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Article
Publication date: 15 March 2023

Mick McKeown, Charlotte Byrne, Holly Cade, Jo Harris and Karen Wright

Secure mental health services in one UK region have acted within a network to develop a range of involvement practices. A new quality benchmarking tool has been created to…

169

Abstract

Purpose

Secure mental health services in one UK region have acted within a network to develop a range of involvement practices. A new quality benchmarking tool has been created to appraise the implementation of these involvement practices. The purpose of this paper is to report upon a qualitative evaluation of this development.

Design/methodology/approach

Staff and service users involved in the co-production of the benchmarking tool were engaged in a series of focus groups and participatory inquiry approaches enacted in the course of scheduled network meetings. Data thus collected was subject to thematic analysis.

Findings

Four distinct themes were identified which were titled: Taking time, taking care; The value not the label; An instrument of the network; and All people working together. These are discussed in relation to recent theorising of co-production.

Research limitations/implications

Effectively, this study represents a case study of developments within one region. As such, the findings may have limited transferability to other contexts.

Practical implications

Staff and service users can work together effectively to the benefit of each other and overall forensic services. The benchmarking tool provides a readymade mechanism to appraise quality improvements.

Social implications

Despite a prevailing culture of competition in wider health-care policy, cooperation leads to enhanced quality.

Originality/value

The benchmarking tool is a unique development of a longstanding involvement network, demonstrating the positive implications for enacting co-production within secure services.

Details

The Journal of Forensic Practice, vol. 25 no. 2
Type: Research Article
ISSN: 2050-8794

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Article
Publication date: 1 June 2001

Lorraine Cale and Jo Harris

This paper provides an update on the major developments in exercise recommendations for young people, and in particular, focuses on the most recent guidelines which have been…

3463

Abstract

This paper provides an update on the major developments in exercise recommendations for young people, and in particular, focuses on the most recent guidelines which have been developed in England by the Health Education Authority (HEA). The recommendations are contained within the HEA’s policy framework for the promotion of health‐enhancing physical activity for young people, Young and Active?, which aims to maximise the opportunity for participation in health‐enhancing physical activity. The paper discusses the practical application of the guidelines and provides ideas as to how they can be implemented by physical educators and health professionals. It proposes that the recommendations are more realistic, flexible, appealing and attainable than previous guidelines and that they signal significant progress in the field of exercise prescription for young people. However, cautions and messages highlighted in earlier reviews in the area still hold.

Details

Health Education, vol. 101 no. 3
Type: Research Article
ISSN: 0965-4283

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Article
Publication date: 1 February 1988

Joseph W. Palmer

The classics will circulate wrote a public librarian several years ago. She found that new, attractive, prominently displayed editions of literary classics would indeed find a…

52

Abstract

The classics will circulate wrote a public librarian several years ago. She found that new, attractive, prominently displayed editions of literary classics would indeed find a substantial audience among public library patrons.

Details

Collection Building, vol. 9 no. 1
Type: Research Article
ISSN: 0160-4953

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Article
Publication date: 1 October 2001

Adrian West

This critical review considers the limitations and advantages of the clinical, actuarial and structured clinical judgement approaches as they are applied to the assessment of risk…

179

Abstract

This critical review considers the limitations and advantages of the clinical, actuarial and structured clinical judgement approaches as they are applied to the assessment of risk in general and sex‐offenders in particular. It concludes by endorsing an inclusive approach, acknowledging that a central ethic of clinical practice is that it should be based on a current knowledge of the research literature (Singer, cited in Douglas et al. 1999).

Details

The British Journal of Forensic Practice, vol. 3 no. 3
Type: Research Article
ISSN: 1463-6646

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Article
Publication date: 6 December 2018

Martin Stevens, Jo Moriarty, Jess Harris, Jill Manthorpe, Shereen Hussein and Michelle Cornes

The purpose of this paper is to explore the impact of personalisation policy on the providers of social care services in England, mainly to older people, within the context of…

286

Abstract

Purpose

The purpose of this paper is to explore the impact of personalisation policy on the providers of social care services in England, mainly to older people, within the context of austerity and different conceptions of personalisation.

Design/methodology/approach

The paper draws on part of a longitudinal study of the care workforce, which involved 188 interviews with managers and staff, undertaken in two rounds.

Findings

Four themes were identified: changing understandings and awareness of personalisation; adapting services to fit new requirements; differences in contracting; and the impact on business viability.

Research limitations/implications

The paper reflects a second look at the data focussing on a particular theme, which was not the focus of the research study. Furthermore, the data were gathered from self-selecting participants working in services in four contrasting areas, rather than a representative sample.

Practical implications

The research raises questions about the impact of a commercial model of “personalised care”, involving personal budgets (PBs) and spot contracts, on the stability of social care markets. Without a pluralistic, well-funded and vibrant social care market, it is hard to increase the consumer choice of services from a range of possible providers and, therefore, fulfil the government’s purposes for personalisation, particularly in a context of falling revenues from local authorities.

Originality/value

The research presents an analysis of interviews with care providers and care workers mainly working with older people. Their views on personalisation have not often been considered in contrast to the sizeable literature on PBs recipients and social workers.

Details

Working with Older People, vol. 23 no. 1
Type: Research Article
ISSN: 1366-3666

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Article
Publication date: 25 May 2021

Brigitte Harris, Elizabeth Anne Childs, Jo Axe and Charlotte Gorley

This project engaged faculty, students, alumni and staff in re-visioning their university's learning, teaching and research framework. An extensive consultation process allowed…

158

Abstract

Purpose

This project engaged faculty, students, alumni and staff in re-visioning their university's learning, teaching and research framework. An extensive consultation process allowed participants to explore, discuss and critically reflect on effective practice.

Design/methodology/approach

This action research project provided a process for university community members to engage in practice conversations. In phase 1, focus groups and campus community discussions elicited the diverse perspectives of the community. The design-thinking process of discovery, ideation and prototyping aligned with the action research cycles to help a working group create a learning and teaching framework prototype based on the findings. In the second phase, surveys were used to elicit community members' responses to the prototype, which was then refined.

Findings

The prototype was organized into three overarching categories, each containing several attributes. The attributes of the “Applied and Authentic” category were: interdisciplinary and transdisciplinary; experiential and participatory; flexible and individualized; outcomes based; and openly practiced. The attributes of the “Caring and Community-Based” category were: inclusive and diverse; community-based; supportive; team-based; co-creative; and place and virtual space-based. The attributes of the “Transformational” category were socially innovative; respectful of Indigenous peoples and traditions; impactful; and reflective.

Originality/value

This article should interest higher education institutions seeking to engage faculty, staff, students and others in practice conversations to develop a learning, teaching and research strategy. This research demonstrated that fostering practice conversations among diverse community members can be a powerful process for creating a common and integrated vision of excellent learning, teaching and research practice.

Details

Journal of Applied Research in Higher Education, vol. 14 no. 2
Type: Research Article
ISSN: 2050-7003

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Article
Publication date: 22 October 2019

Jo Moriarty, Jill Manthorpe and Jess Harris

The purpose of this paper is to describe some of the changes to the content and delivery of care work in the context of developments in the wider labour market.

163

Abstract

Purpose

The purpose of this paper is to describe some of the changes to the content and delivery of care work in the context of developments in the wider labour market.

Design/methodology/approach

A total of 240 interviews with social care practitioners and managers were undertaken at Time 1 (T1) (2009–2012) and Time 2 (T2) (2011–2014) in four local council sites in England. A final round of interviews (T3) with managers (n=60) and staff (n=60) took place between 2015 and 2018.

Findings

The way in which many workers found meaning and satisfaction within their work was an important way by which many of them tempered dissatisfaction with pay, status and working conditions. Some workers used the concepts of ethical practice and vocation to differentiate themselves from other workers and organisations whom they considered lack these qualities and from what they saw as a wider societal perception that their work was unskilled and unfulfilling.

Research limitations/implications

The interview data may not be generalisable or totally representative of care staff. Those employers who agreed to participate may have been more committed to workforce development and valued their staff more highly. Nonetheless, data were sector wide and there were sizeable numbers of participants.

Practical implications

Pride and job satisfaction are important aspects of job satisfaction in care work and could be fostered in care services and by older people.

Social implications

Negative perceptions of care work within society may act as a barrier to recruitment and retention. Older people might help raise the positive profile of care work.

Originality/value

This is a unique data set from which to document long-term determinants of job satisfaction in care work.

Details

Working with Older People, vol. 23 no. 4
Type: Research Article
ISSN: 1366-3666

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Article
Publication date: 16 December 2024

Michael Clark, Michelle Cornes, Michela Tinelli, Jo Coombes, Stan Burridge, Raphael Wittenberg, Jess Carlisle and Jess Harris

People experiencing homelessness often have multiple health and other support needs, requiring complex, coordinated support. Admission to hospital is potentially an opportunity to…

9

Abstract

Purpose

People experiencing homelessness often have multiple health and other support needs, requiring complex, coordinated support. Admission to hospital is potentially an opportunity to address these needs and begin integrating care, but so often it is a missed one. Our purpose in this research was to evaluate an ongoing, roll-out programme that offered government funding to 17 “test sites” across England to develop integrated care as part of post-discharge “step-down” support. In this paper, we examine senior stakeholder experiences of seeking to implement integrated care as part of specialist step-down care.

Design/methodology/approach

In this paper, we focus on data collected in interviews with key stakeholders (N = 10) who managed the mobilisation of local out of hospital care models for people experiencing homelessness. Interviews were conducted and analysed from a relational perspective, that is focusing on relationships between interactants, through which, for example, identities, understanding and integrating practice emerge.

Findings

A relational perspective on the data provides insights to better understand the complexity of integrating care at the point of hospital discharge for people experiencing homelessness.

Research limitations/implications

Although in depth, the data were limited to certain perspectives on the issues. Other perspectives and data collection from in-depth study of case sites would be invaluable in developing the empirical evidence base for a relational understanding of integrating care.

Practical implications

A relational perspective highlights the emergent and ongoing nature of integrating care in this context of support for people experiencing homelessness. The need for different system agents to work to be constantly enacting the desired support is crucial to understanding future system changes for integrating care.

Originality/value

This is the first paper developing a relational analysis of integrating care. It highlights a different theoretical perspective on the issues and important insights.

Details

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

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Article
Publication date: 1 July 2001

Cath McGrother, Cathy Thorp, Nick Taub and Orlando Machado

Evidence from a variety of sources suggests that there has been an increase of around 1% per annum in the prevalence of learning disability (LD) in adults over the last 35 years…

317

Abstract

Evidence from a variety of sources suggests that there has been an increase of around 1% per annum in the prevalence of learning disability (LD) in adults over the last 35 years, due mainly to increases in survival. This trend is likely to continue for at least another ten years. Ninety‐six percent of adults notified to the Leicestershire LD register have an estimated IQ below 50 or need supervision every day to remain safe. Three‐quarters have additional significant disabilities including behaviour problems, psychological symptoms, physical dependencies or epilepsy. In one quarter the behaviour problem poses a major challenge to the achievement of an ordinary life. Two‐thirds indicate a need for help from one or other specialist. Informal carers are actively providing care for nearly half the adults, but a quarter are not content with care‐giving. Carers Report 40% more limiting health problems than their counterparts in the general population, in particular depression in women and cardiovascular problems in men. The specific areas of unmet need among carers Reporting depression are for financial help, long‐term social support and medical advice. Resource allocation for this client group needs to be reviewed in the light of substantial and unrecognised increases in prevalence which are continuing to occur, and the need for long‐term support.

Details

Tizard Learning Disability Review, vol. 6 no. 3
Type: Research Article
ISSN: 1359-5474

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Article
Publication date: 10 October 2016

Jill Manthorpe, Esther Njoya, Jess Harris, Caroline Norrie and Jo Moriarty

The purpose of this paper is to present an analysis of media reactions to the BBC Television Panorama programme, Behind Closed Doors’ and to set this in the context of interviews…

423

Abstract

Purpose

The purpose of this paper is to present an analysis of media reactions to the BBC Television Panorama programme, Behind Closed Doors’ and to set this in the context of interviews with care staff about their reflections on publicity about poor practice in the care sector.

Design/methodology/approach

This paper reports on an analysis of media reactions to recent exposé of abuse in social care in England and data from an interview-based study of care workers. The interviews were analysed to consider the impact of such media reports on staff and to explore their views of action that might be need to be taken about care failings.

Findings

There are mixed reactions to exposé of poor care on television and to the debates that precede and follow their broadcast. Debates occur in print and on television, but also in social media. The particular exposé of care home practices by the Panorama programme, Behind Closed Doors, led to debate in England about the potential role of covert cameras in care homes. The interviews revealed that while care staff are affected by scandals in the media about social care, they do not necessarily focus on themes that the media stories subsequently highlight. Overall some are disenchanted while others have ideas of what needs to change to improve practice. Care staff consider that there remain problems in raising concerns about practices and some staff feel unable to stay in workplaces where they have made complaints.

Research limitations/implications

The care workers interviewed may not be representative of the sector and they may have wished to provide socially acceptable answers to the researchers. Practice was not observed.

Practical implications

Local Safeguarding Adult Boards may wish to develop a communications strategy to deal with requests for reactions to media reports locally and nationally. Safeguarding practitioners may wish to prepare for increased referrals following media coverage of poor care in their areas. They may later be able to use media reports to discuss any local differences of interpretation over matters such as prosecutions for abuse. Trainers and educationalists may wish to clarify the importance given by care providers to raising concerns, the ways in which difficult conversations can be held, and the protections available to whistle-blowers or those raising concerns – with local examples to provide assurance that this is not mere rhetoric.

Originality/value

Television reports of problems with social care attract wide media interest but the authors know very little about how care workers respond to depictions of their work and their occupational grouping. This paper links media and expert commentator reactions to television exposé with data acquired from interviews with those on the frontline of care.

Details

The Journal of Adult Protection, vol. 18 no. 5
Type: Research Article
ISSN: 1466-8203

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