Engineering cohesion: a reflection on academic practice in a community‑based setting

Author(s):  
Arshad Isakjee

Social policies in the United Kingdom have undergone a ‘community turn’ over the last two decades, with emphasis increasingly on ‘community cohesion’ rather than ‘social disadvantage’ and exclusion. Whilst academics have explored this trend, there is less reflective work on academic community-based practice that operates on the same terrain. This chapter offers critical self-reflection of our academic practice within the community budgeting and commissioning phase in Balsall Heath, Birmingham. Reflecting on the processes of bringing different parts of the Balsall Heath community together for the project, we consider not just the challenges of ‘constructing community’ in this way, but also, the logics that underpin it.

2021 ◽  
Author(s):  
Emma Pritchard ◽  
Philippa C. Matthews ◽  
Nicole Stoesser ◽  
David W. Eyre ◽  
Owen Gethings ◽  
...  

AbstractThe effectiveness of COVID-19 vaccination in preventing new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in the general community is still unclear. Here, we used the Office for National Statistics COVID-19 Infection Survey—a large community-based survey of individuals living in randomly selected private households across the United Kingdom—to assess the effectiveness of the BNT162b2 (Pfizer–BioNTech) and ChAdOx1 nCoV-19 (Oxford–AstraZeneca; ChAdOx1) vaccines against any new SARS-CoV-2 PCR-positive tests, split according to self-reported symptoms, cycle threshold value (<30 versus ≥30; as a surrogate for viral load) and gene positivity pattern (compatible with B.1.1.7 or not). Using 1,945,071 real-time PCR results from nose and throat swabs taken from 383,812 participants between 1 December 2020 and 8 May 2021, we found that vaccination with the ChAdOx1 or BNT162b2 vaccines already reduced SARS-CoV-2 infections ≥21 d after the first dose (61% (95% confidence interval (CI) = 54–68%) versus 66% (95% CI = 60–71%), respectively), with greater reductions observed after a second dose (79% (95% CI = 65–88%) versus 80% (95% CI = 73–85%), respectively). The largest reductions were observed for symptomatic infections and/or infections with a higher viral burden. Overall, COVID-19 vaccination reduced the number of new SARS-CoV-2 infections, with the largest benefit received after two vaccinations and against symptomatic and high viral burden infections, and with no evidence of a difference between the BNT162b2 and ChAdOx1 vaccines.


The following list has been classified, so far as practicable, according to subjects, in order that it may be useful for purposes of reference. The list does not include publications recording the results of observations made on material supplied by the Association to workers in different parts of the country, of which a considerable amount is sent out each year.


2015 ◽  
Vol 24 (2) ◽  
pp. 141-162 ◽  
Author(s):  
Michael Rosie ◽  
Eve Hepburn

Linda Colley (1996) identified three key ‘glues’ for the British Union state created in 1707: extensive wars with France; a uniting sense of Protestantism; and a burgeoning commercial and military empire. This article explores how two key parts of this project – namely, ‘unionism’ and a collective sense of ‘Britishness’ – has become increasingly disconnected in different parts of the United Kingdom. In particular, it examines the extent to which, following Colley's historical argument, white and Protestant citizens remain more likely to identify with political Unionism and Britishness as compared to other ethnic and religious groups. The discussion includes an analysis of the degree to which ‘feeling British’ and ‘valuing the Union’ overlap, and whether a connected unionism can be discerned against trends which increasingly place emphasis on the sub-state nation as a key political community of attachment and identity.


2021 ◽  
Author(s):  
Felicity Hasson ◽  
Paul Slater ◽  
Anne Fee ◽  
Tracey McConnell ◽  
Sheila Payne ◽  
...  

Abstract BackgroundGlobally COVID-19 has had a profound impact on the provision of healthcare, including palliative care. However, there is little evidence about the impact of COVID-19 on delivery of out-of-hours specialist palliative care services in the United Kingdom. The aim of the study is to investigate the impact of the COVID-19 pandemic on the delivery of out-of-hours community-based palliative care services.Methods A national online census survey of managers of adult hospices in the United Kingdom was undertaken. Survey were emailed to managers of adult hospices (n=150) who provided out-of-hours community palliative care services. Fifteen questions related specifically to the impact of COVID-19 and data were analysed thematically.ResultsEighty-one responses to the survey were returned (54% response rate); 59 were complete of which 47 contained COVID-19 data. Findings indicated that COVID-19 impacted on out-of-hours community-based palliative care. To meet increased patient need, hospices reconfigured services; redeployed staff; and introduced new policies and procedures to minimize virus transmission. Lack of integration between charitably and state funded palliative care providers was reported. The interconnected issues of the use and availability of Personal Protective Equipment (n=21) and infection control screening (n=12) resulted in changes in nursing practices due to fear of contagion for patients, carers and staff. Conclusions Survey findings suggest that due to increased demand for community palliative care services, hospices had to rapidly adapt and reconfigure services. Even though this response to the pandemic led to some service improvements, in the main, out-of-hours service reconfiguration resulted in challenges for hospices, including workforce issues, and availability of resources such as Personal Protective Equipment. These challenges were exacerbated by lack of integration with wider healthcare services. More research is required to fully understand the implications of such changes on the quality of care provided.


The daily observations of smoke and sulphur dioxide that have been taken over the past ten years at some 1200 sites throughout the United Kingdom for the National Survey of Air Pollution, have provided a great deal of information on pollution in towns. An examination of this material is made to assess changes that have been occurring in levels of pollution in relation to the changing pattern of fuel consumption, and is used in trying to forecast the position in the next 15 or 20 years. A comparison is also made between pollution in towns in different parts of the U.K. The question of what levels of pollution may be tolerated is also considered. The part that aerodynamicists, architects and town planners can play in reducing urban pollution is discussed and an attempt is made to see what guidance can be given to them so that as far as pollution is concerned, the new and renewed towns of the future may avoid the mistakes of the past and therefore not need the costly remedial measures that now have to be taken in towns built in the past.


The following list has been classified, so far as practicable, according to subjects, in order that it may be useful for purposes of reference. The list does not include publications recording the results of observations made on material supplied by the Association to workers in different parts of the country, of which a considerable amount is sent out each. year.


1854 ◽  
Vol 1 (8) ◽  
pp. 115-125
Author(s):  
Robt. Boyd

“He came, he went, like the simoon, That harbinger of fate and gloom, Beneath whose widely-wasting breath, The very cypress droops to death.’'—Byron.The frequent occurrence of Cholera, in different parts of the United Kingdom, of late years, and its prevalence at present, secms to point out the necessity of our being prepared for its appearance, particularly in public institutions, and amongst others, Lunatic Asylums, which in some instances have suffered severely from this disease. In the West Riding of York Asylum, containing 633 patients, 98 are reported to have died from cholera in the autumn of 1849. The private asylums for pauper lunatics generally about London and in some other places, suffered more or less from the same epidemic; whether from cholera or some other cause, the mortality in the Lancaster Asylum was unusually high, 48 per cent in 1833, according to “a table of patients admitted, &c,” in the annual reports of that institution.


2009 ◽  
Vol 53 (6) ◽  
pp. 950-960 ◽  
Author(s):  
Paul J. Roderick ◽  
Richard J. Atkins ◽  
Liam Smeeth ◽  
Adrian Mylne ◽  
Dorothea D.M. Nitsch ◽  
...  

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