Tagged / nursing

BMC blog on latest HSS paper

Dr. Rachel Arnold’s recent paper in BMC Pregnancy & Childbirth was highlighted in a blog promoted by the publisher.  The paper ‘Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care‘ reports on the everyday lives of maternal healthcare providers working in a tertiary maternity hospital in Kabul, Afghanistan (1). BMC Pregnancy & Childbirth is an Open Access journal so the paper is available free of charge to anybody in Afghanistan (and elsewhere) with an internet connection.  The aim was to understand the staff’s notions of care, their varying levels of commitment to providing care for women in childbirth, and the obstacles and dilemmas that affected standards, and thereby gain insight into their contributions to respectful maternity care, whether as ‘villains’ or as ‘victims.’

Dr. Arnold is Postdoctoral Midwifery Researcher in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).  This is the third paper from Rachel’s excellent PhD project, the previous two papers appeared in BJOG and Social Science & Medicine (2-3).

Click here for BMC Blog post:

Villains or victims? The role of maternity staff in decreasing or enhancing respectful care

Reference:

  1. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2019) Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care, BMC Pregnancy & Childbirth 19 :307 https://rdcu.be/bPqlj
  2. Arnold R., van Teijlingen E, Ryan K., Holloway I. (2015) Understanding Afghan health care providers: Qualitative study of culture of care in Kabul maternity hospital, BJOG 122: 260-267.
  3. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: an ethnography of care in an Afghan maternity hospital, Social Science & Medicine 126:33-40.

 

Promoting Nursing CPD in Nepal

Bournemouth University facilitated a Strategic planning meeting to develop a Continuing Professional Development (CPD) Framework for Nepal last week in Kathmandu. The planning meeting was held on 30th July 2019 at the Institute of Medicine IOM Maharajgunj Nursing Campus.  Midwifery is not formally recognised in Nepal, i.e. as a profession separate from nursing, therefore when refer to nursing CPD in this blog we mean both ‘nurses’ and ‘nurse-midwives’.

Bournemouth University is collaborating in this project with Liverpool John Moores University (LJMU) in the UK, the IOM Nursing Campus, the Nursing Association of Nepal (NAN), MIDSON, the Nepal Nursing Council (NNC) and several other key stakeholders in Nepal to support nursing regulatory bodies to establish mandatory CPD and/or post-registration training programmes relevant to their current practice in nursing. 

The Bournemouth team (led by Dr. Bibha Simkhada with Prof. Edwin van Teijlingen and Dr.Pramod Regmi) argued that CPD offers nurses the opportunity to maintain, improve and broaden knowledge, expertise and develop their personal and professional qualities to enhance practice and career development. Nepal has had limited process and progress in ensuring CPD for nurses and the uptake of post-registration education and training  programmes or CPD tends to be ad hoc.  Generally, CPD in Nepal remains under-developed as showing evidence of having received CPD is not currently a requirement of nurses when they re-register every five year.

This project is a good example of a BU FUSION project as our earlier Research in the form of a needs assessment will to the introduction of CPD which is of course, post-registration Education in nursing, helping to improve Practice in a low-income country.  We think we have had at least some impact on nursing in Nepal as the general feeling of our strategic planning meeting positive towards introducing CPD in the near future in Nepal.

 

 

BU PhD student Peter Wolfensberger has article accepted in Brit J Mental Health Nursing

Congratulations to FHSS PhD student Peter Wolfensberger whose article ‘Uncertainty in illness among people living with mental ill health – a mental health nursing perspective’ was accepted yesterday by the British Journal of Mental Health Nursing [1].   The paper introduces the concept of ‘uncertainty in illness’, which is a well-known concept in health care literature  and a considerable volume of research has investigated how people adapt to different health conditions and how the concept of uncertainty in illness relates to those populations. However, while there is substantial literature focusing on coping strategies and personal recovery, there is a paucity of research about uncertainty in illness among people living with mental ill health. 

This paper therefore, explores uncertainty in illness among mental health nurses and to provide an understanding of its relevance to people living with mental ill health.  The paper concludes that even though mental health nursing does not directly address uncertainty, the concept and its implications need to be considered and raised further among mental health professionals in order to improve support for people living with mental ill health in their process of personal recovery.

This paper originated from Peter’s PhD research on insights into mental health nursing in Switzerland, which has had input from Prof Fran Biley (before he passed away) and Dr. Zoe Sheppard (before she moved to her new job in Dorchester).  His current BU supervisors are: Dr. Sarah Thomas and Prof. Edwin van Teijlingen and his Swiss supervisor is Prof. Sabine Hahn (Berner Fachhochschule/ Bern University of Applied Sciences).

 

Reference:

  1. Wolfensberger P. Thomas, S., Sheppard, Z., Hahn, S, van Teijlingen, E.  ‘Uncertainty in illness among people living with mental ill health – a mental health nursing perspective’  British Journal of Mental Health Nursing (Accepted)

 

 

 

 

Congratulations to Anita Immanuel on PhD paper

FHSS PhD student Anita Immanuel just had the first paper from her PhD “Quality of life in survivors of adult haematological malignancy” accepted by the international journal European Journal of Cancer Care.   This international journal is published by Wiley and has an Impact Factor 2.409.

Survivors of haematological malignancies endure long-term effects of both the treatment and the disease. This paper examines factors that influence their quality of lives through reporting on the results of a survey. The survey used previously validated quality of life questionnaires for use in cancer management. Participants were adults over the age of 18 years who had completed treatment for a haematological malignancy and were between 1-5 years post treatment.

Anita is currently working as Lead Clinical Research Nurse at East Suffolk and North Essex NHS Foundation Trust.  Her PhD research (see picture above) was conducted at  the Haematology Department of Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, which has one of the most extensive research portfolios in the Trust.   Her PhD is supervised by Dr. Jane Hunt (Dept of Nursing & Clinical Science), Dr. Helen McCarthy, Consultant Haematologist at the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, and Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

 

Nursing news – nursing degree apprenticeships: in poor health?

In December 2018 The Education Committee reviewed nursing degree apprenticeships and produced the report Nursing degree apprenticeships: in poor health? The Committee warned that the uptake of nursing degree apprenticeships has been too slow (only 30 started last year) and that the DfE won’t meet their target of 400 nursing associates progressing to degree apprenticeships from 2019. The Committee stated that nursing degree apprenticeships was more of a ‘mirage’ than a successful and sustainable route into the profession unless delivery barriers are resolved. You can read the recommendations from the Committee’s report here.

The Government have now responded to the Committee’s report (Government response here) largely agreeing with several of the Committee’s recommendations. The response:

  • Agrees with recommendations 1 and 2 on maintaining support to  develop a sufficient number of quality nursing apprenticeships. It outlines intent of current reforms in achieving this.
  • Agrees with recommendation 3  that Nurse Degree apprenticeship cannot act as the lone route to train the nursing workforce and adds “that has never been the intention”. Further outlining reforms in place to achieve this.
  • Agrees with recommendation 4 on the need to incentive the NHS to spend time and resource building nursing apprenticeships and outlines the case and plan for making sure “apprenticeships to meet the needs of employers, as well as apprentices and training providers.”
  • On recommendation 5 and the NMCs consultation on whether nursing associate students should remain supernumerary,  Government outline that the NMC agreed in 26th September “they have approved proposals for an additional approach to nursing associate training, which is a different choice for employers to the supernumerary approach to training. This alternative option will enable employers to work in partnership with approved education institutions, to identify the proportion of time the organisation will be able to support protected learning time for the trainees.”  State the NMC will consider whether to extend this training model to the other professions they regulate once they have undertaken evaluation and review.
  • On recommendation 6 and 9, response outlines the incentives for employers to invest in workforce and the role of the levy.
  • Does not agree with recommendation 7, on the funding band for nursing degree apprenticeships remaining at a minimum of £27,000 and the IfA should consider increasing. Government say nursing degree apprenticeships are in the highest funding band and “The Institute for Apprenticeships is responsible for regularly reviewing standards to make sure they are high quality, continue to meet the needs of employers, and are value for money.”
  • Agrees with recommendation 8 on investment in CPD and state this was recognised in the NHS long-term plan.

(more…)

Parliament – nursing and midwifery

Nursing and midwifery both featured in Parliament last week.

Last Wednesday the First Minister of Scotland, Nicola Sturgeon, announced an increase in bursaries (to £10,000) for Scottish student midwives and nurses to help cover accommodation and living expenses.

The Royal College of Midwives Scotland Director, Mary Ross Davie, commented: “This is great news and a forward thinking and important announcement…Let us not forget that in England student midwives and nurses do not get any bursary at all, which makes this increase for Scotland even more progressive. This also comes on the back of the best pay award for NHS midwives and nurses in the UK, another important step to ensuring we retain the midwives we have…I would urge the government in England to rethink their decision to take away bursaries in England.”

 

Suzanne Tyler, Executive Director for Services to Members at the Royal College of Midwives, responded to the announcement: “The announcement is simply great news for student midwives in Scotland…It frankly should shame the Government in England who have taken away bursaries for England’s student midwives, who also have to pay tuition fees.  This leaves them tens of thousands of pounds in debt when they qualify. 

This is even more worrying given the large shortage of midwives in England, and sits at odds with the Government’s commitment to bring 3000 more midwives into the NHS in England. The RCM [Royal College of Midwives] repeats its call for this Government to give our student midwives and nurses their bursaries back. So that we can attract people into the profession and so that the Government can meet their promise of 3000 more midwives for England.”

There were also two relevant parliamentary questions:

Q – Paula Sherriff: To ask the Secretary of State for Education, how many mental health nursing students have started degree apprenticeships in the 2018-19 academic year.

A – Anne Milton: In the 2017/18 academic year reported to date (from August 2017 to April 2018), 260 apprenticeship starts were recorded for the standard ‘Registered Nurse’. This is the level 6 degree apprenticeship approved for delivery on 9 May 2017. Mental health nursing remains an optional element within the nursing apprenticeships.

Additionally, there have been 640 apprenticeship starts reported to date (from August 2017 to April 2018) for the standard ‘Nursing Associate’ (level 5 apprenticeship standard, approved for delivery on 20 November 2017; note that we class apprenticeships at level 6 and above as ‘degree-level’). There were no starts on these standards in the 2016/17 academic year. Full final year data for the 2017/18 academic year will be available in November 2018 and data covering 2018/19 will be available in January 2019.

In England, there have been 64,830 apprenticeship starts in the Health, Public Services and Care sector subject area reported to date in the first three quarters of the 2017/18 academic year (August 2017 to April 2018). This data can be accessed at the following link: https://www.gov.uk/government/collections/further-education-and-skills-statistical-first-release-sfr .

We want to increase the number of nursing apprenticeships and now have a complete apprentice pathway from entry level to postgraduate advanced clinical practice in nursing. This will support people from all backgrounds to enter a nursing career in the National Health Service (NHS).

We are working closely with employers, Health Education England and ministers in the Department of Health and Social Care to make sure the NHS is fully supported to recruit apprentices, both in nursing and in a range of various occupations.

 

Q – Paula Sherriff: To ask the Secretary of State for Health and Social Care, how many students started mental health nursing degree courses in the 2018-19 academic year.

A – Matt Hancock: The Universities and Colleges Admissions Service (UCAS) collect data on acceptances to mental health nursing degree courses.

Acceptances for 2018/19 entry can still be made until the end of clearing on 23 October 2018.

The final number of acceptances for mental health nursing degree courses for 2018/19 will be available following the publication of end of cycle data by UCAS in December 2018.

Congratulations to FHSS Visiting Faculty

Congratulations to two members of Bournemouth University’s Visiting Faculty Minesh Khashu and Jillian Ireland on the publication of their paper ‘Fathers in neonatal units: Improving infant health by supporting the baby-father bond and mother-father co-parenting ‘ which has been accepted this week by the Journal of Neonatal Nursing. [1]  Prof. Minesh Khashu is the lead Consultant Neonatologist and Jillian Ireland is Professional Midwifery Advocate and both are based at Poole Hospital NHS Foundation Trust.

This position paper has been co-authored by a wide-range of international experts from The Family Initiative (based in London), Edith Cowan University in Australia, McGill University in Canada, Northwestern University in the United States of America, the University of Toulouse in France, Luleå University of Technology in Sweden, Lillebaelt Hospital in Denmark, the Scientific Institute IRCCS Eugenio Medea in Italy, the University of Melbourne in Australia and Bournemouth University.

This is second paper in this field by these BU Visiting Faculty members after the 2016 publication of a literature review. [2]

 

Congratulations!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

 

 

References:

  1. Fisher, D., Khashu, M., Adama, E., Feeley, N., Garfield, C., Ireland, J., Koliouli, F., Lindberg, B., Noergaard, B., Provenzi, L., Thomson-Salo, F., van Teijlingen, E. (2018) Fathers in neonatal units: Improving infant health by supporting the baby-father bond and mother-father co-parenting Journal of Neonatal Nursing (accepted).
  2. Ireland, J., Khashu, M., Cescutti-Butler, L., van Teijlingen, E., Hewitt-Taylor, J. (2016) Experiences of fathers with babies admitted to neonatal care units: A review of the literature, Journal of Neonatal Nursing 22(4): 171–176.

HE Policy Update – w/e 17 August 2018

To read the policy update in full with all the accompanying charts please click here, or continue reading below for the text only version.

 

The build up to A level results day and clearing has dominated this week, amid much talk of the future of technical and vocational education.

Admissions and Clearing

National Picture

HEPI provide a guest blog by Mary Curnock Cook (previous Chief Executive of UCAS).

The blog notes that higher tariff institutions have benefited most from the buyers’ market this year.

 Mary describes the increase in disadvantaged students in detail:

Things also look good for more disadvantaged students, measured by the serviceable but imperfect area-based POLAR4 measure. 

Here we see that participation rates for POLAR Quintile 1 (roughly the fifth of the population living in areas having the lowest participation rates in higher education) has again grown, up 0.3% to 16.4%. 

Quintile 5, from the highest participation areas, is also up by 0.7%.

The most advantaged (Quintile 5) are still 2.4 times more likely to enter higher education than the least advantaged (Quintile 1).

On ethnicity Mary writes:

Although white students are still the largest group of undergraduate students, BAME students have a higher and faster growing appetite for higher education.  Today’s data from UCAS indicate that while the number of placed white students from the UK is down 3%, placed BAME students are up 1%. The entry rate by ethnic group is the lowest for the White group and Asian students are 15% more likely to enter higher education.

Mary’s analysis is based on A level results day data which captures 80% of the End of Cycle data, it cannot be fully comprehensive but is sufficient to indicate trends.

 

Education Secretary of State Congratulatory Speech

Damian Hinds congratulated A level students on results day and welcomed record numbers of 18 year olds who intend to enter university study. The Government’s news story  provides a national picture of the A level results:

  • Maths continues to be the most popular subject at A Level, with the number of entries up 2.5% on last year – up 26.8% compared to 2010;
  • Entries into STEM subjects continue to rise, up 3.4% on last year and up 24% since 2010;
  • An increase in entries to STEM A Levels by girls, up 5.5% from last year and 26.9% since 2010 [see this Financial Times article for a chart illustrating female STEM study programmes];
  • The proportion of entries to art and design, music and modern foreign languages remains broadly stable;
  • In the second year of reformed A Levels, the percentage of UK entries awarded the A* grade remains stable at 8.0% this year, compared with 8.1% in 2010 and the overall UK pass rate remains stable at 97.6%, compared to 97.9% last year.

Damian stated that the reforms to A levels mean students are better prepared for future study or the workplace and reiterated messaging around choice of progression pathway on from A level study:

We’ve worked to improve education for every child – from their early years through to secondary school and beyond. I also want young people to have wider choice, whether that’s going to university, earning through an apprenticeship or in future taking technical qualifications that match the best in the world…As young people receive their results and prepare for the next steps, for the first time National Careers Service advisers will be giving young people information, advice and guidance on skills, learning and work alongside the UCAS clearing service. This will help ensure young people are aware of all the education and training options available to them.

Sam Gyimah said:

Thanks to the support offered by this government, no student with the talent and potential is restricted from studying in our world-class university sector. We have worked with employers to design new high quality apprenticeships – including degree apprenticeships – making them longer, with more off-the-job training and proper assessment at the end so that apprentices are learning the skills that industry really needs.

Wider sector perspectives

CBI Head of Education, John Cope, spoke ahead of the results stating:

There are many great routes to a successful career whether that’s at a university, college, or learning on the job. It’s important that those getting their A-Level results consider the whole range of options available.

University absolutely offers students a great next step but is by no means the only route to a higher-level education. There are a range of different options – a Higher National Certificate or Diploma, a foundation degree, or a ‘degree apprenticeship’, with an apprenticeship offering the chance to gain both a qualification employers value and start earning a salary straight away.

He went on to talk about the rise in the number of unconditional offers:

What’s driving the growth of unconditional offers is complex. To protect the credibility of our world-class sector, universities must ensure that unconditional offers are used carefully, such as helping widen access to university and driving social justice

The Chartered Management Institute’s statement also cites the growing favour for degree apprenticeships quoting a parent survey which found half (49%) of respondents said they would encourage their child to start a degree apprenticeship rather than an academic-only university course. 52% of parents said they were put off the traditional academic route by substantial university costs. In addition, 71% of those surveyed believed degree apprenticeships provide a better chance of getting a job than a traditional university degree, with many considering them to be the best value-for-money option for young people currently. (Note, CMI partners with 12 universities and major corporates to deliver a degree apprenticeship offer.)

Meanwhile the Careers and Enterprise Company have published the myth-busting truth about life after A levels (full report here).

Times Higher report that UK student acceptances are down by 2% on A level results day with lower-tariff institutions continuing to feel the squeeze.

Headlines:

  • The number of placed applicants for nursing continued to drop – down another 2% from last year.
  • There has been a small rise in the percentage of students from the most disadvantaged groups accepted to universities.
  • There was also an increase in EU acceptances (up by 1%) plus a record 31,510 international (non-EU) students.

Nationally, there were 26,000 unfilled places on A level results day

Research Professional published comments from the University and Colleges Union who have refreshed a pitch from earlier this year calling for a post-qualifications admission system. The article also reiterates familiar themes on Government’s concern over the rise of unconditional offers.

The Guardian ran a piece highlighting that some students who missed their grades and had entered Clearing to obtain an alternative university place may need additional support to adjust.

Times Higher pull together statements from key HE sector figures in response to A level results and early UCAS acceptance data.

University – declining as the ‘default’ choice?

The Sutton Trust has published research on young people’s attitudes to university across a 16 year period, conducted by Ipsos MORI. School pupils indicated how likely they were to attend university compared to the previous responses for the last 15 years. Overall figures fluctuate slightly and in 2018 more pupils indicated they were fairly likely to go, but less were certain enough to select ‘very likely’.  Delving into the reasons why pupils were unlikely to attend HE all the major reasons were scored lower than in previous years (period 2013-2017), except for social concerns (friends not attending, teachers advised something else for me, people like me are not expected to go to university) which remains turbulent. See the Sutton Trust news article and report overview for more analysis of the data.

(See link for the tables, chart and Twitter snapshots)

The Guardian reported on the research in: Young people ‘more sceptical about value of university’ – poll

 

Economics of Post-School Education

The House of Lords Economic Affairs Committee undertook an inquiry into the Economics of Post-School Education, publishing their concluding report on 11 June 2018. You can read a summary of it  in our previous policy update (pages 3 to 5). The Committee report called for immediate reform stating there was too much emphasis on university degrees, with undergraduate study dominating post-school choices, which isn’t in the country’s best interest.  Their report attributes this dominance to the ‘lack of alternative viable, consistent and quality alternatives’ with the guaranteed HE Finance system and the removal of the student number cap acting as enablers.

This week the Government published their official response to the House of Lord’s report. The response continuously acknowledges the current Government Review of Post-18 Education and Funding throughout the replies to the Lords Committee’s calls for change. In general the Government’s response echoes the Lords sentiment for better post-school careers options and alternative technical routes with equal recognition as a degree. This is unsurprising as these are both current policy pushes and set within the context of the reform of technical education which aims to span FE and HE. As expected the Government’s response focuses on pathways to employment, provides a nod to automation, and emphasises all forms of education as a driver of social mobility. However, it disagrees with the Committee’s calls to revisit student finance. In the full response the Government references the Review of Post-18 Education and Funding at the end of each reply –the effect is to set out a firm policy position but allowing room for future manoeuvre.

The key recommendations of the Lords inquiry report are set out below with the Government’s response in blue beneath.

  • Sector rhetoric has long held FE to be the poor cousin of HE and the Lords report called for better distribution of public funding across FE and HE with separate single regulators for level 4 and above (OfS) and sub level 3, including apprenticeships.
    1. The Government response notes the DfE review of classroom-based, level 4 & 5 technical education launched in October 2017 (interim findings here) which it states is ensuring that learners have high quality, accessible and attractive study choices at Levels 4 and 5. The response doesn’t comment on the funding aspect deferring an answer until after the Post-18 Review concludes: Access to loan funding and maintenance support for all courses at Level 4 and above including wider funding for FE colleges will be considered as part of the Review of Post 18 Education and Funding.
    2. On single regulators the Government confirms the role of the OfS as the HE regulator, only for those on the HE register, but with a wider student focussed outlook: In his strategic guidance letter 2018/19, the Minister for Universities asked the OfS to ‘look beyond its register, develop an understanding of providers and students in the currently unregulated parts of the HE sector and consider ways of encouraging such providers to register and engage with good regulatory practice.’
  • Address the decline in part-time and mature students by removing loan restrictions and maintenance support, by introducing innovative methods of learning, working with employers, and cooperation between universities to ensure a flexible credit-based modular system where individuals can learn at their own pace.
    1. The Government response noted the changes already introduced aiming to support part-time and mature students, including the 2018/19 starter part-time maintenance loans, and the Masters and Doctoral loans. The push for accelerated degrees, with the revised finance arrangements to facilitate this (outcome of consultation on this due autumn 2018), and greater ease and transparency for students wishing to transfer credit between institutions were characteristics of Jo Johnson’s stint as HE Minster. While the Government has been quieter on these aspects under Gyimah the impetus for a system that incentivises student choice remains and the Government’s response describes on-going government work to empower people to study at different times in their lives and sets out their commitment to the value of innovative methods of provision as a means of broadening choice available to students. One of which is the growth of new and alternative providers to plug cold spots and increase competition. The feel behind the response is that the Government is genuinely committed to reversing the dearth of mature and part time students and are looking to universities to collaborate, attract, innovate and offer sufficient flexibility to reinvigorate this group of learners to return to HE study, whether they chose a traditional academic programme or follow a higher level technical or employer focussed route.
    2. Specifically on credit transfer systems the response highlights that the Higher Education and Research Act tasks OfS to monitor and report on the availability and utilisation of student transfer arrangements, and confers on the OfS the power to ‘facilitate, encourage, or promote awareness of’ the provision of transfer arrangements’ whilst recognising the autonomy of HE providers in England to determine the content of particular courses and the criteria for the admission of those courses. It also notes that from August 2019 the OfS will require all registered HE providers to publish information about their arrangements for student transfer.
  • Refresh apprenticeships – remove targets to prioritise quality over quantity, focus on the skills employers really need, abolish the Institute for Apprenticeships, increase the status of apprenticeships to be seen as a valid and worthwhile alternative to a degree
    1. The Government response sets apprenticeships within the wider policy vision of a refreshed, high-quality, economically productive technical education and training pathway that delivers the cutting edge skills employers need. Including T levels and the 15 new technical routes, the National Retraining Scheme, Institutes of Technology, National Colleges, the role of Skills Advisory Panels in supporting local skills needs and business growth, and emphasising student mobility across all academic and technical routes and levels. The response also noted the Government wanted to have a positive impact on the progression and earning potential for apprentices over their lifetimes.
    2. The Government confirmed their aspiration for the technical route to have equal status and validity to an academic degree route and cited the introduction and continued growth of degree apprenticeships within the sector:

The development of degree level apprenticeships aims to widen access to the professions and develop the higher-level technical skills needed to improve productivity and make sure businesses compete internationally. Not all occupations will lend themselves to a Degree Apprenticeship and not all people will want to work whilst doing their degree. Sitting alongside… Degree Apprenticeships provide another route for employers and people to gain the skills that they need.

  1. The Government’s response acknowledged the poor quality within current apprenticeship provision: we agree with the Committee that for too long apprentices have not received the quality of training we would expect. Yet resisted the Lords calls to abolish the Institute for Apprenticeships, instead stating the Government has given the Institute for Apprenticeships a clear remit.
  • Alternative viable non-degree routes with parity of esteem – moving away from university undergraduate study as the default post-18 choice. The Lords also recommended a simpler approach to post-school choices through a single UCAS-style portal covering all forms of higher education, further education and apprenticeships.
    1. The Government shares the Lords’ vision for alternative non-degree routes as set out under 1a, 2a, 2b, 3a and 3b above.
    2. With regard to redressing university study as the default choice the Government response acknowledges more could be done to improve information on post-18 options provided in schools and references the Careers Strategy. There is a statutory duty on schools to provide independent and impartial careers guidance on the full range of education and training options, including apprenticeships, and provide pupils with access to the full range of training providers. The Careers strategy also sets out a requirement for schools to facilitate a number of employer encounters for pupils. However, they resisted the Lords call for a single UCAS style entry system:

We agree that it is important that students have the necessary information to consider all of their options, not just the academic route. We are making sure that all Government careers information is available in one place on a new National Careers Service website. Online resources will include information on routes into apprenticeships, including higher and Degree Apprenticeships, and T Levels. We are improving the functionality of the post-16 course directory. This provides information about all the courses that a young person might choose at 16..We will consider what further action might be helpful in ensuring that young people are able to make informed decisions about their education, training or career options.

We have considered whether apprenticeships should be included in a centralised application system (either at age 16+ or at 18+). Our discussions with employers have made it clear that they value having their own recruitment processes and so would not welcome an attempt to standardise the process.

The Review of Post-18 Education and Funding is considering how we can help young people make effective choices between academic, technical and vocational routes after the age of 18.

Again the task of implementing this aspect of the Careers Strategy falls upon OfS shoulders:

The provision of information is one of the OfS’s top priorities. The strategic guidance letter asked the OfS to play a key role in ensuring better information, advice and guidance is provided to students so that they can make the right choices for them. The Government expect the OfS to combine this with the Longitudinal Education Outcomes (LEO) data on salary outcomes and to reform Unistats, whilst working with students to identify what information they need to make effective informed choices and how to present it most effectively. The OfS are expected to publish an information, advice and guidance strategy by Autumn 2018.

 

  • Structural changes including addressing the high level of interest charged on student loans, criticism of the removal of maintenance grants, and censure for the masking effects in the way the student loan book is calculated and reported
    1. The Government rejected the recommendations surrounding the student finance system. The response notes that cutting the interest rates would be socially regressive as it would primarily benefit the highest earning graduates. This runs counter to Government policy, the introduction of the 2012 higher fees and cessation of student maintenance grants, which states that students who benefit financially should pay for their degree rather than the public. However, there is a slight softening within the Government’s response which references the Review and states [we] will consider the report of the independent panel in this regard.
    2. On maintenance support the response defends the Government’s position stating the move from grants to loans ensures that students contribute to the cost of HE – creating a fair balance of contribution between those who benefit – society and the student. It reiterates the familiar messaging which establishes the non-repayment of loans as a deliberate and conscious investment subsidy in the long-term skills capacity of the economy. Again there is a softening in the now familiar final statement on the Review which provides room for manoeuvre in future policy direction: The Review of Post-18 Education and Funding is considering how disadvantaged students and learners receive maintenance support, both from Government and from universities and colleges.
    3. The Director General of the Office for National Statistics also writes to Lord Forsyth (Chair of Lords Economic Affairs Committee) to respond to the Committee’s recommendation on the way the Office for National Statistics (ONS) accounts for the loan deficit. The letter acknowledges the complexity of the current accounting method and references the ONS’ own review tackling the pros and cons of the various alternative options in calculating the deficit.

Research Professional report on the student finance elements of the Government’s response in: Department rejects interest rate cuts for student loans.

Finally, while the majority of the Government’s official response to the House of Lords inquiry report holds to the current familiar policy lines it consistently acknowledges the importance of the Post-18 Education and Finance Review, including the role of the independent expert panel (chaired by Philip Augar). Perhaps portending movement on some of the key HE issues, such as finance, alongside a shake-up of sub level 4 provision. The independent panel is due to report later in autumn 2018 with the Government concluding the full Review early 2019. Potentially the Review could mean the biggest change in the sector landscape since the Higher Education and Research Act, and all set against the backdrop of impending Brexit.

Parental role in funding university

This week also brought an upsurge of articles on funding the costs of university timed ahead of the A level results.

Times Higher ran: Parents worldwide contribute to the cost of university, finds survey. It compares the differing levels of finance parents provide to facilitate their child’s degree study – UK and French parents contribute the least worldwide. The article also considers variety in global parental opinion on which skills are most important for their children to learn at university.

The Association of Investment Companies ran the article: A-Level results day approaches and parents vastly underestimate student debt.

Educating the world’s leaders

HEPI,  Times Higher and Research Professional cover the news that America has overtaken the UK in the statistics which recognise the country who educates the most world leaders. America has educated one more serving monarch, president or prime minister than the UK to take the top spot. Nick Hillman (HEPI) states:

You build up incredible soft power if you educate the leading lights of other countries. In the past, we have been more successful than any other country in attracting the world’s future leaders. But these new figures suggest our position could be slipping. To ensure this does not become a long-term trend, we need to adopt a bold educational exports strategy, remove students from the main migration target and roll out the red carpet when people come to study here.

One practical way to make all that happen would be to end the Home Office having complete control over student migration and to share it across government departments instead, as they do in other countries.

Technical Education

The Conservative leaning Centre for Policy Studies has published Technically Gifted – How Selection Can Save Technical and Vocational Education. It makes bold suggestions on how to achieve parity of esteem for technical and vocational education through exclusive selection methods. The document’s authors are no strangers to controversial headlines. It is written by Toby Young, the Free Schools guru who resigned from the OfS Board within days of appointment following public outcry at his past inappropriate tweets; with the Foreword by Nick Timothy, Theresa May’s ex-special advisor and Chief of Staff who advised her to call the snap election in 2017 which left the Conservatives without a majority in Parliament.

Toby highlights the growing skills gap in Britain – by 2022 it is anticipated there will be 3.6 million vacancies in skilled technical occupations despite the Government’s technical education policy agenda. He notes that, with a few exceptions, University Technical Colleges, Studio Schools and Free Schools have all failed to thrive and achieve quality outcomes. Toby believes the difficulty lies in student recruitment numbers – for viability the providers accept all applicants including those marginalised or excluded from other local schools and often have higher numbers of pupils with behavioural difficulties or low attainment. This makes the institution unattractive for pupils who excel within the educational specialism the institution provides, creating a negative downward spiral of declining numbers and status.

The document lands at a time when the Government and Lords are striving to engender a culture of parity of esteem between technical and academic education, where a higher level technical or vocational qualification is considered of equal value to a degree. The Government has invested heavily and is introducing T levels reforming vocational education into the 15 new technical routes, and promoting degree apprenticeships;  focusing more on choice for young people and promoting technical and vocational options through the Careers Strategy and the National Retraining Scheme; continuing to provide new funding to invest in Institutes of Technology and the National Colleges; whilst maintaining their support for the Institute for Apprenticeships. The quality and status of vocational education has been an issue throughout successive Governments so it remains to be seen whether the new approach will successfully bring the economic and skill benefits that Britain needs. What has been noticeable in the run up to A level results day this year is the additional volume of media stories and promotions espousing the benefits of degree apprenticeships and alternative choices.

For Toby the answer to both of the above conundrums – high quality technical education and equal status to an academic route – lies within exclusivity through selection. He believes being selected for a technical institution should be a high status achievement (like passing the 11-plus for grammar school entry) rather than a negative decision because the pupil is unsuitable for a standard academic route.

Toby writes:

…if the Government wants England’s technical/vocational schools to survive and thrive, it must cut the Gordian Knot linking technical and vocational education to a lack of aptitude for academic subjects and allow these schools to select pupils according to aptitude for their particular specialisms at the age of 14. Not only would this transform the fortunes of these schools, it would also enable the Department for Education (DfE) to set up new 14-19 technical/vocational schools that would be likely to succeed….This would not require any amendment to primary or secondary legislation. A policy change by the Secretary of State for Education would suffice…. Above all, it would fundamentally improve the life chances, income and well-being of those who have an aptitude for this type of education and would like the opportunity to pursue it, rather than treating them – as we have done for so long – like second-class citizens… Members of the professional class, including headteachers, must stop thinking of this type of education as second best – as only being appropriate for ‘other people’s children’.

Toby goes on to argue that:

  • technical courses should be as intellectually rigorous as academic subjects, including a common core of academic GCSEs
  • specialist schools should commence at age 14 as technical aptitude cannot be measured at age 11; children need time to develop the cognitive skills required by such courses. Moreover the pupils need an interest and passion in the specialist technical area they will study – this comes through experience and maturity
  • technical education should be delivered in specialist schools, not mainstreamed. The requirement for schools to enter 75% of their pupils for the narrowed subject mix of the English Baccalaureate (90% by 2025) means the wider range of subjects needed for vocational education aren’t being delivered
  • Technical education has to start pre-GCSE. He believes the post GCSE T levels will be a bolt on and won’t work because of the prior standard academic content with its narrowing mix of subjects. He calls again for the Government to signal that it regards this type of education as suitable for children of all abilities, not just those who find themselves without the necessary qualifications to do three A-levels
  • Toby notes a school admitting children at age 14 does pose a difficulty because it is not a standard transfer point in England’s schools system. Parents are reluctant to move children who have already settled and established friendships away from their current secondary school, and the middle school system moves children on at the end of year 8 not year 9. Furthermore, secondary head teachers have a financial incentive to retain their current pupil roll. In particular they are motivated to avoid additional funding cuts on top of those expected from pupils leaving to pursue post-16 options elsewhere. Toby highlights that persuading the local multi-academy trust to run a technical school is a potential solution, even better if they worked in partnership with local industry.
  • Selection methods should be commensurate with the type of specialist education delivered (e.g. the one day workshop style auditions common to the BRIT school) measuring interest/passion and technical aptitude rather than standard intelligence testing.
  • Currently there are two successful selective specialist technical schools. Through these Toby highlights that exclusivity doesn’t run counter to social mobility. In these schools both have significantly higher levels of pupils previously eligible for free school meals – 15% and 29% respectively compared to the 7% national average.
  • Abroad, nearly every country that has rolled out successful technical/vocational schools has allowed those schools to select.

 

Nick Timothy’s supports Toby’s proposals, writing in the foreword:

Young has identified why schools providing technical education have struggled in England: too often a pupil’s suitability for technical education is judged by their lack of suitability for an academically rigorous alternative. This is a false choice, and it inevitably means technical education is treated as second best. As a result parents and pupils shun technical schools, which end up being treated as dumping grounds for unruly students who are unwanted elsewhere. If we want to become world leaders in the STEM fields and meet our skills shortages with homegrown talent, this has to change. Young people should be encouraged to study technical subjects, and not only when teachers judge that they are not equipped for a purely academic education. For that to happen, a new generation of prestigious schools – selecting their pupils by aptitude, specialising in technical subjects, and still offering a core of academic subjects – can lead the way.

 

Graham Brady MP writes in Conservative Home in support of selective technical schools:

Wouldn’t it be better, as Young argues, if these schools were able to select those students with a particular aptitude for their specialisms? This should be the starting point in the Government’s efforts to revitalise technical and vocational education – a journey that leads to T-levels (which include a mandatory work placement), a place at an Institute of Technology, before entering a skilled occupation.

The choice, in other words, is not between grammars and comprehensives. It is between a flourishing ecosystem of schools, both selective and not, which do the best possible job of matching pupils and education – and a one-size-fits-all model which is increasingly out of step with the modern world.

Level 4 & 5 Qualifications

On Tuesday the DfE published findings from its ongoing review of level 4 and 5 qualifications. These shorter qualifications such as Foundation Degrees and diplomas are lower than the full undergraduate degree at level 6. However, the Government believes they are becoming a more important part of the employer skills jigsaw and pursuing them will lead to a healthy salary. The initial findings from the review note:

  • Studying at this level can increase earning potential and employability – students achieving a Level 4 or 5 qualification by age 23 had higher median wages by the time they were 26 and were more likely to be in sustained employment than students who achieved a Level 3.
  • A growing demand for qualifications at this level from employers in key sectors such as ICT and Engineering – meaning increased take up could play an important role in the UK economy, helping to plug technical skills gap and boost productivity.
  • Learners at this level often study part-time, and come from diverse backgrounds – highlighting how studying at this level could boost learning and job opportunities for hundreds of thousands more people across the country.

However, only 7% of people in England aged between 18 and 65 are undertaking training at this level, with the majority ceasing study at level 3 or instead pursuing a full degree. These latest findings fit with the Government’s call on the HE sector to offer a wider range of study options and structural flexibility to appeal to a wider audience –progressing social mobility and meeting the UK’s economic ambitions.

Apprenticeships and Skills Minister Anne Milton stated:

We want everyone to be able to access high quality technical education and training so they can get the skills they need. Having these skills can change people’s lives, leading to a rewarding career and fantastic opportunities. These early findings show how learning at Level 4 and 5 can benefit people of all ages and a wide variety of backgrounds, whilst helping employers get the skilled workforce they need. This research will play an important part of our ongoing review of Level 4 and 5 qualifications so we can understand how we can make education at this level work even better for everyone.

Research Professional report on the findings focusing on the low update of the level 4 and 5 qualifications.

 

Global Matters

This week the Government responded to a parliamentary question on visa delays which cause students to miss the start of their course:

Q – Stephen Kerr: How many tier 4 [visa] applications that have not been processed within the timescale set out in the service level agreement for processing such applications have caused students to miss university start dates in the latest academic for year for which figures are available.

A – Caroline Nokes: …The latest available data indicates the vast majority, 98.1% (and 99.8%) of straightforward cases were dealt with within service standards. Information on students who may have missed their university start date is not collated for publication on Home Office visa case-working systems.

International: The Pie News explores the popularity of UK HE delivered in Hong Kong, with 39 institutions delivering programmes. Pie News also reports that international students attending Chinese universities may be permitted to work part time in future to increase the attractiveness of the Chinese education system.

Brexit: On Friday the European Commission and the UK team continue to negotiate the future EU-UK relationship. Here is a helpful chart which sets out the UK and EU key players since the post Chequers cabinet reshuffle.

Buzzfeed News capitalises on a leaked listing of the Brexit technical papers in which the Government explore the consequences of leaving the EU on a ‘no deal’ basis. In part the papers aim to advise individuals and businesses on how to prepare for ‘no deal’ within their operating sphere. You can see the list of topics covered here, however, no content from the papers has been leaked.  The list includes Erasmus, Horizon 2020, Broadcasting, Environmental Standards, EU citizens in the UK, Life Sciences and many more. Buzzfeed report that a Government spokesperson stated the Brexit technical papers will be published for all to see in August and September on www.gov.uk  website.

Consultations

Click here to view the updated consultation tracker. Email us on policy@bournemouth.ac.uk if you’d like to contribute to any of the current consultations.

New consultations and inquiries this week:

Other news

Horizon 2020: The Financial Times explore the Horizon 2020 funding figures released last week questioning whether collaboration is the major Brexit concern and noting the stabilisation effect Horizon funding provides for researchers.  Meanwhile this Government Horizon 2020 paper, issued last Thursday, explains the Withdrawal Agreement, the Underwrite and Post EU Exit Extension Guarantees, along with mobility and the Government’s position to Horizon Europe. It is written in plain language and an accessible catch up read.

Horizon Europe: Research Professional report on the Russell Group’s position paper which urges the EU to not seek to focus on closer-to-market projects at the expense of basic research.

Social Mobility Action: With the recent appointment of Dame Martina Milburn to lead the Social Mobility Commission comes a call to the public and industry to get involved with the social mobility movement for change. The news story is here, with a promise to update the page as more opportunities to get involved arise. It also contains details for interested colleagues to join their mailing list.

Masters fee hike: Times Higher report that since the postgraduate loans have been introduced many universities have increased the tuition fee for masters study.

Nursing: Nursing Times writes on the most recent NHS digital data showing the number of practicing learning disabilities nurses has dropped by 40% and that students choosing this form of nursing is decreasing. The article also references the Council of Deans for Health survey which found that 46% of education institutions considered dropping learning disability nursing from 2018/19 due to low student interest meaning courses are not financially viable. In this article the Royal College of Nursing (RCN) criticise the Government for doing too little too late – with the £10,000 golden hello for postgraduate students having little impact on recruitment. In this older news story RCN raise the removal of the NHS bursary for student nurses as a major factor in declining recruitment to degree programmes. It is likely that the decline in mature students contribute to the fall in numbers too. Mature students, with their greater life experience, are more likely to study learning disability or mental health nursing. The Independent also cover the recruitment drop warning of a return to Victorian era practices where patients are moved away from family to institutions because of insufficient trained expertise locally.

Justin Madders MP, Labour’s Shadow Health Minister, said:

“The Royal College of Nursing’s powerful warning must serve as an urgent wake up call to the new Health Secretary. Under this Government learning disability nurses have been cut to the bone, and they appear to have gone quiet on their plans to attract more students into the profession. This unprecedented workforce crisis is completely unacceptable.

£9k fees unjustifiable:  Times Higher report on a YouGov poll which found that although students are satisfied with the quality of their degree they don’t feel the fee level is justified or results in a sufficiently high graduate job pay off.

“The data shows that while students’ satisfaction with the quality of their degree teaching is very high and a large majority still expect to be better off financially and in terms of being able to find a good job, this seems to be in spite of the costs of tuition, which the majority consider unjustified.”

Contract cheating: Wonkhe have a new blog post on essay mills to accompany a forthcoming petition to Parliament to legislate against contract cheating.

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New publication by CMMPH Visiting Faculty Dr. Luyben

Congratulations to Dr. Ans Luyben on her latest co-authored midwifery publication: ‘Conscientious objection to participation in abortion by midwives and nurses: a systematic review of reasons’ in the Open Access journal BMC Medical Ethics.  The UK co-authors are linked with Liverpool John Moores University and the University of Liverpool, whilst the third co-author is from Germany.  Ans works in Swtzerland and she is Visiting Faculty in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

BU contribution to Routledge Handbook of Well-Being

Congratulations to current and past academics in the Faculty of Health & Social Sciences and the Faculty of Science & Technology who contributed to the newly published Routledge Handbook of Well-Being.  The editor Prof. Kate Galvin was previously based at Bournemouth University.  She is currently Professor of Nursing Practice in the School of Health Sciences at the University of Brighton.

The following four chapters in the edited collection have been authored or co-authored by BU scholars and students past and present:

  • Dwelling- Mobility: An Existential Theory of Well-being Chapter 8 by Les Todres & Kate Galvin
  • Heritage and Well-being: Therapeutic places, past and present Chapter 11 by Timothy Darvill, Vanessa Heaslip & Kerry Barras
  • Embodied Routes to Well-being: Horses and Young People Chapter 20 by Ann Hemingway
  • Eighteen Kinds of well-being but there may be many more: A conceptual Framework that provides direction for Caring Chapter 30 by Kate Galvin & Les Todres.

 

Congratulations to all!

Prof. Edwin van Teijlingen

Political and Policy – News & Publications

Health

Macmillian has published the specialist cancer adult nursing and support workforce census 2017.

The Education Policy Institute has published research on vulnerable children and social care in England.

On Tuesday there is a Westminster Hall debate on safeguarding children and young people in sport, and a Health and Social Care Select Committee examining childhood obesity.

Meindert Boysen has been appointed as Director of the Centre for Health Technology Evaluation.

On Friday Jeremy Hunt launched a review into the impact of technological advances on the NHS workforce.

On Wednesday there will be an adjournment debate on Mental Health Services

Other topics

Clive Efford has joined the Digital, Culture, Media and Sport Committee as a member. On Wednesday this committee will meet to consider Fake News.

David Clark, Kenny Dey and Nick Terrell have been appointed as members of the Oil & Gas UK Trade Association.

On Tuesday the Education Select Committee will examine Alternative Provision.

On Tuesday the Home Affairs Committee will meet to discuss Policing for the future.

On Wednesday there will be a Westminster Hall debate on reducing plastic waste in the maritime environment.

APPGs

There is a new register of All Party Parliamentary Groups (APPG). Check the list to see which fit with your research interests (scroll down past the country groups to the subject groups).

This week the following APPGs will meet: Social Work (on Tuesday), Industrial Heritage (Tuesday), Archaeology (Tuesday), Carers (Wednesday).

 

Catch up on last week’s policy news here, or email policy@bournemouth.ac.uk to subscribe.

 

HE Policy update – week ending 4 August **updated**

TEF

Wonkhe bloggers imagine alternative ways to run (ideally improve) the TEF in Visions for the AlterniTEF – can we do TEF better?  Ideas ranged from:

  • individual institution-specific targets as a condition of registration OfS (and therefore accountable under the Higher Education and Research Act);
  • metrics produced through relational analyses and cross referencing – this complex idea stemmed from measuring the quality and impact of reciprocal relationships;
  • individual learning statements setting institutional goals which the provider would be measured against – similar to current Fair Access Agreement;
  • ignoring undergraduate TEF and focusing on bringing post-graduate TEF online, including the influence of social capital and the added value of the post-graduate qualification on social mobility. This approach controversially espouses a metrics only approach and abolishes the provider statements.

Wonkhe also continue to unpick the influence of the provider statement in changing an institution’s initial metrics-based TEF rating. Marking the TEF creative writing challenge suggests the panel compensated providers who appeared to be effectively addressing poor NSS scores, took into account a London effect, and rewarded institutions with successful outcomes for part time study.

 

Brexit and Erasmus

A Times Higher article on the alternative to Erasmus post-Brexit highlights the downsides inherent in an Erasmus alternative. The EU exit agreement will determine whether the UK continues to participate in Erasmus, however, the government is currently pursuing a hard line on free movement which decreases the likelihood Erasmus would continue in its current form. An alternative is to establish bilateral agreements to exchange students with key European universities – just as we do now with international institutions. However, the article highlights the negative impact on social mobility – bilateral agreements mean the students must cover their own costs to some extent – decreasing the likelihood lower income students could afford to participate. While the obvious answer (to divert the UK’s contribution to the EU budget which funds Erasmus to a home-grown scheme) seems reasonable the budget required would be in excess of €113 million and the government have yet to confirm this as an option. Furthermore the time and administrative costs for universities to individually negotiate grants and agreements is excessive. The article also touches on lower demand from EU students to come to the UK suggesting exchanges may not be viable.

Parliamentary Questions

Q: Catherine West: What discussions he has had with the Secretary of State for Education on the future of the UK’s participation in the Erasmus scheme.

A: Mr Steve Baker: The Department has regular conversations with officials and Ministers from other governmental departments about a range of policy issues arising from EU exit. With regards to the Erasmus+ programme, the Government recognises the value of international exchange and collaboration in education as part of our vision for the UK as a global nation. There may be European programmes in which we wish to continue to participate after we exit. This will be considered as part of ongoing negotiations with the European Union

Brexit – staff and students

The Russell Group published 10 points requiring greater clarity in response to the UK Government’s position on EU nationals. This included calling for:

  • ensuring academic and student time abroad for study, training, career development and research purposes does not negatively impact on continuous residency
  • interpreting ‘strong ties’ broadly to ensure academics and students spending 2+ years abroad do not lose their settled status once this has been established
  • EU students starting courses in 2017/18 and 2018/19 should be able to stay and work here after their studies and be eligible for settled status after accruing five years residence
  • ensuring that professional qualifications obtained in either the UK or the EU before the UK’s withdrawal continue to be recognised across borders

 

Education-related exports and transnational education activity

The government released experimental statistics estimating the value of exports from the UK education section, the respective contribution of the higher and further education sectors, and transnational activity for 2010-2014. (Transnational education is education provided in a country different to that of the awarding institution.) The total value was estimated to be £18.76 billion – an increase of 18% against 2010. HE was the main contributor accounting for 92% of the total value, with revenue from transnational education contributing the remaining 8%. The full report is here.

Accompanying the experimental statistics is a report analysing the value of transnational education to the UK (originally published November 2014). The report discusses the benefits of transnational education to UK HE institutions (see page 11 for a summary).

 

Nursing & midwifery places

The Royal College of Nursing spoke out this week highlighting the discrepancy between the Government’s plans to expand the mental health workforce and the significant downturn in nursing applications attributed to the introduction of fees and the withdrawal of the NHS bursary. The Government has earmarked £1.3 billion for mental health services, pledging to treat an additional one million patients by 2020-21 through 24/7 services. The RCN says there is already a dangerous lack of workforce planning and accountability, and warns the Government will need to work hard just to get back to the number of specialist staff working in mental health services in 2010. They state that under this Government there are 5,000 fewer mental health nurses.

Janet Davies, RCN Chief Executive & General Secretary, expressed skepticism at the government’s plans and stated: “If these nurses were going to be ready in time, they would be starting training next month…but we have seen that the withdrawal of the bursary has led to a sharp fall in university applications and we are yet to see funding for additional places.” [The government previously stated the removal of bursaries will mean an additional 10,000 training places for healthcare students could be made available by 2020.]

On the ending of the bursary Jon Skewes, Director, at Royal College of Midwives (RCM) said: ‘We believe this decision is a fundamental mistake by the government and have warned about the wide reaching implications of removing the student midwifery bursary given the existing crisis in our maternity services. In England alone we remain 3500 midwives short. This, coupled with younger midwives leaving, an ageing workforce and the loss of EU midwives post-Brexit, means the RCM has grave concerns for staffing our maternity services. The government has completely ignored RCM advice to make any loans forgivable if students then go to work in the NHS. The axing of the bursary and introduction of tuition in England will without doubt worsen the current shortage of midwives.’

 

Tuition Fees

The Centre for Policy Studies released an Economic Bulletin on tuition fees: Wealthy Graduates: The Winners from Corbyn’s tuition fees plan. It reiterates known messages including increases in disadvantaged pupils accessing HE and the social unfairness of expecting non-graduates to subsidise education for degree students. It also makes the following points:

  • The maximum fee ceiling is charged by most universities, there is little differentiation. This means the intended competitiveness was unsuccessful as there is no clear link between tuition fees paid and job prospects. (See page 8 of the full report for more detail.) While TEF still intends to differentiate fees paid on quality the scale of the difference is limited.
  • It calls on ministers to avoid retrospectively increasing graduate’s fee repayments, to consider reducing loan interest rates, and to incentivise courses linking to labour shortages.
  • It also recommends policy makers consider intergenerational fairness but without abolishing tuition fees
  • Scotland’s previous no tuition fee policy which resulted in a student numbers cap means their social mobility outcomes are lower than England’s.

Widening Participation

Statistics – progression and outcome

The Department for Education have published statistics on the 2014/15 entry cohort –  Widening Participation in HE. These are the regular annual statistics detailing young participation in HE with social background comparisons and graduate outcomes. Headlines:

  • The progression rate of free school meals (FSM) pupils has increased, but so has the gap between FSM and non-FSM. Page 5 has a diagram breaking this down by region.
  • The state school Vs independent school gap in progressing to the most selective HE institutions has widened slightly
  • Graduate outcomes – disadvantaged students employed in the most advantaged occupations is up by 1%, although the gap between most and least advantaged students in these high-end jobs remains static at 6%.

School-age attainment trends

The Education Policy Institute has published Closing the Gap? Trends in Educational Attainment and Disadvantage. The report focuses on school aged children analysing the attainment gaps between children from disadvantaged backgrounds and their peers plus other pupil characteristics. It covers the progress made, the enduring challenges (including magnitude of learning gaps and lack of progress for the most persistently disadvantaged pupils). It recommends an additional 8 local authority districts on top of the 12 Opportunity Areas currently identified by the Department for Education. Finally, it states that without significant acceleration in the rate at which gaps are being addressed it take until 2070 before disadvantaged children did not fall further behind other students during their time in education.

 

UK UG Vs International Student numbers

The Sunday Times led with an article claiming universities recruitment of the financially more lucrative international students was crowding out intake of UK undergraduates: Universities take foreign students ahead of British.

The sector responded on Twitter and Wonkhe set out what is misleading in the Times article in their blog: What the Sunday Times got Wrong. This states that the Times article used inappropriate statistics and reminded that UK school leavers now enter university at the highest ever levels.

David Morris (Wonkhe) writes: when I confronted Gilligan about this on Twitter, his response suggested (to me at least) a realisation that a mistake had been made. He argued that his piece “was mainly about the fact that non-EU undergrads are admitted with lesser qualifications” and that we shouldn’t suggest that part-time and second degree students “don’t count”.

In his critique Morris also acknowledges the difficulty navigating HESA statistics for the uninitiated: HESA’s website is not the easiest to use, and one could easily look at overall undergraduate numbers and make an assumption about a story that simply isn’t there. I would urge HESA to make finding historic data more ‘journalist friendly’ for hacks with a deadline. To write this piece I have had to have six different tabs open on HESA’s website, plus three different Excel sheets and the HESA mobile app. No wonder mistakes can be made.

 

Case Studies

Universities UK have published a directory of case studies illustrating how universities are tackling harassment, violence against women and hate crime. The case studies cover a range of areas including prevention, improving incident reporting procedures, effective responses, student and staff training, and good practice.

 

Third Edition of the EU Falls Festival in Amsterdam (8-9 May 2017)


Natalia Adamczewska and Yolanda Barrado-Martín represented the Psychology Department and Ageing & Dementia Research Centre (ADRC) at the Third Edition of the EU Falls Festival in Amsterdam on 8th and 9th May 2017. The theme of the congress was: Developing Collaborations across Professions and throughout Europe.

This festival brought together over 200 professionals from multiple disciplines (such as Nursing, Physiotherapy, Occupational Therapy, Medicine, Psychology and Technology) working under a common target: The prevention of falls amongst older adults. It was a great opportunity to see how different countries in Europe, but also researchers in America, represented by Dr. Robin Lee, US Lead Home and Recreation Team; and Australia, represented by Kim Delbaere, Falls Balance and Injury Centre, NeuRa; are working under this objective, the resources different countries invest on this and the different approaches used from different disciplines. A variety of interventions were presented from educational to exercise, and a debate was organised regarding the relevance of the role of technologies to prevent falls and support research.

Falls are the first external cause of death amongst older adults which explains the importance of researchers, practitioners and policy makers working together.​ Members of the World Health Organisation and the European Commission were also attending this meeting and sharing their views on the relevance of falls prevention.

Yolanda’s PhD project looks into the acceptability and adherence of participants living with dementia to a Tai Chi exercise intervention. Adherence to falls interventions was one the main concerns of the congress, however, the experiences of those living with dementia remain mostly under-explored.

Natalia focuses on the psychological adjustment to falls in her PhD project and she looks at fall-related PTSD. Various interventions presented at the festival could possibly be applied in order to enable participants to cope with psychological consequences of falling, such as virtual reality treatment presented by Jeff Hausdorff that he originally developed for fall prevention in idiopathic fallers.