scholarly journals Post Pandemic Challenges for Cancer Service Provision, The Need for A Fitting Strategy, A Standpoint from The UK

2021 ◽  
Vol 06 (12) ◽  
Author(s):  
Viswanath YKS
Keyword(s):  
Service Provision ◽  
Cancer Service ◽  
The Uk

Best practice for chronic oedema in community settings: what can we learn?

2020 ◽  
Vol 25 (12) ◽  
pp. 610-614
Author(s):  
Garry Cooper-Stanton
Keyword(s):  
Service Provision ◽  
Best Practice ◽  
Evidence Base ◽  
Community Services ◽  
Guidance Document ◽  
Community Settings ◽  
Tissue Viability ◽  
Delivery Of Care ◽  
Specialist Nurses ◽  
The Uk

There are various opportunities and challenges in the delivery of care to those diagnosed with chronic oedema/lymphoedema. Service provision is not consistent within the UK, and non-specialist nurses and other health professionals may be called on to fill the gaps in this area. The latest best practice guidance on chronic oedema is directed at community services that care for people within their own homes in primary care. This guide was developed in order to increase awareness, knowledge and access to an evidence base. Those involved in its creation cross specialist fields (lymphoedema and tissue viability), resulting in the document covering a number of areas, including an explanation of chronic oedema, its assessment and management and the association between chronic oedema and wet legs. The document complements existing frameworks on the condition and its management and also increases the available tools within chronic oedema management in the community. The present article provides an overview of the guidance document and discusses its salient features.

scholarly journals Perceptions of Peer Support for Victim-Survivors of Sexual Violence and Abuse: An Exploratory Study With Key Stakeholders

2021 ◽  
pp. 088626052110079
Author(s):  
Alison Gregory ◽  
Emma Johnson ◽  
Gene Feder ◽  
John Campbell ◽  
Judit Konya ◽  
...  
Keyword(s):  
Sexual Violence ◽  
Peer Support ◽  
Service Provision ◽  
Exploratory Study ◽  
Good Practice ◽  
Medical Model ◽  
Service Improvement ◽  
Physical And Mental Health ◽  
Safety Considerations ◽  
The Uk

Experiences of sexual violence, childhood sexual abuse, and sexual assault are common across all societies. These experiences damage physical and mental health, coping ability, and relationships with others. Given the breadth and magnitude of impacts, it is imperative that there are effective, accessible services to support victim-survivors, ease suffering, and empower people to cope, recover and thrive. Service provision for this population in the United Kingdom is complex and has been hit substantially by austerity. Since positive social support can buffer against negative impacts, peer support may be an effective approach. The aim of this exploratory study was to capture the views and perspectives of professional stakeholders concerning service provision for victim-survivors, particularly perceptions of peer support. In-depth semistructured interviews were conducted in the UK during 2018 with six professional stakeholders, highly experienced in the field of service provision for victim-survivors of sexual violence and abuse. An abductive approach to analysis was used, applying principles from thematic analysis. Our sample comprised four females and two males, and their roles included psychiatrist, general practitioner, service improvement facilitator, and senior positions within victim-survivor organizations. Interviews highlighted models of peer support for this population, good practice and safety considerations, and a lack of uniformity regarding quality and governance standards across the sector. Findings indicated that current funding models impact negatively on victim-survivor services, and that provision is fragmented and insufficient across statutory and not-for-profit sectors. The influence of the medical model upon service provision was evident, which resulted in apprehension around support delivered in less-usual forms—including peer support. Further research is needed to explore the potential of peer support for victim-survivors of sexual violence and abuse.

scholarly journals Development of clinical guidelines for service provision of functional electrical stimulation to support walking: mixed method exploration of stakeholder views

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
C Bulley ◽  
C Meagher ◽  
T Street ◽  
A Adonis ◽  
C Peace ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Clinical Guidelines ◽  
Service Provision ◽  
Clinical Guideline ◽  
Service Providers ◽  
Delphi Consensus ◽  
Stakeholder Views ◽  
Key Stakeholders ◽  
The Uk

Abstract Background Over the past 20 years Functional Electrical Stimulation (FES) has grown in clinical use to support walking in people with lower limb weakness or paralysis due to upper motor neuron lesions. Despite growing consensus regarding its benefits, provision across the UK and internationally is variable. This study aimed to explore stakeholder views relating to the value of a clinical guideline focusing on service provision of FES to support walking, how people might use it and what should be included. Methods A mixed methods exploration sought the views of key stakeholders. A pragmatic online survey (n = 223) focusing on the study aim was developed and distributed to the email distribution list of the UK Association for Chartered Physiotherapists Interested in Neurology (ACPIN). In parallel, a qualitative service evaluation and patient public involvement consultation was conducted. Two group, and seven individual interviews were conducted with: FES-users (n = 6), their family and carers (n = 3), physiotherapists (n = 4), service providers/developers (n = 2), researchers (n = 1) and distributors of FES (n = 1). Descriptive analysis of quantitative data and framework analysis of qualitative data were conducted. Results Support for clinical guideline development was clear in the qualitative interviews and the survey results. Survey respondents most strongly endorsed possible uses of the clinical guideline as ensuring best practice and supporting people seeking access to a FES service. Data analysis and synthesis provided clear areas for inclusion in the clinical guidelines, including current research evidence and consensus relating to who is most likely to benefit and optimal service provision as well as pathways to access this. Specific areas for further investigation were summarised for inclusion in the first stage of a Delphi consensus study. Conclusions Key stakeholders believe in the value of a clinical guideline that focuses on the different stages of service provision for FES to support walking. A Delphi consensus study is being planned based on the findings.

International Approaches to Prostitution

2006 ◽  
Keyword(s):  
Support Services ◽  
Service Provision ◽  
User Involvement ◽  
Disabled People ◽  
Comprehensive Review ◽  
The Uk

This book provides the first comprehensive review of the increase in the UK and internationally in the number of disability-related support services controlled by disabled people themselves. It highlights the need for greater user involvement in service provision and delivery.

Replication of Nonvocal System for Teaching Nonreaders to Read in an Adult Training Centre

1988 ◽  
Vol 66 (1) ◽  
pp. 192-194
Author(s):  
Alan Hills
Keyword(s):  
Social Services ◽  
Service Provision ◽  
Original Study ◽  
Training Centre ◽  
Sheltered Workshop ◽  
Communication Difficulties ◽  
Educational Situation ◽  
Mental Handicaps ◽  
Adult Training ◽  
The Uk

An attempt was made to replicate a study to evaluate a system used by Kuntz, et al. in 1978 to teach children with mental handicaps to read. The original study was done in a children's hospital training centre with children who had considerable communication difficulties, whereas the present study was undertaken with adults with mental handicaps in an adult training centre. In the UK, adult training centres are currently at the centre of service provision by Social Services for the instruction of adults with mental handicaps, providing both a sheltered workshop and a practical educational situation. Nine out of 33 nonreaders completed the programme so the success rate was well short of that of the original study.

Positive trends in paediatric renal biopsy service provision in the UK: a national survey and re-audit of paediatric renal biopsy practice

2015 ◽  
Vol 31 (4) ◽  
pp. 613-621 ◽  
Author(s):  
Asheeta Gupta ◽  
◽  
Joanna Campion-Smith ◽  
Wesley Hayes ◽  
Jane E. Deal ◽  
...  
Keyword(s):  
Renal Biopsy ◽  
National Survey ◽  
Service Provision ◽  
The Uk

Strategies for Growth and Employment Creation in a Services-Based Economy

2020 ◽  
pp. 255-288
Author(s):  
Anne Wren
Keyword(s):  
Public Service ◽  
Service Provision ◽  
Value Added ◽  
Real Wages ◽  
Employment Creation ◽  
Skill Formation ◽  
High Productivity ◽  
Public Service Provision ◽  
Traditional Manufacturing ◽  
The Uk

This chapter focuses on the role of skill formation, wage-setting, and public service provision in shaping different national growth strategies in a post-industrial context, taking the cases of Germany, Sweden, and the UK as detailed examples and making use of data from the EU-KLEMS Growth and Productivity Accounts Database (2008). It highlights the role played by skills policy in shaping patterns of specialization in high productivity, traded sectors, which are important engines of growth even in “consumption-led” regimes. It shows that Sweden’s ability to compete in less price-sensitive, high-end services (and manufacturing) markets rests on the availability of a workforce with high levels of tertiary skills. Germany’s reliance on more traditional manufacturing sectors is rooted in its well-established system of firm-based vocational training and its limited tertiary sector. In the UK, the expansion of domestic demand has, in part, been debt-driven, although it has also, as in the Swedish case, been facilitated by rising real wages. Nevertheless, a key driver of rising real wages in the UK has also been productivity growth and the expansion of trade in high-end, ICT-intensive services. The chapter confirms that welfare state policies (including the protection of relative wages, public service provision, and, above all, strategies of skill formation) are critical to the outcomes observed in the context of deindustrialization and technological change. The development of sustainable strategies for growth and employment creation in a context of deindustrialization, and of revolutionary changes in ICT, rely on the creation of a capacity to expand into ICT-intensive, high value-added sectors, and especially in dynamic services sectors.

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