5,339 research outputs found
Will prescriptions for cultural change improve the NHS?
No full textThe recent Francis report diagnoses serious cultural deficiencies in the NHS and recommends fundamental cultural change. Huw Davies and Russell Mannion examine what research tells us about the likelihood of success.Peer reviewe
Implementing payment by results in the english nhs: changing incentives and the role of information.
No full textPurpose. The English National Health Service is introducing a new activity based funding system for paying hospitals and other providers for the work they do. The key differences to previous financing arrangements are that prices are fixed nationally in the form of a tariff, hospital revenue is directly proportional to activity and activity ceilings have been relaxed. This paper draws on economic theory and empirical evidence to explore the role of incentives and information in the successful implementation of the new hospital funding system in the NHS. Methodology. Case studies in two Strategic Health Authorities comprising in-depth interviews with key stakeholders and analysis of background statistics and documentation. Findings. The structure of tariffs under Payment by Results (PbR) provides high powered incentives for providers to increase activity because they are rewarded for hospital activity, and payments for increases in activity are made at full average cost. However, there is a danger that hospitals will increase activity beyond affordable levels and possibly induce demand inappropriately. Although many interviewees were positive about PbR and some cited specific examples of how PbR had enabled them to engineer changes in services, there is a real danger that PbR could induce a range of negative responses such as increases in unplanned readmissions to hospital and a worsening in provider – commissioner relations and joint planning. Practical implications. In future, as PbR is extended, it will be important to monitor its intended and unintended effects. Such evaluation should consider the extent to which commissioners are able to live within their budgets and whether hospitals are engaging in opportunistic behaviour and gaming the new funding system
Enacting corporate governance of health care safety and quality : a dramaturgy of hospital boards in England
Get PDFThe research was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research (HS&DR) programme (grant no. 10/1007/02; project title ‘Effective board governance of safe care’; co-applicants R. Mannion, T. Freeman and HTO Davies).The governance of patient safety is a challenging concern for all health systems. Yet, while the role of executive boards receives increased scrutiny, the area remains theoretically and methodologically underdeveloped. Specifically, we lack a detailed understanding of the performative aspects at play: what board members say and do to discharge their accountabilities for patient safety. This article draws on qualitative data from overt non-participant observation of four NHS hospital Foundation Trust boards in England. Applying a dramaturgical framework to explore scripting, setting, staging and performance, we found important differences between case study sites in the performative dimensions of processing and interpretation of infection control data. We detail the practices associated with these differences - the legitimation of current performance, the querying of data classification, and the naming and shaming of executives – to consider their implications.Peer reviewe
Interview with Anne Russell
No full textInterview with Anne Russell, playwright and author of several books on local history, including Wilmington: A Pictoral History
Arthur J. Russell Correspondence
Get PDFEntries include brief biographical information corrected in pencil, letters of introduction to Russell and his sister concerning the Maine Author Collection, a handwritten reply from Emma M. Russell, typed correspondence between Dunnack and Russell concerning books that should have been purchased right away at secondhand stores, a Maine Library Bulletin envelope with a small photographic portrait of young Russell and a full-length photograph, a page typed with a misspelling by the Maine State Library presented with a photograph of the home of Russell\u27s birth in Hallowell, Maine, and a lengthy typed biography on Minneapolis Journal stationery
Author Mary Doria Russell talks about her most recent work "The Sparrow"
No full textAuthor and "recovering academic" Mary Doria Russell talks about her most recent work "The Sparrow", which is about humanity's first contact with another intelligent species and the unexpected consequences. Sponsored by Michigan State University Libraries, Computing and Technology. Part of the MSU Libraries' Colloquia Series. Held at the MSU Main Library
Letter from H. L. Russell to Carl Hayden
No full textLetter from H. L. Russell to Carl Hayden regarding fines in the park
Performing Populist Health Policy: The Case of the English National Health Service
No full textIn this chapter, Speed and Mannion develop understandings of the genesis of populist health policies and their impact on professional practice. In a case study drawn from the 2015/2016 excess weekend mortality controversy in the UK, they consider how various political actors utilised a populist political frame to structure the debate, and the influence this had on the medical profession regarding the imposition, by government, of a new contract of employment. Implications for the medical profession in the context of wider political (national and international) contexts are elucidated from the case study
Keeping Blobs Blobby: Inclusive Research with People with Learning Disabilities. A Comic
Get PDFThis comic was created during the planning of a symposium which brought together three papers, each highlighting inclusive research projects with people with learning disabilities. The comic discusses the ways research can be adapted to make it inclusive, the barriers teams have faced when trying to work together and the ways they have responded to those challenges; including the use of creative methods, questioning the underlying conceptualisation of research and challenging constructions of research leadership.
The comic, by Stephen Kroeger, tells the stories of:
• Melissa Kirby and the Purple Research Group “I am a researcher”: experiences of co-researching in an arts-based PhD”
• Amy Russell and Gary Bourlet from No research about us, without us. “Sharing leadership and power in a research project or resisting blobs becoming squares”
• Jess Mannion & The Relationships and Sexuality Research Team, ‘Beyond co-researching – presenters, authors, teachers, and international collaborators.
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