Sustainability: are micro-enterprises built to last?

2016 ◽  
Author(s):  
Catherine Needham ◽  
Kerry Allen ◽  
Kelly Hall
Keyword(s):  
Local Government ◽  
Care Quality ◽  
Financial Viability ◽  
Government Contracts ◽  
Local Authorities ◽  
Care Services ◽  
Care And Support ◽  
Care Quality Commission ◽  
Future Care ◽  
Micro Enterprises

Chapter ten considers these issues, exploring micro-enterprise funding models, which rely heavily on individualised purchasing by people rather than local government contracts. This chapter focuses on four interlinked aspects of micro-enterprises which shape their effectiveness and their likely contribution to future care services. These are: visibility; financial viability; relationship with the local authority; and quality and regulation. These are a combination of factors which are internal and external to the micro-enterprises. They encompass some attributes or structures that the organisations have the power to change and others that lie outside of their control. The chapter concludes that micro-enterprises retain a reliance on formal institutions within the care system – local authorities, the Care Quality Commission – which can limit their scope to ‘break the mould’ when it comes to care and support.

scholarly journals Decentralization of power: challenges for newly elected local governments

2020 ◽  
Vol 2020 (9) ◽  
pp. 24-28
Author(s):  
Olga IVANOVA ◽  
◽  
Yurij IVANOV ◽  
Keyword(s):  
Local Government ◽  
Local Governments ◽  
Financial Support ◽  
Spatial Development ◽  
Financial Viability ◽  
Local Authorities ◽  
Legislative Support ◽  
Level Of Training ◽  
Decentralization Reform ◽  
Reallocation Of Resources

The article is devoted to topical issues of power decentralization and the development of local government. The aim of the research is to identify challenges for local governments in the implementation of the decentralization reform and to develop proposals for the spatial development of territorial communities. The problems of functioning and development of united territorial communities have been identified. These problems are differentiation of powers between levels of government; reallocation of resources; discrepancy between delegated powers and financial support of communities; low level of training for the implementation of the powers of local authorities. The directions for overcoming the challenges are suggested. These directions are legislative support for the reform of the decentralization of power; ensuring the financial viability of communities; reallocation of resources; development of mechanisms, criteria for the spatial development of territorial communities; development of programs for the development of personnel of local authorities and newly created communities capable of ensuring the development of territories.

How psychiatric in-patient care for people with learning disabilities is transforming after Winterbourne View

2014 ◽  
Vol 19 (3) ◽  
pp. 146-149 ◽  
Author(s):  
Gyles Glover ◽  
Ian Brown ◽  
Chris Hatton
Keyword(s):  
Learning Disabilities ◽  
Design Methodology ◽  
Psychiatric Care ◽  
Care Quality ◽  
Published Data ◽  
Content Type ◽  
Care Quality Commission ◽  
Future Care ◽  
Shed Light

Purpose – Two censuses, from 2010 and 2013, respectively, shed light on the trend in use of in-patient psychiatric care for people with learning disability or autism following the BBC documentary exposing abuse of patients at Winterbourne View. The purpose of this paper is to consider the implications of the detailed trends for future care for this group. Design/methodology/approach – Published data from a recent (September 2013) census are compared with the re-analysis of a census undertaken by the Care Quality Commission in March 2010. Findings – An overall 35 per cent reduction in numbers of in-patients is made up of larger falls in groups generally easier to discharge (older, female, in general as opposed to secure units). There is also substantial variation around the country. Research limitations/implications – There are some uncertainties about the comparability of the two censuses and the question of how complete enumeration was of people with learning disabilities in general mental illness beds. Originality/value – The paper raise the question of whether the beds that are reducing fastest may be those most likely to be of value to a high quality and sustainable service in the long term.

Tools in Infection Prevention and Control

2019 ◽  
Author(s):  
Stephanie J. Smith ◽  
Martina N. Cummins
Keyword(s):  
Infection Control ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Care Quality ◽  
Care Bundle ◽  
Code Of Practice ◽  
Care Services ◽  
The Board Of Directors ◽  
Care Quality Commission ◽  
And Control

The Health Act (2008) Code of Practice on the Prevention and Control of Infections and Related Guidance provides a legal statutory requirement to which all hospital trusts in England should abide to ensure the safety of patients and healthcare workers. There are similar laws in both Scotland and Wales. Prevention and control of healthcare- associated infections (HCAI) remains integral to provide safe, quality patient care and requires an effective management team to implement the Act. In July 2015, a revised Code of Practice was introduced for the prevention and control of HCAI. The Code of Practice is also referred to as the ‘Hygiene Code’ and is regulated by the Care Quality Commission (CQC). A requirement of this Act is that the board of directors receive an annual report from the Director of Infection Prevention & Control (DIPC), with acknowledgement of the report and approval of a proposed programme of delivery prior to public release and implementation. All trusts must register with the CQC, whose role is to regulate and inspect care services in the public, private, and voluntary sectors in England. Part of the CQC assessment against the Act includes Outcome 8: Cleanliness and Infection Control. Under this outcome the trust is required to demonstrate compliance. The DIPC within an organization will assume responsibility to provide assurances that criteria are met by ensuring regular committee meetings to discuss compliance with standards, monitoring of trends, and provide strategies to reduce HCAI. The trust has to be made accountable for any infection control issues for their staff and patients and have evidence of a clear framework to provide assurances that safety has been met. The IPC Team will implement a plan across their trust that requires quarterly and annual reports to ensure implementation and remedial actions listed and acted on as appropriate. A care bundle is a set of evidence-based interventions that are grouped together to ensure that patients receive optimal management consistently. Ideally, each part of the bundle should be based on evidence from at least one systematic review composed of multiple randomized control trials. Care bundles have been implemented in England since June 2005.

Conclusion: scaling down?

2016 ◽  
Author(s):  
Catherine Needham ◽  
Kerry Allen ◽  
Kelly Hall
Keyword(s):  
Complex Adaptive Systems ◽  
Adaptive Systems ◽  
Social Care ◽  
Welfare System ◽  
Enterprise Development ◽  
Local Authorities ◽  
Care Services ◽  
Complex Adaptive ◽  
The Impact ◽  
Micro Enterprises

The concluding chapter considers the implications of the findings for the future of English social care services and for the broader health and welfare system. It suggests that local care economies are complex adaptive systems in which niche organisations like micro-enterprises can thrive but in which local authorities have weak coordinating tools to support micro-enterprise development. The employment of designated micro-enterprise coordinators within local authorities can enhance support for micro-enterprises, but even in localities with coordinators the micro-enterprises remain fragile. The chapter also considers whether the benefits of ‘smallness’ can be achieved through other means than micro-enterprises, discussing what can be learned from examples of large organisations which have found ways to nest smaller units within them. These discussions suggest opportunities for further research, particularly longitudinal and comparative research which stretch the impact of our findings beyond the timescale and geographical reach of our current study.

A New Era for Social Policy: A New Enlightenment or a New Leviathan?

1991 ◽  
Vol 20 (3) ◽  
pp. 389-414 ◽  
Author(s):  
Howard Glennerster ◽  
Anne Power ◽  
Tony Travers
Keyword(s):  
Social Policy ◽  
Local Government ◽  
Social Security ◽  
Social Care ◽  
Common Elements ◽  
Local Authorities ◽  
New Era ◽  
Care Services ◽  
The Social ◽  
Housing Estates

ABSTRACTA succession of Acts of Parliament passed between 1988 and 1990 mark the most decisive break in British social policy since the period between 1944 and 1948. This paper examines the extent to which common principles underlie this legislation. One of the most important common elements has been the reduction in the powers of local government and in the presumption that local authorities should be the main providers of social welfare outside the social security system. Schools, housing estates and social care services are to be given greater powers to run themselves or to become separate organisations. Local authorities are to use their resources to fund and contract with external agencies. The possible outcomes of this change in governance are discussed.

PERIMBANGAN KEUANGAN ANTARA PEMERINTAH PUSAT DENGAN PEMERINTAH DAERAH DALAM PENGELOLAAN KEUANGAN DAERAH

2016 ◽  
Vol 42 (1) ◽  
pp. 1
Author(s):  
Edward Hutagalung
Keyword(s):  
Local Government ◽  
Central Government ◽  
Local Authorities ◽  
Fiscal Capacity ◽  
Regional Autonomy ◽  
The Public ◽  
Delegation Of Authority ◽  
Regional Authority ◽  
Local Sources ◽  
Tax Sharing

The fi nancial relationship between central and local government can be defi ned as a system that regulates how some funds were divided among various levels of government as well as how to fi ndsources of local empowerment to support the activities of the public sector.Fiscal decentralization is the delegation of authority granted by the central government to theregions to make policy in the area of   fi nancial management.One of the main pillars of regional autonomy is a regional authority to independently manage thefi nancial area. State of Indonesia as a unitary state of Indonesia adheres to a combination of elementsof recognition for local authorities to independently manage fi nances combined with the element oftransferring fi scal authority and supervision of the fi scal policy area.General Allocation Fund an area allocated on the basis of the fi scal gap and basic allocation whilethe fi scal gap is reduced by the fi scal needs of local fi scal capacity. Fiscal capacity of local sources offunding that comes from the area of   regional revenue and Tax Sharing Funds outside the ReforestationFund.The results showed that the strengthening of local fi scal capacity is in line with regional autonomy.

Tinjauan Aspek Budaya pada Pembelajaran IPA: Pentingnya Pengembangan Kurikulum IPA

1970 ◽  
Vol 12 (2) ◽  
Author(s):  
Fajar Hardoyono
Keyword(s):  
Local Government ◽  
Human Resources ◽  
Learning Process ◽  
Local Community ◽  
Cultural Background ◽  
Natural Sciences ◽  
Local Authorities ◽  
Indonesian Government ◽  
Learning Attitude ◽  
Do So

: Education deals with enlightening people and developing human resources. The reasecher concluded that cultural background of students influences their learning attitude in the school. Therefore, the developing learning process of Natural Sciences insist student to elaborate principles of Natural Sciences without ignoring cultural valuesof local community. The policy of decentralization of Indonesian Government had authorized and legitimated local authorities to develop curriculum based on the local cultures. To do so, each local government through the officers of Education has to create a curiculum by involving some curriculum experts, instructures, natural sciences theachers, and the lectures of universities who adequately understand learning model of Natural Sciences.

Spatial and Institutional Analysis of the Voivodships Expenditure on Culture in the Years 2003 – 2015

e-Finanse ◽  
2019 ◽  
Vol 15 (3) ◽  
pp. 67-75
Author(s):  
Adam Mateusz Suchecki
Keyword(s):  
Local Government ◽  
Public Administration ◽  
Local Governments ◽  
Local Level ◽  
Institutional Analysis ◽  
The State ◽  
Cultural Institutions ◽  
Location Quotient ◽  
Local Authorities ◽  
National Heritage

AbstractFollowing the completion of the process of decentralisation of public administration in Poland in 2003, a number of tasks implemented previously by the state authorities were transferred to the local level. One of the most significant changes to the financing and management methods of the local authorities was the transfer of tasks related to culture and national heritage to the set of tasks implemented by local governments. As a result of the decentralisation process, the local government units in Poland were given significant autonomy in determining the purposes of their budgetary expenditures on culture. At the same time, they were obliged to cover these expenses from their own revenues.This paper focuses on the analysis of expenditures on culture covered by the voivodship budgets, taking into consideration the structure of cultural institutions by their types, between 2003-2015. The location quotient (LQ) was applied to two selected years (2006 and 2015) to illustrate the diversity of expenditures on culture in individual voivodships.

scholarly journals ‘They just came with the medication dispenser’- a qualitative study of elderly service users’ involvement and welfare technology in public home care services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Heidi Snoen Glomsås ◽  
Ingrid Ruud Knutsen ◽  
Mariann Fossum ◽  
Kristin Halvorsen
Keyword(s):  
Qualitative Study ◽  
Home Care ◽  
Health Care Quality ◽  
Care Service ◽  
User Involvement ◽  
Home Care Services ◽  
Care Quality ◽  
Service Users ◽  
Care Services ◽  
Welfare Technology

Abstract Background Public home care for the elderly is a key area in relation to improving health care quality. It is an important political goal to increase elderly people’s involvement in their care and in the use of welfare technology. The aim of this study was to explore elderly service users’ experience of user involvement in the implementation and everyday use of welfare technology in public home care services. Method This qualitative study has an explorative and descriptive design. Sixteen interviews of service users were conducted in five different municipalities over a period of six months. The data were analysed using reflexive thematic analysis. Results Service users receiving public home care service are not a homogenous group, and the participants had different wishes and needs as regards user involvement and the use of welfare technology. The analysis led to four main themes: 1) diverse preferences as regards user involvement, 2) individual differences as regards information, knowledge and training, 3) feeling safe and getting help, and 4) a wish to stay at home for as long as possible. Conclusion The results indicated that user involvement was only to a limited extent an integral part of public home care services. Participants had varying insight into and interest in welfare technology, which was a challenge for user involvement. User involvement must be facilitated and implemented in a gentle way, highlighting autonomy and collaboration, and with the focus on respect, reciprocity and dialogue.

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