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The implementation of the EC′s programme to liberalise the financial services sector as part of the movement towards a Single European Market will significantly reduce the costs of entry into non‐domestic markets for Community banks. Reducing entry costs will increase competition in banking markets, but it is unlikely that all segments of the banking market will experience the same patterns of change. The large‐scale corporate market already displays a high volume of cross‐border trade, while retail markets may be inaccessible for many non‐domestic banks, except by acquisition. The small‐ and medium‐sized corporate sector is widely regarded as an attractive niche market at the European level and it is suggested that there are particular gaps in this market in the UK. These gaps may make such a market susceptible to increased competition from non‐UK Community banks, although at the same time, improvements in the product offerings to this market by UK banks may provide the basis for a strategy to protect existing domestic markets and develop into new non‐domestic markets.

The 11th revision of the International Classification of diseases which sets global standards for defining, reporting and managing health conditions is under way. The International Classification of Diseases (ICD) underpinning principle of clinical utility is currently poor for persons with Disorders of Intellectual Development (DID) and mental disorders. This impedes access to healthcare resources; services and social inclusion thereby further aggravating their vulnerability. The purpose of this paper is to present a critical overview and evidence informed recommendations within the context of an international collaborative programme, undertaken by the Faculty of Psychiatry of Intellectual Disability, Royal College of Psychiatrists, UK with support from the World Health Organisation (WHO).

The authors carried out: first, a systematic review (SR) of literature, using PRISMA guidelines regarding the reliability, validity and utility of the ICD-10/Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnostic criteria in people with DID (PWDID); second, a national and international consultation exercise with partners, stakeholders and experts; third, a multicentric survey of problem behaviours in PWDID; and finally, information dissemination/dialogues including presentations and workshops at key scientific events, consultation networking, data gathering and consensus building.

The SR revealed a dearth of robust studies – most consisting of weak research methodologies. Significant difficulties were highlighted regarding the application of diagnostic criteria in the current classificatory systems – particularly in people with severe/moderate DID. Recommendations supported the introduction WHERE APPROPRIATE of modifications based on observed phenomena (signs) in PWDID in lieu of reported symptoms to facilitate DIAGNOSIS AND better access to healthcare and the community. Heterogeneity precluded quantitative pooling and meta-analysis. The consensus building exercise globally revealed that problem behaviours were the commonest reasons for referral to healthcare services with significant numbers without a diagnosed mental disorder being prescribed psychoactive medication.

The consensus gathering exercise WAS SELECTIVE AND did not cover all of the 194 member states of WHO due to resource and time constraints and this constitutes the main limitation of our study. Based on the SR and expert consensus, the authors submitted evidence informed pragmatic proposals to the WHO aimed at addressing the shortcomings of the ICD-10. The key recommendations focused on improving clinical utility within the context of epistemic iteration which would consolidate and strengthen the future evidence base. It was also recommended that self-injurious behaviour should form a standalone sub category in view of its relevance for healthcare services and resources which underpin clinical utility.

The ICD-11 is a global, multidisciplinary and multilingual development for public health benefit with 70 per cent of the world's health expenditures assigned using this system for resource allocation. Currently mental disorders in PWDID can be misinterpreted, unrecognised and under reported resulting in barriers to access to treatment and healthcare resources. Conversely disorders may be over diagnosed when the inherent discrepancies between the chronological age and the developmental level of functioning are not considered. Conclusions and recommendations from this study will result in better diagnosis of mental disorders and healthcare resources in this population.

PWDID are a vulnerable sector of the population with an increased prevalence of mental health problems who are marginalised and discriminated by society. Early detection, treatment and management of these conditions will prevent further decompensation and stigmatisation.

To the best of the authors knowledge this is the first comprehensive, large-scale study which evaluates the ICD classificatory system within the context of clinical utility for PWDID, including experts and stakeholders from both lower/middle- and high-income countries. The international consultation/consensus building process culminating in the formulation of evidence informed recommendations, aimed at improving the clinical utility of the ICD-11 for this population, has the potential to improve access to appropriate healthcare and treatment and consequent enhancement of their quality of life.

Leadership matters in public contexts. It influences employee development and, in turn, the effective delivery of public services. Harmful leadership limits the fulfilment of both these requirements. Although there are many studies of public leadership, few explore aspects of poor leadership focusing on leading people, in the unique public sector context. The purpose of this paper is to explore the public sector environment as one that can enable harmful leadership, and identifies what those aspects of harmful behaviours are. In particular, it focuses on common, day-to-day forms of harmful mediocre leadership rather than more dramatic, but rarer, forms of destructive or toxic leadership.

The study was conducted over three phases. In study one (N=10) interviews using the critical incident technique identified harmful behaviours. Study two (N=10) identified perceived causal processes and outcomes of these processes. Study three was a validation check using two focus groups (n=7) and two further interviews (n=6).

Four dimensions of harmful behaviour were found: micromanagement, managing up but not down, low social and career support and reactive leadership. Several pathways to harm were found, including lessened employee confidence, motivation, collaboration, learning and development.

This research is limited by a small sample and data collected in one public sector system. But its implications are still meaningful. The research identified some ways that harmful leadership can occur, that is missed in existing studies of harmful leadership, which tend to focus on more toxic forms of harm. The role of NPM and other reforms as important shapers of current leadership behaviours are also discussed.

To address these behaviours further investment in leadership development, selection and performance management is recommended.

Social implications include the hindering of effective service delivery and limited ability to deal with increasingly dynamic and complicated problem.

Public sector leadership studies are often rose tinted, or describe what should be. Instead, this paper describes what sometimes is, in terms of day-to-day mediocre but harmful leadership.

The movement of profit‐orientated corporations into the fair trade value chain has caused some socially orientated fair trade organizations to question the direction the movement is taking. One organization at the forefront of the debate is Trade Aid (NZ), Inc. (hereafter Trade Aid), a New Zealand based socially orientated fair trade organization actively engaged in fair trade since the 1970s. This paper seeks to evaluate how Trade Aid is seeking to reformulate fair trade's vision of empowerment and partnership constructively.

A single case study approach is undertaken to examine how a socially orientated organization is adhering to and seeking to advance fair trade values. This research draws from the global value chain literature, which analyses how industries are governed. The relational co‐ordination or governance mode, which is characteristic of mutual dependency between supplier and buyer firms, is used as a framework for investigating the fair trade industry. Distinction is made between the corporate and social economy variants of the relational governance mode.

Trade Aid's commitment to producer groups is demonstrated through various initiatives the organization is undertaking as they work both with producer groups and corporate actors to expand the fair trade market. Trade Aid is part of a worldwide socially orientated movement seeking to reformulate the vision of fair trade.

To date the fair trade literature has largely focused on socially orientated fair trade organizations in the Northern hemisphere. This research contributes to a gap in the literature in that it examines Trade Aid and the way this organization is addressing mainstreaming.

This study aims to enhance the understanding of how co-created content (CCC) can facilitate relevant and meaningful customer experiences in social media brand communities (SMBCs). It investigates the characteristics of CCC and explores the effects they have on member engagement from an identity theories perspective.

A netnography of a university’s Facebook and Instagram accounts was undertaken to analyse exemplary content co-creation practice and resulting user reactions in an organic setting.

The analysis of CCC confirmed a strong presence of identity narratives and cues that can be categorised into university, sub-group and student role identity themes. Members’ identity-consistent reactions highlight that CCC can influence member perceptions of the distinctiveness, prestige and similarity of the identities they enact. University identity theme CCC allows members to project other member’s identity narrative, while sub-group and student-role identity theme CCC can help increase identity synergy.

The paper adds to the social media marketing literature that SMBC members are important integrators of symbolic resources that influence other members’ identity constructions and further their perceived relationships with the organisation and other members. Social media enables marketers to leverage members’ diverse identities to enhance customer experiences. The study’s single context focus may be a limitation.

The paper provides a useful framework for designing social media content that facilitates meaningful engagement.

The use of identity theories to enhance the understanding of CCC and its role in SMBCs is original. The paper generates new lines of future enquiries to advance theorisation of social media marketing.

In this study we demonstrate how the Health of the Nation Outcomes Scales for secure and forensic service users (HoNOS‐secure) tracks risk and recovery in men with mental illness and men with learning disability in a secure care pathway. Total and individual HoNOS‐secure item ratings made by multi‐disciplinary teams across the course of a period of admission (mean 15 months) for 180 men were examined. There was significant positive change on the clinical and risk‐related scales of HoNOS‐secure for patients in the learning disability care pathway (N = 48) between initial and final ratings. In the mental health care pathway (N = 132 patients) an apparent lack of change masked a more complex picture, where initial decline in HoNOS‐secure ratings was succeeded by significant improvement. Results suggest that it is challenging to measure clinical and risk‐related medium‐term clinical outcomes objectively for these patients, particularly in relation to core issues of treatment of mental disorder, and reduction of both problem behaviour and risk to others. However, it is important that practitioners continue to strive to demonstrate the benefits of care and treatment through appropriate outcomes measures.

In July 1999 the Australian Recordkeeping Metadata Schema (RKMS) was approved by its academic and industry steering group. The RKMS has inherited elements from and built on many other metadata standards associated with information management. It has also contributed to the development of subsequent sector specific recordkeeping metadata sets. The importance of the RKMS as a framework for mapping or reading other sets, and also as a standardised set of metadata available for adoption in diverse implementation environments, is now emerging. This paper explores the context of the Australian SPIRT1 Recordkeeping Metadata Project, and the conceptual models developed by the SPIRT Research Team as a framework for standardising and defining recordkeeping metadata. It then introduces the elements of the SPIRT Recordkeeping Metadata Schema and explores its functionality, before discussing implementation issues and future directions

The investigation reported here aims to: adapt existing recruitment theory to add to tools available to small business recruiters for job matching; provide job‐specific scoring methods to help employers in recruitment processes; and enhance the consideration of reasonable adjustment issues in the possible employment of disabled individuals.

A total of 32 interviews were conducted on‐site with managers to devise and test templates combining person specifications with job characteristics, based on managers' judgements of what is important. The methods devised and used are an original adaptation of repertory grid principles. Where there were disabled employees, indications of the employees' success and difficulty were elicited.

A simplified derivative of repertory grid method to give a combined abilities/tasks matrix was found usable and clarifying by respondents.

The investigation was confined to hotel and leisure small to medium‐sized enterprises in Sussex, UK. As they stand, the methods could be used in business sectors beyond the sector to which the research reported in this paper has been confined, but further work is needed on resource consequences, and on the implications for state benefits and related support in the case of disabled applicants.

Results of the analysis could be used almost immediately by a company: for future applicants, the company could make direct use of the completed matrix by scoring the applicant on the matrix variables, superimposing the applicant matrix on the requirements matrix, and calculating the percentage of desirable scores met.