scholarly journals Who wants to be a psychiatrist? Northern Ireland foundation doctors (2006 - 2018) positive towards psychiatry as career choice

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S247-S247
Author(s):  
Michael Doris ◽  
Amy Grimason ◽  
Damien Hughes ◽  
Lorraine Parks ◽  
Angela Carragher
Keyword(s):  
Northern Ireland ◽  
Service Provision ◽  
Recent Progress ◽  
Training Programme ◽  
Huge Amount ◽  
Training Scheme ◽  
The People ◽  
Foundation Programme ◽  
The Uk

AimsRecruitment into psychiatry remains a major issue nationally despite recent progress with the #choose psychiatry scheme. Here we look to establish why Northern Ireland (NI) has been able to have 100% fill rates by speaking to the people who have work in the frontline of psychiatry. What is done differently in NI and are there lessons that could benefit other regions?BackgroundNI presents itself as an anomaly – In a region that only attracts 31.8% of F2s to enter into any training programme, Core psychiatry has been consistently oversubscribed for many years. One difference is the allocation of trainees in the Foundation programme. NI offers psychiatry placements to 33% of F2 doctors with none in the F1 year.MethodAll doctors of any grade working in psychiatry who had been through the Foundation programme since 2006 were asked to complete a survey on their foundation experience and reasons for choosing a career in psychiatry using SurveyMonkey technology. Qualiative and quantiative data was collected and analysed.Resultin total 67 doctors from CT1 to Consultant and SAS doctors responded, including over 60% of all current trainees, providing a huge amount of information. Remarkably, 45% of psychiatry doctors working in NI surveyed hadn't considered a career in psychiatry until their foundation placement. NI is the only region in the UK that does not have an F1 placement in Psychiatry. Over 80% of doctors here feel that this is a positive. White space answers revealed other aspects of training that positively influenced them to choose psychiatry including a reputation for high quality training, as well as close links between the local medical school, the local brach of the Royal College of Psychiatrists and the NI deanery.ConclusionThis study is the first to examine the reasons behind psychiatry's success in NI. The quality of the training scheme locally and presence of an excellent training to service provision balance were also mentioned. This study supports the presence of psychiatry in the F2 year only.

scholarly journals Overseas doctors' training scheme

1992 ◽  
Vol 16 (11) ◽  
pp. 701-702
Author(s):  
R. A. Adeniran
Keyword(s):  
Training Programme ◽  
Training Scheme ◽  
Early Arrival ◽  
Pertinent Information ◽  
To Come ◽  
The Uk

About a year after applying to come on the Overseas Doctors' Training Scheme (ODTS), I was offered a post. The letter arrived about two months before I was to start work in the UK; it contained pertinent information about my job, the training programme, and the community I would live in. The information and its early arrival enabled me to make adequate preparation for my trip.

scholarly journals Cross-sectional survey of orthotic service provision in the UK: does where you live affect the service you receive?

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e028186
Author(s):  
Nachiappan Chockalingam ◽  
Nicola Eddison ◽  
Aoife Healy
Keyword(s):  
Outcome Measures ◽  
Service Provision ◽  
Response Rate ◽  
Waiting Times ◽  
Lead Times ◽  
Limited Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Uk

ObjectiveTo investigate the quantity and quality of orthotic service provision within the UK.DesignCross-sectional survey obtained through freedom of information request in 2017.SettingNational Health Service (NHS) Trusts/Health Boards (HBs) across the UK.Main outcome measuresDescriptive statistics of survey results, including information related to finance, volume of appointments, patients and orthotic products, waiting times, staffing, complaints, outcome measures and key performance indicators.ResultsResponses were received from 61% (119/196) of contacted Trusts/HBs; 86% response rate from Scotland (12/14) and Wales (6/7), 60% (3/5) from Northern Ireland and 58% (98/170) from England. An inhouse service was provided by 32% (35/110) of responses and 68% (74/110) were funded by a block contract. Long waiting times for appointments and lead times for footwear/orthoses, and large variations in patient entitlements for orthotic products across Trusts/HBs were evident. Variations in the length of appointment times were also evident between regions of the UK and between contracted and inhouse services, with all appointment times relatively short. There was evidence of improvements in service provision; ability for direct general practitioner referral and orthotic services included within multidisciplinary clinics. However, this was not found in all Trusts/HBs.ConclusionsThe aim to provide a complete UK picture of orthotic service provision was hindered by the low response rate and limited information provided in some responses, with greater ability of Trusts/HBs to answer questions related to quantity of service than those that reflect quality. However, results highlight the large discrepancies in service provision between Trusts/HBs, the gaps in data capture and the need for the UK NHS to establish appropriate processes to record the quantity and quality of orthotic service provision. In addition to standardising appointment times across the NHS, guidelines on product entitlements for patients and their lead times should be prescribed to promote equity.

scholarly journals Local government reform: Community planning and the quality of life in Northern Ireland

2015 ◽  
Vol 63 (2) ◽  
pp. 31-57 ◽  
Author(s):  
Colin Knox ◽  
Paul Carmichael
Keyword(s):  
Quality Of Life ◽  
Local Government ◽  
Northern Ireland ◽  
Social Services ◽  
Central Government ◽  
Community Planning ◽  
Reform Process ◽  
Legal Power ◽  
The Uk

Abstract Local government in Northern Ireland has undergone a significant reform process in terms of both the number of councils (from twenty-six to eleven) and their functional responsibilities. Councils in Northern Ireland have always been regarded as the ‘poor relation’ of central government or non-departmental public bodies which deliver many of the services performed by local government in other parts of the UK (education, social services, housing). The reforms in Northern Ireland, while devolving relatively minor additional functions, offer councils a significant role in community planning – the legal power to hold central departments to account for services provided by them in local areas. This paper argues that councils can use this power to improve the quality of life of their inhabitants.

Independent regulators of care quality

2018 ◽  
pp. 559-572
Author(s):  
Owen Barr ◽  
Bob Gates
Keyword(s):  
Quality Of Care ◽  
Northern Ireland ◽  
Intellectual Disabilities ◽  
Care Quality ◽  
Republic Of Ireland ◽  
People With Intellectual Disabilities ◽  
The Republic ◽  
The Uk

This chapter provides an overview of the role of the independent care regulators across the UK and the Republic of Ireland. It provides information on arrangements for care regulators within the specific jurisdictions of Scotland, England, Wales, Northern Ireland, and the Republic of Ireland. This chapter outlines the role of the independent care regulators in both inspecting and supporting the development of quality in services. Nurses for people with intellectual disabilities need to have a rounded and balanced understanding of the role of these care regulators, as well as the standards and resources they provide, in order to maximize the quality of care provided to people with intellectual disabilities.

scholarly journals The pressures for the remuneration of volunteer governors of UK educational institutions and the potential consequences

2021 ◽  
pp. 174114322098515
Author(s):  
Colin Forrest ◽  
Ron Hill ◽  
Chris James
Keyword(s):  
Northern Ireland ◽  
Vocational Education ◽  
Vocational Education And Training ◽  
Educational Institutions ◽  
Publicly Funded ◽  
Board Membership ◽  
The Subject ◽  
The Uk ◽  
And Training

The members of the governing boards of schools, colleges which provide vocational education and training, and universities in the UK have traditionally been volunteers. In some contexts, however, for example, colleges in Northern Ireland, governors are now paid. Whether volunteer governors in other or all settings should be remunerated is the subject of debate. This article analyses the various aspects of that debate. It considers the nature of volunteering; the socio-political context of volunteering; and the growing momentum for the remuneration of governors of all UK educational institutions. The article also considers the arguments for and against governor remuneration, which include remuneration and: the way governors and the governing of educational institutions are valued; the visibility of governing; governor recruitment; the diversity of governing board membership; the quality of governing; the remuneration of other publicly funded agencies and organisations; the accountability governors experience in their role; the market for school governors; and whether a policy which implemented governor remuneration could be reversed. The article also considers aspects that would need to be resolved in practice: who would be paid and for what; the level of remuneration; the funding of governor remuneration; and the organisation of remuneration.

scholarly journals PENGARUH PARTISIPASI MASYARAKAT DAN KINERJA PENGELOLA TERHADAP KUALITAS PELAYANAN PENYEDIAAN SARANA AIR MINUM DAN SANITASI BERBASIS MASYARAKAT DI KABUPATEN ROKAN HULU

2019 ◽  
Vol 2 (3) ◽  
pp. 1-18
Author(s):  
Bisman ◽  
Muchlis Hamdi ◽  
Aries Jaenuri ◽  
Kusworo
Keyword(s):  
Drinking Water ◽  
Quality Of Service ◽  
Linear Regression ◽  
Community Participation ◽  
Service Provision ◽  
Sampling Technique ◽  
Cluster Sampling ◽  
Community Based ◽  
The People

Tujuan penelitian ini untuk menganalisis pengaruh partisipasi masyarakat dan kinerja pengelola terhadap kualitas pelayanan Penyediaan Sarana Air Minum dan Sanitasi Berbasis Masyarakat di Kabupaten Rokan Hulu. Populasi yaitu masyarakat yang memanfaatkan program Pamsimas dari tahun 2008 hingga 2018 sebanyak 14.605 kepala keluarga yang tersebar sebanyak 111 desa di Kabupaten Rokan Hulu. Jumlah sampel menggunakan rumus Slovin sebanyak 390 orang responden, dan teknik pengambilan sampel secara cluster sampling. Pengambilan informasi dari tanggapan responden menggunakan kuesioner denganskala likert dan dianalisis dengan regresi linear berganda. Hasil penelitian menunjukan partisipasi masyarakat dan kinerja pengelola berpengaruh positif dan signifikan terhadap kualitas pelayanan baik secara parsial maupun secara simultan.  AbstractThe purpose of this study was to analyze the effect of community participation and manager's performance on the quality of service provision of Community-Based Drinking Water and Sanitation Facilities in Rokan Hulu Regency. The population is the people who use the Pamsimas program from 2008 to 2018 as many as 14,605 heads of family spread out as many as 111 villages in Rokan Hulu Regency. The number of samples using the Slovin formula were 390 respondents, and the sampling technique was cluster sampling. Retrieval of information from respondents' responses using a questionnaire with a Likert scale and analyzed by multiple linear regression. The results showed that community participation and manager's performance had a positive and significant effect on service quality, either partially or simultaneously.

scholarly journals The Consequences of the Austerity Policies for Public Services in the UK

2021 ◽  
Vol 15 (3) ◽  
pp. 518-537
Author(s):  
Tania Arrieta Hernandez
Keyword(s):  
Public Service ◽  
Service Provision ◽  
Public Services ◽  
Public Institutions ◽  
Quality Of Services ◽  
Resource Base ◽  
Public Service Provision ◽  
And Shifts ◽  
The Uk

This article examines the changing landscape of public service provision in the UK during austerity. Austerity is presented through the notions of retrenchment, decentralisation and shifts in governance. The analysis shows that retrenchment and decentralisation eroded the capacity of public institutions to protect the provision of vital public services. This is revealed through the reduced provision of non-statutory services and the reinforcement of inequalities in service provision. Shifts in governance have led to mixed outcomes in the quality of services. This article also addresses how austerity influenced many of the problems observed in service provision during the COVID-19 pandemic. Vital public services in the UK faced the pandemic with a diminished resource base, heightened inequalities and significant fragmentation in service provision.

scholarly journals Changes in UK ophthalmology surgical training: analysis of cumulative surgical experience 2009–2015

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e018526 ◽  
Author(s):  
Jeremy Hoffman ◽  
Fiona Spencer ◽  
Daniel Ezra ◽  
Alexander C Day
Keyword(s):  
Surgical Training ◽  
Secondary Level ◽  
Training Programme ◽  
Median Number ◽  
Specialist Training ◽  
Surgical Experience ◽  
Training Scheme ◽  
Higher Surgical Training ◽  
National Training ◽  
The Uk

ObjectiveTo investigate changes in the patterns of cumulative surgical experience for ophthalmologists in the UK following the introduction of a new national training scheme.DesignRetrospective review of all surgical training records submitted to the UK Royal College of Ophthalmologists by trainees for the award of Certificate of Completion of Training (CCT) for the period 2009–2015.SettingSecondary level care, UK.Participants539 trainees achieving CCT over the 7-year study period.InterventionsHigher specialist training or ophthalmology specialist training.Outcome measuresNumber of CCT awards by years and procedures performed for cataract surgery, strabismus, corneal grafts, vitreoretinal (VR) procedures, oculoplastics and glaucoma.ResultsCataract surgical experience showed little change with median number performed/performed supervised (P/PS) 592, IQR: 472–738; mean: 631. Similarly, the median number of strabismus (P/PS 34), corneal grafts (assisted, 9) and VR procedures (assisted, 34) appeared constant. There was a trend towards increasing surgical numbers for oculoplastics (median 116) and glaucoma (57). Overall case numbers for ophthalmic specialist training (OST) trainees (7-year training programme) were higher than higher surgical training (HST) trainees (4.5-year programme) with the exception of squint (P/PS), corneal grafts (P/PS) and VR cases (P/PS).ConclusionsOverall case numbers reported at time of CCT application appear stable or with a marginal trend towards increasing case numbers. HST (4.5-year programme) case numbers do not include those performed before entry to HST, and although case numbers tended to be higher for OST trainees (7-year programme) compared with HST trainees, they were not proportionately so.

The United Kingdom—the age of austerity

2019 ◽  
pp. 112-118
Author(s):  
Mark Britnell
Keyword(s):  
United Kingdom ◽  
Northern Ireland ◽  
World Order ◽  
Modern Society ◽  
Quality Of Healthcare ◽  
National Consciousness ◽  
The United Kingdom ◽  
The People ◽  
The World

In the United Kingdom, the NHS is considered the proudest achievement of modern society and continues to enjoy satisfaction ratings higher than the Royal Family. The NHS and the quality of healthcare is inextricably linked to the British national consciousness and character. Yet the United Kingdom is going through tectonic challenges and changes as we face Brexit and find our new place in the world order. Naturally, this affects the NHS and the people who work for it. While we have four similar yet distinct health systems across England, Scotland, Wales, and Northern Ireland, the rest of this chapter concentrates solely on the English NHS. In this very current chapter, Mark Britnell illustrates the problems that the British healthcare system faces as a result of Brexit. He also looks at the NHS in relation to national identity, economic growth, and quality of care.

7. The structure of the United Kingdom and devolution

2018 ◽  
Author(s):  
Neil Parpworth
Keyword(s):  
United Kingdom ◽  
Northern Ireland ◽  
Constitutional History ◽  
The United Kingdom ◽  
The People ◽  
History Of ◽  
The Creation ◽  
Uk Government ◽  
The Uk

This chapter discusses the structure and devolution of the UK. It first sketches the constitutional history of the UK, presenting a brief outline of events that led to the creation of the UK, i.e. the union of England, Wales, Scotland, and Northern Ireland. The chapter then examines the issue of devolution, which has been particularly important to the people of Scotland and Wales. The key provisions of the devolution legislation enacted in 1998 and more recent legislative developments are reviewed. The chapter concludes by considering the ‘English Question’ and the agreements between the UK Government and the devolved administrations in Scotland, Wales, and Northern Ireland.

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