scholarly journals Effective Consumer Consultation in the Planning and Delivery of  Health and Social Services: A New Zealand Case Study: A Comparative Study of the Theory and Practice of Government Organisations in Engaging Consumers in Consultation

2021 ◽  
Author(s):  
◽  
Julz Britnell
Keyword(s):  
Decision Making ◽  
Social Services ◽  
World Health Organisation ◽  
Theory And Practice ◽  
World Health ◽  
Local Health ◽  
Health And Social Services ◽  
Planning Decisions ◽  
The Uk ◽  
The Right

<p>About 600 million people in the world live with disabilities (World Health Organisation, 2007). Over the past ten years there has been increasing calls for government organisations in the health and disability sector to involve consumers in their decision-making, service design and general governance. This has led government health and disability organisations in different countries to try and find ways to ensure consumers are consulted with and involved in decision-making processes (Coney, 2004). The potential benefits of effective consumer consultation are better quality services, policy and planning decisions that a more consumer focused, improved communications and greater ownership of the local health services. For consumers effective consultation can mean they get better outcomes of treatment and support, a more accessible and responsive service and improved health. For the community consultation can help bring about a reduction in health inequalities and provide a health service better able to meet the needs of its constituents (Anderson et al., 2002). There are a number of real and perceived barriers to consumer consultation. Consumers may be anxious that their views will not be taken seriously, that they will look foolish or that they won’t understand what’s being talked about. Staff and organisations might be anxious that their work will be criticised, that there will be unrealistic demands to change services or that their role and authority might be undermined (Fletcher & Bradburn, 2001). For consultation to work there needs to be commitment from the organisation to plan and provide adequate resources. Developing a strategy is critical before organisations start down this path. The UK Audit Commission (2003) believe developing a strategy will help organisations to define exactly what the purpose of the consultation is, what they want to achieve, help them identify the relevant stakeholders and assess what level of engagement to undertake. Consultation is an important part of designing, delivering and managing effective health and social services. There are many different ways of engaging consumers and finding the right way for each organisation takes planning, commitment, time and energy.</p>

scholarly journals Effective Consumer Consultation in the Planning and Delivery of  Health and Social Services: A New Zealand Case Study: A Comparative Study of the Theory and Practice of Government Organisations in Engaging Consumers in Consultation

2021 ◽  
Author(s):  
◽  
Julz Britnell
Keyword(s):  
Decision Making ◽  
Social Services ◽  
World Health Organisation ◽  
Theory And Practice ◽  
World Health ◽  
Local Health ◽  
Health And Social Services ◽  
Planning Decisions ◽  
The Uk ◽  
The Right

<p>About 600 million people in the world live with disabilities (World Health Organisation, 2007). Over the past ten years there has been increasing calls for government organisations in the health and disability sector to involve consumers in their decision-making, service design and general governance. This has led government health and disability organisations in different countries to try and find ways to ensure consumers are consulted with and involved in decision-making processes (Coney, 2004). The potential benefits of effective consumer consultation are better quality services, policy and planning decisions that a more consumer focused, improved communications and greater ownership of the local health services. For consumers effective consultation can mean they get better outcomes of treatment and support, a more accessible and responsive service and improved health. For the community consultation can help bring about a reduction in health inequalities and provide a health service better able to meet the needs of its constituents (Anderson et al., 2002). There are a number of real and perceived barriers to consumer consultation. Consumers may be anxious that their views will not be taken seriously, that they will look foolish or that they won’t understand what’s being talked about. Staff and organisations might be anxious that their work will be criticised, that there will be unrealistic demands to change services or that their role and authority might be undermined (Fletcher & Bradburn, 2001). For consultation to work there needs to be commitment from the organisation to plan and provide adequate resources. Developing a strategy is critical before organisations start down this path. The UK Audit Commission (2003) believe developing a strategy will help organisations to define exactly what the purpose of the consultation is, what they want to achieve, help them identify the relevant stakeholders and assess what level of engagement to undertake. Consultation is an important part of designing, delivering and managing effective health and social services. There are many different ways of engaging consumers and finding the right way for each organisation takes planning, commitment, time and energy.</p>

scholarly journals A vaccination campaign in a Roma community in Rome: an experience of the Local Health Autority Roma1

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Spadea ◽  
M Marino ◽  
F Valentini ◽  
G Furia ◽  
E M Frisicale ◽  
...  
Keyword(s):  
Social Services ◽  
Vaccination Campaign ◽  
Right To Health ◽  
Vaccination Status ◽  
Local Health ◽  
Health And Social Services ◽  
Access To Health ◽  
Important Challenge ◽  
The Right ◽  
Social Marginality

Abstract Issue/problem About 8,000 Roma and Sinti live in the city of Rome, distributed in 33 settlements. This population is particularly at risk of health problems, due to social marginality and reduced access to health and social services. An important challenge for public health is therefore to guarantee and improve the right to health and the availability of health care. In Italy, a new vaccination law was approved in July 2017 and 10 vaccinations became mandatory for minors attending schools. Description of the problem In 2018 the District 14 of the Local Health Authority Rome1 (LHA Rome1) organized a vaccination campaign for the Roma and Sinti community being in its area. The aim of the campaign was to analyse the vaccination status of children under-18 living in the camp, based on the local police census data, crossed with the web based regional vaccination registry, to offer free vaccination for those without a regular status, in order to allow school attendance. Results Among 109 children living in the targeted Roma and Sinti camp, only 6 (5.5%) had a regular vaccination status according to the Italian law. Two different vaccination opportunity were offered to the community during 2018: a dedicated vaccination session in the local vaccination center, during which 6 children were vaccinated; four vaccination days offered directly at the Roma camp (a total of 53 children were vaccinated). At the end of 2018, the new Police census identified 114 minors resident in the camp instead of 109; of these, 48 (42.1%) had reached a regular vaccination status. Lessons Addressing hard-to-reach communities in order to improve the access to health and social services is one of the LHA objectives. The intervention performed in the Roma camp was also an opportunity to promote the importance of vaccination and to inform the target community about various LHA services, in particular maternal and infant services, including those for Temporarily Present Foreigners. Key messages The interventions performed straight into communities living in unfavorable health and social conditions are useful to improve the access to health and social services. Vaccination of people living in a social marginality is an important challenge for public health in order to guarantee specific protection measures and promoting the right to health.

scholarly journals Understanding Leisure Centre-Based Physical Activity after Physical Activity Referral: Evidence from Scheme Participants and Completers in Northumberland UK

2021 ◽  
Vol 18 (6) ◽  
pp. 2957
Author(s):  
Jordan Bell ◽  
Lis Neubeck ◽  
Kai Jin ◽  
Paul Kelly ◽  
Coral L. Hanson
Keyword(s):  
Physical Activity ◽  
Administrative Data ◽  
World Health Organisation ◽  
Ordinal Regression ◽  
World Health ◽  
Activity Levels ◽  
The World ◽  
The Uk

Physical activity referral schemes (PARS) are a popular physical activity (PA) intervention in the UK. Little is known about the type, intensity and duration of PA undertaken during and post PARS. We calculated weekly leisure centre-based moderate/vigorous PA for PARS participants (n = 448) and PARS completers (n = 746) in Northumberland, UK, between March 2019–February 2020 using administrative data. We categorised activity levels (<30 min/week, 30–149 min/week and ≥150 min/week) and used ordinal regression to examine predictors for activity category achieved. PARS participants took part in a median of 57.0 min (IQR 26.0–90.0) and PARS completers a median of 68.0 min (IQR 42.0–100.0) moderate/vigorous leisure centre-based PA per week. Being a PARS completer (OR: 2.14, 95% CI: 1.61–2.82) was a positive predictor of achieving a higher level of physical activity category compared to PARS participants. Female PARS participants were less likely (OR: 0.65, 95% CI: 0.43–0.97) to achieve ≥30 min of moderate/vigorous LCPA per week compared to male PARS participants. PARS participants achieved 38.0% and PARS completers 45.3% of the World Health Organisation recommended ≥150 min of moderate/vigorous weekly PA through leisure centre use. Strategies integrated within PARS to promote PA outside of leisure centre-based activity may help participants achieve PA guidelines.

Research on Understanding the vulnerabilities of Children with Disabilities Living in Alternative Care

2021 ◽  
pp. 234930032110228
Author(s):  
Shamim Ferdous ◽  
Mohammad Deloar Hossain
Keyword(s):  
Social Services ◽  
Quantitative Methods ◽  
Children With Disabilities ◽  
World Health Organisation ◽  
World Health ◽  
Persons With Disabilities ◽  
Secondary Sources ◽  
Qualitative And Quantitative Methods ◽  
Residential Institutions ◽  
The Government

Children with disabilities (CWDs) are one of the most marginalised and excluded groups in the society. Facing daily discrimination in the form of negative attitudes, lack of adequate policies and legislation, they are effectively barred from realising their rights to healthcare, education and even survival. It has been estimated that exposure towards all forms of violence against CWDs is four-time greater than that of children without disabilities. Bangladesh has an estimated 7–10 million CWDs (out of a total of 72 million children, World Health Organisation Report). Most of the time, these children are treated as a burden to their families or the community and thus become subject to violence. There are very few specialised institutions with residential facility to take care of them. So, they are institutionalised in general residential institutions at a significantly higher rate than other children. But both the special and general residential institutions have lack of skilled human resources and knowledge of the special situation and needs of CWDs. Peer groups of the CWDs are also less sensitised, which result in further stigma and discrimination of CWDs. A 2010 study was done by the Ministry of Women and children Affairs. The findings from interviews with adolescents’ aged 13–16 in 12 locations of Dhaka City revealed their extreme vulnerability. In 2010, a study by Bangladesh Protibondhi Foundation that conducted a survey supported by the Save the Children Sweden–Denmark found that 51.4% of CWDs are either at risk of sexual abuse (12.5%) or have been sexually abused (38.9%).The government of Bangladesh has taken a number of legislative and policy steps that indicate commitment to advancing the rights of persons with disabilities. In terms of international instruments, Department of Social Services under Ministry of Social Welfare operates various types of institutions for the children and also CWDs. The study will adopt qualitative and quantitative methods to collect information from both primary and secondary sources and also assess the situation of government non-government organisations/religious institutions where CWDs have residential facilities in order to understand which factors contribute to increased vulnerability of these children.

scholarly journals Standardised, quantitative neutralisation responses to SARS-CoV-2 Variants of Concern by convalescent anti-sera from first wave infections of UK Health Care Workers and Patients

2021 ◽  
Author(s):  
Diego Cantoni ◽  
Martin Mayora-Neto ◽  
Angalee Nadesalingam ◽  
David A. Wells ◽  
George W. Carnell ◽  
...  
Keyword(s):  
Health Care Workers ◽  
Healthcare Workers ◽  
World Health Organisation ◽  
World Health ◽  
Care Centre ◽  
International Standard ◽  
Care Workers ◽  
The World ◽  
Antibody Titres ◽  
The Uk

One of the defining criteria of Variants of Concern (VOC) is their ability to evade pre-existing immunity, increased transmissibility, morbidity and/or mortality. Here we examine the capacity of convalescent plasma, from a well defined cohort of healthcare workers (HCW) and Patients infected during the first wave from a national critical care centre in the UK, to neutralise B.1.1.298 variant and three VOCs; B.1.1.7, B.1.351 and P.1. Furthermore, to enable lab to lab, country to country comparisons we utilised the World Health Organisation (WHO) International Standard for anti-SARS-CoV-2 Immunoglobulin to report neutralisation findings in International Units. These findings demonstrate a significant reduction in the ability of first wave convalescent plasma to neutralise the VOCs. In addition, Patients and HCWs with more severe COVID-19 were found to have higher antibody titres and to neutralise the VOCs more effectively than individuals with milder symptoms. Widespread use of the WHO International Standard by laboratories in different countries will allow for cross-laboratory comparisons, to benchmark and to establish thresholds of protection against SARS-CoV-2 and levels of immunity in different settings and countries.

scholarly journals Aftercare: who attends section 117 meetings?

1995 ◽  
Vol 19 (2) ◽  
pp. 106-107
Author(s):  
Rosemary Lethem
Keyword(s):  
Mental Health ◽  
Nursing Home ◽  
Patient Care ◽  
Social Services ◽  
Local Health ◽  
Hospital Department ◽  
Health And Social Services ◽  
Mental Health Act ◽  
Department Of Health ◽  
Legal Duty

The purpose of aftercare is to enable patients to return to their home or accommodation other than a hospital or nursing home, and to minimse the need for future in-patient care. Under section 117 of the Mental Health Act 1983, local health and social services authorities have a legal duty to provide aftercare for certain categories of patients when they leave hospital (Department of Health and Welsh Office, 1993).

Sovereignty, Devolution and the English Constitution

2018 ◽  
pp. 45-67
Author(s):  
Akash Paun
Keyword(s):  
Northern Ireland ◽  
Power Sharing ◽  
Theory And Practice ◽  
Constitutional Theory ◽  
Parliamentary Sovereignty ◽  
Form Of Government ◽  
Political Disaffection ◽  
Eu Referendum ◽  
The Uk ◽  
The Right

This chapter argues that the UK territorial constitution rests upon a profound ambiguity about its central principles. Parliamentary sovereignty remains at the core of how the English understand their constitution. Yet in Scotland, Wales and Northern Ireland, alternative doctrines have flourished, especially since devolution, which conceded the right of each nation to determine its own form of government (popular sovereignty) and established a non-majoritarian system of power-sharing and cross-border governance in (Northern) Ireland. These developments imply that the UK is a voluntary ‘family of nations’ not a unitary state. Yet Westminster has never formally conceded this point and devolution could in theory be reversed by a simple parliamentary majority. Constructive ambiguity has been retained. However, the historic tendency to allow constitutional theory and practice to diverge may be unsustainable in the light of the EU referendum result and the wider mood of English political disaffection that Brexit has tapped into.

7. Devolution and the Territorial Constitution

Public Law ◽  
2017 ◽  
Author(s):  
Mark Elliott ◽  
Robert Thomas
Keyword(s):  
Decision Making ◽  
Northern Ireland ◽  
Social Services ◽  
Policy Formulation ◽  
Political Systems ◽  
Wide Range ◽  
Governmental Power ◽  
The Uk ◽  
Single Set ◽  
Governance Arrangements

This chapter focuses on the UK’s territorial constitution, that is, the governance arrangements that result in power being dispersed rather than concentrated in a single set of national institutions. Devolution involved creating new governments in Scotland, Northern Ireland, and Wales, and investing them with powers that were previously exercised at a UK level. Devolution in the UK is therefore intended to be part of the answer to questions that must be confronted in all political systems: where should governmental power lie? And at what level should laws be enacted and the business of government transacted? Local government plays a key role in decision-making, policy formulation, and the delivery of public services across a wide range of areas, including education, housing, personal social services, transport, and planning control.

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