Search results

The Centre for Reviews and Dissemination was commissioned to conduct a systmatic review of clinical audits undertaken to assess the implementation and effectiveness of the National Health Service (NHS) two‐week waiting time policy for cancer referrals in England and Wales. This paper highlights the logistical difficulties experienced by the review team in trying to obtain information from the NHS, and discusses what needs to be done in order to improve the reporting and usefulness of clinical audit reports.

A total of 650 key individuals within NHS Trusts and Strategic Health Authorities were contacted for copies of relevant audits. Other key individuals and organisations across the NHS were also contacted, web sites of key organisations searched, requests for audits on relevant e‐mail discussion lists posted and electronic databases and conference proceedings searched.

Finds that many trusts do not appear to hold a centralised record of what clinical audits have been performed within the trust. In many instances several follow‐up contacts were necessary. The majority of included audits were poorly reported, with fewer than half providing sufficient detail on methodological aspects for the audit to be reproducible.

There should be a system of recording ongoing and completed audits conducted within the NHS, to ensure that audit reports are produced and accessible. The NHS needs to make sure that not only are appropriate audit methods used but that audit reports are written up in sufficient detail to allow the reader to ascertain how the audit was conducted and to assess the validity of the results. Documentary evidence of action plans would make it easier for those not directly involved in the audit to assess if, and in what ways, the audit findings are being acted upon to improve existing practices and procedures.

This paper discusses what needs to be done in order to improve the reporting and usefulness of clinical audit reports.

This study aims to examine the scope and contribution of Forensic Clinical Psychology (FCP) advice from the National Crime Agency (NCA) to criminal investigations in the UK to address the gap in current knowledge and research.

The 36 FCP reports reviewed were written between 2017 and 2021. They were analysed using Toulmin’s (1958) application of pertinent arguments to the evaluation process. The potential utility of the reports was analysed in terms of the advice provided.

Most of the reports involved murder and equivocal death. The reports focused primarily on understanding the offender’s psychopathology, actions, motivation and risk to self and others using a practitioner model of case study methodology. Out of the 539 claims, grounds were provided for 99% of the claims, 91% had designated modality, 62% of the claims were potentially verifiable and 57% of the claims were supported by a warrant and/or backing. Most of the reports provided either moderate or high insight into the offence/offender (92%) and potential for new leads (64%).

The advice provided relied heavily on extensive forensic clinical and investigative experience of offenders, guided by theory and research and was often performed under considerable time pressure. Flexibility, impartiality, rigour and resilience are essential prerequisites for this type of work.

To the best of the authors’ knowledge, this study is the first to systematically evaluate forensic clinical psychology reports from the NCA. It shows the pragmatic, dynamic and varied nature of FCP contributions to investigations and its potential utility.

Only within the past decade have sociologists begun to investigate the relationships between humans and other animals. Even more recently, college courses that examine this subject have emerged. This article looks at one such undergraduate sociology course – Animals and Society – at the University of South Carolina Spartanburg. It outlines the opposition to the course and the fight for its approval. Then an overview of the course objectives and content is presented, followed by an assessment of the impact of the course on students. Finally the implications of the emergence of animals and society courses in sociology, and the new sub‐field of animal studies, are discussed.

The central argument of this paper is that supported living — enabling people with learning disabilities to live in their own homes, with appropriate support — has a potential strategic role in addressing some of the current shortcomings in community‐based residential services. These shortcomings are described, along with the possible contribution of an approach in which housing and support are separated. Finally some of the current concerns about supported living are briefly addressed.

Limited resources must be invested wisely. Society′s humanitarian duty to care must be satisfied as well as the economic imperative to use resources rationally. This cannot properly be achieved by reduction of all considerations to a single number which represents a ratio of health gain to resource cost.

This case study considers the current state of knowledge about developing effective, high quality services for people with learning disabilities, with particular emphasis on ‘social care’ provision. It questions why services across much of the country fail to respond to the lessons from research and evaluation which, combined with a greater emphasis on partnership between all stakeholders in services, could result in substantially improved outcomes for service users.

Considers the two issues of the range of health care services and balances within the range. Notes the necessity of conducting a national debate concerning the range and limits of service provision within the health service framework. Stresses the importance of making decisions of balance within the range at local level. Unless there is a rational framework for decision making at both levels, both patients and society itself will suffer from inconsistency, confusion and inequity.

The authors investigate the factors affecting the decision of small and medium-sized enterprises (SMEs) to do business with either small local banks or large commercial banks.

We combine various data sources on Polish SMEs, including their financial statements, county-level data on SMEs' local environment, information about bank branch locations, as well as a new survey on the specificity of bank–firm relationships. We employ the logit and Tobit models.

SMEs' bank choices and the length of a bank–firm relationship are more strongly associated with trust-related factors, rather than transactional ones. SME managers motivated by trust-related factors are more likely to choose local lenders and maintain long-term relationships with them. However, as firms grow and mature, SME managers lean toward banks adopting transaction-oriented policies.

We could have drawn a more detailed picture of the bank selection process had we been able to compare the traits of a firm's current and previous banks.

The study shows that the features of a bank's offer, including product prices, have limited potential in shaping long-term relationships between banks and SMEs.

The topic of bank selection by SMEs has not been thoroughly investigated in the case of Central European countries. We address this gap by comparing two types of potential drivers of bank selection: trust-related factors and a set of purely economic (transactional) motives.