Matt Fossey, Lauren Godier-McBard, Elspeth A. Guthrie, Jenny Hewison, Peter Trigwell, Chris J. Smith and Allan O. House
The purpose of this paper is to explore the challenges that are experienced by staff responsible for commissioning liaison psychiatry services and to establish if these are shared…
Abstract
Purpose
The purpose of this paper is to explore the challenges that are experienced by staff responsible for commissioning liaison psychiatry services and to establish if these are shared by other health professionals.
Design/methodology/approach
Using a mixed-methods design, the findings from a mental health commissioner workshop (n = 12) were used to construct a survey that was distributed to health care professionals using an opportunistic framework (n = 98).
Findings
Four key themes emerged from the workshop, which was tested using the survey. The importance of secure funding; a better understanding of health care systems and pathways; partnership working and co-production and; access to mental health clinical information in general hospitals. There was broad convergence between commissioners, mental health clinicians and managers, except in relation to gathering and sharing of data. This suggests that poor communication between professionals is of concern.
Research limitations/implications
There were a small number of survey respondents (n = 98). The sampling used an opportunistic framework that targeted commissioner and clinician forums. Using an opportunistic framework, the sample may not be representative. Additionally, multiple pairwise comparisons were conducted during the analysis of the survey responses, increasing the risk that significant results were found by chance.
Practical implications
A number of steps were identified that could be applied in practice. These mainly related to the importance of collecting and communicating data and co-production with commissioners in the design, development and monitoring of liaison psychiatry services.
Originality/value
This is the first study that has specifically considered the challenges associated with the commissioning of liaison psychiatry services.
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A criticism of using women’s views as an assessment of the maternity services in the UK is that the views of some have been under‐represented and inappropriately researched, in…
Abstract
A criticism of using women’s views as an assessment of the maternity services in the UK is that the views of some have been under‐represented and inappropriately researched, in particular those from minority ethnic groups. In addition, there is criticism that “what” has been assessed within the maternity services, and other health‐care arenas, has been driven by the perspective of those who provide the service rather than those who use it. The purpose here is to explore integrating Pakistani and indigenous “white” women’s views with the Donabedian‐Maxwell grid, as a means of offering a consumer‐focused template for underpinning quality assessment and quality assurance strategies for the maternity services in the UK.
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The British pub is part of the face of Britain presented to the world and the theme running through this article is to set British pubs within the context of heritage tourism. The…
Abstract
The British pub is part of the face of Britain presented to the world and the theme running through this article is to set British pubs within the context of heritage tourism. The thesis contained within this article is to focus on one of the elements of community life, the pub, in order to examine its characteristics and value within the wider spectrum of visitor attractions set within the context of the tourism industry. The article reviews the literature in ascertaining whether the British pub is a tourist attraction for overseas visitors, and why. Whilst the pub has an important role in domestic tourism, the main emphasis of this article is on the national factors that predetermine its survival and the nature of its appeal to visitors from abroad.