scholarly journals Exploring variation in ambulance calls and conveyance rates for adults with diabetes mellitus who contact the Northern Ireland Ambulance Service: a retrospective database analysis

2021 ◽  
Vol 6 (3) ◽  
pp. 15-23
Author(s):  
Aoife Watson ◽  
Benjamin Clubbs Coldron ◽  
Benjamin Wingfield ◽  
Nigel Ruddell ◽  
Chris Clarke ◽  
...  
Keyword(s):  
Northern Ireland ◽  
Hospital Admissions ◽  
Working Hours ◽  
Ambulance Service ◽  
Policy And Practice ◽  
High Quality Research ◽  
The Uk ◽  
And Control ◽  
Command And Control System ◽  
Retrospective Database

Background: People with diabetes frequently contact the ambulance service about acute problems. Overall, treating diabetes and its associated complications costs the NHS 10% of the annual budget. Reducing unnecessary hospital admissions and ambulance attendances is a high priority policy for the NHS across the UK. This study aimed to determine the characteristics of emergency calls for people with diabetes who contact the ambulance service and are subsequently conveyed to hospital by the Northern Ireland Ambulance Service (NIAS).Methods: A retrospective dataset from the NIAS was obtained from the NIAS Trust’s Command and Control system relating to calls where the final complaint group was ‘Diabetes’ for the period 1 January 2017 to 23 November 2019.Results: Of a total 11,396 calls related to diabetes, 63.2% of callers to the NIAS were conveyed to hospital. Over half of the calls related to males, with 35.5% of callers aged 60‐79. The more deprived areas had a higher frequency of calls and conveyance to hospital, with this decreasing as deprivation decreased. Calls were evenly distributed across the week, with the majority of calls originating outside of GP working hours, although callers were more likely to be conveyed to hospital during working hours. Calls from healthcare professionals were significantly more likely to be conveyed to hospital, despite accounting for the minority of calls.Conclusion: This research found that older males were more likely to contact the ambulance service but older females were more likely to be conveyed to hospital. The likelihood of conveyance increased if the call originated from an HCP or occurred during GP working hours. The availability of alternative care pathways has the potential to reduce conveyance to hospital, which has been particularly important during the COVID-19 pandemic. Integration of data is vitally important to produce high quality research and improve policy and practice in this area.

scholarly journals No Evidence for Reduced Hospital Admissions or Increased Deaths from Stroke or Heart Attack During COVID-19

2020 ◽  
Author(s):  
Katharine Reeves ◽  
Samuel Watson ◽  
Tanya Pankhurst ◽  
Kamlesh Khunti ◽  
Suzy Gallier ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Attack ◽  
Hospital Admissions ◽  
Ambulance Service ◽  
St Elevation Myocardial Infarction ◽  
University Hospital ◽  
The West ◽  
West Midlands ◽  
St Elevation ◽  
The Uk

Articles in the UK press have claimed that hospital admissions for heart attack and stroke have declined during the COVID-19 pandemic. However, data from the West Midlands Ambulance Service have not shown any reduction in call-outs for patients with stroke or ST-Elevation Myocardial Infarction. This study examined data from University Hospital Birmingham NHS Foundation Trust, comparing admissions from week 1 of 2016 to week 17 of 2019, with the same period in 2020, pre- and post-lockdown. The results showed that there was no evidence of a reduction in the overall mean number of admissions of patients with these conditions in the post-lockdown period.

Epidemiology of Analgesic Overdose in England and Wales

1984 ◽  
Vol 3 (1_suppl) ◽  
pp. 61s-74S ◽  
Author(s):  
T.J. Meredith ◽  
J.A. Vale
Keyword(s):  
Carbon Monoxide ◽  
Northern Ireland ◽  
Hospital Admissions ◽  
Acute Poisoning ◽  
Paracetamol Poisoning ◽  
England And Wales ◽  
Analgesic Drugs ◽  
Salicylate Intoxication ◽  
The Uk ◽  
Hospital Use

1 The number of deaths from acute poisoning in England and Wales has remained constant at approximately 4000 per annum for the last 10 years despite major changes in the agents responsible. Deaths due to carbon monoxide and barbiturate and non-barbiturate hypnotics have fallen, while those due to psychotropic and analgesic drugs have risen. 2 The number of hospital admissions in England and Wales due to analgesics taken in overdose has risen from 15 940 in 1968 to 24 930 in 1980, with aspirin and paracetamol being the preparations most commonly ingested. Currently, the mortality from salicylate intoxication is falling while that due to paracetamol is rising. In 1980, the Office of Population Censuses and Surveys recorded 790 deaths from analgesic poisoning, of which 181 were due to salicylates and 152 to paracetamol alone. A further 269 deaths were attributed to paracetamol and dextropropoxyphene, and an additional 132 deaths were thought to be due to paracetamol in combination with other drugs. 3 An important factor in the changing mortality from salicylate and paracetamol poisoning is the trend observed in the sales and usage of these agents. Since 1979, the number of analgesic tablets containing aspirin sold in the UK (except Northern Ireland), excluding hospital use, has fallen by 326 x 106, while sales of those containing paracetamol have increased by 395 × 106 tablets.

scholarly journals Introduction: Social Policy in the Devolved Scotland: Towards a Scottish Welfare State?

2009 ◽  
Vol 8 (3) ◽  
pp. 361-365 ◽  
Author(s):  
Gerry Mooney ◽  
Sharon Wright
Keyword(s):  
Social Policy ◽  
Northern Ireland ◽  
Welfare State ◽  
Social Welfare ◽  
Rural Areas ◽  
Political Reform ◽  
Policy And Practice ◽  
Private Finance ◽  
The Uk ◽  
The Impact

Ten years have passed since devolution was implemented for Scotland, Wales and Northern Ireland. This anniversary is worthy of note for all scholars of UK social welfare, not just those with a specialist interest in political reform or the ‘Celtic’ nations, because reflection on the first decade of devolution inspires a rethink of some of the basic working assumptions of social policy analysis (see below, also Mooney et al., 2006), for example the extent to which the notion of a UK welfare state remains meaningful (cf. McEwen and Parry, 2005). This themed section provides an opportunity to consider the impact of devolution on broader understandings of polity, policy and practice as well as pointing to further possible divergences in and across the UK. These are explored in relation to key areas of social welfare intervention in Scotland, focussing particularly on poverty, inequality and social justice; immigration and the experiences of labour migrants in rural areas; the use of private finance; key literature and useful sources.

Mentoring and coaching in education practitioners’ professional learning

2015 ◽  
Vol 4 (4) ◽  
pp. 293-302 ◽  
Author(s):  
Marion Jones
Keyword(s):  
Professional Learning ◽  
Workplace Learning ◽  
Continuing Professional Development ◽  
Research Impact ◽  
Policy And Practice ◽  
High Quality Research ◽  
Content Type ◽  
Education Professionals ◽  
The Uk

Purpose – Mentoring and coaching are key strategies employed in workplace learning and are perceived as effective ways to provide learner support. However, there is a paucity of evidence of how research outcomes may have influenced these practices and to what extent they have benefited those involved in this process. The purpose of this paper is to demonstrate that research on mentoring and coaching can in fact result in beneficial impacts on education professionals’ learning and development. Design/methodology/approach – The paper critically reflects on the process of developing an impact case study submitted to the UK Research Excellence Framework 2014. It seeks to make explicit the close relationship that exists between research and professional practice and how evidence of any resulting impact of research on user communities can be identified, collected and verified. Findings – In describing the process of developing such an impact case study the article focuses on three key aspects: identifying a suitable case; meeting the criteria of high quality research; and evidencing impact. It highlights the importance of a collective, cross-professional approach and draws attention to the nexus that needs to be established between user and research communities, between academics and professional practitioners, in order to generate evidence of research impact in the field. Originality/value – This paper brings to light the benefits research in mentoring and coaching can have on policy and practice, specifically in terms of education professionals’ workplace learning and continuing professional development in a local and international context.

The Nature of Devolution in Scotland and Northern Ireland: Key Issues of Responsibility and Control

1999 ◽  
Vol 3 (1) ◽  
pp. 3-31 ◽  
Author(s):  
Brigid Hadfield
Keyword(s):  
Northern Ireland ◽  
Electoral System ◽  
Internal Dimension ◽  
Key Issues ◽  
The Uk ◽  
And Control ◽  
The Way

Under three broad headings, namely, the internal dimension, the Westminster dimension and the intergovernmental dimension, this article seeks to analyse and explore the nature of devolution and to consider factors pertinent to its development. The article, thus, first compares the provisions of the Scotland Act 1998 and of the Northern Ireland Act 1998 on the electoral system, the size of the devolved legislature, the power of dissolution and the formation and the scrutiny of the devolved executive. The prime purpose of this section is to identify the principles enshrined in the legislation which may affect the way in which devolution will operate within its own borders. While this first dimension draws on the statutory provisions, the second, dealing with the relationships between the devolved system and Westminster, concerns issues to be regulated almost entirely by non-statutory “understandings” and by parliamentary/assembly Standing Orders. These issues include most crucially the power of the devolved legislature to debate non-devolved matters and the power of Westminster to debate devolved matters. Thirdly, the article deals with the mechanisms of co-operation to be introduced for the discussion of intergovernmental issues throughout the UK, that is, those arising between Westminster, Edinburgh, Belfast and Cardiff. In this context, consideration will be given to the proposed Joint Ministerial Committee. Mention will also be made of the British–Irish Council, although this is a body whose powers will go beyond solely UK devolution concerns.

The changing landscape of OSH regulation in the UK: Achieving the right balance in policy and practice

2013 ◽  
Author(s):  
David Hollis ◽  
Stavroula Leka ◽  
Aditya Jain ◽  
Nicholas Andreou
Keyword(s):  
Policy And Practice ◽  
The Uk ◽  
The Right

A positive psychology study and intervention on the well-being of French PhD students in biology

2017 ◽  
Author(s):  
Gabriel Marais ◽  
Rebecca Shankland ◽  
Pascale Haag ◽  
Robin Fiault ◽  
Bridget Juniper
Keyword(s):  
Mental Health ◽  
Positive Psychology ◽  
Large Fraction ◽  
Reference Sample ◽  
Well Being ◽  
Attrition Rates ◽  
Human Costs ◽  
The Uk ◽  
And Control ◽  
Health And Well Being

In France, little data are available on mental health and well-being in academia, and nothing has been published about PhD students. From studies abroad, we know that doing a PhD is a difficult experience resulting in high attrition rates with significant financial and human costs. Here we focused on PhD students in biology at university Lyon 1. A first study aimed at measuring the mental health and well-being of PhD students using several generalist and PhD-specific tools. Our results on 136 participants showed that a large fraction of the PhD students experience abnormal levels of stress, depression and anxiety, and their mean well-being score is significantly lower than that of a British reference sample. French PhD student well-being is specifically affected by career uncertainty, perceived lack of progress in the PhD and perceived lack of competence, which points towards possible cultural differences of experiencing a PhD in France and the UK. In a second study, we carried out a positive psychology intervention. Comparing the scores of the test and control groups showed a clear effect of the intervention on reducing anxiety. We discuss our results and the possible future steps to improve French PhD students’ well-being.

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