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On April 2008, the new statutory duty on local authorities and primary care trusts (PCTs) to work together with their local partners to produce a joint strategic needs assessment (JSNA) came into effect. The purpose of these JSNAs is to identify the unmet health and well‐being needs and inequalities of the whole local population, and to provide a sufficiently broad joint evidence base for a locality. This enables increased joint working and co‐operation among all partners leading to improved outcomes for that population. For the first time, commissioners have the opportunity to create a ‘level playing field’ for identifying unmet mental and physical health needs within the same assessment process. This paper lays out why the structure and policy framework underpinning JSNA may offer a stronger prospect of successful implementation than its predecessors. It uses the findings of a quality assurance audit of JSNAs conducted in the east of England as a real‐world reference point.

The purpose of this paper is to develop a typology of different family policy systems in Europe and evaluate their impact on the employment strategy of mothers with care responsibilities for dependent children.

The paper outlines a typology of family policy regimes in Europe – covering the 26 countries. A typology based on a cluster analysis of macro indicators of family policy – coverage of childcare, effective parental leave and spending on family policies. The cluster analysis is based on data from OECD family data base. Then follows an analysis of the impact of the different family policy regimes on mothers' employment strategies when they return into gainful employment, based on data from the European Social Survey, 2008.

The authors have identified four different family policy models: extensive family policy, long parental leave, family care, and cash for care. For each of the models, different strategies are found for take up of employment for mothers with dependent children.

The paper includes 26 European countries, thereby covering the East and Central Europe, which is not the case in most welfare typologies. Furthermore, the authors distinguish clearly in the analyses between the institutional dimension and the outcome – mothers' employment strategies.

Man has been seeking an ideal existence for a very long time. In this existence, justice, love, and peace are no longer words, but actual experiences. How ever, with the American preemptive invasion and occupation of Afghanistan and Iraq and the subsequent prisoner abuse, such an existence seems to be farther and farther away from reality. The purpose of this work is to stop this dangerous trend by promoting justice, love, and peace through a change of the paradigm that is inconsistent with justice, love, and peace. The strong paradigm that created the strong nation like the U.S. and the strong man like George W. Bush have been the culprit, rather than the contributor, of the above three universal ideals. Thus, rather than justice, love, and peace, the strong paradigm resulted in in justice, hatred, and violence. In order to remove these three and related evils, what the world needs in the beginning of the third millenium is the weak paradigm. Through the acceptance of the latter paradigm, the golden mean or middle paradigm can be formulated, which is a synergy of the weak and the strong paradigm. In order to understand properly the meaning of these paradigms, however, some digression appears necessary.

Man has been seeking an ideal existence for a very long time. In this existence, justice, love, and peace are no longer words, but actual experiences. How ever, with the American preemptive invasion and occupation of Afghanistan and Iraq and the subsequent prisoner abuse, such an existence seems to be farther and farther away from reality. The purpose of this work is to stop this dangerous trend by promoting justice, love, and peace through a change of the paradigm that is inconsistent with justice, love, and peace. The strong paradigm that created the strong nation like the U.S. and the strong man like George W. Bush have been the culprit, rather than the contributor, of the above three universal ideals. Thus, rather than justice, love, and peace, the strong paradigm resulted in in justice, hatred, and violence. In order to remove these three and related evils, what the world needs in the beginning of the third millenium is the weak paradigm. Through the acceptance of the latter paradigm, the golden mean or middle paradigm can be formulated, which is a synergy of the weak and the strong paradigm. In order to understand properly the meaning of these paradigms, however, some digression appears necessary.

The study applies the principles behind the SERVQUAL model and uses Donabedian’s framework to compare and contrast Malta’s public and private hospital care service quality. Through the identification of 16 service quality indicators and the use of a Likert‐type scale, two questionnaires were developed. The first questionnaire measured patient pre‐admission expectations for public and private hospital service quality (in respect of one another). It also determined the weighted importance given to the different service quality indicators. The second questionnaire measured patient perceptions of provided service quality. Results showed that private hospitals are expected to offer a higher quality service, particularly in the “hotel services”, but it was the public sector that was exceeding its patients’ expectations by the wider margin. A number of implications for public and private hospital management and policy makers were identified.

In this chapter, the authors focus on a range of Australian news articles selected for their relevance to key themes in the area of child abuse and examine two high profile cases of child abuse deaths that were extensively reported on by the media and led to system reform. Challenges for media reporting on child abuse in Australia including a changing media landscape, lack of available child abuse data and lack of publicly available serious case reviews are discussed. The authors argue that there is a need for attention to be paid to children's resistance and agency in the context of violence and abuse to counter the objectification of children and uphold their rights. Following Finkelhor (2008), the authors argue that media reporting on child abuse in Australia reflects a general approach to child abuse that is fragmented, with different types of abuse viewed as separate from one another, and call for a more integrated understanding of child abuse. The authors highlight the complexity of media responses to child abuse in Australia, noting that while the social problem of child abuse can be misrepresented by the media, media reporting has also triggered significant systemic reform and advocated for children in cases where other systems failed them.

The forensic nursing role is complex, creates tensions within itself and is underpinned by core values, knowledge, skills and personal attributes; often referred to as ‘good nurse’ characteristics (Smith & Godfrey, 2002). Forensic nurses perform unique, multifaceted roles; they are viewed by patients as ‘a source of treatment, comfort and advice’, but also as ‘part of the system that deprives them of their liberty’ (United Kingdom Central Council for Nursing, Midwifery and Health Visiting & University of Central Lancashire (UKCC & UCLAN), 1999: 42). This is problematic both for nurses and patients. Although appearing as opposites, security and therapeutic characteristics of nurses can and do co‐exist in forensic nursing (Peternelji‐Taylor & Johnson, 1996). Through critical analysis of dialogue from interviews and focus groups, this paper depicts forensic practice with people with a learning disability through a study that explores apparent ‘truths’ about such people detained in forensic settings (here referred to as ‘the men’) and the staff who work with them. Beliefs about nursing characteristics were exposed through discourses present in dialogue between the men and the staff. General research questions included: (1) What are the discourses related to learning disability and forensic practice? (2) What ideologies underpin and justify forensic practice? (3) What in particular are the positive discourses? Related discussion is primarily concerned with the way that staff and men share relationships and with characteristics of the nursing staff. Findings generally suggest that the staff may be viewed as prison wardens, leading to relationships of mistrust. Paradoxically, there are also positive discourses identifying warm and therapeutic relationships and good nurse characteristics of the staff. This may have practice implications, such as enabling staff to hear positive views expressed by the men and begin to develop metrics of ‘good’ forensic nurse characteristics that may positively affect treatment.

Front-of-packaging (FOP) is a critical branding tool that uses “cues” to communicate product attributes and establish distinct brand images. This paper aims to understand how food brands utilize cues and their relative proportions to hierarchically communicate brand image and belonging to particular subcategories.

A content analysis is used for analysing 543 food FOPs sold in Australia (breakfast cereals, chips, snack bars). Samples are collected and classified into product sub-categories defined by ingredients, consumer-audience and retail placement. A novel 10 × 10 coding grid is applied to each FOP to objectively analyse cue proportion, with statistical comparison undertaken between sub-categories.

Results reveal intrinsic cues are favoured over extrinsic cues, except for those in the eatertainment sub-category. Hierarchies are evidenced that treat product and branding cues as primary, with health cues secondary. Statistically significant differences in cue proportions are consistently evident across breakfast cereals, chips and snack-bar FOPs. Clear differentiation is evidenced through cue proportions on FOP for health/nutrition focused sub-categories and eatertainment foods.

“Cue utilization theory” research is extended to an evaluation of brand encoding (not consumer decoding). Design conventions reveal how cue proportions establish a dialogue of communicating brand/product image hierarchically, the trade-offs that occur, a “meso-level” to Gestalt theory, and achieving categorization through FOP cue proportions. Deeper understanding of packaging design techniques provides inter-disciplinary insights that extend consumer behaviour, retailing and design scholarship.

A study was carried out to determine the nature of medical prescribing errors identified by pharmacists in an NHS Hospital Trust. From the 587 errors detected in a one‐month period, eight were potentially grave, 151 were potentially very serious, 351 were potentially moderately serious and 77 were comparatively minor. This extrapolated to 7,044 prescribing problems a year and an estimated detected prescribing error rate of approximately 0.35 to 0.7 per cent. Pharmacists detected 63 per cent of these errors while working on wards and 36 per cent while in dispensaries. The main causes of errors were failure to obtain an accurate medication history, oversight and prescribing uncertainty. In the absence of guidelines, there was a tendency for the isolated hard‐pressed prescriber to guess or prescribe on a “that looks about right somehow” basis. This study has made medical staff more aware of the areas where they are most vulnerable to making prescribing errors. In addition, greater support is now being offered to junior doctors in checking medication histories and in creating prescribing guidelines.