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Article
Publication date: 1 December 2007

James George, Ian Sturgess, Sarbjit Purewal and Helen Baxter

This article reports an important multi‐centre practice‐based review that identifies good practice and an ideal pathway for the healthcare of frail older people, which, if…

113

Abstract

This article reports an important multi‐centre practice‐based review that identifies good practice and an ideal pathway for the healthcare of frail older people, which, if replicated nationally, could result in improved quality of care and better value for money for the NHS. Data on healthcare resource groups (HRGs) in England were examined as a marker for the management of elderly people through the healthcare system. Care pathways in several different NHS trusts were explored via staff interviews. A high variation in treatment outcomes across centres was found. Principles of best practice were identified and include: comprehensive geriatric assessment; the availability of specialist geriatric teams and wards; and shared assessment and co‐ordination between care agencies.

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Quality in Ageing and Older Adults, vol. 8 no. 4
Type: Research Article
ISSN: 1471-7794

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Article
Publication date: 1 December 2007

Sue Baxter and Helen Carr

Support providers have a whole range of legal and professional responsibilities to those to whom they provide services, to their employees and to their co‐workers. However, these…

213

Abstract

Support providers have a whole range of legal and professional responsibilities to those to whom they provide services, to their employees and to their co‐workers. However, these responsibilities may be in conflict. Although the need to protect vulnerable service users from harm is important, it should be observed within a framework that protects human rights. This tension is further exacerbated by recognition that some vulnerable people are sometimes incapable of making their own decisions. Providers face the daily challenge of promoting autonomy while protecting the health and well‐being of service users.

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Housing, Care and Support, vol. 10 no. 3
Type: Research Article
ISSN: 1460-8790

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Article
Publication date: 25 January 2008

Mark Mugglestone, Lynne Maher, Nick Manson and Helen Baxter

The purpose of this paper is to provide an overview of a structured improvement process that is used in all programmes of work of the NHS Institute for Innovation and Improvement…

2240

Abstract

Purpose

The purpose of this paper is to provide an overview of a structured improvement process that is used in all programmes of work of the NHS Institute for Innovation and Improvement (NHS Institute).

Design/methodology/approach

This paper outlines the background to the development of the improvement process, specifically how learning from the domains of new product development, user centred design and innovation and creativity have been incorporated into the process.

Findings

There are key elements of evidence and experience that can be taken from other domains and incorporated into a structured approach to healthcare improvement.

Practical implications

An improvement process is outlined that could be used as a basis for any healthcare improvement effort, and will help to ensure the development of better solutions more quickly.

Originality/value

This paper introduces a process that will help anyone interested in improving healthcare create better solutions to the challenges they face in shorter timescales.

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Clinical Governance: An International Journal, vol. 13 no. 1
Type: Research Article
ISSN: 1477-7274

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Article
Publication date: 1 December 2007

Gary Lashko

44

Abstract

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Housing, Care and Support, vol. 10 no. 3
Type: Research Article
ISSN: 1460-8790

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Article
Publication date: 10 August 2015

Daniela Sangiorgi

The aim of this work is to provide an initial picture of how some design agencies are contributing toward a paradigm shift and how they are developing in the future to better…

3398

Abstract

Purpose

The aim of this work is to provide an initial picture of how some design agencies are contributing toward a paradigm shift and how they are developing in the future to better inform design policies and interdisciplinary work. There is a general agreement that the current government and public sector structure and modes of operation need radical transformation. In this scenario, a shift from New Public Management towards New Public Governance paradigm has been auspicated. Design has attracted attention as a potential approach to support this transformation, but research into Service Design, as well as discussions on its future development, for public sector innovation is limited. This paper is an exploratory study into the individual work of seven representative UK design agencies operating for and within the public sector.

Design/methodology/approach

The paper reviews literature on public sector reform and innovation to inform comparative studies of contemporary design agencies working for public sector reform. Interviews with seven designers from NHS Institute for Innovation and Improvement, Participle, Innovation Unit, Uscreates, Collaborative Change, Futuregov and Snook are conducted to review their perceived role for public sector reform, their design approaches, exemplar projects and main challenges.

Findings

Emerging design strategies for Public Sector reform are: a collaborative design approach that considers all stakeholders as equal co-creators of public value; operating at different complementary levels to aim at systemic change; designing from the inside out (innovation culture) and outside in (market change). These different strategies imply the development of possible different business models. Existing creative tensions appear between embedding and outsourcing strategies, acting as facilitators vs designers, developing both designing and service delivery roles.

Research limitations/implications

This paper is based on a limited sample of design agencies, and it is not a systematic study into the impact of their design work, which should be the object of a following study.

Practical implications

This paper brings Service Design practice into public sector innovation debate to inform future interdisciplinary research and innovation policies. It positions existing design innovation strategies within the wider picture of public sector reform to support a more informed design practice.

Originality/value

Few studies have looked at the UK design agencies for public sector innovation and discussed their possible future developments. This paper provides an original and holistic description of design for public sector innovation with considerations on how it should be interpreted when developing supporting innovation and design policies.

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Foresight, vol. 17 no. 4
Type: Research Article
ISSN: 1463-6689

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Article
Publication date: 5 January 2022

Renee O’Donnell, Kostas Hatzikiriakidis, Melissa Savaglio, Dave Vicary, Jennifer Fleming and Helen Skouteris

To reduce rates of homelessness, recent efforts have been directed toward developing non-conditional supported housing programs that prioritize the delivery of housing support and…

270

Abstract

Purpose

To reduce rates of homelessness, recent efforts have been directed toward developing non-conditional supported housing programs that prioritize the delivery of housing support and individual services, without tenancy conditions (i.e. maintaining sobriety and adhering to mental health treatment). As promising as these programs are, findings generally show that while housing stability is improved, other individual outcomes remain largely unchanged. No review to date has synthesized the collective evidence base of non-conditional housing programs, rather the focus has been on specific programs of delivery (e.g. Housing First) or on specific population groups (e.g. those with mental illness). The purpose of this paper is to evaluate the extent to which non-conditional housing interventions improve housing and well-being outcomes for all persons.

Design/methodology/approach

A systematic search of the literature was conducted for randomized controlled studies that evaluated the effectiveness of a non-conditional housing intervention in improving housing and health outcomes among any participant group.

Findings

A total of 31 studies were included in this review. Non-conditional supported housing programs were found to be most effective in improving housing stability as compared to health and well-being outcomes. Policymakers should consider this when developing non-conditional supported housing programs and ensure that housing and other health-related outcomes are also mutually supported.

Originality/value

This is the first review, to the authors’ knowledge, to synthesize the collective impact of all non-conditional supported housing programs. The current findings may inform the (re)design and implementation of supported housing models to prioritize the health and well-being of residents.

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Housing, Care and Support, vol. 25 no. 1
Type: Research Article
ISSN: 1460-8790

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Book part
Publication date: 4 April 2017

Helen M. Kinsella

During the four years of preliminary meetings that led to the 1977 Protocols Additional I and II governing internal armed conflict, the prohibitions against superfluous injury and…

Abstract

During the four years of preliminary meetings that led to the 1977 Protocols Additional I and II governing internal armed conflict, the prohibitions against superfluous injury and unnecessary suffering – two concepts that gird the regulation and moderation of war and limit the use of certain means and methods of warfare – were invoked as a means of calling into account the actions of imperial states. These meetings took place in the context of the conflicts in Southeast Asia, following the wars of decolonization and national liberation in the 1950s and 1960s. The participants in these meetings were freedom fighters and liberation movements who used this forum, which was open to them for the first time, to push for a wider understanding of the concepts of superfluous injury and unnecessary suffering. Their intention was to hold imperialism and imperial states accountable for suffering and injury beyond that of physical death or wounding and to recognize the violence of colonization and the social and cultural devastation it brought. These interventions were a critical attempt to broaden and deepen the meaning of the laws of war, to make them responsive to more than established sovereign state violence, and to ensure that they reflected the experience of colonization/decolonization. This episode matters because the prohibitions against unnecessary suffering and superfluous injury are two elements that detail the general prohibition first codified in 1907 Hague Convention IV, Article 22, namely that the “the right of belligerents to adopt means of injuring the enemy is not unlimited.” However, the history and formulation of these two concepts has yet to be fully explored, the meaning of each is debated, and taken together the two are among “the most unclear and controversial rules of warfare.”

Details

International Origins of Social and Political Theory
Type: Book
ISBN: 978-1-78714-267-1

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Available. Content available
Book part
Publication date: 9 November 2023

Abstract

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Trans Athletes’ Resistance
Type: Book
ISBN: 978-1-80382-364-5

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Article
Publication date: 18 April 2018

Sumin Helen Koo

The purpose of this paper is to understand people’s preferred design and functional features for mosquito-bite protective clothing.

250

Abstract

Purpose

The purpose of this paper is to understand people’s preferred design and functional features for mosquito-bite protective clothing.

Design/methodology/approach

Total 348 participants were asked through an online survey about their perceptions and behaviors related to mosquito bite prevention, preferred design and functional features for clothing, preferred design and functional features for smart clothing, preferred types of transferred data, and their demographic backgrounds. A series of t-tests and analyses of variance were computed using IBM’s SPSS 24.0.

Findings

There were significant differences in functional and design preferences among participants (p<0.05~0.001). The results suggest developing mosquito protective clothing as long pants for married people and outerwear for younger groups (10-40s), long-sleeved tops for all, and using thick fabrics for younger people than those over the 50s. Designers can develop smart clothing that can repel mosquitos through scents and cover the body, or as smart watches or wristbands to protect against mosquito bites. The connected software can present data about the mosquito numbers around the user, distances between the user and mosquitos, and product status. Marketers can target parents who showed more willingness to use the mosquito-bite protective clothing than individuals without children.

Originality/value

The outcomes of the study will help designers when developing mosquito-bite protective clothing and ultimately decrease the rate of diseases transmitted by mosquitos.

Details

International Journal of Clothing Science and Technology, vol. 30 no. 2
Type: Research Article
ISSN: 0955-6222

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Article
Publication date: 1 April 2003

Helen Burchett

This paper aimed to identify the key elements that should be included in a fruit and vegetable‐promoting programme in British primary schools. Such a programme could be used in…

3210

Abstract

This paper aimed to identify the key elements that should be included in a fruit and vegetable‐promoting programme in British primary schools. Such a programme could be used in healthy schools schemes or “five‐a‐day” programmes. Five US school intervention studies were analysed to identify their most effective elements. Four of the five studies found that their intervention had a significant effect on fruit and vegetable consumption. All the studies were behaviourally focussed and used interactive teaching methods and were based on social cognitive theory. Targeting fruit and vegetable consumption appeared to be more effective than broader lifestyle/healthy eating interventions. All studies, except one, increased the availability of fruit and vegetables at school lunches but none increased their availability at snack times and breakfast. Three studies taught preparation skills. All included taste testing activities which aim to increase familiarity and so increase taste preferences. Four used role models to promote fruit and vegetables and two gave rewards for consumption. One study attempted to improve the sensory properties of fruit and vegetables at lunch through preparation techniques. Two studies included a community involvement component and four involved families in the intervention. Results from two of the studies showed that interventions must be maintained over time if effects are to be maintained. Greater effects were seen for fruit consumption than vegetable consumption except for one study which focussed specifically on vegetables.

Details

Health Education, vol. 103 no. 2
Type: Research Article
ISSN: 0965-4283

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