A5076480796- Primary Care and Health Outcomes
- Healthcare innovation and challenges
- Healthcare Policy and Management
- Healthcare Systems and Challenges
- Historical Economic and Social Studies
- Mental Health and Patient Involvement
- Irish and British Studies
- Chronic Disease Management Strategies
- Interprofessional Education and Collaboration
- American Constitutional Law and Politics
- Public Policy and Administration Research
- Health Policy Implementation Science
- Healthcare Systems and Technology
- Healthcare Quality and Management
- Health disparities and outcomes
- Formal Methods in Verification
- Scottish History and National Identity
- Software Reliability and Analysis Research
- Australian History and Society
- Health Services Management and Policy
- Dental Education, Practice, Research
- Mental Health Treatment and Access
- Software Testing and Debugging Techniques
- Global Health Workforce Issues
- Social Policy and Reform Studies
Manchester Academic Health Science Centre
2014-2025
University of Manchester
2013-2025
Primary Health Care
2017-2023
University of New Hampshire at Manchester
2023
Kingston University
2020
Altran (United Kingdom)
2018
GlaxoSmithKline (United Kingdom)
2010
Praxis (United Kingdom)
2000-2002
The Graduate Center, CUNY
1999
Hunter College
1999
This edition differs from previous editions of The Village Labourer in two respects. original Chapter One has been omitted: this chapter described the concentration power hands a small class, which was leading feature our political development eighteenth century. Secondly, Appendices have reduced, but student who wishes to pursue subject enclosure further will find, at end volume, full details four important and representative enclosures.
<h3>Background</h3> General practice receptionists fulfil an essential role in UK primary care, shaping patient access to health professionals. They are often portrayed as powerful ‘gatekeepers’. Existing literature and management initiatives advocate more training improve their performance and, consequently, the experience. <h3>Aim</h3> To explore complexity of general by considering wider context which they work. <h3>Design setting</h3> Ethnographic observation seven urban practices...
The paper describes the use of formal development methods on an industrial safety-critical application. Z notation was used for documenting system specification and part design, SPARK subset Ada coding. However, perhaps most distinctive nature project lies in amount proof that carried out: proofs were out both at level (approximately 150 500 pages) code 9000 verification conditions generated discharged). under UK Interim Defence Standards 00-55 00-56, which require applications. It is...
Abstract Background Despite the availability of effective evidence‐based treatments for depression and anxiety, many ‘harder‐to‐reach’ social patient groups experience difficulties accessing treatment. We developed a complex intervention, AMP (Improving Access to Mental Health in Primary Care) programme, which combined community engagement ( CE ), tailored (individual group) psychosocial interventions primary care involvement. Objectives To develop evaluate model component intervention. This...
Background General practices in England have been encouraged by national policy to work together on a larger scale creating primary care networks (PCNs). Policy guidance recommended that they should serve populations of 30 000–50 000 people perform effectively. Aim To describe variation the size and characteristics PCNs their populations. Design setting Cross-sectional analysis England. Method Using published information from January 2020, were identified contained <30 000, between >50...
Meta-governance involves orchestrating the 'rules of game' in public management. Arm's-length bodies are particularly important vehicles for this. We consider case an arm's-length body (NHS England) created to oversee English NHS' day-to-day operation, and remove 'political interference'. Although mandated by Department Health it has increasingly operated as policy-maker, developing policies tension with existing legislation, while Ministers have faded from public-facing accounts service...
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...
Abstract — The Brazilian Landless Farmworkers' Movement (MST) occupies idle farmland and demands that it be expropriated under the terms of Brazil's agrarian reform law. MST uses illegal tactics in field to force government's hand at same time asserts its legitimacy with legalism invocation public sentiment favor land reform. It confronts repression promoted by landowning class increasingly from state itself. Through combination militant legal has won expropriation many farms turned them...
Background Evidence-based interventions exist for common mental health problems. However, many people are unable to access effective care because it is not available them or interactions with caregivers do address their needs. Current policy initiatives focus on supply-side factors, less consideration of demand. Aim and objectives Our aim was increase equity high-quality primary underserved groups. were clarify the needs from groups; identify relevant evidence-based services barriers to,...
Abstract Research has demonstrated that pilots contain multiple shifting purposes, not all of which relate to simple policy testing or refinement. Judging the success is therefore complex, requiring more than a judgment against declared goals. Marsh and McConnell provide framework can be judged, distinguishing program from process political success. We adapt Boven's modification this apply it pilots, arguing pilot process, outcomes longer‐term effects judged in both terms. test new English...
Objectives English general practice is suffering a workforce crisis, with practitioners retiring early and trainees reluctant to enter the profession. To address this, additional funding has been offered, but only through participation in collaborations known as primary care networks (PCNs). This study explored national policy objectives underpinning PCNs mechanisms expected help achieve these, from perspective of those driving policy. Design Qualitative semistructured interviews document...
Abstract Public-Private Innovation Partnerships (PPIPs) are increasingly used as a tool for addressing ‘wicked’ public sector challenges. ‘Innovation’ is, however, frequently treated ‘magic’ concept: unreflexively, taken to be axiomatically ‘good’, and left undefined within policy programmes. Using McConnell’s framework of success failure case study multi-level PPIP in the English health service (NHS Test Beds), this paper critically explores implications mobilisation innovation practice. We...
Abstract The optimal balance between central governmental authority and the degree of autonomy local public bodies is an enduring issue in policy. UK National Health Service no exception, with NHS history, part at least, a history repeated cycles centralisation decentralisation decision-making power. Most recently, significant reorganisation 2012–13 was built around creation new supposedly more autonomous commissioning organisations (Clinical Commissioning Groups – CCGs). Using Bossert's...
Abstract Introduction In England, primary care networks (PCNs) offer opportunities to improve access and sustainability of general practice through collaboration between groups practices provide with a broader range practitioner roles. However, there are concerns that these changes may undermine continuity care. Our study investigates what the organisational shift PCNs means for Methods The paper uses thematic analysis qualitative data from interviews practitioners other healthcare...
Abstract Metaphors are inescapable in human discourse. Policy researchers have suggested that the use of particular metaphors by those implementing policy changes both influences perceptions underlying reality and determines what solutions seem possible, exploring ‘practice languages’ is important understanding how enacted. This paper contributes to literature generative nature implementation, demonstrating their role not just describing world, but also framing it, determining seen/unseen,...