Reports on a regional health authority′s management developmentprogramme for GPs and practice managers which has contributedsubstantially to “consolidating the pioneering spirit”…
Abstract
Reports on a regional health authority′s management development programme for GPs and practice managers which has contributed substantially to “consolidating the pioneering spirit” in the first wave of fundholding practices.
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Lesley A. Duff, Marcia Kelson, Sarah Marriott, Aileen Mcintosh, Shona Brown, John Cape, Nella Marcus and Michael Traynor
National clinical guidelines can provide a way for health professionals, patients and users of services to work together to make decisions about care. For guidelines to have a…
Abstract
National clinical guidelines can provide a way for health professionals, patients and users of services to work together to make decisions about care. For guidelines to have a positive impact on the quality of care, however, it is important that they are valid. The validity of a guideline is determined by its evidence base. Patients and users of services can contribute evidence about the quality of care and its outcomes which can be used to enhance a guideline's validity. Patient evidence can be accessed from existing research studies, from studies designed expressly to examine patient views or from the direct contribution of patients and users of services to guideline development. A seminar was held to debate the timing and ways in which patients and users of services are most effectively, and to the satisfaction of all, involved in developing clinical guidelines. They key factors influencing the success of health care professionals, patients and users of services collaborating to develop guidelines were identified. These include: deciding who should represent an identified patient community, supporting patient representatives by ensuring that more than one representative joins a group, ensuring there are links with patient representative groups, and that all participants feel prepared and so on. The seminar also identified questions about collaborative working requiring further research.
Lesley Franklin and Penelope Tuck
Now that debt has replaced equity as the preferred source of finance for many UK companies, the correct calculation of the cost of debt assumes even greater importance than it has…
Abstract
Now that debt has replaced equity as the preferred source of finance for many UK companies, the correct calculation of the cost of debt assumes even greater importance than it has done formerly. While financial management textbooks are in agreement on how to calculate the pre‐tax cost of debt, there is much less agreement on how to calculate the after tax cost of debt. The different approaches taken by different authors leave students and practitioners confused and unsure as to how they should proceed. This article explores the calculation of the after tax cost of debt in order to help both students and practitioners to understand the interaction of tax and debt in the current UK environment and to be aware of the limitations of the various simplifications which are made, explicitly or implicitly, in the textbooks.
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At Shepparton in the Murray electorate of Victoria in 2007, the Federal Liberal Member, Sharman Stone, announced that under a returned Coalition Government, Shepparton ‘would get…
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At Shepparton in the Murray electorate of Victoria in 2007, the Federal Liberal Member, Sharman Stone, announced that under a returned Coalition Government, Shepparton ‘would get a stand‐alone technical college’. One year earlier, the Victorian Minister for Education, Lynn Kosky claimed that ‘We lost something when technical schools [the ‘techs’] were closed previously. Yes, the facilities were not great but we lost something that was important to young people’. This article explores the development and demise of ‘South Tech’, Shepparton South Technical School, 1966‐86 to identify the ‘something’ that Kosky claimed was lost, and to argue that technical education is essential in a reconstituted system.
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Francine Darroch, Sydney Smith, Audrey Giles and Heather Hillsburg
Mothers play important roles in their families' lives. When they are high performance athletes, they need specific supports that will enable them to excel in their roles as mother…
Abstract
Mothers play important roles in their families' lives. When they are high performance athletes, they need specific supports that will enable them to excel in their roles as mother athletes. The feminist qualitative research in this chapter is based on data from two studies drawn from semi-structured interviews with elite female distance runners: 14 in 2013–2014 and 11 in 2021. We address two questions: (1) what are the considerations that elite female distance runners make around planning their pregnancy(ies) and family lives? and (2) how have experiences shifted between athlete interviews in 2013–2014 and a new cohort of athletes in 2021? In order to address these questions, we drew on three complementary theoretical approaches: liberal feminism, radical feminism, and strategic essentialism. Further, we then used thematic analysis and generated three broader themes about elite female distance runners that aligned with both cohorts of athletes. First, athletes are forced to plan/strategize their pregnancies around finances, competitions, contracts, and spousal supports due to the lack of support from athletic governing bodies or corporate sponsors. Second, female athletes who choose to have children experience stress and uncertainty in their athletic careers that their male counterparts do not. Third, elite female athletes are demanding that further change occur to address these inequalities, and participants offered a number of potential solutions to improve supports for these athletes. Although solid progress has been noted in the timeframes of our two cohorts, further commitment from athletic governing bodies and corporate sponsors is needed to work toward gender equity in athletics.
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Pateka Pamella Jama, Lesley Wood and Annah Ndlovu Nkomo
This study aims to explore the NEET (Not in Education, Employment and Training) experiences of young people living in impoverished settings.
Abstract
Purpose
This study aims to explore the NEET (Not in Education, Employment and Training) experiences of young people living in impoverished settings.
Design/methodology/approach
Methodologically, this study was informed by a qualitative analysis of visual and textual data related to a body mapping exercise with eleven young people who were participants in a four-day start-up workshop in a larger action research project.
Findings
The findings reveal that, although being NEET negatively affects young people’s self-esteem, confidence, hope for the future and general well-being, body mapping can help them discover latent assets useful for reducing their insecurities.
Originality/value
Researchers using this method need to be well prepared to deal with possible emotional trauma, and to this end, we provide some guidelines for the effective implementation of body mapping.
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Liz Gill, Lesley White and Ian Cameron
This paper synthesises the literature on the issues related to the older patient, health service quality and its measurement. It discusses the need to consider these perspectives…
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This paper synthesises the literature on the issues related to the older patient, health service quality and its measurement. It discusses the need to consider these perspectives in the definition and assessment of quality of a community‐focused aged healthcare programme, and critically examines the existing evaluation of quality in healthcare, contrasting the patient's role and impact on the quality of the service and its outcome. The paper then reviews the documented problems associated with using satisfaction as an indicator of the patient's view of quality. An alternate validated approach to measuring the patient's perception of the quality of the service is identified in the services literature; this multidimensional hierarchical tool and scale, which specifically measures the patient's view of quality, is presented. The tool covers nine sub‐dimensions, four dimensions and the global perspective of quality as perceived by the patient. An adaptation of this tool is presented to measure the patient's view of quality using the relatively new Transition Aged Care programme as an example, and make the argument for the holistic measurement of transitional aged care quality, using a validated and reliable patient‐specific tool. Importantly, the paper proposes that the identification of the patient view of service quality will offer information that could specifically assist with service improvement.
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Professional training within the careers service has, in the past, followed a broadly similar pattern to the training undertaken by many other professions: a full‐time academic…
Abstract
Professional training within the careers service has, in the past, followed a broadly similar pattern to the training undertaken by many other professions: a full‐time academic course completed at an educational establishment, entry to which requires a degree or equivalent, followed by a year of probationary training. While there is no mandatory qualification for careers officers, nearly 80 per cent of them do hold the Diploma in Careers Guidance or its equivalent. This qualification is awarded by the Local Government Training Board (LGTB) on behalf of its Careers Service Training Council (CSTC). Members of the CSTC represent the careers service itself, and local and central government.
Machine tools exports are exceptionally buoyant, but the home sales graph continues to sink. This gives a headache to one of Britain's key industries that it will suffer from well…
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Machine tools exports are exceptionally buoyant, but the home sales graph continues to sink. This gives a headache to one of Britain's key industries that it will suffer from well into the seventies. Would a government aspirin help? Lesley Bernstein talks to the industry's top men. Pictures by Eric Lockrane and Eddie Ryle‐Hodges.
Successful fundraising is an ongoing, proactive process that requires a clear focus on donors' interests and aspirations. Key measures for timely goal attainment include…
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Successful fundraising is an ongoing, proactive process that requires a clear focus on donors' interests and aspirations. Key measures for timely goal attainment include researching prospective donors carefully, using volunteers effectively, and specifying requests when asking for gifts. Personal solicitations together with conscientious acknowledgments of donor gifts and volunteer efforts help expedite and sustain a fundraising campaign.