A5074644848- Health disparities and outcomes
- Healthcare innovation and challenges
- Primary Care and Health Outcomes
- Global Health Care Issues
- Global Public Health Policies and Epidemiology
- Healthcare Policy and Management
- Interprofessional Education and Collaboration
- Employment and Welfare Studies
- Child and Adolescent Health
- Healthcare Systems and Challenges
- Obesity and Health Practices
- Mental Health and Patient Involvement
- Food Security and Health in Diverse Populations
- Geriatric Care and Nursing Homes
- Chronic Disease Management Strategies
- Health Services Management and Policy
- Healthcare Systems and Public Health
- Art Therapy and Mental Health
- School Choice and Performance
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Workforce Issues
- Housing, Finance, and Neoliberalism
- Health and Well-being Studies
- HIV/AIDS Impact and Responses
- Clinical practice guidelines implementation
University of Plymouth
2015-2024
Plymouth Hospital
2022-2023
National Institute for Health Research
2019
NIHR Applied Research Collaboration Greater Manchester
2019
Faculty of Public Health
2011
University of Exeter
1994-1998
Abstract Aim: To evaluate the impact of ‘holistic’ link-workers on service users’ well-being, activation and frailty, their use health social care services associated costs. Background: UK policy is encouraging prescribing (SP) as a means to improve self-care reduce demand NHS services. However, evidence support this generally weak poorly conceptualised, particularly in relation frail, older people patient activation. Torbay South Devon Foundation Trust, an integrated organisation,...
Partnership working has emerged as a key feature of New Labour’s approach to social policy. However, although the theoretical benefits partnership have been well rehearsed, agencies charged with fostering partnerships lack “evidence” about how best proceed in bringing organizational change. This paper describes development and implementation practical capturing strategies that can be used establish, strengthen sustain local partnerships. To this end, it presents conceptual framework for...
Social prescribing (SP) is increasing in popularity the UK and can enable healthcare providers to respond more effectively a range of non-clinical needs. With NHS commitment establish an SP link worker all GP practices, there rapid increase number schemes across country. There currently insufficient evidence concerning implementation acceptability schemes. In this paper, we report our analysis descriptions experiences workers, regarding early workers two programmes South West. Data were...
Fragmented care results in poor outcomes for individuals with complexity of need. Person-centred coordinated (P3C) is perceived to be a potential solution, but an absence accessible evidence and the lack scalable 'blue print' mean that services are 'experimenting' new models little guidance support. This paper presents approach implementation P3C using collaborative action, providing examples early developments across this programme work, core aim which accelerate spread adoption United...
Background / aims objectives ‘Embedded’ approaches to knowledge mobilisation are gaining currency, as health and social care services come under increasing pressure redesign now rather than wait for research. One such approach is the ‘Researcher-in-Residence’ (RiR) model which seeks co-produce action. The aim of this paper extend evidence base regarding mechanisms impact. Methods A two-year mixed-method case study experience impact two part-time RiRs, embedded within an Integrated Care...
Partnerships are increasingly seeking tools that enable stakeholders to reflect on their own effectiveness, benchmark the status of partnership and provide a framework for development. Drawing evaluation two Health Action Zones, this article focuses use one such formal assessment tool, adapted from Nuffield Partnership Assessment Tool Verona Benchmark, explore contribution our understanding partnership. It outlines some key methodological limitations stresses continued importance an context...
This paper seeks to critique the methodology utilized by Gorard and Fitz in their work on changing levels of social segregation between schools. Demonstrating extent which ‘Index Segregation’ is determined overall free school meal entitlement, this argues that Index does not, as claimed, reveal how patterns enrolment have changed over time. Their dismissal polarization hypothesis thus contested methodological grounds, but also with reference both wealth previous, largely qualitative, studies...
There is a national commitment to ensuring that, regardless of where patients live, they should be provided with an acceptable level service in terms quality, effectiveness and accessibility. Because differences the distributions their populations, rural urban areas present quite different challenges for optimal design health services social care. However, this has not been fully acknowledged development policies unify standards. The problems providing sparsely populated are new. until case...
Abstract For older people with multiple chronic co‐morbidities, strategies to coordinate care depend heavily on information exchange. We analyse the information‐sharing difficulties arising from differences between patients’ oral narratives and medical sense‐making; whether a modified form of ‘narrative medicine’ might mitigate them. systematically compared 66 general practice own their health problems contents clinical records. Data were collected in England during 2012–13. Patients’...
Background An ageing population, the increasing specialisation of clinical services and diverse health-care provider ownership make co-ordination continuity complex care increasingly problematic. The way in which provision health is co-ordinated produces – or fails to produce six forms (cross-sectional, longitudinal, flexible, access, informational relational). Care accomplished by a combination activities patients themselves; organisations; networks co-ordinating separate overall...
ABSTRACT The rhetoric of the 1997 White Paper, Excellence in Education, appears to mark a 'rediscovery' role played by contextual factors influencing quality and performance schools. Despite this, policy initiatives outlined Paper remain wedded idea that school improvement can take place largely independently constraints. This paper argues this survival perspective more keeping with New Right thinking reflects continuing dominance School Effectiveness Research (SER) paradigm. Providing...
Abstract Tackling health inequalities (HI) has become a key policy objective in England recent years. Yet, despite the wide-ranging response of 1997–2010 Labour Government, socio-economic variations continued to widen. In this paper, we seek explore why. We propose that meta-narrative emerged which problems facing England's most deprived areas, and solution those problems, have increasingly come be linked levels National Health Service (NHS) funding. This been, part, shortcomings previous...
Abstract Coastal communities have received little attention in the public health literature, perhaps because our mental maps tend to associate socio-economic deprivation and inequalities with inner cities. Mapping a range of key indicators at small area level, this paper reveals distinct core-periphery pattern disease prevalence, coastal experiencing high burden ill across almost all conditions included Quality Outcomes Framework dataset. Other sources suggest poor outcomes for children...
Emerging evidence suggests that connecting people to non-medical activities in the community (social prescribing) may relieve pressure on services by promoting autonomy and resilience, thereby improving well-being self-management of health. This way working has a long history voluntary sector but only recently been widely funded National Health Service (NHS) England implemented Primary Care Networks (PCNs). The COVID-19 global pandemic coincided with this new service. There is wide variation...
Whilst an allowance is made for sparsity in the allocation of resources social care services England, rurality not a significant factor health resource allocation. This lack consistency criteria has become increasingly visible as and departments are required to work partnership across range areas. Differences funding mechanisms also raise question why it legitimate make adjustments distribution some public services, but others. Against this background, present paper considers case rural...