Search results

1 – 4 of 4
Per page
102050
Citations:
Loading...
Access Restricted. View access options
Article
Publication date: 12 January 2018

Axel Kaehne, Andrea Beacham and Julie Feather

The purpose of this paper is to outline the current thinking on co-production in health and social care, examine the challenges in implementing genuine co-production and argue for…

1078

Abstract

Purpose

The purpose of this paper is to outline the current thinking on co-production in health and social care, examine the challenges in implementing genuine co-production and argue for a pragmatic version of co-production that may assist programme managers in deciding which type of co-production is most suitable for which programme.

Design/methodology/approach

A discussion paper based on the professional and academic knowledge and insights of the authors. A focus group interview schedule was used to guide discussions between authors.

Findings

The authors argue for a pragmatic approach to co-production within integrated care programmes. The authors set out the basic parameters of such an approach containing procedural rather than substantive standards for co-production activities leaving sufficient room for specific manifestations of the practice in particular contexts.

Practical implications

The authors put forward a pragmatic model of co-production that defines the essential elements of a process for ensuring services are designed to meet with the needs of patients yet allowing the process itself to be adapted to different circumstances.

Originality/value

The paper summarises the discussion on co-production in relation to integration programmes. It formulates a pragmatic model of co-production that may assist programme managers in establishing good practice co-production frameworks when designing or implementing integrated health and social care services.

Details

Journal of Integrated Care, vol. 26 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

Access Restricted. View access options
Article
Publication date: 3 July 2017

Andrea Beacham

The purpose of this paper is to report the findings of a horizontal integration programme in the South West of England. The programme was unusual insofar as it included the full…

195

Abstract

Purpose

The purpose of this paper is to report the findings of a horizontal integration programme in the South West of England. The programme was unusual insofar as it included the full range of public services being provided in a single town. It was a place-based system framed by the concept that a person’s wellbeing includes their health, economic status and living environment and that they are inextricably linked. As well as aiming for broader system integration, the programme utilised a person-centred approach using service-user perceptions to influence design. It was implemented through a local governance structure using a set of collaborative principles.

Design/methodology/approach

The paper presents personal reflections of the programme manager about the efficacy of the model, its sustainability and the problems encountered. It sets out the principles defining the model and the extent to which the principles were followed in practice.

Findings

Creating a holistic public service based on integration to tackle deep seated problems within a population requires reducing complexity at the interface between citizens and services. A local system model that includes all public services allows for collective responsibility for meeting the service needs of the population augmenting the connections and bridging the gaps between services. There was a recognition amongst participants that service redesign does not require wholesale organisational restructuring but does require creating shared aims and objectives and the participation of leaders with the ability to implement change within their services. A user-led, bottom-up approach provides deeper understanding and traction on the ground but should be combined with top-down strategic support to provide structural sustainability and the ability to scale out.

Originality/value

The paper demonstrates that horizontal service integration based on the concept of wellbeing is possible but faces significant challenges. The benefits and complexities of inter-agency collaboration multiply when enhancing the outcome focus from improving population health to general wellbeing. New theories of implementation and transformation are needed that relate to this important emerging service theme.

Details

Journal of Integrated Care, vol. 25 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Available. Content available
Article
Publication date: 3 July 2017

Jon Glasby, Robin Miller and Axel Kaehne

265

Abstract

Details

Journal of Integrated Care, vol. 25 no. 3
Type: Research Article
ISSN: 1476-9018

Access Restricted. View access options
Article
Publication date: 13 November 2019

David Kimera and Fillemon Nduvu Nangolo

The purpose of this paper is to review maintenance practices, tools and parameters for marine mechanical systems that can be classified as plant, machinery and equipment (PME). It…

895

Abstract

Purpose

The purpose of this paper is to review maintenance practices, tools and parameters for marine mechanical systems that can be classified as plant, machinery and equipment (PME). It provides an insight for the maintenance crew on which maintenance parameters and practices are critical for a given PME systems.

Design/methodology/approach

The review paper characterizes the various maintenance parameters and maintenance practices used onshore and offshore for PME and identifies the possible gaps.

Findings

A variety of maintenance techniques are being used in the marine industry such as corrective maintenance, preventive maintenance and condition-based maintenance. As marine vehicles (MV) get older, the most important maintenance parameters become maintenance costs, reliability and safety. Maintenance models that have been developed in line with marine mechanical systems have been validated using a single system, whose outcome could be different if another PME system is used for validation.

Research limitations/implications

There is a limited literature on MV maintenance parameters and maintenance characterization regarding mechanical systems. The maintenance practices or strategies of marine mechanical systems should be based on maintenance parameters that suit the marine industry for a given PME.

Originality/value

Based on the available literature, the paper provides a variety of maintenance framework, parameters and practices for marine mechanical systems. The paper further gives an insight on what maintenance parameters, strategies and platforms are given preference in the shipping industry.

Details

Journal of Quality in Maintenance Engineering, vol. 26 no. 3
Type: Research Article
ISSN: 1355-2511

Keywords

1 – 4 of 4
Per page
102050