From Compliance to Concordance and Beyond

2011 ◽  
Vol 1 (1) ◽  
pp. 1-13
Author(s):  
Daz Greenop ◽  
Katherine Thomas

This commentary begins with a brief overview of recent developments in healthcare policy and practice in the UK. Particular attention is paid to the demise of the concept (and practice) of compliance along with and rise of the concept (and practice) of concordance. Analysis suggests that despite considerable changes in the organisation and delivery of healthcare there remains a clear gap between rhetoric and reality. Drawing on insights from qualitative health research issues of identity, embodiment and self-care are explored and synthesised in a single descriptive framework. Neither compliance nor concordance alone adequately captures the reality of patient experiences in everyday life. The framework of understanding proposed here contextualises compliance and concordance and their corollaries within distinct horizons of expectation. For a truly user-driven healthcare it is not a question of either/or but both and more and asking, in reality, what can a body do?

Author(s):  
Daz Greenop ◽  
Katherine Thomas

This commentary begins with a brief overview of recent developments in healthcare policy and practice in the UK. Particular attention is paid to the demise of the concept (and practice) of compliance along with and rise of the concept (and practice) of concordance. Analysis suggests that despite considerable changes in the organisation and delivery of healthcare there remains a clear gap between rhetoric and reality. Drawing on insights from qualitative health research issues of identity, embodiment and self-care are explored and synthesised in a single descriptive framework. Neither compliance nor concordance alone adequately captures the reality of patient experiences in everyday life. The framework of understanding proposed here contextualises compliance and concordance and their corollaries within distinct horizons of expectation. For a truly user-driven healthcare it is not a question of either/or but both and more and asking, in reality, what can a body do?


2013 ◽  
Vol 16 (2) ◽  
pp. 20-36
Author(s):  
Mike Fisher

This paper concerns the impact of social work research, particularly on practice and practitioners. It explores the politics of research and how this affects practice, the way that university-based research understands practice, and some recent developments in establishing practice research as an integral and permanent part of the research landscape. While focusing on implications for the UK, it draws on developments in research across Europe, North America and Australasia to explore how we can improve the relationship between research and practice.


Youth Justice ◽  
2011 ◽  
Vol 11 (3) ◽  
pp. 266-281 ◽  
Author(s):  
Nigel Stone

Adolescent embrace of electronic communication with peers often involves sharing indecent images of each other, sometimes with abusive consequences. How should the criminal justice system respond? Use of conventional child pornography legislation can be inappropriately heavy-handed and draconian. This article considers recent developments in the United States and considers how this mode of juvenile indiscretion fits with law, policy and practice in England and Wales.


2008 ◽  
Vol 32 (100) ◽  
pp. 20-28
Author(s):  
David Streatfield

This article reviews the history of consultancy research in the UK over the past thirty years, identifying rapid growth in the number of participants and a shift towards policy-driven commissioning. Some likely changes in LIS policy and practice and in the concomitant consultancy research are identified. These changes in turn suggest some evolution in consultancy research, which is likely to become more complex and strategic, with increased organisational divergence and convergence in different areas, more flexible research contracts, more international, focus, and addressing more difficult research issues. These changes are likely to call for better inter-personal and diagnostic skills, more expertise and constant updating in a range of disciplines, stronger social science research skills, training and professional development skills and expertise and enhanced impact evaluation skills and expertise. There appears to be little future for small independent consultancies but scope for collaboration with other researcher groups.


10.1068/c9782 ◽  
2000 ◽  
Vol 18 (2) ◽  
pp. 127-143 ◽  
Author(s):  
Gordon Walker

Urban planning has played an increasing role in response to threats to health and safety, but this can create problematical conflicts with other planning priorities. The author examines how the UK planning system deals in practice with the safety implications of hazardous installations involving the storage and use of toxic, explosive, and flammable substances. The responses that have been made by local planning authorities to hazard – development conflicts in the vicinity of hazardous installations are evaluated. A distinction is made between those responses focused on development restraint through refusing permission for housing, community facilities, and other sensitive land uses, and those focused on the hazard source. It is argued that these last are becoming increasingly significant despite limitations in the statutory powers available. Through focusing on recent developments and drawing on a wide range of experience, the author adds to the existing research literature on planning and hazardous installations in which the evolution of policy and practice in this area has hitherto been rather sporadically examined. The implications of a recent policy focus on brownfield redevelopment, of new European regulations for hazardous sites, and of wider trends in relationships between industry, regulators, and communities at risk are considered.


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

Author(s):  
Lorna Templeton ◽  
Sarah Galvani ◽  
Marian Peacock

AbstractThis paper draws on data from one strand of a six-strand, exploratory study on end of life care for adults using substances (AUS). It presents data from the key informant (KI) strand of the study that aimed to identify models of practice in the UK. Participant recruitment was purposive and used snowball sampling to recruit KIs from a range of health and social care, policy and practice backgrounds. Data were collected in 2016–2017 from 20 KIs using a semi-structured interview approach. The data were analysed using template analysis as discussed by King (2012). This paper focusses on two of seven resulting themes, namely “Definitions and perceptions of key terms” in end of life care and substance use sectors, and “Service commissioning and delivery.” The KIs demonstrated dedicated individual practice, but were critical of the systemic failure to provide adequate direction and resources to support people using substances at the end of their lives.


2021 ◽  
Vol 14 (1) ◽  
pp. 205979912110085
Author(s):  
Jane Richardson ◽  
Barry Godfrey ◽  
Sandra Walklate

In March 2020, the UK Research and Innovation announced an emergency call for research to inform policy and practice responses to the COVID-19 pandemic. This call implicitly and explicitly required researchers to work rapidly, remotely and responsively. In this article, we briefly review how rapid response methods developed in health research can be used in other social science fields. After outlining the literature in this area, we use the early stages of our applied research into criminal justice responses to domestic abuse during COVID-19 as a case study to illustrate some of the practical challenges we faced in responding to this rapid funding call. We review our use of and experience with remote research methods and describe how we used and adapted these methods in our research, from data gathering through to transcription and analysis. We reflect on our experiences to date of what it means to be responsive in fast-changing research situations. Finally, we make some practical recommendations for conducting applied research in a ‘nimble’ way to meet the demands of working rapidly, remotely, responsively and, most importantly, responsibly.


2021 ◽  
pp. 1-14
Author(s):  
Lisa Scullion ◽  
Katy Jones ◽  
Peter Dwyer ◽  
Celia Hynes ◽  
Philip Martin

There has been an increasing focus in the UK on the support provided to the Armed Forces community, with the publication of the Armed Forces Covenant (2011), the Strategy for our Veterans (2018) and the first ever Office for Veterans’ Affairs (2019). There is also an important body of research – including longitudinal research – focusing on transitions from military to civilian life, much of which is quantitative. At the same time, the UK has witnessed a period of unprecedented welfare reform. However, research focused on veterans’ interactions with the social security system has been largely absent. This article draws on the authors’ experiences of undertaking qualitative longitudinal research (QLR) to address this knowledge gap. We reflect on how QLR was essential in engaging policy makers enabling the research to bridge the two parallel policy worlds of veterans’ support and welfare reform, leading to significant policy and practice impact.


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