient. It also locates the research within high profile policy debates in the UK about personalisation, personal budgets, care outcomes and austerity. The chapter also sets out how micro-enterprises are defined and gives examples of some of the micro-enterprise case studies that are included in the research. The chapter goes on to give more details of the approach to the research design, which examined how 17 micro-enterprises performed compared to 10 small, medium and large organisations in three case study sites in England, speaking to 143 people who work in or use these services. The chapter also discusses the involvement of co-researchers with lived experience of care services. The chapter finishes by summarising what follows in the rest of the book.

2020 ◽  
Vol 2 (2) ◽  
pp. 111-129
Author(s):  
Frances Costello

PurposeResearch was undertaken to understand whether taught resilience programmes which highlight the protective factors of resilience would impact individual resilience outcomes. The research focussed on specific resilience dimensions, change agility, physical, emotional and mental resilience, purpose in life and recovery; in an attempt to bridge the gap in understanding whether it is possible through taught programmes to improve resilience through the creation of new habits.Design/methodology/approachThe research was conducted using interpretative phenomenological analysis methods and used semi-structured interviews with 12 participants to understand participants lived experience of a one-day personal resilience programme, conducted within a private global manufacturing organisation.FindingsThe research found that all 12 participants interviewed 12–18 months post-programme made sustainable habits changes increasing personal resilience levels. Participants built new habits into their everyday lives, in the physical dimension exercising more regularly, taking breaks, changes in nutrition and creating better sleep patterns. Through increased understanding of emotional intelligence participants were able to react more favourably to adverse situations and through mental increased resilience focus achieve work and home priorities. In understanding the change journey participants found that they were able to move more quickly through the change cycle. Almost all participants found understanding their life purpose difficult and were not able to give a conclusive answer to what this might be, they found that attending the programme helped reflection in this dimension.Originality/valueThe paper includes an overview of previous resilience research but differs in its examination of the impact of a specific taught resilience programme in a large private sector organisation using IPA methodology.


2017 ◽  
Vol 42 (1) ◽  
pp. 9-17
Author(s):  
Mike Clare ◽  
Becky Anderson ◽  
Murielle Bodenham ◽  
Brenda Clare

The paper reflects on developments in leaving care policy and practice in Western Australia (WA) and nationally from the mid-1990s. The review of national and some international literature suggests that current Australian policy and practice shows a ‘systems stuckness’ that requires a more potent form of annual auditing and reporting of jurisdictional leaving care outcomes. The review of mostly Australian publications focusing on leaving care and the risk of homelessness includes reflections on recent developments in leaving care services in England, which recognise and restore relationship-based services for care leavers. Finally, the history, vision and initial impact of the Living Independently for the First Time (LIFT) Project, a case study of learning by doing, is outlined. The authors and their colleagues from the Department for Child Protection and Family Support (Midland District), Swan Emergency Accommodation (now known as Indigo Junction) and the Housing Authority of WA have collaborated to design and develop the LIFT Project. This initially unfunded action-research strategy involves inter-agency policy and practice designed to prevent homelessness of vulnerable care leavers.


2019 ◽  
Vol 16 (2) ◽  
pp. 125-145
Author(s):  
Simone Knox

While important scholarship exists on the television representations of Asian American identities, research in the UK has been focused on African Caribbean and South Asian identities. Very little scholarly attention has been paid to televisual representations of British Chinese identities, despite the British Chinese constituting one of the larger and fastest growing ethnic minority groups within contemporary Britain. Informed by an understanding of the complexity of the term ‘British Chinese’, this article explores the representation of British Chinese identities in British television drama. Despite the long-standing absence and invisibility of such identities in British television, as perceived within the popular imagination in Britain and in British Chinese discourses, the article shows that a larger number of British Chinese actors have found notable employment in British television than is commonly acknowledged or remembered within the popular imagination. The article draws on a database that deploys a range of research, including archive research at the BFI Reuben Library, to map the presence of British Chinese actors in British television drama since 1945. Through this historiographic focus, the article identifies some of the most significant trends in representations of British Chinese identities in British television drama. It then illustrates and provides more specific texture to these broader patterns through the close textual analysis of a case study, the BBC1 flagship series Sherlock. It concludes by reflecting on the contemporary period which has seen an influx of British Chinese actors into British television drama as well as high-profile diversity campaigning within Britain.


2010 ◽  
Vol 9 (2) ◽  
pp. 255-265 ◽  
Author(s):  
Jill Manthorpe ◽  
Alison Bowes

Two recent studies of elder abuse in the UK are located in current policy contexts of adult safeguarding. After describing the studies, the discussion draws out their central messages and identifies the challenges that the studies present to recent policy debates and innovations. These relate to the need to properly integrate both wider older people's issues and issues of racism and ethnicity within developments in adult safeguarding policy as well as social care services as the personalisation agenda advances.


Author(s):  
Val Gillies ◽  
Rosalind Edwards ◽  
Nicola Horsley

This chapter builds on the review of the interests at play in the early intervention field and examines them through case studies of three high-profile initiatives. The first case study focuses on the Wave Trust, a campaigning and policy advocate organisation that has been highly influential politically in promoting brain-based early intervention in the UK. It claims a ‘business centred’ approach to breaking damaging intergenerational family cycles of abuse and violence. The second case study subjects the origins, delivery, and evidence claims of the Family Nurse Partnership (FNP) early intervention programme to scrutiny. The third case study explores the nodal network position of Parent Infant Partnership UK, which advocates for an emphasis on attachment between primary caregivers and babies.


2016 ◽  
Vol 10 ◽  
pp. 48-57 ◽  
Author(s):  
Leon Cruickshank ◽  
Gemma Coupe ◽  
Dee Hennessy

In this paper we describe a high profile project to reimagine a large green space in the heart of the city of Lancaster in the UK. This co-design project involved professional designers, but also 2500 people with 700 of these making an active co-design contribution. This project forms the basis of a discussion of how we used a series of events to help participants reach their full creative co-design potential.From this case study we go on to develop a framework of recommendations to help designers reflect on their normal practice and how they need to operate within a co-design project. These recommendations seek to maximise the benefits of this approach and produce good design outcomes. This framework has been evaluated in a series of international workshops in the UK, Belgium and the Netherlands.


Delivering high quality health and social care is considered to be one of the key governance challenges in the UK. People are living longer, and chronic diseases are more prevalent, which puts ever more pressure on health and social services to deliver. In order to better co-ordinate these services and deal with increased demand and funding pressures, authorities at both national and local levels are moving towards integrated care services. However, the integration of these services is plagued with difficulties. This chapter will explore the complexities of joining-up health and social care. It includes a case study of Continuing Healthcare (CHC), which is a package of care provided by the National Health Service (NHS) and which involves a number of providers across the health and social care sectors. While much of the chapter focuses on health and social care challenges in England, it will finish with analysis of Scotland's progress towards integrated services.


Author(s):  
Benjamin Hawkins ◽  
Stefanie Ettelt

<sec id="st1"> Background Current debates on e-cigarette policy in the UK are highly acrimonious and are framed in terms of evidence-based policymaking.</sec> <sec id="st2"> Aims and objectives The article aims to understand the use of evidence in policymaking in the context of both political controversy and limited policy-relevant evidence via a case study of UK e-cigarette debates.</sec> <sec id="st3"> Methods The study draws on a series of semi-structured interviews with policy actors to examine their positions on e-cigarette policy process and their use of evidence to support this.</sec> <sec id="st4"> Findings Policy actors articulate a strong commitment to evidence-based policymaking and claim that their positions are evidence-based. Some actors also claim emerging consensus around their positon as a rhetorical tool in the debate. Respondents argued that actors adopting opposing policy positions fail to follow the evidence base. This is attributed to a lack of understanding or disregard for the relevant evidence for political or ideological reasons.</sec> <sec id="st5"> Discussion Respondents adhere to a rationalist understanding of policymaking in which policy disputes can be settled by recourse to ‘the evidence’. Interpretative policy analysis suggests that multiple legitimate framings of policy issues, supported by different bodies of evidence, are possible. Policy differences are thus not due to bad faith but to policy actors framing the issue at stake in different terms and thus advocating different policy responses.</sec> <sec id="st6"> Conclusions Process of ‘frame reflection’ may help to overcome the acrimony of current policy leading to more effective engagement by public health actors in the e-cigarettes policy debates.</sec>


Author(s):  
K. D. Fieber ◽  
J. P. Mills ◽  
M. V. Peppa ◽  
I. Haynes ◽  
S. Turner ◽  
...  

Diachronic studies are central to cultural heritage research for the investigation of change, from landscape to architectural scales. Temporal analyses and multi-temporal 3D reconstruction are fundamental for maintaining and safeguarding all forms of cultural heritage. Such studies form the basis for any kind of decision regarding intervention on cultural heritage, helping assess the risks and issues involved. This article introduces a European-wide project, entitled "Cultural Heritage Through Time", and the case study research carried out as a component of the project in the UK. The paper outlines the initial stages of the case study of landscape change at three locations on Hadrian’s Wall, namely Beckfoot Roman Fort, Birdoswald Roman Fort and Corbridge Roman Station, all once part of the Roman Empire’s north-west frontier. The main aim of the case study is to integrate heterogeneous information derived from a range of sources to help inform understanding of temporal aspects of landscape change. In particular, the study sites are at risk from natural hazards, notably erosion and flooding. The paper focuses on data collection and collation aspects, including an extensive archive search and field survey, as well as the methodology and preliminary data processing.


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