scholarly journals Reinventing the clinic? Consuming hospital spaces in the PFI era

2021 ◽  
Author(s):  
Philip Hubbard ◽  
Morag Bell ◽  
Tim Brown

Since 1997, Labour has overseen a new hospital building programme in the UK that has been heralded by Tony Blair as part of a ‘new civic building programme that will rival that of the Victorian age’. These hospitals, primarily funded through the Private Finance Initiative (PFI), are depicted as setting new standards in healthcare facility design. In this paper, we examine the distinctiveness of these designs, exploring the rhetoric that proclaims them as offering new levels of clinical efficiency and patient care in a distinctly ‘non-institutional’ setting. Emphasising the homology between these designs and the (il)logics of the marketplace, we conclude that this new generation of hospitals is indicative of an important shift in the locus of healthcare from the world of the service user to the world of the consumer.

2015 ◽  
Vol 2 (1) ◽  
pp. 1-2
Author(s):  
Khalid Bouti ◽  
Rajae Borki ◽  
◽  

Extract: The current importance of public debt requires governments to increasingly shift towards Public-Private Partnerships (PPPs). They are long-term contracts of private financing method providing or contributing to public service. The payment is made by the public partner and/or users of the service. The World Health Organization (WHO) defines this type of partnership as ‘‘a means to bring together a set of actors for the common goal of improving the health of populations based on mutually agreed roles and principles.’’ Historically, the principle of PPP was established by the Private Finance Initiative (PFI), launched by the conservative government of John Major in 1992. It was from this moment that this model quickly spread to the rest of the world. In the mid-90s and from Australia, PPP agreement began to become part of the language of governments. In 1997, Labour with Tony Blair leading, strongly developed this management method, first and particularly in hospitals and then, in the entire public sector and spreading to the Royal Navy. Today, 10-15% of British public investments are made using PFI method.


CCIT Journal ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 101-115
Author(s):  
Untung Rahardja ◽  
Khanna Tiara ◽  
Ray Indra Taufik Wijaya

Education is an important factor in human life. According to Ki Hajar Dewantara, education is a civilizing process that a business gives high values ??to the new generation in a society that is not only maintenance but also with a view to promote and develop the culture of the nobility toward human life. Education is a human investment that can be used now and in the future. One other important factor in supporting human life in addition to education, which is technology. In this globalization era, technology has touched every joint of human life. The combination of these two factors will be a new innovation in the world of education. The innovation has been implemented by Raharja College, namely the use of the method iLearning (Integrated Learning) in the learning process. Where such learning has been online based. ILearning method consists of TPI (Ten Pillars of IT iLearning). Rinfo is one of the ten pillars, where it became an official email used by the whole community’s in Raharja College to communicate with each other. Rinfo is Gmail, which is adapted from the Google platform with typical raharja.info as its domain. This Rinfo is a medium of communication, as well as a tool to support the learning process in Raharja College. Because in addition to integrated with TPi, this Rinfo was connected also support with other learning tools, such as Docs, Drive, Sites, and other supporting tools.


2019 ◽  
Vol 19 (1) ◽  
pp. 121-124
Author(s):  
Sandy Henderson ◽  
Ulrike Beland ◽  
Dimitrios Vonofakos

On or around 9 January 2019, twenty-two Listening Posts were conducted in nineteen countries: Canada, Chile, Denmark, Faroe Islands, Finland, Germany (Frankfurt and Berlin), Hungary, India, Ireland, Israel, Italy (two in Milan and one in the South), Peru, Serbia, South Africa, Spain, Sweden, Taiwan, Turkey, and the UK. This report synthesises the reports of those Listening Posts and organises the data yielded by them into common themes and patterns.


2016 ◽  
Vol 4 (4) ◽  
pp. 30
Author(s):  
Nooriha Abdullah ◽  
Darinka Asenova ◽  
Stephen J. Bailey

The aim of this paper is to analyse the risk transfer issue in Public Private Partnership/Private Finance Initiative (PPP/PFI) procurement documents in the United Kingdom (UK) and Malaysia. It utilises qualitative research methods using documentation and interviews for data collection. The UK documents (guidelines and contracts) identify the risks related to this form of public procurement of services and makeexplicittheappropriateallocation of those risks between the public and the private sector PPP/PFI partners and so the types of risks each party should bear. However, in Malaysia, such allocation of risks was not mentioned in PPP/PFI guidelines. Hence, a question arises regarding whether risk transfer exists in Malaysian PPP/PFI projects, whether in contracts or by other means. This research question is the rationale for the comparative analysis ofdocumentsand practicesrelatingtorisk transfer in the PPP/PFI procurements in both countries. The results clarify risk-related issues that arise in implementing PPP/PFI procurement in Malaysia, in particular how risk is conceptualised, recognised and allocated (whether explicitly or implicitly), whether or not that allocation is intended to achieve optimum risk transfer, and so the implications forachievement ofvalue for moneyor other such objectivesinPPP/PFI.


2018 ◽  
Vol 199 ◽  
pp. 09001
Author(s):  
Renaud Franssen ◽  
Serhan Guner ◽  
Luc Courard ◽  
Boyan Mihaylov

The maintenance of large aging infrastructure across the world creates serious technical, environmental, and economic challenges. Ultra-high performance fibre-reinforced concretes (UHPFRC) are a new generation of materials with outstanding mechanical properties as well as very high durability due to their extremely low permeability. These properties open new horizons for the sustainable rehabilitation of aging concrete structures. Since UHPFRC is a young and evolving material, codes are still either lacking or incomplete, with recent design provisions proposed in France, Switzerland, Japan, and Australia. However, engineers and public agencies around the world need resources to study, model, and rehabilitate structures using UHPFRC. As an effort to contribute to the efficient use of this promising material, this paper presents a new numerical modelling approach for UHPFRC-strengthened concrete members. The approach is based on the Diverse Embedment Model within the global framework of the Disturbed Stress Field Model, a smeared rotating-crack formulation for 2D modelling of reinforced concrete structures. This study presents an adapted version of the DEM in order to capture the behaviour of UHPFRC by using a small number of input parameters. The model is validated with tension tests from the literature and is then used to model UHPFRC-strengthened elements. The paper will discuss the formulation of the model and will provide validation studies with various tests of beams, columns and walls from the literature. These studies will demonstrate the effectiveness of the proposed modelling approach.


Author(s):  
Jordan Bell ◽  
Lis Neubeck ◽  
Kai Jin ◽  
Paul Kelly ◽  
Coral L. Hanson

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.


2021 ◽  
pp. 073112142199004
Author(s):  
Cary Wu

A large literature has suggested that education leads to higher trust. In this article, I argue that how education and trust are associated at the individual level may depend on the level of risk and uncertainty of each institutional setting. Trust involves not only individuals’ risk-taking propensity and capability but also their perception of how uncertain or risky the situation they are in. I test this micro–macro interactive approach by analyzing data from the World Values Survey, the European Social Survey, and the World Bank. Results show that the education and trust association can change from positive to negative both cross-nationally and within national contexts over time in response to the social and political stability at the macro level. In stable and low-conflict societies, the association between education and trust is highly positive. However, the association becomes negative in transitional societies where social and political risks are widespread. Supporting the risk-taking and risk awareness mechanisms underpinning the interactive process, I show that education has varying impacts on risk-taking propensity and risk awareness across different institutional contexts.


1971 ◽  
Vol 3 (4) ◽  
pp. 473-492 ◽  
Author(s):  
Laurie Taylor

Editorial note. March 17th, 1971 was the fiftieth anniversary of the opening by Marie Stopes of her birth control clinic in Holloway, London, the first of its kind in the UK and possibly in the world. In recognition of this notable event, the Board of the Marie Stopes Memorial Foundation, in conjunction with the University of York, has established a Marie Stopes Memorial Lecture to be given annually for a term of years. The first of the series was delivered on 12th March in the Department of Sociology, University of York, by Mr Laurie Taylor of that department. In introducing the speaker, Dr G. C. L. Bertram, the Chairman, emphasized the great contribution made by Marie Stopes to human welfare and gave a brief history of the clinic, which was soon moved to Whitfield Street. On Marie Stopes' death in 1958 the Memorial Foundation was set up to manage the clinic, still in Whitfield Street, and as a working monument to a great women.Mr Taylor's script is printed below as delivered and it will be seen that the lecture was a notable one. Not only that, but it was delivered with the verve of a Shakespearean actor and the members of the large and appreciative audience will not readily forget the occasion.


2010 ◽  
Vol 3 (2) ◽  
pp. 256-278 ◽  
Author(s):  
Marie Gillespie ◽  
Hugh Mackay ◽  
Matilda Andersson

AbstractThis article presents research on two key BBC World Service websites, BBC Persian Online and BBC Arabic Online. It draws on in-house BBC data, supplemented by our own semi-structured interviews with online editors and other key World Service staff. It examines where users of the two sites are located, their demographic characteristics and their views on and uses of the sites. The data is analyzed in the context of debates about the politics of diasporic media and communication networks and changing collective identities, the UK government's Foreign and Commonwealth Office's (FCO) strategy of 'digital diplomacy' and the World Service's stated public purpose of fostering a 'global conversation.' Our research has shown how the majority of users of both BBC Arabic and Persian Online services reside outside the geographical areas that the BBC World Service targets and may be defined as diasporic. And these two websites are not exceptional. Diasporic groups make increasing use of the BBC's online foreign language news sites but these transnational communication networks are an unintended consequence of the BBC's activities. We highlight how the internet is changing configurations of audiences and users at the BBC World Service as geographically dispersed language groups can log on to the news services from anywhere in the world. We argue that the BBC World Service can no longer be seen as an international broadcaster pursuing the BBC's motto 'nation shall speak peace unto nation.' Rather, as one of the world's largest news providers, it is implicated in the formation of new kinds of transnational communities and communications which has as yet unforeseen consequences for national identifications and for strategies of public diplomacy.


Sign in / Sign up

Export Citation Format

Share Document