Sustaining collaborative leadership in city regions: an examination of local enterprise partnerships in England

2019 ◽  
Vol 63 (1) ◽  
pp. 39-49
Author(s):  
Philip Harrison

Abstract The bulk of the scholarly literature on city-regions and their governance is drawn from contexts where economic and political systems have been stable over an extended period. However, many parts of the world, including all countries in the BRICS, have experienced far-reaching national transformations in the recent past in economic and/or political systems. The national transitions are complex, with a mix of continuity and rupture, while their translation into the scale of the city-region is often indirect. But, these transitions have been significant for the city-region, providing a period of opportunity and institutional fluidity. Studies of the BRICS show that outcomes of transitions are varied but that there are junctures of productive comparison including the ways in which the nature of the transitions create new path dependencies, and way in which interests across territorial scales soon consolidate, producing new rigidities in city-region governance.


1996 ◽  
Vol 17 (4) ◽  
pp. 673-699 ◽  
Author(s):  
Jean-Louis Denis ◽  
Ann Langley ◽  
Linda Cazale ◽  
Jean-Louis Denis ◽  
Linda Cazale ◽  
...  

This paper draws on a case study of a large public hospital to examine the processes of leadership and strategic change in organizations where goals are unclear and authority is fluid and ambiguous. The case history describes the evolution of leadership roles during a period of radical change in which a general hospital acquires a university affiliation while moving towards a more integrated form of management. The study traces the tactics used by members of the leadership group to stimulate change, and the corresponding impact of these tactics on both the progress of change and on leadership roles themselves. It is suggested that strategic change in these organizations requires collaborat ive leadership involving constellations of actors playing distinct but tightly-knit roles. Yet, collaborative leadership is fragile and can easily disintegrate due to intemal conflict or to discreditation associated with more unpopular (although potentially effective) change tactics. Thus, under ambiguity, radical trans formations may tend to occur in a cyclical non-linear pattern with periods of substantive change alternating with periods of political realignment. The paper concludes with a series of five propositions concerning the collaborative, cyc lical, interpretative, and entropic nature of leadership and strategic change pro cesses under ambiguity.


2021 ◽  
Vol 1 (8) ◽  
Author(s):  
Cristian Silva ◽  
Francisco Vergara-Perucich

AbstractUrban sprawl has been widely discussed in regard of its economic, political, social and environmental impacts. Consequently, several planning policies have been placed to stop—or at least restrain—sprawling development. However, most of these policies have not been successful at all as anti-sprawl policies partially address only a few determinants of a multifaceted phenomenon. This includes processes of extended suburbanisation, peri-urbanisation and transformation of fringe/belt areas of city-regions. Using as a case study the capital city of Chile—Santiago—thirteen determinants of urban sprawl are identified as interlinked at the point of defining Santiago's sprawling geography as a distinctive space that deserves planning and policy approaches in its own right. Unpacking these determinants and the policy context within which they operate is important to better inform the design and implementation of more comprehensive policy frameworks to manage urban sprawl and its impacts.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Phumzile Hlongwa ◽  
Laetitia C. Rispel

Abstract Background Collaboration among different categories of health professionals is essential for quality patient care, especially for individuals with cleft lip and palate (CLP). This study examined interprofessional collaboration (IPC) among health professionals in all CLP specialised centres in South Africa’s public health sector. Methods During 2017, a survey was conducted among health professionals at all the specialised CLP centres in South Africa’s public health sector. Following informed consent, each member of the CLP team completed a self-administered questionnaire on IPC, using the Interprofessional Competency Framework Self-Assessment Tool. The IPC questionnaire consists of seven domains with 51 items: care expertise (8 items); shared power (4 items); collaborative leadership (10 items); shared decision-making (2 items); optimising professional role and scope (10 items); effective group function (9 items); and competent communication (8 items). STATA®13 was used to analyse the data. Descriptive analysis of participants and overall mean scores were computed for each domain and analysed using ANOVA. All statistical tests were conducted at 5% significance level. Results We obtained an 87% response rate, and 52 participants completed the questionnaire. The majority of participants were female 52% (n = 27); with a mean age of 41.9 years (range 22–72). Plastic surgeons accounted for 38.5% of all study participants, followed by speech therapists (23.1%), and professional nurses (9.6%). The lowest mean score of 2.55 was obtained for effective group function (SD + -0.50), and the highest mean score of 2.92 for care expertise (SD + -0.37). Explanatory factor analysis showed that gender did not influence IPC, but category of health professional predicted scores on the five categories of shared power (p = 0.01), collaborative leadership (p = 0.04), optimising professional role and scope (p = 0.03), effective group function (p = 0.01) and effective communication (p = 0.04). Conclusion The seven IPC categories could be used as a guide to develop specific strategies to enhance IPC among CLP teams. Institutional support and leadership combined with patient-centred, continuing professional development in multi-disciplinary meetings will also enrich IPC.


Land ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 443
Author(s):  
Evidence Chinedu Enoguanbhor ◽  
Florian Gollnow ◽  
Blake Byron Walker ◽  
Jonas Ostergaard Nielsen ◽  
Tobia Lakes

Land use planning as strategic instruments to guide urban dynamics faces particular challenges in the Global South, including Sub-Saharan Africa, where urgent interventions are required to improve urban and environmental sustainability. This study investigated and identified key challenges of land use planning and its environmental assessments to improve the urban and environmental sustainability of city-regions. In doing so, we combined expert interviews and questionnaires with spatial analyses of urban and regional land use plans, as well as current and future urban land cover maps derived from Geographic Information Systems and remote sensing. By overlaying and contrasting land use plans and land cover maps, we investigated spatial inconsistencies between urban and regional plans and the associated urban land dynamics and used expert surveys to identify the causes of such inconsistencies. We furthermore identified and interrogated key challenges facing land use planning, including its environmental assessment procedures, and explored means for overcoming these barriers to rapid, yet environmentally sound urban growth. The results illuminated multiple inconsistencies (e.g., spatial conflicts) between urban and regional plans, most prominently stemming from conflicts in administrative boundaries and a lack of interdepartmental coordination. Key findings identified a lack of Strategic Environmental Assessment and inadequate implementation of land use plans caused by e.g., insufficient funding, lack of political will, political interference, corruption as challenges facing land use planning strategies for urban and environmental sustainability. The baseline information provided in this study is crucial to improve strategic planning and urban/environmental sustainability of city-regions in Sub-Saharan Africa and across the Global South, where land use planning faces similar challenges to address haphazard urban expansion patterns.


Author(s):  
Aaloke Mody ◽  
Kristin Pfeifauf ◽  
Cory Bradley ◽  
Branson Fox ◽  
Matifadza G Hlatshwayo ◽  
...  

Abstract Background Disparities in COVID-19 testing—the pandemic’s most critical but limited resource—may be an important but modifiable driver of COVID-19 inequities. Methods We analyzed data from the Missouri State Department Health and Senior Services on all COVID-19 tests conducted in the St. Louis and Kansas City regions. We adapted a well-established tool for measuring inequity—the Lorenz curve—to compare COVID-19 testing rates per diagnosed case among Black and White populations. Results Between 3/14/2020 and 9/15/2020, 606,725 and 328,204 COVID-19 tests were conducted in the St. Louis and Kansas City regions, respectively. Over time, Black individuals consistently had approximately half the rate of testing per case compared to White individuals. In the early period (3/14/2020 to 6/15/2020), zip codes in the lowest quartile of testing rates accounted for only 12.1% and 8.8% of all tests in the St. Louis and Kansas City regions, respectively, even though they accounted for 25% of all cases each region. These zip codes had higher proportions of residents who were Black, without insurance, and with lower median incomes. These disparities were reduced but still persisted during later phases of the pandemic (6/16/2020 to 9/15/2020). Lastly, even within the same zip code, Black residents had lower rates of tests per case compared to White residents. Conclusions Black populations had consistently lower COVID-19 testing rates per diagnosed case compared to White populations in two Missouri regions. Public health strategies should proactively focus on addressing equity gaps in COVID-19 testing to improve equity of the overall response.


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