Neoliberalism, Austerity and the Health and Social Care Act 2012: The Coalition Government's Programme for the NHS and its Implications for the Public Sector Workforce

2013 ◽  
Vol 42 (4) ◽  
pp. 422-433 ◽  
Author(s):  
H. Pownall
Keyword(s):  
Public Sector ◽  
Social Care ◽  
The Public ◽  
Health And Social Care

scholarly journals The influence of home care supply on delayed discharges from hospital in England

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stephen Allan ◽  
Daniel Roland ◽  
Gintare Malisauskaite ◽  
Karen Jones ◽  
Kate Baxter ◽  
...  
Keyword(s):  
Public Sector ◽  
Home Care ◽  
Fixed Effects ◽  
Social Care ◽  
Local Authority ◽  
Care Providers ◽  
The Public ◽  
Health And Social Care ◽  
Delayed Discharges ◽  
The Relationship

Abstract Background Delayed transfers of care (DTOC) of patients from hospital to alternative care settings are a longstanding problem in England and elsewhere, having negative implications for patient outcomes and costs to health and social care systems. In England, a large proportion of DTOC are attributed to a delay in receiving suitable home care. We estimated the relationship between home care supply and delayed discharges in England from 2011 to 2016. Methods Reduced form fixed effects OLS models of annual DTOC attributed to social care at local authority (LA)-level from 2011 to 2016 were estimated, using both number of days and patients as the dependent variable. A count of home care providers at LA-level was utilised as the measure of home care supply. Demand (e.g. population, health, income) and alternative supply (e.g. care home places, local unemployment) measures were included as controls. Instrumental Variable (IV) methods were used to control for any simultaneity in the relationship between DTOC and home care supply. Models for DTOC attributed to NHS and awaiting a home care package were used to assess the adequacy of the main model. Results We found that home care supply significantly reduced DTOC. Each extra provider per 10 sq. km. in the average local authority decreased DTOC by 14.9% (equivalent to 449 days per year), with a per provider estimate of 1.6% (48 days per year). We estimated cost savings to the public sector over the period of analysis from reduced DTOC due to increased home care provision between £73 m and £274 m (95% CI: £0.24 m to £545.3 m), with a per provider estimate of savings per year of £12,600 (95% CI: £900 to £24,500). Conclusion DTOC are reduced in LAs with better supply of home care, and this reduces costs to the NHS. Further savings could be achieved through improved outcomes of people no longer delayed. Appropriate levels of social care supply are required to ensure efficiency in spending for the public sector overall.

scholarly journals The Professional Standards Authority: overseeing the health and social care regulators

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Daniel Beech
Keyword(s):  
Social Care ◽  
Professional Standards ◽  
High Court ◽  
The Public ◽  
Health And Social Care ◽  
The Uk ◽  
Nurses And Midwives

The Professional Standards Authority (PSA) reviews the fitness-to-practise decisions of all nine health and social care regulators in the UK. In 2016–17, the authority reviewed 4,285 determinations. If the PSA deems a particular decision to be ‘insufficient for the protection of the public’ (previously the test was ‘unduly lenient’), that decision can be referred to the High Court, where it can be reviewed and, if appropriate, overturned. To help illustrate this aspect of the work of the PSA, this report presents the case of a midwife whose fitness to practise had been considered by the Nursing and Midwifery Council (NMC), the statutory regulator of nurses and midwives. The PSA considered that the outcome had been unduly lenient (i.e. it was considered under the earlier test), and the High Court agreed. The matter was remitted back to a differently constituted committee of the NMC, where it was decided that the appropriate outcome was that her name should be removed from the register, thereby effectively ending the career of the midwife.

Frailty – from bedside to buzzword?

2015 ◽  
Vol 23 (3) ◽  
pp. 120-128 ◽  
Author(s):  
Jill Manthorpe ◽  
Steve Iliffe
Keyword(s):  
Policy Development ◽  
English Language ◽  
Social Care ◽  
Content Type ◽  
The Public ◽  
The Social ◽  
Health And Social Care ◽  
The Subject ◽  
To Come ◽  
Recent Policy

Purpose – The purpose of this paper is to explore common usage and understanding of the term “frailty”, which is increasingly used in health care debates in England. Design/methodology/approach – This is a commentary from the perspectives of health and social care researchers. Recent policy and research are drawn upon in the arguments presented. Findings – Most research on the subject of frailty comes from clinical practice although a parallel sociological or gerontological critique of the social construction is emerging. The public is likely to come across the term frailty through the media’s adoption of the term. Different definitions of frailty mean that estimates of the numbers of “frail people” will vary. Research limitations/implications – The commentary draws on material in the English language and on policy, commentary, and research material. Practical implications – The commentary may prompt reflection in practice and policy development on the usage of the term frailty and promote efforts to ensure that its meaning is clear and that it is acceptable to those to whom it is applied. Originality/value – The paper contributes to debates about frailty by considering the implications of using the term across health and social care and in integrated settings and encounters. It draws on medical presentations of the term frailty and on critiques of it as a powerful discourse.

scholarly journals A design-led framework for engaged research: Using a design approach to understand and place the public at the core of health and social care

2021 ◽  
Vol 69 (3) ◽  
pp. 1-18
Author(s):  
Mary Galvin ◽  
Avril Kennan ◽  
Éidín Ní Shé
Keyword(s):  
Health Research ◽  
Social Care ◽  
Social Research ◽  
Research Process ◽  
The Public ◽  
Umbrella Organisation ◽  
Health And Social Care ◽  
Academic Partner ◽  
New Policies

Abstract This paper offers a multi-perspective approach on the role of engaged research in health and social care. Each of the authors focuses on their individual experiences of this domain, from the perspective of an academic partner of the Health Research Board’s PPI Ignite programme, a CEO of an umbrella organisation for health research charities and a researcher in design innovation, focusing on health research. The paper outlines the values which underpin public and patient involvement, as well as examples of its application as engaged research. It details how organisations like Health Research Charities Ireland support and enable engaged research within health and social research and policy. This paper offers a framework for facilitating dialogue and response across all stakeholders in the engaged research process, illustrating the importance of engaged research and how we can further our understanding and application of it within health and social care policy by adopting a design-led approach. We argue that a design-led approach can both facilitate engaged research as well as support policymakers in the design of new policies and practices.

scholarly journals Analysis of Data Use Registers published by health data custodians in the UK

2021 ◽  
Author(s):  
Nada Karrar ◽  
Shahriar Kabir Khan ◽  
Sinduja Manohar ◽  
Paola Quattroni ◽  
David Seymour ◽  
...  
Keyword(s):  
Social Care ◽  
Data Use ◽  
Service Evaluation ◽  
Health Data ◽  
The Public ◽  
The United Kingdom ◽  
Health And Social Care ◽  
Public Record ◽  
The Uk ◽  
Research Alliance

Transparency of how health and social care data is used by researchers is crucial to building public trust. We define 'data use registers' as a public record of data an organisation has shared with other individuals or organisations for the purpose of research, innovation and service evaluation, and are used by some data custodians across the United Kingdom to increase transparency of data use. They typically contain information about the type of data being shared, the purpose, date of approval and name of organisation or individual using (or receiving) the data. However, information published lacks standardisation across organisations. Registers do not yet have a consistent approach and are often incomplete, updated infrequently and not accessible to the public. In this paper, we present an empirical analysis of existing data use registers in the UK and investigate accessibility, content, format and frequency of updates across health data organisations. This analysis will inform future recommendations for a data use register standard that will be published by the UK Health Data Research Alliance.

scholarly journals Where has vulnerability gone?

2020 ◽  
pp. 147332502097331
Author(s):  
Catherine R Phillips
Keyword(s):  
Social Work ◽  
Health Care Workers ◽  
Social Care ◽  
Judith Butler ◽  
Cultural Representation ◽  
The Public ◽  
Care Workers ◽  
Health And Social Care ◽  
Cultural Spaces ◽  
Cultural Responses

During Covid-19, health care workers have been vulnerable to death, and at the same time, in response to their vulnerability, heroic. Heroism is one of the most ubiquitous narratives during this pandemic. In this article, I am interested in the juncture between vulnerability and heroism, the discursive privileging of a hero and the implications of this for social workers in health and social care. I use the writings of Judith Butler to ask, where has vulnerability gone? I argue that it is not that vulnerability is erased or suppressed, or comes second in the public imaginary, but rather, vulnerability is reconstituted as heroic and becomes unrecognisable. Vulnerability is an under-examined concept in social work and an analysis of its cultural representation during the outbreak of Covid-19, can contribute to our knowledge about how vulnerability operates in health and social care, as well as how vulnerability conditions the cultural spaces we operate within. Can new insights, provoked by the cultural responses to this pandemic, lead to a reorientation for social work politics and the politics of vulnerability?

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