Abstract Social enterprises are being promoted as responsive and innovative way to deliver public services. As part of this promotion, these organizations required demonstrate the social economic value they generate. return on investment (SROI) is a performance measurement tool currently encouraged capture impact. This paper draws survey interview data analyse how SROI used understood in health care settings. It indicates that despite accepted an internationally recognized for enterprise,...

Although research in partnership with older people has been slower to develop than that some other service user ‘groups’, there are a growing number of health and social care studies have involved as co-researchers. We build on this existing evidence by addressing two key areas. First, despite the growth participatory generally, groups tend be excluded. focus particularly project which dementia from black minority ethnic community were They worked academic researchers all stages process,...

Recent years have seen a growth in research on retirement/lifestyle migration to Spain, however this has tended focus the reasons for moving, as well lifestyles adopted part of healthy and active retirement. However, ageing Spain can bring challenges person's resources independent living diminish. This paper draws narrative interviews with vulnerable older British people focusing those who encountered severe decline health, are frail need care. It looks at formal informal networks agencies...

There is a lack of evidence on how the multimodal dynamic process resilience has impacted personal adaptation frontline healthcare professionals, working under extreme pressure during COVID-19 global pandemic.To explore resilience, burnout and wellbeing for UK pharmacists in patient-facing roles, including individual organisational factors that align to ABC-X theoretical model resilience.A non-experimental pragmatist research design was adopted, with cross-sectional online survey distributed...

Social enterprises have been actively encouraged to spin out of the National Health Service (NHS) on grounds that they can deliver more innovative, cost-efficient and responsive services. This is arguably achieved through a combination best public, third private sectors. article explores this idea by bringing together empirical data from interviews with NHS spin-outs framework 'publicness'. By focusing spin-outs, we look at what happens an organization's publicness when it leaves public...

Since the seminal research of O'Reilly, Karen [2000. The British on Costa del Sol. London: Routledge] and King, Russell, Anthony Warnes, Allan Williams Sunset Lives: Retirement Migration to Mediterranean. New York: Berg Publishers] about citizens Sol there has been a surge in publication lifestyle migration papers, books research. Nonetheless, is part process that rarely explored: return move country origin following retirement migration. Research indicated broad increase number older...

Abstract Since the end of last century governments in many western welfare regimes have been keen to promote marketisation public service delivery. This requires changes supply of, and demand for, alternative providers this market, particular for has included third sector providers. article examines attempt by UK Labour government social enterprises market health care services England, through Social Enterprise Investment Fund (SEIF), introduced 2007. The reports on research evaluating...

Purpose The purpose of this paper is to examine the motivations behind public sector spin outs, focusing on Right Request policy, which enabled NHS staff set up their own social enterprises deliver healthcare services. Design/methodology/approach draws empirical data gathered from 16 in‐depth interviews with individuals who had led a proposal. Findings Motivations out into enterprise were often “empathetic” in nature, built around good service for and users. Alongside this, some felt...

Background Decommissioning – defined as the planned process of removing, reducing or replacing health-care services is an important component current reforms in NHS. However, evidence base on which to guide policy and practice this area weak. Aim This study aims formulate theoretically grounded, evidence-informed guidance support best effective decommissioning NHS services. Design The overall approach a sequential, multimethod research design. involves (1) literature synthesis summarising...

Abstract. There has been a proliferation of research on lifestyle migration, including studies older people who move from Northern to Southern European countries in retirement. This body generally focused so-called third-age retirees, exercise mobility improve their quality life and achieve optimal aging. These healthy active migrants have yet face the challenges associated with fourth age. paper focuses how retirees both third ages experience mobility, some transition young old age Spain....

Over the past few decades policy environment in UK has gradually sought to encourage public sector workers ‘spin-out’ their services into social enterprises. This paper reports common experiences and barriers experienced by four local authorities that ‘spun-out’ a service enterprise. The analysis is underpinned Takahashi Smutny’s (2002) theoretical model of partnerships uses this present new spin-out process. In doing so, research identifies complex partnership arrangements used spinout...

Summary: This article describes the organization and outcomes of a Rural Health Outreach Initiative (RHOI) designed to increase collaboration between medical education health care delivery sectors imrove quality in rural communities. Two inter-related partnership strategies were utilized communities address social service needs populations. The partnerships created through efforts professions program located community-based school. two models implemented at same time target Both relied upon...

Purpose This study aims to explore the opportunities and challenges Self-directed Support policy has presented Scottish social enterprises, thereby increasing understanding of emerging care markets arising from international policy-shifts towards empowering users self-direct their care. Design/methodology/approach used guided conversations with a purposive sample 19 stakeholders sampled frontline enterprises; work; third sector; health; government. Findings An inconsistent market emerged...

Abstract The 'right to request' policy encouraged and supported National Health Service (NHS) community health staff in England 'spin out' services into independent social enterprises. This article considers the processes outputs of initiative reflects on likelihood positive outcomes for patients being achieved. It highlights lessons future programmes seeking transfer out public ownership. Keywords: English NHSright requestsocial enterprisespin-outs Additional informationNotes...

The Brexit referendum has led to uncertainty, which threatened EU migrants' resources, including their rights reside, run a business or access welfare. Cross-national political and legal resources that include citizenship can enable health care, pensions, education other welfare benefits, but these remain far from guaranteed. Using Conservation of Resources theory, we show how coping with uncertainty requires the mobilisation individual collective resources. We draw on 55 qualitative...

Abstract The Care Act 2014 gave English local authorities a duty to ‘shape’ social care markets and encouraged them work co-productively with stakeholders. Grid-group cultural theory is used here explain how have undertaken market shaping, based on four-part typology of rules relationships. four types are: procurement (strong rules, weak relationships); managed strong open (weak partnership relationships). Qualitative data from show that they are using different shaping in parts the (e.g....

Abstract Funding for care service research is increasingly subject to the satisfaction of two requirements: public involvement and adoption validated outcome tools. This study identifies competing paradigms within these requirements reveals significant challenges faced by researchers who seek satisfy them. The focus here on a co‐produced between academic people with experience adult social services. It examines what extent studies can conduct high‐quality genuine co‐production knowledge,...

Abstract In the context of an austere financial climate, local health care budget holders are increasingly expected to make and enact decisions decommission (reduce or stop providing) services. However, little is currently known about experiences those seeking decommission. This paper presents first national study decommissioning in English National Health Service drawing on multiple methods, including: interview-based review contemporary policy landscape decommissioning; a online survey...

Abstract Reform of the health and social care sector is increasingly promoting competition choice new service providers to stimulate growth efficiency. In England, there has been a growing interest in enterprise organisations as more innovative responsive alternative for both users healthcare staff. The purpose this article analyse how English staff responded policy initiative that aimed encourage them establish organisations. Using strategic change perspective, it shows individuals leading...

Social enterprises, which are businesses with social objectives, have been championed by the UK government as an opportunity to deliver more innovative, socially oriented, and commercially sustainable public services. However, very little is known about them, especially in a care context. This paper therefore aims answer following three questions: (1) What enterprises?, (2) their distinctive qualities?, (3) How can they contribute adult sector? It presents evidence from “mapping” of...

Abstract Northern European international retirement migrants are often viewed as affluent and use migration a route to better quality of life. However, these transition into the ‘fourth age’, onset age-related illnesses, frailty care needs can lead increased levels risk insecurity. Through 34 qualitative interviews with older British in Spain, paper explores how access experience they age. It draws on lens precarity that allows an understanding not only individual needs, but political,...

The English National Health Service introduced the Right to Request (RtR) scheme in 2008, which enabled healthcare staff working public sector 'spin out' community health services into social enterprises. Staff wanting spin out had apply their primary care trust board, was required consider requests and if accepted guarantee initial contracts of between three five years. This article reviews RtR provides an overview organisations that have been launched date. It then considers implications...

Abstract Most research on international retirement migration has focused the Western context and motivations lifestyle choices of migrants when they are healthy. This paper instead explores how British retirees in Spain Japanese Malaysia respond to declining health increasing care needs through bricolage as begin ‘age place’. The combines qualitative interviews, focus groups observations collected by authors from 215 migrants. We two key types behaviour: ‘within-system bricolage’ undertaken...