Category / Sociology & Social Policy

New Harding and Pritchard paper in international health policy journal

InternationalMapAndrew Harding and Colin Pritchard have recently had a paper published in the International Journal of Health Policy and Management.

The paper, titled ‘UK and Twenty Comparable Countries GDP-Expenditure on-Health 1980 2013: The Historic and Continued Low Priority of UK Health Related Expenditure, uses GDPEH data to outline the low proportional commitment that the UK makes to healthcare expenditure. It is well established in the health and social policy world that the UK prioritises less of its wealth to health than almost any comparable country. However, the authors use an innovative and novel means of exploring proportional differences in commitment.

The key finding is that since 1980, in order to meet the mean average European health spend, the UK would have needed to have made an additional commitment of one-fifth. For the final period, between 2010-2013 the authors show that the UK has prioritised 12% less in proportional terms (as a % of GDP) than the European average.

The paper ends with the following quote, “Echoing others who have recently contributed to discussion in this area, if other comparable countries can make a larger proportional commitment and deem it affordable, in light of aforementioned challenges, why cannot the United Kingdom prioritise accordingly?”

New HSS PhD paper!

SPSHSS PhD student Andrew Harding and fellow authors  Jonathan Parker, Sarah Hean and Ann Hemingway have recently had a paper accepted for publication in Social Policy & Society, the sister publication to the Journal of Social Policy and run by the Social Policy Association.

A critical yet under-researched area, the paper presents a comprehensive literature review that critiques current research on the outcome/impact of information and advice on welfare. A realist evaluation approach is then proposed as being capable to address critical weaknesses in existing research.

Among other areas that are covered, the paper provides an overview of the importance of information and advice in the context of the marketisation of UK welfare provision and a new ‘efficacy framework’ is developed which can be used to assess the scope of research.

A final draft post-refereeing version of the paper will be uploaded to BRIAN in due course.

Announcement BU Humanisation Conference 2016

BU Humanisation Conference     21st June 2016

Venue: Room EB708, Executive Business Centre, 89 Holdenhurst Road, BH8 8EB

 

Please find the Programme for the Humanisation conference on the 21st June 2016 attached.

Please feel free to pass the information on to others internal and external to the university (academic and practice) who you feel may be interested

The conference is being run at no cost and so you need to make your own arrangements for lunch.  Let Dr. Caroline Ellis-Hill  ( cehill@bournemouth.ac.uk ) know by the 15th June if you wish to attend .

If you only want to attend for part of the day, please state which part of the day you’d like to attend.

 

9.30 Registration  
10.00 Dr Caroline Ellis-Hill Welcome
10.10 Anne Quinney Humanisation of the BU Generic Student Assessment Criteria.
10.30 Dr Sean Beer Perceptions of the authenticity of food: a study of residents in Dorset (UK)
10.50 Prof Ann Hemingway Innovative routes to Wellbeing: Equine Assisted interventions
11.10 Coffee  
11.30 Jane Fry Sharing human concerns: utilising an embodied interpretative approach to convey findings from a descriptive phenomenological study
11.50 Dr Carole Pound Humanising care: translating theory into practice in stroke care
12.10 Rutherford and Dr. Emer Forde The Rutherford Introspective Photography: Promoting self-reflection and wellbeing of GP trainees through photography.
12.30 Free time   Please see information about local venues for lunch
2.00 Dr Vanessa Heaslip How phenomenology enables insight into the Human lives of Gypsy Roma Travellers’
2.20 Mevalyn Cross Experiencing the Humanisation Framework together
2.40 Dr Jan Mosja Chaplaincy at the bedside. Learning from Buddhist chaplains and their contributions to the humanisation of health care.
3.00 Sally Lee Humanising and the Care Act well-being principle
3.20 Dr Mary Grant and Dr Catherine Lamont Robinson HeART of Stroke: feasibility study of an Art & Health intervention following a stroke
3.40 Thanks, Tea and Close  

 

New paper BU PhD student Sheetal Sharma

Plos ONE Sheetal 2016Congratulations to FHSS PhD student Sheetal Sharma on her latest paper [1].  The paper ‘Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal’ appeared this week in the journal PLOS One.  Sheetal’s innovative mixed-methods approach was applied to a long-running maternity intervention in rural Nepal.  The paper concludes that community-based health promotion in Sheetal’s study had a greater affect on the uptake of antenatal care and less so on delivery care. Other factors not easily resolved through health promotion interventions may influence these outcomes, such as costs or geographical constraints. The evaluation has implications for policy and practice in public health, especially maternal health promotion.

Reference:

  1. Sharma, S., van Teijlingen, E., Belizán, J.M., Hundley, V., Simkhada, P., Sicuri, E. (2016) Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal, PLOS One 11(5): e0155144 http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0155144

Lessons from Southern Health – leadership to support a culture of voice across complex integrated systems

iStock_000020671825Large

Dr Lee-Ann Fenge

Over the past few years there have been a number of reports which have highlighted concerns about failures of care and patient safety within a range of NHS settings raising serious concerns about the leadership of such organisations. Most recently The Care Quality Commission has identified “serious concerns” about the safety of mental health and learning disability patients at Southern Health NHS Trust. The concerns highlight the failures of leaders to deliver, monitor, assure, and safeguard a culture of safety, quality, and compassionate care and services.

This inspection took place following the publication of an independent review (the Mazars report  that described a number of concerns about the way the Trust reported and investigated deaths, particularly of people using its mental health and learning disabilities services, and a lack of leadership, concerning the reporting and investigation of unexpected deaths of mental health and learning disability service users.

So what leadership challenges are there in turning this situation around? Undoubtedly there have already been improvements in the care offered within the Trust, and the commitment of staff to provide high quality care is beyond doubt. However, the problems result from on-going senior leadership failures within the organisation. Leadership is the most influential factor in shaping organisational culture (Faculty for Medical Leadership and Management, 2015), and is essential to ensure high quality, safe and compassionate healthcare. A key failing identified in Southern Healthcare concerns a lack of robust governance arrangements to investigate incidents, resulting in a lost opportunity to learn from these incidents.

This highlights the importance of senior leadership in establishing and maintaining a culture which is open, responsive and able to learn. Such a culture includes a climate in which communication is valued as a two process which values critical upward communication. This requires a culture of ‘voice’ in which concerns raised by patients, carers and staff are listened to and responded to appropriately. This was sadly lacking at Southern Health and action was not taken to address known risks to the safety of patients, including a lack of response to previous concerns highlighted by the CQC in January 2014, October 2014 and August 2015.

The Trust also failed to respond appropriately to staff concerns about their abilities to discharge certain roles and duties. This perhaps illustrates the failure of senior managers to create a culture of ‘psychological safety’ for staff in which to identify, respond and learn from these problems. Psychological safety has been shown to be a crucial element in organizational efforts to detect and prevent problems (Edmondson et al. 2016). A culture which provides psychological safety for staff embraces ‘challenge’ as a pivotal learning mechanism, and this is supported by the work of McSherry and Pearce (2016) who suggest that safe, quality care requires leaders who can challenge and be challenged.

It is important to learn from the failings of Southern Health. Increasingly NHS leaders need to be able to respond to growing complexity across integrated systems of care. They need the ability to support a system of communication which values the ‘voice’ of all stakeholders to create innovative solutions to 21st century challenges. This requires system leadership that works in partnership across organisations ‘to construct the services that are needed’ (HSJ, 2015:4). It also requires a commitment to create a shared vision of care which values the voice and presence of patients, carers and staff as key stakeholders.

References

McSherry, R.and Pearce, P. (2016) ‘What are the effective ways to translate clinical leadership into healthcare quality improvement?’ Journal of Healthcare Leadership; 2016 (8): 11-17

New comparative paper India-Nepal

India-NepalThis week saw the publication of a new paper co-written by BU staff in the Sociological Bulletin.  This is the first paper comparing Indian and Nepali Maoist rebels providing health services and health promotion to the communities under their influence.  It presents the key provisions either made by rebel health workers themselves or by putting political pressure on government health workers to deliver better services in the areas controlled by rebels. Prof. Edwin van Teijlingen’s co-authors are based in India and Nepal.  Prof. Gaurang R. Sahay is based at the Centre for Study of Developing Societies, Tata Institute of Social Sciences, Mumbai, India, whilst Bhimsen Devkota is Professor in Health Education, Tribhuvan University, Nepal.

This sociological paper is based on a mixed-method approach comprising 15 interviews and a questionnaire survey with 197 Nepalese Maoist health workers and a secondary analysis of policy documents and other published materials on the Maoist health services of India. The paper suggests that rebel health services in India and Nepal followed a fairly similar approach to what and how they offered health care services to local populations. Maoists becoming a government party changed the political landscape for the rebel health workers in Nepal. However, not incorporating the Maoist rebel health workers into the government health system was a missed opportunity. There are lessons that India and Nepal can learn from each other. Should the Maoist rebels and the Government of India come to an agreement, potential for rebel health workers to be integrated in the official health care system should at least be considered.

The paper benefitted from an earlier review through eBU: Online Journal.  The feedback from the eBU: Online Journal’s reviewers helped shape and polish the paper before submission to the Sociological Bulletin.services-ebu-logo

 

Edwin van Teijlingen

CMMPH

 

 

References:

  1. Sahay, G., Devkota, B., van Teijlingen, E.R. (2016) Rebel Health Services in South Asia: Comparing Maoist-led Conflicts in India & Nepal, Sociological Bulletin 65(1):19-39.

‘Re-Imagining Conflict-Transformation: Making Memory Meaningful’ – A one-day Workshop on 6th May 2016

This one-day workshop explores interdisciplinary and innovative approaches to dealing with a country’s troubled past through memorialisation as a key aspect of transitional justice. It is organised by the Conflict Transformation Studies team as part of the Centre for Conflict, Rule of Law and Society (Bournemouth University).
Location: Executive Business Centre (7th Floor, EB706), 89 Holdenhurst Road, Bournemouth, BH8 8EB

Programme:

9.00 Arrival and registration

9.30 Introduction and Welcome by Melanie Klinkner and Welcome by Sascha Bachmann (Director of the Centre for Conflict, Rule of Law and Society)

9.40 Key Note Address by Nora Ahmetaj, Co-founder of the Centre for Research, Documentation and Publication (Kosovo): ‘Critical approaches to ‘reconciliation’ and transitional justice in Kosovo’s post-war memory’

10.40 Coffee Break

11.00 Panel 1: Chair Avital Biran

Ellie Smith, Newcastle University Forum for Human Rights and Social Justice: ‘Commemoration and Memory: specific justice needs of victims in the aftermath of international crimes and gross violations’

Robyn Leslie, King’s College London: ‘Remember Marikana: apportioning blame or accepting complicity?’

Nina Fischer, University of Edinburgh: ‘National Memory of Trauma and the Perpetuation of Conflict: Israel/Palestine’

12.30 Lunch

13.15 Panel 2: Chair Melanie Klinkner

Denisa Kostovicova, London School of Economics: ‘War Crimes Talk: Transitional Justice and Communication’

Hanna Kienzler, School of Social Science and Public Policy, King’s College (London): ‘Embodied struggles for societal change’

Linda Gusia, University of Prishtina: ‘Breaking the Silence – Recognition of the survivors of wartime sexual violence in Kosovo’

Laura Grace and Stephanie Schwandner-Sievers, Bournemouth University: ‘Quests into post-war Kosovo’s memoryscapes: the interdisciplinary, anthropological and co-creative challenges of BU’s fusion project for a serious game’

15.15 Coffee Break

15.45 Roundtable discussion

What and/or who can make transitional justice initiatives work? How can contested memories be integrated to support conflict transformation? Reflections and insights from past, present and towards the future. Facilitated by Stephanie Schwandner-Sievers and Melanie Klinkner (Bournemouth University).

Confirmed panel Members include:

Nora Ahmetaj (Centre for Research, Documentation and Publication),

Nina Fischer (University of Edinburgh),

Eric Gordy (University College London),

Hanna Kienzler (King’s College London),

Denisa Kostovicova (London School of Economics), and

Christian Pfeifer (Forum Civil Peace Service).

17.00 Closing remarks

Tabled Paper(s): Vjollca Krasniqi, University of Prishtina: ‘War, Law, and Justice in Kosovo’.

Contact: For more information, please contact the organisers Melanie Klinkner (mklinkner@bournemouth.ac.uk) or Stephanie Schwandner-Sievers (sssievers@bournemouth.ac.uk). For urgent matters on the day, please contact Reception at the Executive Business Centre on 01202 968003

Registration: this event is free of charge. However, spaces are limited. For participation please register by 27 April 2016 with the organisers.

HRA Approval for NHS Research

HRA Approval is the new process for the NHS in England that simplifies the approvals process for research, making it easier for research studies to be set up. It replaces the need for local checks of legal compliance and related matters by each participating organisation in England. This allows participating organisations to focus their resources on assessing, arranging and confirming their capacity and capability to deliver the study.

Laura Purandare, Research Monitor RBCH, has kindly agreed to run a seminar on 4th May at 2pm in BG14 to explain the changes.

The session will cover:

  • What HRA approval is
  • The implementation of changes
  • The difference it proposes to make to health research in England
  • What it means for our researchers
  • Key resources

The session will last approximately an hour, and Laura will be available for questions following the session. We hope to see you there.