ORCID Profile
0000-0003-3852-8815
Current Organisation
University of New South Wales Canberra
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Research Topics
In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Top 5 Research Topics
ANZSRC Field of Research (FoR)
Applied Sociology, Program Evaluation and Social Impact Assessment | Social Policy | Epidemiology | Sociology | Policy and Administration
ANZSRC Socio-Economic Objective (SEO)
Social Class and Inequalities | Disability and Functional Capacity | Structure, Delivery and Financing of Community Services | Public Services Policy Advice and Analysis | Workforce Transition and Employment |
Related Links
Publications
Partnership working in health and social care
Publisher: Bristol University Press
Research paper: Pursuing legitimacy: conceptualising and developing leaders' performances
Publisher: Emerald
Date: 29-09-2010
Doctors who become chief executives in the NHS: from keen amateurs to skilled professionals
Publisher: SAGE Publications
Date: 28-02-2011
Abstract: Summary To investigate the experiences of doctors who become chief executives of NHS organizations, with the aim of understanding their career paths and the facilitators and barriers encountered along the way. Twenty-two medical chief executives were identified and of these 20 were interviewed. In addition two former medical chief executives were interviewed. Information was collected about the age at which they became chief executives, the number of chief executive posts held, the training they received, and the opportunities, challenges and risks they experienced. All NHS organizations in the United Kingdom in 2009. The age of medical chief executives on first appointment ranged from 36 to 64 years, the average being 48 years. The majority of those interviewed were either in their first chief executive post or had stepped down having held only one such post. The training and development accessed en route to becoming chief executives was highly variable. Interviewees were positive about the opportunity to bring about organizational and service improvement on a bigger scale than is possible in clinical work. At the same time, they emphasized the insecurities associated with being a chief executive. Doctors who become chief executives experience a change in their professional identity and the role of leaders occupying hybrid positions is not well recognized. Doctors who become chief executives are self-styled ‘keen amateurs’ and there is a need to provide more structured support to enable them to become skilled professionals. The new faculty of medical leadership and management could have an important role in this process.
Physical Disability
Publisher: Macmillan Education UK
Date: 2014
Partnership Working in Health and Social Care: What is Integrated Care and How Can We Deliver It? – Second edition Glasby Jon Dickinson Helen Partnership Working in Health and Social Care: What is Integrated Care and How Can We Deliver It? – Second edition128pp £9.99 Policy Press 978 1 4473 1281 9 1447312813
Publisher: RCN Publishing Ltd.
Date: 21-05-2014
The importance of social supports in education: survey findings from students with disability and their families during COVID-19
Publisher: Informa UK Limited
Date: 24-10-2023
Older People
Publisher: Macmillan Education UK
Date: 2014
Partnership Working
Publisher: Macmillan Education UK
Date: 2014
Care trusts: partnership working in action Jon Glasby Care trusts: partnership working in action Edward Peck (editors) Radcliffe Medical Press147 pp£27.501 85775 821 81857758218
Publisher: RCN Publishing Ltd.
Date: 07-2004
Personalization
Publisher: Macmillan Education UK
Date: 2014
Mergers and Acquisitions
Publisher: Macmillan Education UK
Date: 2014
Single point of access to third sector services: The Conwy collaborative approach
Publisher: Emerald
Date: 11-04-2011
Mixed Economy of Care
Publisher: Macmillan Education UK
Date: 2014
New Public Management
Publisher: Macmillan Education UK
Date: 2014
Disinvestment in health- the challenges facing general practitioner (GP) commissioners
Publisher: Informa UK Limited
Date: 03-2011
Primary Care
Publisher: Macmillan Education UK
Date: 2014
Opportunities and challenges of using workforce big data: Insights from a mixed methods study on flexible working
Publisher: Wiley
Date: 06-07-2023
Abstract: This Practice and Policy paper presents reflections on the opportunities and challenges of using a novel big data set, Microsoft 365 digital activity records, in a mixed method study of flexible working. Our experience identified methodological and ethical considerations for practitioners and researchers in public sector workforce analytics. The benefits include data captured in situ and over time for all employees. The limitations reflect the inadequacy of big data for representing the complexity of organisational behaviour and the need to accompany data collection with systems ensuring employee privacy and consent for the use of data not originally recorded for research or evaluation purposes. It contributes to knowledge through providing insights into what public sector big data sets contain and how such data can be accessed, interpreted, and used in workforce decision‐making. Digital activity records are a useful form of big data for public sector workforce analytics. Digital activity records can support the identification of potential risks within the workforce such as social isolation and excessive work hours. Big data must be contextualised with qualitative or other additional data to interpret data patterns and generate meaningful implementation insights. Privacy and consent processes may require revision to fully utilise workforce big data.
Guest editorial: Partnership working in health and social care
Publisher: Hindawi Limited
Date: 09-2006
Back to the future: Reflections and predictions
Publisher: Wiley
Date: 24-11-2021
Long-Term Conditions
Publisher: Macmillan Education UK
Date: 2014
“We’re Still Struggling a Bit to Actually Figure Out What That Means for Government”: An Exploration of the Policy Capacity Required to Oversee Robot Technologies in Australia and New Zealand Care Ser
Publisher: MDPI AG
Date: 13-04-2022
Abstract: Many countries are experiencing a “care crisis” driven by increasing demand for care services alongside difficulties in recruiting and retaining an appropriate care workforce. One of the solutions offered to this is the use of robotic technologies. While there are several positives produced by robots, they are not without challenges and have the potential to be misused. History shows disruptive technologies require appropriate policy capacity for these to be effectively stewarded so that we can secure the positive gains of these without encountering potential harms. In this paper, we explore the types of policy capacity needed to oversee robotic technologies. Drawing on interviews with 35 key stakeholders involved with the implementation of robots in Australian and New Zealand care services, we identify the capabilities required at the in idual, organisational, and systemic levels across the analytical, operational, and political domains. We found the respondents perceived a lack of policy capacity to oversee robotics in the government. However, these gaps are less in respect to technological skills and abilities and more in respect to the system’s impacts and effects of these technologies. We conclude by outlining a summary of the capabilities required to oversee robots in complex care systems.
Leadership
Publisher: Macmillan Education UK
Date: 2014
Efficiency, effectiveness and efficacy: towards a framework for high-performance in healthcare commissioning
Publisher: Informa UK Limited
Date: 05-2010
Learning Difficulties
Publisher: Macmillan Education UK
Date: 2014
Local Government
Publisher: Macmillan Education UK
Date: 2014
Joined-up rationing? An analysis of priority setting in health and social care commissioning
Publisher: Emerald
Date: 21-02-2011
Long-Term Care
Publisher: Macmillan Education UK
Date: 2014
Joint Appointments
Publisher: Macmillan Education UK
Date: 2014
Joint Commissioning
Publisher: Macmillan Education UK
Date: 2014
Joint Future (Scotland)
Publisher: Macmillan Education UK
Date: 2014
Evaluating outcomes in health and social care (Better partnership working series)
Publisher: Ubiquity Press, Ltd.
Date: 20-08-2008
DOI: 10.5334/IJIC.241
Joint Strategic Needs Assessment
Publisher: Macmillan Education UK
Date: 2014
Post-school transition process in a pandemic: how can young people with disability be better supported?
Publisher: Edward Elgar Publishing
Date: 08-06-2023
Mental Health
Publisher: Macmillan Education UK
Date: 2014
Varieties of governance versatility and institutions: Comparing the governance of primary care performance in six jurisdictions
Publisher: SAGE Publications
Date: 23-07-2023
DOI: 10.1177/09520767231183506
Abstract: Research on governance often assumes that governance requires combinations of hierarchical, market and network co-ordination. However, governance versatility – understood as the existence of a repertoire of different modes of coordination – is not a characteristic of all instances of governance. The aim of this paper is to offer a more thorough analysis by exploring existing levels of governance versatility and how these are influenced by institutional profiles. Our comparative study of primary care performance across six jurisdictions suggests that higher levels of governance versatility can be shaped by very different institutional profiles. Our analysis raises important questions for future studies of governance versatility.
Partnership working in health and social care (Better partnership working series)
Publisher: Ubiquity Press, Ltd.
Date: 20-08-2008
DOI: 10.5334/IJIC.237
Guest editorial: 'Bringing down the Berlin Wall': partnership working and the health and social care divide
Publisher: Hindawi Limited
Date: 05-2006
Polynesian colonization and landscape changes on Mo’orea, French Polynesia: The Lake Temae pollen record
Publisher: SAGE Publications
Date: 30-06-2017
Abstract: An analysis of sediment cores from Lake Temae utilizing pollen, accelerator mass spectrometry (AMS) dating, magnetic susceptibility measurements, and charcoal particle counts was undertaken to assess landscape transformation following Polynesian colonization of Mo’orea in the Society Islands. A significant influx of terrigenous sediment accompanied by increases in charcoal and the presence of the Polynesian cultigen Colocasia (taro) are indicative of human presence on the island by at least 1060–980 cal. yr BP. Polynesian arrival resulted in the rapid alteration of lowland vegetation illustrated in the pollen record by the removal of the coastal tree Pandanus and the promotion of more economically important trees such as Cocos. The most significant period of burning in the charcoal data overlaps with archaeological evidence for expansion into the island interior and the establishment and growth of more intense agricultural practices from 700 to 500 cal. yr BP. The pollen record also documents the apparent abandonment of the coastal plain near Lake Temae during this phase of inland expansion with the terrestrial landscape returning to an environment similar to that found before colonization. A final phase of environmental transformation commenced with European contact at the end of the 18th century and is marked most clearly in the Lake Temae sequence with the conversion of the system to a freshwater body accompanied by the expansion of the freshwater reed Typha and a level of burning not seen at any time over the previous 1000 years. Importantly, the new data from Lake Temae support the colonization model for central Eastern Polynesia of ca. 1000 cal. yr BP and refute the late settlement scenario for the Society Islands.
“Most people don’t like a client group that tell you to get fucked”: Choice and control in Australia’s National Disability Insurance Scheme for formerly incarcerated people
Publisher: SAGE Publications
Date: 22-10-2022
DOI: 10.1177/09520767221134320
Abstract: Australia’s National Disability Insurance Scheme (NDIS) is a substantial policy reform aiming to radically transform the design and delivery of disability services. Choice and control are key tenets of the scheme, however challenges and limitations exist with respect to inequities and difficulties posed by boundaries between the NDIS and mainstream services. People with disability who have been incarcerated are particularly at risk of experiencing these limitations. However there has been little academic exploration of these issues for this group. This paper explores whether NDIS services are readily accessible for people with disability who were formerly incarcerated, outlining some of the challenges this group encounters. The research is based on interviews with 28 stakeholders from government and non-government organisations that interact with and provide support or services to people with disability within the criminal justice system. Our findings confirm the importance of a functioning NDIS plan to help prevent some in iduals encountering the criminal justice system, outlining several challenges that formerly incarcerated people with disability experience with the scheme. We conclude that ideas of choice and control are inhibited for some formerly incarcerated people with disability and highlight actions that can be taken regarding specialist support coordination, advocacy services and market stewardship to address these issues.
Governance of partnership between health and social services: the experience in Somerset
Publisher: Hindawi Limited
Date: 09-2002
DOI: 10.1046/J.1365-2524.2002.00381.X
Abstract: As one part of a larger study of the integration of mental health and social care, the present paper explores the role of the Joint Commissioning Board in the governance arrangements for health and social partnership in Somerset, UK. A short review of the literature on joint planning and joint commissioning revealed that such partnership has proved problematic, and that the role of non-executive directors and councillors is usually overlooked. Furthermore, the research on corporate boards suggests that their performance does not match the prescriptions made for them. Following a description of the methodology of the study, the present paper reports the findings of the activity of the Joint Commissioning Board from three data sources: (1) observation of meetings (2) analysis of documentation and (3) participant interviews. All three sources support the view, put forward in the Discussion section, that the Board does not play a proactive role in the setting and monitoring of policy and priorities. Nonetheless, it is argued, the Board plays a central and constructive role in the governance of partnership: as the symbol of interagency partnership as the vehicle for sustaining commitment to mental health and as the method of bringing additional elements of public accountability to the commissioning and providing of health and social care. Locating this ritual function of the Board within the broader sociological literature, the Discussion section goes on to suggest the implications both for the future of governance of partnership and for further research in this area.
Inter-Professional Working
Publisher: Macmillan Education UK
Date: 2014
Intermediate Care
Publisher: Macmillan Education UK
Date: 2014
Opportunity seized or missed? A case study of leadership and organizational change in the creation of a Care Trust
Publisher: Informa UK Limited
Date: 2007
DOI: 10.1080/13561820701585353
Abstract: This paper describes an action research study which focused on an exploration of the aspirations for and initial achievements of Stratham Mental Health NHS and Social Care Trust. Local leaders perceived that Stratham had a good history of health and social care partnership working and as such, adopted an integrationist view of culture to help shape the context of the new structural form. In doing so, consistency remained a key message to staff throughout this organizational transition and the change did not appear to cause the distraction to core business which the literature suggests it would do so. However, this continuity may have come at a cost, at least initially. In the process of formalizing the previous partnership into a Care Trust, Stratham may not have produced all the beneficial effects of synergy which are usually (albeit eventually) associated with mergers in the private sector. Certainly, local actors could see opportunities that had been missed. By focusing on the structural manifestation of the relationship, the opportunities to broaden informal horizontal linkages may have been underexploited. The study of Stratham serves to confirm that the integrationist conception of culture is limited and that the differentiation of professional groupings and the ambiguity of in idual experience will always make contested the meanings that are attributed to organizational change.
Involvement
Publisher: Macmillan Education UK
Date: 2014
Health and Well-Being Boards
Publisher: Macmillan Education UK
Date: 2014
A decade on: The achievements and challenges of the National Disability Insurance Scheme's implementation
Publisher: Wiley
Date: 05-07-2023
DOI: 10.1002/AJS4.277
Abstract: The National Disability Scheme began implementation in 2013 and in this article we reflect on its first decade. We explore why the NDIS was introduced and key design elements of the scheme before examining significant areas of debates that have emerged over this period, namely: co‐design of the scheme with people with disability scheme costs Tier 2 services administrative burden and its unequal impact on different groups of participants and market stewardship. We argue that many people accessing the NDIS have seen their lives transformed in a positive sense, but this is not the case for all and there remain some significant challenges with the scheme. The paper concludes by looking ahead and thinking about what might happen next for the NDIS to realise its full potential for all participants.
Hierarchies
Publisher: Macmillan Education UK
Date: 2014
Hospital Discharge
Publisher: Macmillan Education UK
Date: 2014
Inter-Professional Education
Publisher: Macmillan Education UK
Date: 2014
Health Act Flexibilities
Publisher: Macmillan Education UK
Date: 2014
Health Boards (Wales and Scotland)
Publisher: Macmillan Education UK
Date: 2014
Resource scarcity and prioritysetting: From management to leadership in the rationing of health care?
Publisher: Informa UK Limited
Date: 09-2011
Health and Social Care Trusts (Northern Ireland)
Publisher: Macmillan Education UK
Date: 2014
Self-Directed Support as a Framework for Partnership Working
Publisher: Wiley
Date: 20-02-2009
Design and Experimental Evaluation of a Vehicular Network Based on NEMO and MANET
Publisher: Springer Science and Business Media LLC
Date: 15-09-2010
DOI: 10.1155/2010/656407
'That was all over the shop': Exploring the COVID-19 response in disability residential settings
Publisher: Wiley
Date: 24-02-2023
Abstract: People with disability are an ‘at‐risk’ group in a pandemic context for various clinical and structural reasons. However, in the early stages of the COVID‐19 pandemic, people with disability were not identified as a priority group, which exacerbated this risk, particularly for those living in congregate settings. This paper examines inter‐organisational issues during the second wave of the COVID‐19 pandemic in disability residential settings gathered from senior managers, team leaders, and disability support workers. We use Victoria as a case study since several Victorian disability residential settings were in mid‐transition from state provision to non‐profit organisations. We argue that residential settings in mid‐transition had clearer lines of organisational accountability and communication, which was thought to reduce the impact of outbreaks compared to residential settings in other States and Territories with multiple lines of communication and blurred accountability. The paper contributes to the literature on inter‐organisational collaboration by reinforcing the necessity of clear lines of accountability and leadership in collaborative governance during emergencies. The evidence suggests how government and disability residential settings could better support residents and staff in future COVID‐19 outbreaks or other pandemics. People with disability, particularly those living in congregate settings, are often at heightened risk during public health emergencies. Clearer lines of responsibility, administrative, and communication arrangements across organisations and governments, alongside tailored responses within residential settings, are required to keep ‘at‐risk’ in iduals safe. Emergency management block funding could be designed to alleviate the financial pressures identified in this study for residential disability services in future pandemic responses.
Power in Editorial Positions: A Feminist Critique of Public Administration
Publisher: Wiley
Date: 07-05-2019
DOI: 10.1111/PUAR.12950
What roles might automation play in the future of public administration journal peer review processes?
Publisher: Wiley
Date: 09-10-2023
Devolution
Publisher: Macmillan Education UK
Date: 2014
Evaluation
Publisher: Macmillan Education UK
Date: 2014
Foundation Trusts
Publisher: Macmillan Education UK
Date: 2014
Successful School Interventions for Students with Disability During Covid-19: Empirical Evidence from Australia
Publisher: Springer Science and Business Media LLC
Date: 09-04-2023
DOI: 10.1007/S40299-022-00659-0
Abstract: Children and young people with disability are a “vulnerable” population within a pandemic context as they face structural inequities and discrimination as a result of their impairments. In this paper, we report research that sought to examine the learning experiences of children and young people with disability during the COVID-19 pandemic. We wanted to understand how this group fared and whether different interventions impacted on these experiences. Data were collected from an online survey organized by Children and Young People with Disability Australia (CYDA) that garnered responses from more than 700 families. The study contributes empirical evidence to the growing literature about COVID-19-related impacts on learners already recognized as experiencing multiple disadvantages in schooling. We find some significant gaps in supports offered to students with disability and their families. Notwithstanding that some students did not receive any support from their schools, where supports were offered, social supports had the greatest positive impact on feelings of learner engagement. Our findings support key propositions in the social and emotional learning literature, namely that particular resourcing should be dedicated to social interaction and feelings of belonging as these are crucial to learners engaging in learning processes. There are clear implications of these findings in terms of what educational institutions might do to help engage students with disability in remote learning.
Governance
Publisher: Macmillan Education UK
Date: 2014
The limits of market-based reforms
Publisher: Springer Science and Business Media LLC
Date: 05-2013
Community Services
Publisher: Macmillan Education UK
Date: 2014
Co-Production
Publisher: Macmillan Education UK
Date: 2014
Improving health care for disabled people in COVID-19 and beyond: Lessons from Australia and England
Publisher: Elsevier BV
Date: 04-2021
Data Protection
Publisher: Macmillan Education UK
Date: 2014
Assessment of VANET multi-hop routing over an experimental platform
Publisher: Inderscience Publishers
Date: 2009
Clinical Pathways
Publisher: Macmillan Education UK
Date: 2014
Commissioning
Publisher: Macmillan Education UK
Date: 2014
The care trust pilgrims
Publisher: Emerald
Date: 15-08-2011
DOI: 10.1108/14769011111164250
Abstract: This paper seeks to reflect on English care trusts as an ex le of a structural approach to integration. All current care trusts' chief executives were invited to participate in a semi‐structured interview exploring their experiences. Themes from the interviews were combined with findings from literature and policy review. The current care trusts can identify a number of advantages from combining health and social care into a single organisation. Equally, they also experienced many of the anticipated difficulties, and in hindsight half of those interviewed would recommend other options to achieving better integrated working. Whilst the “commissioning” function of care trusts will not survive beyond March 2013, “provider” care trusts look set to continue and indeed expand their service delivery. They will be joined both by new integrated social enterprises delivering health and social care. The experiences of care trusts show the limitations of a single organisational structure as a means to achieve better integration and the impact of a changing national policy landscape on local initiatives. The findings suggest that the current legal flexibilities for integrated working should remain to enable local areas to decide how best to achieve their priorities and to realise the importance of addressing local cultural, practical and leadership issues along with structural barriers. This paper provides a reflection on the ten years since the option of care trusts were available in England and adds to the current literature which focuses on in idual care trusts' development and impact.
Effective partnership working
Publisher: Routledge
Date: 29-10-2008
Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review
Publisher: MDPI AG
Date: 17-11-2021
Abstract: Objective: To systematically review interventions aimed at improving employment participation of people with psychosocial disability, autism, and intellectual disability. Methods: We searched MEDLINE, Embase, PsycINFO, Web of Science, Scopus, CINAHL, ERIC, and ERC for studies published from 2010 to July 2020. Randomized controlled trials (RCTs) of interventions aimed at increasing participation in open/competitive or non-competitive employment were eligible for inclusion. We included studies with adults with psychosocial disability autism and/or intellectual disability. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias II Tool. Data were qualitatively synthesized. Our review was registered with PROSPERO (CRD42020219192). Results: We included 26 RCTs: 23 targeted people with psychosocial disabilities (n = 2465), 3 included people with autism (n = 214), and none included people with intellectual disability. Risk of bias was high in 8 studies, moderate for 18, and low for none. There was evidence for a beneficial effect of In idual Placement and Support compared to control conditions in 10/11 studies. Among young adults with autism, there was some evidence for the benefit of Project SEARCH and ASD supports on open employment. Discussion: Gaps in the availability of high-quality evidence remain, undermining comparability and investment decisions in vocational interventions. Future studies should focus on improving quality and consistent measurement, especially for interventions targeting people with autism and/or intellectual disability.
Clinical microsystems and the NHS: A sustainable method for improvement?
Publisher: Emerald
Date: 20-03-2009
DOI: 10.1108/14777260910942597
Abstract: The purpose of this paper is to evaluate the claims made for the clinical microsystems approach of healthcare improvement within an English NHS context. The research adopted a Realistic Evaluation approach to examine a series of pilot clinical microsystems sites to determine what worked for whom, when and within what circumstances. Interviews and group discussions were used to collect qualitative data, whist quantitative outcome data was also collected within each of the sites. Data was triangulated to produce case studies for each of the sites. The research concurred with many of the claims for clinical microsystems, particularly that democratic, consensual approaches to change and improvement can be better received than externally derived initiatives with imposed targets. The clinical microsystem approach emphasises identifying and nurturing strengths – of both teams and in iduals – and this reinforced these positive aspects. The case study sites demonstrated higher staff morale, empowerment, commitment and clarity of purpose. To a lesser extent the research also indicated an enhanced predisposition towards improvement and innovation and a seemingly embedded sense of improvement as an ongoing (if essentially episodic) process. The evaluation was limited in terms of the numbers of case study sites that it was able to incorporate. This s le represented sites of different sizes, coverage of primary, secondary and tertiary care and those reporting more and less positive experiences of the clinical microsystems approach – but any findings may be limited in their generaliseability and further studies may be needed to test out the relevance of these findings in wider settings. Future microsystem programmes will need to address components of patient involvement and process/outcome monitoring if the broader legitimacy of the approach is to be cemented and enhanced. In particular, the importance of strong data collection in achieving “high performing” status is emphasised. There is currently no other empirical studies within the academic literature which investigate the value of the clinical microsystems approach to an English NHS context.
Partnership Working and Multi-Agency Approaches
Publisher: BENTHAM SCIENCE PUBLISHERS
Date: 30-12-2010
DOI: 10.2174/978160805065911001010095
Abstract: The final chapter in this section of the book, and of the overall collection, turns its attention to the role of other agencies beyond the NHS in affecting sexual health improvement and the nature of partnership arrangements to deliver desired change. The clear expectations in Respect and Responsibility (Scotland’s first national sexual health strategy) of multi-organisational working, especially between the NHS, local authorities and the voluntary sector, to address sexual health needs in Scotland have needed creative responses. These are reviewed by the chapter’s author, Andrew Gardiner from NHS Gr ian, and structures that have been put in place to facilitate partnership working across Scotland are described. These include recent requirements, through the introduction of Single Outcome Agreements and Community Planning, by Scottish Government of local authorities in Scotland to ensure that health improvement is addressed in partnership. Ex les of successful joint working from across Scotland are given that suggest where lessons could be learned for the future, especially concerning the most vulnerable population groups and indicate where useful groundwork has started.
Partnership working in practice
Publisher: Routledge
Date: 29-10-2008
Free Personal Care in Scotland: A Narrative Review
Publisher: Oxford University Press (OUP)
Date: 17-03-2007
DOI: 10.1093/BJSW/BCM018
Priority-setting and rationing in healthcare: Evidence from the English experience
Publisher: Elsevier BV
Date: 12-2012
DOI: 10.1016/J.SOCSCIMED.2012.09.014
Abstract: In a context of ever increasing demand, the recent economic downturn has placed further pressure on decision-makers to effectively target healthcare resources. Over recent years there has been a push to develop more explicit evidence-based priority-setting processes, which aim to be transparent and inclusive in their approach and a number of analytical tools and sources of evidence have been developed and utilised at national and local levels. This paper reports findings from a qualitative research study which investigated local priority-setting activity across five English Primary Care Trusts, between March and November 2012. Findings demonstrate the dual aims of local decision-making processes: to improve the overall effectiveness of priority-setting (i.e. reaching 'correct' resource allocation decisions) and to increase the acceptability of priority-setting processes for those involved in both decision-making and implementation. Respondents considered priority-setting processes to be compartmentalised and peripheral to resource planning and allocation. Further progress was required with regard to disinvestment and service redesign with respondents noting difficulty in implementing decisions. While local priority-setters had begun to develop more explicit processes, public awareness and input remained limited. The leadership behaviours required to navigate the political complexities of working within and across organisations with differing incentives systems and cultures remained similarly underdeveloped.
Accountability
Publisher: Macmillan Education UK
Date: 2014
‘Why Partnership Working Doesn't Work’
Publisher: Informa UK Limited
Date: 11-2010
Acute Care
Publisher: Macmillan Education UK
Date: 2014
Integrated Health and Social Care in England: Ten Years On
Publisher: Ubiquity Press, Ltd.
Date: 2021
DOI: 10.5334/IJIC.5666
‘Creating NHS Local’: The Relationship between English Local Government and the National Health Service
Publisher: Wiley
Date: 06-2010
Building better health: joint working between health, housing and social care – introduction to the special edition
Publisher: Emerald
Date: 11-02-2014
Clinical Networks
Publisher: Macmillan Education UK
Date: 2014
Children’s Trusts
Publisher: Macmillan Education UK
Date: 2014
Clinical Commissioning Groups
Publisher: Macmillan Education UK
Date: 2014
A–Z of Inter-Agency Working
Publisher: Macmillan Education UK
Date: 2014
Partnership working in health and social care
Publisher: Bristol University Press
Date: 2017
Care Trusts
Publisher: Macmillan Education UK
Date: 2014
The evaluation of health and social care partnerships: an analysis of approaches and synthesis for the future
Publisher: Hindawi Limited
Date: 09-2006
DOI: 10.1111/J.1365-2524.2006.00650.X
Abstract: At a time when health and social care partnerships are continuing to occupy a central role within the UK government's policy strategy, researchers are increasingly being required to evaluate such organisational entities. This paper looks at a wide range of approaches which have been utilised to evaluate health and social care partnerships, and suggests that theory-led strategies are better able to address the complexities associated with such forms of evaluation. In particular, the author suggests that a combination of theories of change and realistic evaluation seems to be the most fruitful in tackling the evaluation difficulties associated with partnerships. Despite both being theory-led evaluation strategies, they fulfil quite different and complementary roles. However, both these approaches have been found to have some limitations in practice. Therefore, this paper suggests that interpreting these approaches through a framework of critical realism may overcome a number of these difficulties.
Can knowledge management enhance technology adoption in healthcare? A review of the literature
Publisher: Bristol University Press
Date: 08-2010
Abstract: The rate of adoption of new technologies into healthcare systems is considered to be slower than in other settings. A range of knowledge-based facilitators of adoption exist, including: technology specification and assessment dissemination tools (including electronic decision support tools) networks and facilitated interaction and skills and leadership development. A review of the evidence relating to each of these is reported in this paper. The authors identify the absence of a single knowledge-related ‘magic bullet’ before proposing an analytical framework for the future assessment of knowledge-based interventions and their impact on technology adoption.
Area-Based Initiatives
Publisher: Macmillan Education UK
Date: 2014
Assessment
Publisher: Macmillan Education UK
Date: 2014
Partnership working in England—where we are now and where we’ve come from
Publisher: Ubiquity Press, Ltd.
Date: 09-02-2011
DOI: 10.5334/IJIC.545
Beyond the Berlin Wall?: Investigating joint commissioning and its various meanings using a Q methodology approach
Publisher: Informa UK Limited
Date: 17-01-2013
‘Nearly gave up on it to be honest’: Utilisation of individualised budgets by people with psychosocial disability within Australia's National Disability Insurance Scheme
Publisher: Wiley
Date: 30-06-2022
DOI: 10.1111/SPOL.12838
Abstract: Utilisation of budgets provides important insights into the effectiveness of in idualised funding schemes. Significant under‐utilisation by certain cohorts may indicate schemes are not working as intended. People with psychosocial disability have been identified as one such cohort experiencing barriers to effective budget utilisation within Australia's National Disability Insurance Scheme. Our mixed‐methods research confirms that while this cohort receive sufficient budgets, their spending is lower in comparison to other participants. Addressing under‐utilisation drivers arising from complex interactions between in idual, systems, and contextual‐level factors, requires intervention within in idualised funding schemes and the broader policy environment.
The future of working from home in the public sector: What does the evidence tell us?
Publisher: Wiley
Date: 17-08-2022
Abstract: The COVID‐19 pandemic created a working from home experiment for the public sector. This paper examines what might happen next as countries move towards a COVID‐normal environment. Since the academic literature on public sector agencies and working from home since the onset of the pandemic is scant, we focus on the non‐peer‐reviewed literature as our evidence base. This paper identifies the main issues public sector agencies need to consider as new ways of working emerge. The key facets are emerging preferences for hybrid working, productivity and remote working, and impacts of working from home on employees, especially gender equality. We highlight a range of emerging challenges, including how to maintain productivity, the need to redevelop employee value propositions to attract and retain employees in this changing landscape, and the risks of proximity bias. We conclude by identifying questions to be addressed in subsequent research.
Where specialist and mainstream service systems collide : The National Disability Insurance Scheme in prisons
Publisher: Wiley
Date: 21-08-2022
Abstract: The coordination of specialist with mainstream service systems is prone to role delineation and implementation difficulties worldwide. In the case of the National Disability Insurance Scheme (NDIS), this specialist/mainstream interface is complicated by federalism and funding responsibilities held by different levels of government. People with disability, especially cognitive or intellectual disability, are over‐represented in Australia's prisons. Through semi‐structured interviews with professionals working at the interface of disability and criminal justice, we explore some of these interface issues with regard to NDIS services (specialist) in prisons (mainstream). We find that policy permits some NDIS‐funded services to be delivered inside prisons, such as transition services related to a person's disability, but in practice there is significant variation in how policy is understood and implemented, leading to exclusion and service gaps. This case study shines light on longstanding debates about service coordination across organisational and jurisdictional boundaries.
From external provision to technological outsourcing: lessons for public sector automation from the outsourcing literature
Publisher: Informa UK Limited
Date: 31-08-2021
Key Elements in Effective Partnership Working
Publisher: Wiley
Date: 20-02-2009
Care Trusts: Partnership Working in ActionCare Trusts: Partnership Working in Action
Publisher: RCN Publishing Ltd.
Date: 12-05-2004
Making sense of joint commissioning: three discourses of prevention, empowerment and efficiency
Publisher: Springer Science and Business Media LLC
Date: 05-2013
Partnership Working and Organisational Culture
Publisher: Wiley
Date: 20-02-2009
Partnership Working: Key Concepts and Approaches
Publisher: Wiley
Date: 20-02-2009
Australia’s Disability Employment Services Program: Participant Perspectives on Factors Influencing Access to Work
Publisher: MDPI AG
Date: 31-10-2021
Abstract: Disability employment programs play a key role in supporting people with disability to overcome barriers to finding and maintaining work. Despite significant investment, ongoing reforms to Australia’s Disability Employment Services (DES) are yet to lead to improved outcomes. This paper presents findings from the Improving Disability Employment Study (IDES): a two-wave survey of 197 DES participants that aims to understand their perspectives on factors that influence access to paid work. Analysis of employment status by type of barrier indicates many respondents experience multiple barriers across vocational (lack of qualifications), non-vocational (inaccessible transport) and structural (limited availability of jobs, insufficient resourcing) domains. The odds of gaining work decreased as the number of barriers across all domains increased with each unit of barrier reported (OR 1.22, 95% CI 1.07, 1.38). Unemployed respondents wanted more support from employment programs to navigate the welfare system and suggest suitable work, whereas employed respondents wanted support to maintain work, indicating the need to better tailor service provision according to the needs of job-seekers. Combined with our findings from the participant perspective, improving understanding of these relationships through in-depth analysis and reporting of DES program data would provide better evidence to support current DES reform and improve models of service delivery.
Part-time versus full-time employment and mental health for people with and without disability
Publisher: Elsevier BV
Date: 09-2023
Better Partnership Working Complete Set
Publisher: Hindawi Limited
Date: 09-2009
Partnership Working in Health and Social Care Glasby Jon and Dickinson Helen Partnership Working in Health and Social Care128pp £9.99 Policy Press 9781447312819 1447312813
Publisher: RCN Publishing Ltd.
Date: 27-11-2014
The ableism elephant in the academy: a study examining academia as informed by Australian scholars with lived experience
Publisher: Informa UK Limited
Date: 23-04-2019
Feminism, Gender, and Power Relations in Policy – Starting a New Conversation
Publisher: Wiley
Date: 12-2018
The Next Industrial Revolution? The Role of Public Administration in Supporting Government to Oversee 3D Printing Technologies
Publisher: Wiley
Date: 02-09-2018
DOI: 10.1111/PUAR.12988
Exploring governance tensions of disruptive technologies: the case of care robots in Australia and New Zealand
Publisher: Oxford University Press (OUP)
Date: 03-04-2021
DOI: 10.1080/14494035.2021.1927588
Abstract: Robots are increasingly appearing as a potential answer to the ‘care crisis’ facing a number of countries. Although it is anticipated that many positives will flow from the application of these technologies, they are also likely to generate unexpected consequences and risks. This paper explores the use of robots within disability and aged care settings in the Australian and New Zealand contexts. Informed by thirty-five semi-structured interviews with a range of stakeholders, the paper explores why this area is so difficult to govern examining areas identified as generating tensions around the use of robots in care settings. In each of these areas some respondents saw the introduction of robots to be relatively straightforward applications that do not require extensive structures of governance. Others, however, viewed these applications as having potentially greater implications and the need to govern for these over the longer term. The three areas of tension that we explore in this paper relate to independence and surveillance, the re-shaping of human interaction and who can care. These tensions illustrate some of the problems involved in governing robots in a care service context and some of the potentially difficult issues that governments will need to resolve if these technologies are to be effective. We conclude the paper arguing what is needed is a responsive regulation approach to help resolve some of the complexities and tensions in overseeing these technologies.
Integration: work still in progress
Publisher: Emerald
Date: 26-10-2012
DOI: 10.1108/14777261211275881
Abstract: The purpose of this paper is to set the context for this special issue and provide an introduction to the in idual contributions. This paper uses a literature survey and analysis. Integration remains both a central goal and a field of limited but possibly developing achievement. Multiple meanings and usages are themselves sources of confusion and contestability that contribute to poor performance, as does an emphasis on process over outcome. This special issue provides an opportunity for the limitations and possibilities of integration to be explored from a wide range of disciplinary perspectives and international settings. In idual papers draw on a wide and innovatory range of theoretical approaches in addressing reasons for limited progress and opportunities for taking it further. Nonetheless, how far we have a good fit between this area of study and the tools we use for its evaluation remains an issue for concern and further exploration. This editorial is not a systematic review, though it draws on findings from a number of such reviews. The various contributions all have practical implications for the strategies to develop integration and its evaluation. The special issue as a whole was designed to encourage fresh perspectives and approaches to be brought to bear on understanding, conducting and evaluating integration. This editorial introduces each of these themes.
How effective is joint commissioning? A study of five English localities
Publisher: Emerald
Date: 02-08-2013
DOI: 10.1108/JICA-04-2013-0012
Abstract: This paper reports research undertaken into the practices, processes and outcomes of joint commissioning at five English localities. This paper reflects on the implications of this study for the practice of joint commissioning. A case study approach to the research was adopted where the assumptions about what joint commissioning should deliver in five “best practice” sites. These hypothesised relationships about organisational processes, services and outcomes were then tested through the collection of primary and secondary data. Methods of data collection included an online tool based on Q methodology, documentary analysis, interviews and focus groups. Very little of what we found seemed to relate directly to issues of joint commissioning. Respondents often spoke of joint commissioning conflating it with issues of commissioning or joint working more generally. We found a variety of different definitions and meanings of joint commissioning in practice suggesting that this is not a coherent model but varies across localities. Little evidence of improved outcomes was found, due to practical and technical difficulties. Joint commissioning is not a coherent model and is applied in different ways across different contexts. As such we may need to ask very different questions of joint commissioning to those typically asked. It is important that local sites are clear about what they are trying to deliver through joint commissioning or else risk that it becomes an end in itself. Some of the current reforms taking place in health and social care risk pulling apart existing relationships that have taken significant time and resource to develop. This is one of the first large‐scale studies of joint commissioning conducted in England.
Working in Partnership with Pupils and Parents
Publisher: SAGE Publications Ltd
Date: 2011
Substrates across horticultural and livestock industries that support the development of stable fly, Stomoxys calcitrans (Diptera: Muscidae)
Publisher: Wiley
Date: 07-07-2017
DOI: 10.1111/AEN.12282
What is partnership working and why does it matter?
Publisher: Bristol University Press
Date: 2014
Cases for change in mental health: partnership working in mental health services
Publisher: Informa UK Limited
Date: 02-2004
International perspectives on health and social care. Partnership working in action
Publisher: Ubiquity Press, Ltd.
Date: 05-10-2009
DOI: 10.5334/IJIC.326
The Working in Partnership Programme
Publisher: RCN Publishing Ltd.
Date: 02-2006
Burdensome Administration and Its Risks: Competing Logics in Policy Implementation
Publisher: SAGE Publications
Date: 06-03-2020
Abstract: Australia is currently undergoing significant social policy reform under the introduction of a personalized scheme for disability services: the National Disability Insurance Scheme (NDIS). This article explores the growing administrative burdens placed on disability providers operating under the new scheme, using an Australia-wide survey of the disability sector. The 2018 National Disability Services survey of the disability sector reveals that administrative burden is the most commented on challenge for providers. Moreover, providers linked this burden to questions concerning their financial sustainability and ability to continue to offer services within the NDIS. In this article, we explore the sources of these administrative burdens and their relationships with the institutional logics at play in the NDIS. In addition to documenting the impact of system change on the Australian disability service sector, this article raises questions regarding institutional hybridity within personalization schemes more broadly and whether they are a source of tension, innovation, or both.
Improving partnership working in housing and mental health
Publisher: Bristol University Press
Political legitimacy and vaccine hesitancy: Disability support workers in Australia
Publisher: Oxford University Press (OUP)
Date: 10-01-2023
Abstract: People with disability are an at-risk group in the COVID-19 pandemic for a range of clinical and socioeconomic reasons. In recognition of this, Australians with disability and those who work with them were prioritized in access to vaccination, but the vaccination targets were not met. In this paper, we analyze qualitative data generated from a survey with 368 disability support workers to identify drivers of COVID-19 vaccination hesitancy and why the implementation of this policy may have experienced challenges. We identify a range of themes within these data but ultimately argue that a major driver of vaccine hesitancy in this group is a mistrust of government and an erosion of employment terms and conditions. Drawing on the policy capacity literature, we argue that the “Achilles’ heel” for the Australian government in this case is the critical policy capacity of political legitimacy. This finding has important implications for where the government needs to increase/build policy capacity, strengthening its efforts and better relating to organizations that can be helpful in terms of developing public health messaging for disability support workers.
Performing Leadership: Towards a New Research Agenda in Leadership Studies?
Publisher: SAGE Publications
Date: 02-2009
Abstract: The notion that leadership involves performance is not new, but there has been little detailed exploration of the implications of theories of performance for contemporary leadership practice. This article differentiates between leadership `is' performance and leadership `as 'performance as one means of investigating contemporary leadership. We suggest that this distinction allows for more sustainable accounts of the relationships between leaders, followers and the institutional settings within which they are generated and, consequently, the spaces in which there is potential for change to occur. The article argues that such insights may be made by combining ideas derived from writers on performance studies and performativity with new-institutionalist theory, the latter emphasising the crucial role of context in shaping the behaviour of leaders, so that their agency is always situated in specific settings.
Partnership working in health promotion:
Publisher: Bristol University Press
Social Enterprise
Publisher: Macmillan Education UK
Date: 2014
Structures and processes for priority-setting by health-care funders: A national survey of primary care trusts in England
Publisher: SAGE Publications
Date: 08-2012
Abstract: Although explicit priority-setting is advocated in the health services literature and supported by the policies of many governments, relatively little is known about the extent and ways in which this is carried out at local decision-making levels. Our objective was to undertake a survey of local resource allocaters in the English National Health Services in order to map and explore current priority-setting activity. A national survey was sent to Directors of Commissioning in English Primary Care Trusts (PCTs). The survey was designed to provide a picture of the types of priority-setting activities and techniques that are in place and offer some assessment of their perceived effectiveness. There is variation in the scale, aims and methods of priority-setting functions across PCTs. A perceived strength of priority-setting processes is in relation to the use of particular tools and/or development of formal processes that are felt to increase transparency. Perceived weaknesses tended to lie in the inability to sufficiently engage with a range of stakeholders. Although a number of formal priority-setting processes have been developed, there are a series of remaining challenges such as ensuring priority-setting goes beyond the margins and is embedded in budget management, and the development of disinvestment as well as investment strategies. Furthermore, if we are genuinely interested in a more explicit approach to priority-setting, then fostering a more inclusive and transparent process will be required.
Social Model
Publisher: Macmillan Education UK
Date: 2014
Public Health
Publisher: Macmillan Education UK
Date: 2014
Regulation and Inspection
Publisher: Macmillan Education UK
Date: 2014
Safeguarding
Publisher: Macmillan Education UK
Date: 2014
Social Care
Publisher: Macmillan Education UK
Date: 2014
‘I've probably risk assessed this myself’: Choice, control and participant co‐regulation in a disability individualised funding scheme
Publisher: Wiley
Date: 16-06-2023
DOI: 10.1111/SPOL.12940
Abstract: Co‐production is an intrinsic component of disability in idualised funding schemes such as Australia's National Disability Insurance Scheme (NDIS). In this paper, we argue that an under‐explored facet of co‐production is the role that users of these services play in co‐regulation. We draw on data collected in a qualitative study exploring participants' use of providers who are not registered with the NDIS regulator, the Quality and Safeguards Commission. Employing Steiner et al.'s (2023) 5Ws framework, we focus particularly on the dimensions of what, why and where to understand the conditions underpinning client co‐regulation of quality and safety in the NDIS. We also explore the various types of activities participants engage in to co‐produce their NDIS services, highlighting activities designed to improve the quality and safety of services delivered by unregistered providers.
Fast and Regulated Zinc Deposition in a Semiconductor Substrate toward High‐Performance Aqueous Rechargeable Batteries
Publisher: Wiley
Date: 03-10-2022
Abstract: Rechargeable aqueous zinc‐ion batteries are considered as ideal candidates for large‐scale energy storage due to their high safety, eco‐friendliness, and low cost. However, Zn anode invites dendrite growth and parasitic reactions at anode‐electrolyte interface, impeding the practical realization of the battery. In this study, the electrochemical performance of the Zn‐metal anode is proposed to improve by using a 3D ZnTe semiconductor substrate. The substrate features high zincophilicity, high electronic conductivity and electron affinity, and a low Zn nucleation energy barrier to promote dendrite‐proof Zn deposition along the (002) crystal plane, while it also maintains high chemical stability against parasitic metal corrosion and hydrogen evolution reactions at surface, and a stable skeleton structure against the volume variation of anode. A Zn‐metal anode based on the telluride substrate shows a long cycle life of over 3300 h with a small voltage hysteresis of 48 and 320 mV at 1 and 30 mA cm −2 , respectively. A zinc telluride@Zn//MnO 2 full cell can operate for over 500 cycles under practical conditions in terms of lean electrolyte (18 µL mAh −1 ) and limited Zn metal ( negative ositive capacity ratio of 3:1, and a high mass loading of the cathode.
Working in partnership
Publisher: RCN Publishing Ltd.
Date: 06-1993
International Perspectives on Health and Social Care
Publisher: Wiley
Date: 20-02-2009
Partnership working 2e
Publisher: Bristol University Press
Date: 09-01-2014
DOI: 10.2307/J.CTT1T89GSC
Health care cost of crusted scabies in Aboriginal communities in the Northern Territory, Australia
Publisher: Public Library of Science (PLoS)
Date: 28-03-2022
DOI: 10.1371/JOURNAL.PNTD.0010288
Abstract: Crusted scabies is a debilitating dermatological condition. Although still relatively rare in the urban areas of Australia, rates of crusted scabies in remote Aboriginal communities in the Northern Territory (NT) are reported to be among the highest in the world. To estimate the health system costs associated with diagnosing, treating and managing crusted scabies. A disease pathway model was developed to identify the major phases of managing crusted scabies. In recognition of the higher resource use required to treat more severe cases, the pathway differentiates between crusted scabies severity grades. The disease pathway model was populated with data from a clinical audit of 42 crusted scabies patients diagnosed in the Top-End of Australia’s Northern Territory between July 1, 2016 and May 1, 2018. These data were combined with standard Australian unit costs to calculate the expected costs per patient over a 12-month period, as well as the overall population cost for treating crusted scabies. The expected health care cost per patient diagnosed with crusted scabies is $35,418 Australian dollars (AUD) (95% CI: $27,000 to $43,800), resulting in an overall cost of $1,558,392AUD (95% CI: $1,188,000 to $1,927,200) for managing all patients diagnosed in the Northern Territory in a given year (2018). By far, the biggest component of the health care costs falls on the hospital system. This is the first cost-of-illness analysis for treating crusted scabies. Such analysis will be of value to policy makers and researchers by informing future evaluations of crusted scabies prevention programs and resource allocation decisions. Further research is needed on the wider costs of crusted scabies including non-financial impacts such as the loss in quality of life as well as the burden of care and loss of well-being for patients, families and communities.
Related Organisations
University Of Birmingham
Location: United Kingdom of Great Britain and Northern Ireland
Related Funding Activities
Linkage Projects - Grant ID: LP150100077
Start Date: 05-2016
End Date: 12-2021
Amount: $677,681.00
Funder: Australian Research Council
View Funded ActivityLinkage Projects - Grant ID: LP170100550
Start Date: 10-2018
End Date: 09-2024
Amount: $405,000.00
Funder: Australian Research Council
View Funded Activity