Domestic abuse is known to be harmful victim-survivor mothers' well-being, and women are disadvantaged by gender-biased systems in England. Less known, however, about victims' experiences with family court specifically relation their mental physical health. Interviews 45 mothers were conducted explore these experiences. Two main themes presented here: (1) health associated proceedings (2) parental alienation allegations as a weapon trap, silence, pathologise mothers. From themes, conceptual...

The wide-ranging program of reforms brought about by the Health and Social Care Act (2012) in England fundamentally changed operation public health system, moving responsibility for commissioning delivery services from National Service to locally elected councils a new national agency. This paper explores ways which have altered commissioning.We conducted multi-methods research over 33 months, incorporating surveys Directors Public local council members at two time-points, in-depth case...

Background The Additional Roles Reimbursement Scheme (ARRS) provides funding to Primary Care Networks (PCNs) in England recruit additional staff into specified roles. intention was support general practice by recruiting an extra 26 000 2024, increasing access and easing workload pressures. Aim To explore the establishment of ARRS as part PCNs’ development understand their role supporting practice. Design setting A longitudinal, qualitative case study involving seven geographically dispersed...

Following the Health and Social Care Act in England, public health teams were formally transferred from NHS to local authorities April 2013. Online survey of Directors Public (DsPH) England (n = 152) investigate their experience within government 1 year on. Tests association used explore relationships between perceived integration influence health, changes how budget was being spent. The organization managerial arrangements for councils varied. Most DsPH felt that good had been established...

Purpose – Given that current policy in the UK is focused on encouraging individuals with long-term health conditions (LTCs) to work wherever possible, purpose of this paper explore employer’s and manager’s perspectives supporting those LTCs as any successful workplace engagement will largely be influenced by their readiness supportive. Design/methodology/approach In total, 40 semi-structured in-depth interviews were conducted employers’ managers’ from a range organisations north-west England...

Child Sexual Abuse (CSA) is an ongoing scourge upon society. There minimal understanding of the experiences mothers and children in private law family court proceedings (PLP), when CSA reported. A qualitative study was conducted a feminist-informed Foucauldian Discourse Analysis applied to understand ten life-stories from within larger sample 45. Five themes are presented. overwhelmingly reported as being minimised, with harmful outcomes for Pro-father 'parental alienation' narratives were...

Introduction . Shifting care from hospitals into community‐based settings is a major policy goal internationally. Community health services in England currently face the greatest workforce shortages of all sectors, threatening feasibility this policy. Moreover, little known about extent variation community provision regionally and how relates to determinants need. Aim To analyse regional between 2010 2021. Methods We obtained NHS statistics data on number nurses nursing support staff...

High-quality primary care services are an essential part of a successful health service. However, the planning and management such is complex. Using evidence from study recent extensive changes in English NHS, authors highlight need for local service oversight by managers who understand conditions needs. The experience supports incremental policy adjustment approach, rather than wholesale organizational change.

This paper reports on the findings of a research project that examined changes to public health system in England introduced 2013. Drawing case study and two national surveys explore impact organisational change composition role teams. Views experiences were obtained from leaders involved transfer staff functions National Health Service local authorities. at points time aimed compare contrast views evolving changes. The new managerial arrangements had enabled professionals widen their work...

From April 2015, NHS England (NHSE) started to devolve responsibility for commissioning primary care services clinical groups (CCGs). The aim of this paper is explore how CCGs are managing potential conflicts interest associated with GPs themselves or their practices provide services.We carried out two telephone surveys using a sample CCGs. We also used qualitative case study approach and collected data interviews meeting observations in four sites (CCGs).We conducted 57 42 face-to-face...

Public health has had a history characterised by uncertainty of purpose, locus control, and workforce identity. In many systems, the public function is fragmented, isolated under-resourced. We use most recent major reforms to English National Health Service local government, Social Care Act 2012 (HSCA12), as lens through which explore changing nature professionalism. This paper based upon 3-year longitudinal study into impacts HSCA12 commissioning system in England, we conducted 141...

Objectives This study aimed to evaluate primary care networks (PCNs) in the English National Health Service. We ask: How are PCNs constituted meet their defined goals? What factors can be discerned as affecting ability deliver benefits community, network a whole and individual members? outcomes or outputs associated with so far? draw policy lessons for PCN design oversight, consider utility of chosen evaluative framework. Design setting Qualitative case studies seven England, maximum variety...

Background Significant health inequalities exist in England. Primary care networks (PCNs), comprised of GP practices, were introduced England 2019 with funding linked to membership. PCNs have been tasked tackling inequalities. Aim To consider how the design and introduction might influence their ability tackle Design setting A sequential mixed-methods study Method Linear regression annual PCN-allocated per workload-weighted patient on income deprivation score from 2019–2023 was used....