Cathy Bailey, Glenda Cook, Linda Herman, Christine McMillan, Jo Rose, Roy Marston, Eleanor Binks and Emma Barron
The purpose of this paper is to report on a small telehealth pilot in local authority sheltered housing in NE England. This explored the training and capacity building needed to…
Abstract
Purpose
The purpose of this paper is to report on a small telehealth pilot in local authority sheltered housing in NE England. This explored the training and capacity building needed to develop a workforce/older person, telehealth partnership and service that is integrated within existing health, social care and housing services.
Design/methodology/approach
A qualitative case study approach on the implementation and deployment of a pilot telehealth service, supporting sheltered housing tenants with Chronic obstructive pulmonary disease (n=4).
Findings
Telehealth training and capacity building, needs to develop from within the workforce/older person partnership, if a usable and acceptable telehealth service is to be developed and integrated within existing health, care and housing services. To be adaptable to changing circumstances and individual need, flexible monitoring is also required.
Practical implications
Service users and workforces, need to work together to provide flexible telehealth monitoring, that in the longer term, may improve service user, quality of life.
Originality/value
The pilot explored a workforce/older person partnership to consider how to add and implement telehealth services, into existing health and housing services.
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A handsome new headquarters for Huntingdon County Library was opened on September 24 by Lord Butler. The building comprises two main elements: a two storey circular block for the…
Abstract
A handsome new headquarters for Huntingdon County Library was opened on September 24 by Lord Butler. The building comprises two main elements: a two storey circular block for the public services, and a single storey administrative wing with ancillary accommodation. A gramophone record library is installed for the first time in the service. Floor area: 16,000 square feet; total building cost £114,000, plus £9,000 for the site and £9,000 for furniture.
Nicholas Goodman, Jane Nix and Fiona Ritchie
In 2004/2005 local partnership boards requested West Midlands South and Birmingham & The Black Country Strategic Health Authorities (SHAs) to review and report back on the…
Abstract
In 2004/2005 local partnership boards requested West Midlands South and Birmingham & The Black Country Strategic Health Authorities (SHAs) to review and report back on the circumstances of adults with a learning disability placed out of area. There are currently 623 known adults with learning disability living out of area at an annual cost to commissioning services of £35 million. In 1993 the Mansell Report predicted major problems and potential consequences relating to future planning of services for people with learning disabilities and complex needs. Twelve years on this has become a reality, as more people are living in highercost services away from their original district and families. There is no evidence from this review that out‐of‐area services are any worse or any better than local services. The review does not set out to make a direct comparison of out‐of‐area placements and services provided locally, nor does it reflect on the number of people being imported into the West Midlands. With lack of monitoring and reviewing of placements, many people have been left solely to the care of provider organisations. Commissioners of services are becoming reliant on the Commission for Social Care Inspection (CSCI) to raise any concerns with them. This review calls for specific action to be taken now to reverse this trend of increasing out‐of‐area placements and to make more cost‐effective local solutions.
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Jon Painter, Barry Ingham, Liam Trevithick, Richard P. Hastings and Ashok Roy
The purpose of this paper is to analyse ratings data from the recently developed Learning Disability Needs Assessment Tool (LDNAT) to identify factors associated with specialist…
Abstract
Purpose
The purpose of this paper is to analyse ratings data from the recently developed Learning Disability Needs Assessment Tool (LDNAT) to identify factors associated with specialist intellectual disability (ID) hospital admissions.
Design/methodology/approach
Ratings from 1,692 individuals were analysed and the LDNAT items differing significantly between inpatients and non-inpatients were identified. Statistical analyses on total scores derived from these items were used to calculate an optimal cut-off. This LDNAT inpatient index score was also confirmed via an alternative statistical technique.
Findings
On average, 18 of the 23 LDNAT item ratings were significantly higher in people with ID assessed as inpatients compared to those rated in community settings. Using the total of these items, the resulting LDNAT inpatient index was analysed. A cut-off score of 22.5 was calculated to be the optimal balance between sensitivity (0.833) and specificity (0.750). This was confirmed by calculating the Youden index (j=0.583). At this level 68 per cent of inpatients and 81 per cent of non-inpatient cases were correctly identified.
Practical implications
Currently there is a national (UK) programme to radically reduce the amount of specialist inpatient care for people ID. This will necessitate early identification of individuals most at risk of admission together with investment in improved, proactive community services if admissions to a diminishing bed-base are to remain manageable.
Originality/value
This study confirms the associations between mental health difficulties, challenging behaviour and specialist hospital admissions for people with ID, extending existing research by translating these findings into a clinically usable risk index.
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Darpajit Sengupta and Saikat Sinha Roy
This study aims to determine the export price pass-through elasticity, specifically for Indian exports. It employs static and dynamic panel data techniques to estimate these…
Abstract
This study aims to determine the export price pass-through elasticity, specifically for Indian exports. It employs static and dynamic panel data techniques to estimate these elasticities. Notably, the pass-through effect is more significant in the long term compared to the short term. The dynamic panel analysis, considering broader economic factors, identifies trade openness and global demand as statistically significant in explaining export price variations. Additionally, the study reveals that the response of export prices to exchange rate changes depends on the nature of those changes, with depreciation having a lesser impact than appreciation. Furthermore, this chapter emphasizes the importance of analyzing these effects at the product level for a comprehensive understanding of the underlying mechanisms. The implications of these findings underscore the crucial role of exchange rates as a policy tool for promoting exports and economic growth, as well as their potential in reducing current account deficits.
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THE proposition that British library schools should examine their own students is not a new one. As long ago as 1954, Roy Stokes put the question bluntly to the profession. In…
Abstract
THE proposition that British library schools should examine their own students is not a new one. As long ago as 1954, Roy Stokes put the question bluntly to the profession. In those days his was a voice crying in the wilderness. The profession at large was not ready for such a development, and continued to adhere to its long held view that the Library Association should examine the products of the schools, while the schools confined themselves to teaching.
UP to the present the war strain has not had a great effect upon the libraries of this country. Issues have naturally fallen in some departments—particularly in districts where…
Abstract
UP to the present the war strain has not had a great effect upon the libraries of this country. Issues have naturally fallen in some departments—particularly in districts where there is a large floating population of aliens—but this has been counterbalanced by increased use in other directions. Many libraries have already been made the local headquarters of relief committees, special constabulary, the National Reserve, boy scouts' associations, etc., and as recruiting stations, and where there is sufficient accommodation, it is proper that the familiar library building should be so used for these emergency national affairs.
Burcu Oralhan and Sevgi Sümerli Sarigül
Today, businesses, organizations and governments attach great importance to digital transformation to meet the needs of their customers, business partners, and employees to adapt…
Abstract
Today, businesses, organizations and governments attach great importance to digital transformation to meet the needs of their customers, business partners, and employees to adapt to the developing technology in recent years. Digital transformation, which is a challenging and mandatory process, has been and continues to be passed by institutions today. However, the successful management of this transformation without conflict can be realized by accurately detecting new communication technologies and examining, understanding, and implementing the transformation process in detail. This process will be painful, where radical changes will take place in the structure, processes, functions, and business models of the organization. Different challenges may be encountered in each of the startup, execution, and governance subprocesses examined in the digital transformation process. Many conflicts such as time and budget shortages, inadequate digital skills and lack of vision for digital customer processes, cybersecurity threats, human resource shortages, difficulty in managing technology, failure to achieve cloud structure integration, vision, and culture differences are the reasons why this process cannot be managed fluently and accurately. For businesses that focus on this goal, regardless of scale, digital transformation has become a necessity, not an alternative to choose. In this study, the digital transformation process and maturity model were discussed, and technological and digital conflicts were emphasized. It seeks to shed light on the work they will do by making recommendations for institutions to manage this process in the best way.
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The Board of Trade have re‐appointed Sir Roy Allen, C.B.E., M.A., D.Sc.(Econ.) as a member of the Air Transport Licensing Board to serve for a further term from October 1, 1967 to…
Abstract
The Board of Trade have re‐appointed Sir Roy Allen, C.B.E., M.A., D.Sc.(Econ.) as a member of the Air Transport Licensing Board to serve for a further term from October 1, 1967 to September 30, 1968. Mr. J. H. Lawrie has also been re‐appointed for a further term from November 1, 1967 to September 30, 1968.