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Article
Publication date: 18 April 2017

Mark Wilberforce, Jane Hughes, Paul Clarkson, David Whyte, Helen Chester, Sue Davies and David Challis

The purpose of this paper is to evaluate the implementation and potential value of an electronic referral system to improve integrated discharge planning for hospitalised older…

428

Abstract

Purpose

The purpose of this paper is to evaluate the implementation and potential value of an electronic referral system to improve integrated discharge planning for hospitalised older adults with complex care needs. This new technology formed part of the “Common Assessment Framework for Adults” policy in England.

Design/methodology/approach

Mixed methods were undertaken as part of a case study approach within an acute hospital in the North West of England. First, qualitative interviews were undertaken with practitioners to explore early experiences using the new technology. Second, routinely collected administrative data were analysed, comparing referrals made using the new technology and those made through the usual paper-based process.

Findings

Qualitative interviews found that an electronic discharge system has, in principle, the potential to improve the efficiency and suitability of integrated care planning. However, the implementation proved fragile to decisions taken elsewhere in the local care system, meaning its scope was severely curtailed in practice. Several “socio-technical” issues were identified, including the loss of valuable face-to-face communication by replacing manual with electronic referrals.

Research limitations/implications

The small number of patients referred during the implementation phase meant that patient outcomes could not be definitively judged. Research into the longer-term implications and value of electronic referral systems is needed.

Originality/value

There is concern that attempts to integrate health and social care are stymied by incompatible systems for recording service user information. This research explores a novel attempt to share assessment information and improve support planning across health and social care boundaries.

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Article
Publication date: 15 December 2014

Michele Abendstern, Christian Brand, Val Harrington, Rowan Jasper, Sue Tucker, Mark Wilberforce and David Challis

– The purpose of this paper is to identify features of community mental health teams (CMHTs) for older people valued by their managers, and those they would most like to change.

224

Abstract

Purpose

The purpose of this paper is to identify features of community mental health teams (CMHTs) for older people valued by their managers, and those they would most like to change.

Design/methodology/approach

Content analysis was used to analyse “free text” responses to open questions from a national survey about CMHTs’ organisational structures and processes. Responses were sorted into statements which were categorised into content areas and higher level dimensions.

Findings

Free text information was provided by 376 teams (an 88 per cent response rate). Eight higher level dimensions were identified. One related specifically to integration with social care services, whilst several more included material about other aspects of intra-team integration (e.g. documentation and location). The largest proportion of statements related to staffing and teamwork. Statements about inter-personal and inter-professional issues were largely positive, whilst statements about resources, bureaucracy and integration with social care services typically detailed desired changes.

Practical implications

Four key issues emerged comprising a high level of support from managers to develop integrated practices; a need to define the focus of CMHTs for older people and to be fully resourced; and the importance of a nurturing and supportive team environment.

Originality/value

The methodology provides a bridge between qualitative and quantitative research, exploring the volume of statements on particular topics and their meaning.

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Article
Publication date: 12 March 2016

Rowan Jasper, Mark Wilberforce, Hilde Verbeek and David J Challis

To examine the association between multi-agency working and psychosocial characteristics of work, practitioner time-use and job satisfaction.

1957

Abstract

Purpose

To examine the association between multi-agency working and psychosocial characteristics of work, practitioner time-use and job satisfaction.

Design/methodology/approach

A comparison of practitioners working in multi-agency (health and social care) and single-agency (social care only) teams, using data from the 2008 evaluation of Individual Budgets pilots in England. Participants worked in care manager roles supporting adult social care service users, and comprised social workers and a smaller number of health professionals. Data was collected using a self-completed questionnaire.

Findings

Data were returned from 249 respondents (a 29 per cent response rate), with two-thirds working in single-agency teams. No significant differences were found between team type and job satisfaction. Respondents in multi-agency teams reported greater decision autonomy but poorer supervisory support than those in single-agency teams. The latter finding was robust to further exploration using regression to control for confounding factors.

Research limitations/implications

These data were not specifically collected for the study and response rates were relatively low due to organisational upheaval at the time of data collection, which may affect interpretation.

Practical implications

Government policy is dedicated to extending integrated forms of working, including multi-agency teamwork. This research suggests that such structures need careful planning for them to work effectively, with particular attention to supervision arrangements.

Originality/value

This research gives a systematic and objective exploration of the relationship between job characteristics, time-use and satisfaction of practitioners in single as compared to multi-agency teams.

Details

Journal of Integrated Care, vol. 24 no. 2
Type: Research Article
ISSN: 1476-9018

Available. Content available
Article
Publication date: 18 April 2017

Axel Kaehne, Jon Glasby and Robin Miller

435

Abstract

Details

Journal of Integrated Care, vol. 25 no. 2
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 January 1978

The Equal Pay Act 1970 (which came into operation on 29 December 1975) provides for an “equality clause” to be written into all contracts of employment. S.1(2) (a) of the 1970 Act…

1509

Abstract

The Equal Pay Act 1970 (which came into operation on 29 December 1975) provides for an “equality clause” to be written into all contracts of employment. S.1(2) (a) of the 1970 Act (which has been amended by the Sex Discrimination Act 1975) provides:

Details

Managerial Law, vol. 21 no. 1
Type: Research Article
ISSN: 0309-0558

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Article
Publication date: 1 January 1979

In order to succeed in an action under the Equal Pay Act 1970, should the woman and the man be employed by the same employer on like work at the same time or would the woman still…

742

Abstract

In order to succeed in an action under the Equal Pay Act 1970, should the woman and the man be employed by the same employer on like work at the same time or would the woman still be covered by the Act if she were employed on like work in succession to the man? This is the question which had to be solved in Macarthys Ltd v. Smith. Unfortunately it was not. Their Lordships interpreted the relevant section in different ways and since Article 119 of the Treaty of Rome was also subject to different interpretations, the case has been referred to the European Court of Justice.

Details

Managerial Law, vol. 22 no. 1
Type: Research Article
ISSN: 0309-0558

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Article
Publication date: 1 June 1991

Howard Johnson

“Companies, particularly those which sell goods or services direct to the public, regard their trade marks (whether brand names or pictorial symbols) as being among their most…

691

Abstract

“Companies, particularly those which sell goods or services direct to the public, regard their trade marks (whether brand names or pictorial symbols) as being among their most valuable assets. It is important therefore for a trading nation such as the United Kingdom to have a legal framework for the protection of trade marks which fully serves the needs of industry and commerce. The law governing registered trade marks is however fifty years old and has to some extent lost touch with the marketplace. Moreover it causes some of the procedures associated with registration to be more complicated than they need be.” This introductory paragraph to the Government's recent White Paper on “Reform of Trade Marks Law” indicates that reform is in the air. The primary pressure for reform has emanated from Brussels with the need to harmonise national trade mark laws before the advent of the Single European market on 1st January 1993. To this end the Council of Ministers adopted a harmonisation directive in December 1988 which must be translated into the national laws of member states by 28th December 1991.

Details

Managerial Law, vol. 33 no. 6
Type: Research Article
ISSN: 0309-0558

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Publication date: 10 August 2010

Gordon Burt

The Wikipedia (2008) entry for mathematical sociology cites four books with ‘mathematical sociology’ in the title: Coleman (1964), Fararo (1973), Leik and Meeker (1975) and…

Abstract

The Wikipedia (2008) entry for mathematical sociology cites four books with ‘mathematical sociology’ in the title: Coleman (1964), Fararo (1973), Leik and Meeker (1975) and Bonacich (2008). Fararo (1973, pp. 764–766) provides a guide to the literature in mathematical sociology covering journals, bibliographies, reviews and expository essays, readers, texts, original monographs and research papers. Many of the references are either broader than mathematical sociology, for example, concerning the behavioural sciences in general, or narrower, dealing with a particular topic within sociology, or concerning a related field such as social psychology. Three classical original monographs are identified: Dodd (1942), Zipf (1949) and Rashevsky (1951). Included in a second generation of monographs is Coleman's (1964)An Introduction to Mathematical Sociology’. Could it be that this is the first use of the phrase ‘mathematical sociology’?

Details

Conflict, Complexity and Mathematical Social Science
Type: Book
ISBN: 978-1-84950-973-2

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Article
Publication date: 1 March 1919

Through the energetic initiative of “The Globe” newspaper a Middle Classes Union has been formed for the purpose of organising that great body of people into an Alliance that…

15

Abstract

Through the energetic initiative of “The Globe” newspaper a Middle Classes Union has been formed for the purpose of organising that great body of people into an Alliance that shall be capable of making its power felt. A preliminary meeting was held recently under the presidency of Major J. R. Pretyman Newman, M.P., of gentlemen interested in the scheme recently outlined in “The Globe” for combining the Middle Classes in a Union for their own protection. All present were unanimous as to the necessity for the formation of such an organisation, and after discussion it was provisionally agreed that its title should be—

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British Food Journal, vol. 21 no. 3
Type: Research Article
ISSN: 0007-070X

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Article
Publication date: 1 January 1996

Hans Tjio

Rules to preserve corporate assets are a necessary by‐product of limited liability, as well as a means of limiting agency costs arising from the separation of ownership and…

125

Abstract

Rules to preserve corporate assets are a necessary by‐product of limited liability, as well as a means of limiting agency costs arising from the separation of ownership and control. Hence, it is axiomatic that the directors of a company are required to act bona fide in the best interests of the company; Re Smith & Fawcett. The weakness of the common law duty is that courts are reluctant to substitute the business judgments of the controllers with their own. According to Lord Wilberforce, in Howar d Smith v Ampol Petroleum:

Details

Journal of Financial Crime, vol. 3 no. 3
Type: Research Article
ISSN: 1359-0790

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