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The concept of care has attracted considerable policy and professional interest recently and there has been growing attention both to the needs of carers and how they may sometimes conflict with those of service users. This paper draws on initial research findings to examine experiences of care in mental health for men and women and for carers and users.

This paper reports a small pilot study exploring ways that staff providing mental health services experience change. Group discussions focused on the drive toward service user involvement in mental health services. Discussions were held with two teams of professionals and indicate that mental health professionals experience a tension in balancing service user involvement with other dimensions of their roles and identities. Key issues include:• staff as potential, or past, service users themselves• service user involvement as a challenge to professional identities• change as being inherently difficult within ‘stuck’ systems• change as having an emotional, as well as instrumental, effect.Implications for practitioners in engaging with the involvement agenda are discussed, and highlight key issues for workforce training.

In this article we explore how inpatient mental health services in England and Wales are interpreting and responding to policy derived from Mainstreaming Gender and Women's Mental Health (DH, 2003) in relation to women's safety in inpatient settings. This article will outline the background to concerns about safety in mental health settings for women and drawing on relevant literature and on interviews with service managers, practitioners and users identify some current issues in improving safety for women in inpatient settings and in creating single sex provision. Our review suggests that whilst there are improvements in provision for women in inpatient settings, some women are still not being offered a real choice of a women‐only setting on admission to hospital, and that changing the culture that permits a lack of physical and relational safety for women presents real challenges. We will discuss some of the implications for future practice.

Communications regarding this column should be addressed to Mrs. Cheney, Peabody Library School, Nashville, Term. 37203. Mrs. Cheney does not sell the books listed here. They are available through normal trade sources. Mrs. Cheney, being a member of the editorial board of Pierian Press, will not review Pierian Press reference books in this column. Descriptions of Pierian Press reference books will be included elsewhere in this publication.

According to what is reported by the North America Oral History Association, oral history was established in 1948 as a modern technique for historical documentation when Columbia University historian Allan Nevins began recording the memoirs of people who had played a significant role in American public life. While working on a biography of President Grover Cleveland, Nevins found that Cleveland's associates left few of the kinds of personal records – private correspondences, diaries, and memoirs – that biographers generally rely on for their historical reconstructions. Nevins thus came up then with the idea of filling the gaps in the official records with narratives and anecdotes from living memory. Accordingly, he conducted his first interview in 1948 with New York civic leader George McAneny, and both the Columbia Oral History Research Office – the largest archival collection of oral history interviews in the world – and the contemporary oral history movement were born (Thomson, 1998).

Little is known about complaints made by psychiatric patients. The aim of this study is to analyse complaints made by, or behalf of, inpatients at a large independent psychiatric hospital.

The hospital's complaints register was used to identify and study complaints made during 2006. A descriptive analysis was performed.

Of the 392 complaints, 39 per cent related to staff behaviour, 26 per cent to clinical matters, 18 per cent to the behaviour of other patients and the remaining 16 per cent to the physical environment and facilities. Action as a result of complaints was mainly taken at unit level but in 9 per cent of cases organisation‐wide improvements were made, for example to enrich patient treatment programmes, rectify staff shortages and improve the quality of meals.

The study took place in a specialist hospital and so the findings cannot be generalised to the wider NHS. Important differences exist between complaints made in psychiatric as opposed to general hospital settings.

Complaints are a valuable source of organisational learning for mental health services.

Given the paucity of literature on complaints in psychiatry, this study describes some in detail the nature of patients' complaints and one organisation's actions to improve patient services as a result of these complaints.

In this chapter, we examine how the concept of heroism was defined and used during the Covid pandemic in 2020, particularly in connection with the nursing profession. We begin with a sociological examination of heroism and courage. Using textual data from US newspapers, we then compare current constructions of nurses as heroes with views of them during the Spanish flu pandemic of 1918. The analysis will show that during the earlier pandemic nurses were seen as essential health workers who were in great demand, but there was little reference to them being heroic. However, with Covid, nurses were often presented in the media as heroes. This was largely done by transposing the ‘emotion codes’ (Loseke, 2009) of warfare on the Covid crisis. Emotion codes like ‘fighting the enemy at home’, ‘sacrifice’, ‘bravery’ and ‘service to the country’ were used rhetorically to construct the administration of medical care in the context of a pandemic as inherently courageous and heroic. We end by arguing that the expansion of the concepts of heroism and courage, especially in the context of a profession dominated by women, offers new possibilities for a less masculine orientation toward courage and heroism.

Mr. Cutter commences his classic “Rules” with a statement of the objects some or all of which a catalogue is intended to compass. I have put these objects in the form of “wants,” confining them, it will be observed, to the catalogue considered merely as a finding list I may go to the catalogue, then, with any of the following half‐dozen wants:—

The purpose of the paper is to present an alternative to the supply chain model of health care delivery that currently informs most thinking about the design of care processes.

The paper draws on arguments from systems theories and public administration, to generate an analysis of the nature of health care processes. It sets out a model of services characterised by treatment and care needs that vary over time, that are inherently uncertain, involve frequent assessment and re‐assessment, and provide patients and service providers with choices about treatment and care. Evidence from an evaluation of intermediate care is used to illustrate the analysis.

The analysis suggests that both the supply chain and a more network‐like model of health care processes can help us to understand health care processes. The two are complementary.

Largely conceptual in nature. The empirical evidence is taken from one study. The ideas are presented to stimulate thinking rather than to prove an argument.

The conceptualisation of care processes as network‐like has implications for the way in which we think about the design and performance of health care systems.

There have been few publications that seek to use both systems and network approaches to understand health care processes.