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Background: Degree apprenticeships (DA) help employees gain new knowledge and skills by allowing them to study towards a university degree while working full time. For these programmes to be effective, the learning design should be adapted to the needs of these students, who are goal oriented (i.e. they want to gain only knowledge that can be applied within their workplace), have limited time for studying, and usually have not attended formal education for some time. As these programmes are relatively new, there is limited research on how these students can be supported to achieve the programmes' learning goals by using information and communication technologies. Objectives: This paper aims to understand whether a learning design that combines game‐based learning with online flipped classrooms can engage DA students in their learning and help them develop their reflective skills. Methods: Two focus groups were conducted with DA students that study at a UK Business School towards gaining the Chartered Manager status. The focus groups recordings have been analysed using reflexive thematic analysis. Results and Conclusions: The three main themes, "change can be helpful and challenging at the same time", "the ideal game", and "the effect of others", show that DA students find game‐based learning and online flipped classrooms useful, with the right support. Simulation games can be more fulfilling to DA students than quiz games, even if they take more of their out‐of‐class time. In addition, instructors are advised to work more closely with diverse teams to enable students share their work experiences and learn from each other. Lay Description: What is already known about this topic?: Online flipped classrooms offer flexibility in learning, but instructors need to find solutions to challenges, like students' limited e‐learning readiness and lack of motivation.Game‐based learning has been found to facilitate learning in general, but there is a need to identify the specific circumstances (i.e. settings, gaming elements) under which it is effective.Degree apprenticeship students need more support with their learning compared to traditional university students, as they face additional challenges in terms of family life‐work balance and connecting their learning to their working experience. What this paper adds?: Game‐based learning can be useful to degree apprenticeship students providing that focuses on the application of knowledge and provides feedback.Despite facing challenges related to maintaining work‐study‐life balance, degree apprenticeship students are willing to complete the flipped classroom's out‐of‐class activities, if they see a clear benefit from doing so.Online group activities can be challenging for degree apprenticeship students, if they are not able to form teams with other learners that work for the same organisation. The implications of study findings for practitioners: Avoid quiz‐like games and select the ones that use real‐life scenarios for degree apprenticeship students to help them link their learning to their practice.Formative feedback should be provided by both the instructor and the game to motivate degree apprenticeship students to spend the additional time to complete the out‐of‐class activities.Students should be reminded frequently of the purpose of any new learning elements (e.g. learning analytics) as they may not have the time to explore them on their own.When forming student teams based on students' workplace is not possible, spend more time in each breakout room to facilitate the online group discussion and help students bring their different working experiences together. [ABSTRACT FROM AUTHOR]

Employment subsidies are important active labour market policy (ALMP) tools, suited to a variety of labour market challenges. This paper engages with recent ALMP categorisation debates by appraising Cronert's (2019) recent typology of employment subsidies. It uses empirical material to assess the typology's explanatory power and produce insights to inform further typological development. The illustrative case of the British ' Wage Incentive' (2012-2014) is used to assess the typology's analytical purchase. Cronert's typology helpfully identifies key distinctions in the distributional profiles of employment subsidies, but further understanding of the category is impeded by the practice of defining them as demand-side interventions. The paper argues for a reappraisal of their supply-side characteristics, maintaining that the (potential) worker should be included in the analysis, and that employment subsidies' relationship with training and job creation should be acknowledged. It proposes a redefinition of employment subsidies reflecting their real-world use, and suggests a framework for further exploring varieties of employment subsidy design from the perspective of beneficiaries. [ABSTRACT FROM AUTHOR]

Interactions in the healthcare system today involve an important new set of actors: evaluative health platforms (EHPs). These platforms are not neutral intermediaries, but active moderators of how patients express opinions, choose providers, and consume health-related information. This paper adds to our understanding of the varied and evolving commercial interests of EHPs and the implications these have for patient voice. We analyze 71 platforms in the USA, UK, and Germany and identify five ideal types: subscribers, analyzers, advertisers, regulators, and scammers. Each platform type enacts a unique competitive strategy through an evaluative infrastructure which constrains but also generates possibilities for patient voice. Based on our typology, we develop three contributions. First, we nuance universalizing claims about the consequences of platform capitalism by specifying the diverse strategies underpinning competition between EHPs in different countries, and showing how each strategy leads evaluative infrastructures to develop in ways that impact patient voice. Second, we show how patients can navigate the challenges of a complex EHP space by exercising their ability to choose between platforms. Finally, we outline the conditions platforms need to fulfil to become empowering. Overall, this study highlights the varied and complex relationship between platform business models and user voice, which exists not only in healthcare, but also in many other fields. • Typology of evaluative health platforms (EHPs) in the US, the UK, and Germany. • EHP business models and content moderation techniques vary considerably. • EHPs have a wide range of implications for patient voice. • More transparency and competition can help platforms increase patient empowerment. [ABSTRACT FROM AUTHOR]

This article draws on three mutually independent ethnographic studies to explore the private sector market for image and performance enhancing drug (IPED) harm reduction in the UK, specifically examining (1) steroid accessory supplements; (2) blood testing services; and (3) bloodletting services. After contextualising the work with a discussion of IPED use and harm reduction and the substantial growth of the global health and fitness industry, each private sector provision is critically interrogated with the following questions in mind: what is the role and utility of these services compared to public sector provision? Why has the private sector begun to deliver IPED harm reduction products and services in the UK? And how does this provision relate to the health and fitness industry more broadly? The paper concludes with some reflections about the future direction of IPED harm reduction, the importance of community-led services, and the need to think innovatively if we are to best protect users' health and wellbeing. [ABSTRACT FROM AUTHOR]

Professional progression and skills development are the main expectations of mid-career managers when enrolling on an Executive MBA (EMBA), yet it can be personal development (PD) that turns out to be the unexpected benefit of management education. Joining a growing number of voices making a case for personal development and self-awareness in management education, and calling for schools to incorporate it in the curriculum, this paper advances the case for personal development as a core Executive MBA module. The paper sets out the holistic rationale and philosophic principles used to design and deliver a course underpinned by curiosity and self-reflection on an EMBA in the United Kingdom, and presents empirical findings from a survey conducted among 230 students and alumni. These suggest that the focus on reflective practice and integration of PD promotes a richer and deeper appreciation of the value of reflection for lasting and sometimes unexpected personal growth. In addition, the raising of awareness of self also brings awareness of others, and develops critical thinking in application of the MBA at work. The paper concludes with a discussion re-evaluating the subject of tacit knowledge in reflective practice. [ABSTRACT FROM AUTHOR]

This final report of the Lancet Commission into liver disease in the UK stresses the continuing increase in burden of liver disease from excess alcohol consumption and obesity, with high levels of hospital admissions which are worsening in deprived areas. Only with comprehensive food and alcohol strategies based on fiscal and regulatory measures (including a minimum unit price for alcohol, the alcohol duty escalator, and an extension of the sugar levy on food content) can the disease burden be curtailed. Following introduction of minimum unit pricing in Scotland, alcohol sales fell by 3%, with the greatest effect on heavy drinkers of low-cost alcohol products. We also discuss the major contribution of obesity and alcohol to the ten most common cancers as well as measures outlined by the departing Chief Medical Officer to combat rising levels of obesity-the highest of any country in the west. Mortality of severely ill patients with liver disease in district general hospitals is unacceptably high, indicating the need to develop a masterplan for improving hospital care. We propose a plan based around specialist hospital centres that are linked to district general hospitals by operational delivery networks. This plan has received strong backing from the British Association for Study of the Liver and British Society of Gastroenterology, but is held up at NHS England. The value of so-called day-case care bundles to reduce high hospital readmission rates with greater care in the community is described, along with examples of locally derived schemes for the early detection of disease and, in particular, schemes to allow general practitioners to refer patients directly for elastography assessment. New funding arrangements for general practitioners will be required if these proposals are to be taken up more widely around the country. Understanding of the harm to health from lifestyle causes among the general population is low, with a poor knowledge of alcohol consumption and dietary guidelines. The Lancet Commission has serious doubts about whether the initiatives described in the Prevention Green Paper, with the onus placed on the individual based on the use of information technology and the latest in behavioural science, will be effective. We call for greater coordination between official and non-official bodies that have highlighted the unacceptable disease burden from liver disease in England in order to present a single, strong voice to the higher echelons of government. [ABSTRACT FROM AUTHOR]

Objective: To evaluate consistency levels of nutrition labelling on supermarket websites. Design: This is a comparative, quantitative study examining page position, content and design of nutrition labels on own-brand and branded products. Online and in-store nutrition labels were examined, categorised and analysed to discern variety of label designs used and consistency between online and in-store labelling. Setting: Five large online food retailers in the UK. Subjects: Nutrition labels displayed on 100 webpages were examined for twenty branded and own-brand products. Equivalent labels on in-store packaged products were also examined. Results: Eight different combinations of nutrition label designs were found. The online supermarket sites were found to use from three to six of these label combinations across the sample. The consistency level between online and in-store package labels ranged from 25% to 90%. In many cases the nutrition label required scrolling to view and in all cases items could be purchased without the label being visible from the search result listings. Conclusions: The main recommendation of the paper is that online nutrition labelling needs to be much more consistently presented than is currently practised, both within each website and between online and in-store experiences. Particular attention should be made to polychrome colour and the inclusion of summary graphics. Designers should also ensure visibility of the label and raise its vertical page position. The paper also proposes additional expansion of the use of nutrition information online, using nutrition values as database fields in search criteria and checkout aggregation reporting. [ABSTRACT FROM AUTHOR]

Capitalist economies depend on private business investment, and all governments in similar states compete to induce businesses to invest through various policy interventions. In so doing, they compete with other governments to retain current investors and to encourage new ones from elsewhere. The implications for policy-making and, by extension, citizens, are huge. The pressure on governments to capture new investment has an impact on taxation policies, workplace regulations, legal protections, public infrastructure and social policies. However, not all governments compete for investment in the same way at the same time, and not all businesses are attracted by the same inducements offered by states, highlighting the possibility that public policies shape investment strategies, just as investment strategies also shape public policies. It is its development of relatively unique and aggressive strategies to capture new investment that places the UK in a vulnerable position post-Brexit. It has successfully attracted mobile corporations to its shores, in part because it has offered a particularly favourable gateway into Europe for foreign capital. This raises questions about how the country will seek to compete for capital investment in future. This paper examines these questions with reference to both theoretical and empirical evidence. [ABSTRACT FROM AUTHOR]

Background: The European Disability Strategy (2010-2020) seeks to significantly raise the proportion of people with disabilities working in the open labour market. The ERGO WORK project is a collaboration of academic and industrial partners in six European countries, focused on understanding and tackling barriers to workplace inclusion for workers with disabilities. Methods: This study sought to explore the perceptions and needs of stakeholders in terms of workplace adaptation to the needs of employees with disabilities. An exploratory online survey was completed by 480 participants across six countries. Results: The analysis suggests that workplaces could be further improved to meet the needs of employees with considerable scope for training within companies to raise awareness about employees' needs, employers' obligations and workplace adaptation. Conclusions: This snapshot suggests there is still a gap between intent and reality in workplace inclusion and further strategies are needed to improve the opportunities for employees with disabilities. The paper argues that ergonomics may have a key role to play in tackling these challenges and adapting the workplace environment and job design to suit the needs of individual employees. [ABSTRACT FROM AUTHOR]

Purpose -- Changes in the UK social care sector over the past 20 years have effected a fundamental shift in commissioning and delivery relationships. This "quasi-market" challenges existing theory and models around competitive advantage. This study, as outlined in two earlier articles, addressed weaknesses in the defining framework for analysis and business planning in this new environment; the purpose of this concluding paper is to propose a new perspective for those interested in entering this market. Design/methodology/approach -- The original research comprised a constructive research approach through a single holistic case study, using qualitative research methods including document analysis, interviews, secondary data, observations and facilitated meetings. Findings -- This final paper offers a structured framework of analysis and response: the External DriversModel. Research limitations/implications -- The model was developed for a scenario impacting upon a social housing agency, with ambitions to enter this market as a new provider; it may require further research to establish its generalisability to other organisations and other sectors. Originality/value -- This series of three papers adds to existing knowledge by critiquing current business models, and positing a potential development to existing contingency theory: the External Drivers Model. The study has resulted in a number of outputs including an outline of tools to assist in using the model. [ABSTRACT FROM AUTHOR]

Purpose - Changes in the social care sector over the past 20 years have effected a fundamental shift in commissioning and delivery relationships, creating new markets for social housing services. This paper aims to examine how far existing theories around competitive advantage in markets are compatible with the new public management (NPM) approach to the market, or whether there is a need for a new approach to business planning for agencies that addresses the particular characteristics of this specific quasi-market. Design/methodology/approach - This paper draws upon original research developed through a single holistic case study of a UK social housing service, using qualitative research methods including document analysis, interviews, secondary data, observations and facilitated meetings. Findings - Existing business theory and models around competitive advantage do not suit this "contrived" NPM market. A new framework or model will be needed for analysis and business planning in this new environment. Originality/value - This paper adds to existing knowledge by critiquing current business models, and positing a potential development to existing contingency theory: the external drivers model The study has resulted in a number of outputs including an outline of a toolkit to assist in using the model. The model requires further research to establish its generalisability to other organisations and other sectors. [ABSTRACT FROM AUTHOR]

Within the United Kingdom (UK), assisted living technologies are mostly provided through statutory health and social care services following assessment of individual need and application of eligibility criteria. This paper describes the first UK study to explore and develop business approaches and innovations required to make electronic assisted living technologies more accessible to consumers in their fifties and sixties. A robust mixed-method approach was used including a large sample size for a consumer survey, triangulation of methods and confirmation of research findings through validation workshops. This three-year study makes significant and original contributions to understanding consumer needs in this rapidly changing market and offers unique insights into the needs and wants of people aged 50-70. Analysis shows significant differences between consumer and business perceptions, indicating that marketing is not closely aligned to consumers' needs and is affecting the development of the market. New approaches to consumer-led business models are presented to improve information and marketing aimed at 50-70-year-old consumers. A 'Broker/Independent Advisor' business model showed most potential for meeting the needs of both consumer and business stakeholders. Findings support future development of an assisted living consumer market to meet growing levels of need and demand, and to offer greater consumer choice of mainstream technologies to enable people to age in place. [ABSTRACT FROM AUTHOR]

Background: Ready-to-eat meals (to eat in, to take away or to be delivered) sold by food outlets are often more energy dense and nutrient poor compared with meals prepared at home, making them a reasonable target for public health intervention. The aim of the research presented in this paper was to systematically identify and describe interventions to promote healthier ready-to-eat meals (to eat in, to take away, or to be delivered) sold by specific food outlets in England.Methods: A systematic search and sift of the literature, followed by evidence mapping of relevant interventions, was conducted. Food outlets were included if they were located in England, were openly accessible to the public and, as their main business, sold ready-to-eat meals. Academic databases and grey literature were searched. Also, local authorities in England, topic experts, and key health professionals and workers were contacted. Two tiers of evidence synthesis took place: type, content and delivery of each intervention were summarised (Tier 1) and for those interventions that had been evaluated, a narrative synthesis was conducted (Tier 2).Results: A total of 75 interventions were identified, the most popular being awards. Businesses were more likely to engage with cost neutral interventions which offered imperceptible changes to price, palatability and portion size. Few interventions involved working upstream with suppliers of food, the generation of customer demand, the exploration of competition effects, and/or reducing portion sizes. Evaluations of interventions were generally limited in scope and of low methodological quality, and many were simple assessments of acceptability.Conclusions: Many interventions promoting healthier ready-to-eat meals (to eat in, to take away, or to be delivered) sold by specific food outlets in England are taking place; award-type interventions are the most common. Proprietors of food outlets in England that, as their main business, sell ready-to-eat meals, can be engaged in implementing interventions to promote healthier ready-to-eat-food. These proprietors are generally positive about such interventions, particularly when they are cost neutral and use a health by stealth approach. [ABSTRACT FROM AUTHOR]

This paper examines the impact of a key source of wealth (the stock market) on road traffic collisions. Using data on over 2 million road accidents we do not find a linear relationship between stock prices and road crashes (fatal or otherwise) in Great Britain. However, we do find a V-shaped effect – collisions respond to the absolute change in stock market returns. The results are robust to a series of falsification exercises that potentially support a causal interpretation. We also examine another source of wealth that has not previously been examined – house prices. Similarly, we do not find that changes in monthly house prices have an impact on accidents, but a symmetric V-shaped is also shown for slight and serious accidents. • We examine the impact of stock price changes on road collisions in Great Britain. • We use administrative data on road collisions by type: fatal, serious and slight. • There is not a linear relationship between stock prices changes and collisions. • Collisions instead respond to the absolute change in stock market returns. • Using another source of wealth, house prices, we find a similar V-shaped effect. [ABSTRACT FROM AUTHOR]

This paper reviews available UK evidence on (private sector) business attitudes to transport. It follows a 2008 review of public attitudes to transport, and provides an important frame of reference for considering business attitudes. Accordingly the current paper includes comparisons between public and business attitudes. There are some prima facie similarities between public and business attitudes in relation to congestion, the order of importance of transport attributes (especially reliability), stated conditions for support of road pricing, public transport, travel plans, telecommunications and some issues of reducing travel. There are, however, some differences also: transport concerns are less ubiquitous, less attention is given to the environmental concerns associated with road building and there is less attention to wider government goals such as equity, health, social welfare and the environment. However, both similarities and differences may be misleading, as research on business attitudes is less disciplined, and there are no well-established theoretical frameworks (such as exist for individual attitudes) for understanding attitudes, when applied to the corporate views of a commercial body. In essence, many of the business attitudes reports are framed as lobbying material yet, paradoxically, there can be considerable ambiguity attached to the meanings of business attitudes, that in turn can be partially attributed to doubts as to whether responses represent individual or corporate attitudes. As a result, it is very difficult, from the existing evidence, to interpret a clear and coherent view or set of views of business on transport issues. The authors suggest some protocols, with the aim of improving research methods that, if implemented, could help improve the credibility and clarity of claims to represent the 'voice (or, more realistically, voices) of business'. [ABSTRACT FROM AUTHOR]

Road user charging has generated a great deal of interest as a measure to alleviate the increasing congestion in the UK. Acceptability of such schemes has proved a stumbling block. In this paper, acceptability issues associated with the London scheme, the rejected proposals for Edinburgh and a possible national scheme are summarised and linked to political and media influences. Rather than concentrate on widely discussed acceptability, the paper then focuses on the behavioural response of individuals to road user charging schemes. The aim of this paper is to examine individual travel behaviour response towards actual and potential road user charging in the UK. The behavioural response is then linked to wider travel demand management schemes, and how groups of individuals, as population segments, respond. Insights are provided for the policy-sensitive segments of the socially excluded and the business community. Discussion includes possible future developments of UK road user charging. [ABSTRACT FROM AUTHOR]

This paper argues that there have been three distinct phases of enterprise policy in the UK in the past 30 years: the 1970s saw no effective enterprise policy ('policy off'); the 1980s witnessed an attempt to increase the number of start-ups; and the 1990s saw a concentration on 'business quality'. This paper looks at how enterprise has evolved in Cleveland/Tees Valley over the past three decades. It suggests--and finds--that businesses in the 1980s were more numerous but of lower 'quality' (even if the influence of unemployment is accounted for) than those from the 1970s and 1990s. This implies that we should be cautious about the value of policy attempts to increase business formation rates in areas such as Cleveland/Tees Valley. [ABSTRACT FROM AUTHOR]

This paper is intended as an aid to those researching the history of Quaker involvement in industry and commerce, with a regional focus on Yorkshire .A selection of archives of businesses founded and run by Quakers, as well as of family and personal papers of Friends in business are surveyed here. Both the historical context and a summary of the surviving sources are given for each collection surveyed, with details of where the material is held. Examples have been chosen to represent the Quaker contribution to particular trades and industries, and in some cases, to promote collections which have recently been catalogued or are little known. [ABSTRACT FROM AUTHOR]

Abstract During recent years, private complementary medicine has grown as a significant provider of healthcare in the UK and much of this provision is through small private businesses financed by out-of-pocket payments made by privately paying clients. Using a combined questionnaire (n = 426) and interview survey (n = 49), the present paper considers the potential tensions and dilemmas which therapists face and the resolutions which they come to in being carers, but in market terms, also profit makers. Therapists generally identified with being carers first and business people second, and this was reflected in their caring decisions. Indeed, under circumstances where the roles potentially conflicted (e.g. when clients could no longer afford to pay for their treatments), most therapists claimed that they continued to provide care, either by providing their services free-of-charge, at a reduced rate, by deferring payment or by accepting alternative forms of compensation. There is a relative lack of dedicated research literature on complementary therapists, their attitudes and actions, and this paper provides some important data on their specific management and caring decisions. At the same time, the evidence also provides some initial food-for-thought and indicates some potential research directions for exploring ethical issues in the private practice of complementary medicine. [ABSTRACT FROM AUTHOR]

The opening of the Thai tobacco market, following action brought by the US Trade Representative under the General Agreement on Tariffs and Trade, is seen as a key case study of the tensions between trade and health policy. Interpretations of the dispute cast it, either as an example of how trade agreements undermine national policy-making, or how governments can adopt effective public health protections compliant with international trade rules. As a UK-based company, British American Tobacco has been regarded as peripheral to this dispute. This paper argues that its close monitoring of the illegal trade during this period, the role of smuggling in the company's global business strategy, and its management of the relative supply and pricing of legal and illegal products after market opening provide a fuller understanding of the interests and roles of transnational tobacco companies and the government in this dispute. The findings have important policy implications, notably the role of effective governance in countries facing pressure to open their tobacco sectors, need to better understand corporate-level activities within an increasingly globalised tobacco industry, and need to address the intertwined legal and illegal trade in implementing the WHO Framework Convention on Tobacco Control Protocol to Eliminate Illicit Trade in Tobacco Products. [ABSTRACT FROM AUTHOR]

This paper examines the relationships between firm size and employees' experience of work stress. We used a matched employer-employee dataset (Workplace Employment Relations Survey 2011) that comprises of 7182 employees from 1210 private organizations in the United Kingdom. Initially, we find that employees in small and medium-sized enterprises experience lower level of overall job stress than those in large enterprises, although the effect disappears when we control for individual and organizational characteristics in the model. We also find that quantitative work overload, job insecurity and poor promotion opportunities, good work relationships and poor communication are strongly associated with job stress in the small and medium-sized enterprises, whereas qualitative work overload, poor job autonomy and employee engagements are more related with larger enterprises. Hence, our estimates show that the association and magnitude of estimated effects differ significantly by enterprise size. Copyright © 2013 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

This paper explores some aspects of the textuality of historical narrative as a mode of organizing the past, drawing its inspiration from the work of Hayden White. The paper is unusual in that it takes as its central text for analysis a piece of historical narrative constructed `naively' by the author prior to the writing of the current paper. This text, which attempts to account for the varying development of the discipline of Business History in Britain and the United States, is explored for its narrative implications and implicit story-lines. The reactions of a number of readers of the original text are also examined, and an attempt is made to account for these in terms of the types of story each reader understands the text to be telling. [ABSTRACT FROM AUTHOR]

Research on tourism and climate change has emphasised the contribution that the sector should make to the effort to reduce and stabilise greenhouse gas emissions. However, the tourism sector response on the supply side has been disappointing and highly variable between and within its sub-sectors. This paper addresses the knowledge gap on the willingness and capacity for tourism businesses to mitigate. Innovation is used as the conceptual framework. At the firm level, mitigation requires innovation, yet businesses innovate at different rates and hence their ability to contribute towards emission reductions varies. A cluster analysis is presented of over 400 accommodation providers from south-west England, a major UK destination region. Three distinctive clusters of small- and medium-sized tourism enterprises are identified based on how they innovated to mitigate climate change. The smallest (12%) had introduced a range of process and managerial innovations and was most forward thinking and active. A second cluster (23%) had introduced several process innovations but its approach to managerial innovations was both partial and confused. The largest cluster (65%) had mainly enacted straightforward process innovations but failed to introduce managerial innovations to measure, monitor and act on their environmental performance. Taken together, these data suggest that the contribution from accommodation providers to emissions reductions targets has been at best modest. Moving forward, greater analytical precision is needed if (this part of) the tourism sector is to be widely mobilised towards tackling climate change. Specifically, policy interventions have to be more effectively targeted at business needs and based on a more differentiated view of planned and enacted behaviour changes. One-size-fits-all prescriptions are inappropriate, arguably even counterproductive for encouraging the greatest level of mitigation activity across the widest range of tourism businesses. [ABSTRACT FROM AUTHOR]

Corporate and commercial values are inducing some healthcare organizations to prescribe a customer service model that reframes the provision of nursing care. In this paper it is argued that such a model is incommensurable with nursing conceived as a moral practice and ultimately places nurses at risk. Based upon understanding from ongoing research on compassion fatigue, it is proposed that compassion fatigue as currently experienced by nurses may not arise predominantly from too great a demand for compassion, but rather from barriers to enacting compassionate care. These barriers are often systemic. The paradigm shift in which healthcare environments are viewed as marketplaces rather than moral communities has the potential to radically affect the evolution of nursing as a discipline. [ABSTRACT FROM AUTHOR]

Using newly available evidence, mainly from the Public Records Office (now the National Archive) in London, this article attempts to unravel the true extent of the role that British oil interests played in the decision of the British government to insist on a 'One Nigeria' solution in the Nigeria/Biafra conflict. While the official position of the British government was that its main interest in the Nigeria conflict was to prevent the break-up of the country along tribal lines, the true position was more complex. Evidence in this paper suggests that British oil interests played a much more important role in the determination of the British attitude to the war than is usually conceded. Specifically, Britain was interested in protecting the investments of Shell-BP in Nigerian oil. Furthermore, Britain was also at the time desperate to keep Nigerian oil flowing in order to mitigate the impact of its domestic oil shortfalls caused by the Middle East Six Day War. Supporting a 'One Nigeria' solution was considered its safest bet in order to achieve the above objectives. [ABSTRACT FROM AUTHOR]

This paper focuses on the role of business networks, and especially on the ways in which formal and informal interactions among economic agents shape the tourist product. Local businesses are considered as agents who realize and/or create economic opportunities and develop new goals and strategies. Businesses are not viewed as independent entities, but as actors whose actions are embedded in structures of ongoing relations. As such, similar resources and activities based in rural tourism destinations do not necessarily have the same consequences at different times and places. Business networking is a crucial factor in organizing activities and resources at the local level, leading to spatially different levels of integration. Such differences are focused on here, using illustrative examples and findings from the case-study regions in the UK, Spain and Greece. [ABSTRACT FROM AUTHOR]

Abstract: Both the UK''s Labour Government and Scotland''s devolved Labour–Liberal Democrat coalition Executive have committed themselves to reducing health inequalities. Furthermore, both institutions have emphasised the importance of using evidence to inform policy responses. In light of such political commitments, a significant amount of work has been undertaken in the field of health inequalities in order to: (i) review the available research evidence; (ii) assess the extent to which policies have been based on this research evidence; and (iii) evaluate the success (or failure) of policies to tackle health inequalities. Yet so far only limited attention has been given to exploring how key actors involved in research-policy dialogues understand the processes involved. In an attempt to address this gap, this article draws on data from semi-structured interviews with 58 key actors in the field of health inequalities research and policymaking in the UK to argue that it is ideas, rather than research evidence, which have travelled from research into policy. The descriptions of the varying journeys of these ideas fit three types—successful, partial and fractured—each of which is outlined with reference to one example. The paper then employs existing theories about research-policy relations and the movement of ideas in an attempt to illuminate and better understand the contrasting journeys. In the concluding discussion, it is argued that the third approach, which focuses on the entrepreneurial processes involved in the marketing of ideas, is most helpful in understanding the research findings, but that this needs to be discussed in relation to the political context within which negotiations take place. [Copyright &y& Elsevier]

The international (and, increasingly, global) nature of grocery retailing is promoting the need to consider developments across numerous markets in order to understand fully any given country's market characteristics. However, compared with the breadth of research on various aspects of UK grocery retailing, there is a relative paucity of work across the same range of topics and scales in European contexts (broad national-level comparisons excepted). The paper therefore extends work on UK retail change, assessing the extent of corresponding or diverging development trajectories elsewhere in Europe. Key indicators are used to map spatial variations in competition, saturation, and internationalization at a subnational scale. Inferences are made regarding likely patterns of future development through the identification of growth opportunities that may be exploited by organic expansion or merger-and-acquisition activity. Some speculative merger-and-acquisition scenarios are also considered, which suggest the validity of regulatory concerns over local competition and spatial monopoly. [ABSTRACT FROM AUTHOR]

There is an ongoing debate within radical geography concerned with the trade union response to the hegemony of business interests apparent under neoliberal capitalism. In this paper, I contribute to this debate by exploring recent attempts to renew trade union organisation in the UK following decades of decline. I argue that, despite recent successes in stemming falling membership numbers and signing new recognition agreements, closer inspection reveals flaws in the renewal process that reflect the underlying nature of scale politics within the union movement itself. In particular, centralised strategies at the national level are failing to re-energise local-level union organisation leading to a rather hollow and pyrrhic renewal process. Drawing upon both macro-level analysis and evidence from a particular industry case study, I suggest that unions rethink their organisational geographies and scalar relations if they wish to re-connect with the grassroots and at a broader level remain a progressive force in the changing economic landscape. [ABSTRACT FROM AUTHOR]

The importance of new business start-ups cannot be over-emphasised. The UK government has taken actions designed to stimulate the growth of new businesses and aid their survival. The identification of barriers to entry is important, together with strategies to minimise their impact. The UK continues to lag behind the USA in its levels of entrepreneurship. The removal of barriers to start-up is key to rectifying this situation and stimulating the new business aspect of the economy. The paper highlights the government's position in furthering entrepreneurship, draws on initial primary research into student barriers to start-up and makes recommendations for how higher education institutions can assist in breaking down the barriers identified. [ABSTRACT FROM AUTHOR]

A significant body of literature suggests that enterprises in the public education sector may differ from 'standard production' market firms in important ways. Substantial government involvement is then legitimized. However, this literature often uses withinsector comparisons of school types, rather than cross-sector comparisons of the education sector with other sectors. This paper compares the structure of education enterprises and workplace practices with those in other industries, namely (the rest of) the public sector and the private sector. Key differences, particularly as regards staffing resources, between education providers and these other enterprises are identified from prior literature and then tested. Data from the UK Workplace Employee Relations Survey (1998) are used. Our findings show substantial differences in labour rewards and factor management in the education sector. [ABSTRACT FROM AUTHOR]

This study provides a new perspective on the effect of social media use in SMEs. The purpose of this paper is to investigate the influence of social media on firm performance with mediating role of marketing capabilities in the UK, hotel industry. In this research, a structural equation modelling method has been employed for data analysis. The survey data has been collected by mail survey from a sample of 384 hotels in the UK. Results from the data analysis demonstrate the positive and significant relationship between social media use and firm performance. However, the findings highlighted that marketing capabilities, namely branding and innovation, positively and significantly mediate the association between social media use and firm performance. • This research proposes a new perspective on the effect of social media in SMEs. • Investigating the effect of social media use on hotel's performance. • Found a positive relationship between social media use and hotels' performance. • Marketing capability mediates the relationship between social media and performance. • Branding and innovation capabilities positively effects on hotels' performance. [ABSTRACT FROM AUTHOR]

In this paper I report the results of a study of the directors of twenty large retail companies as a contribution to the delineation of the morphology of the British business elite. Although some studies of the business elite have examined the characteristics of elite members in different business sectors (i.e. finance versus industry) or have hinted at differences related to specific types of activity, such as brewing, shipping and oil, the systematic study of the commercial elite has largely been neglected.[2] Many of the studies in this field have either not been concerned to distinguish between industrial and commercial companies or have been inhibited in their generalisations because of the small number of retail concerns present in their samples. Paradoxically, we probably know more about the men who inhabit the arcane world of the City than we do of those whose names can be found in almost every urban high-street. Nevertheless, there is some evidence to suggest that the retail sector is to some extent the Cinderella of the business elite, characterised by a relatively plebeian leadership and a low level of integration with other sectors through the mechanism of interlocking directorships.[3] Here we will explore in greater depth the extent to which this characterisation is valid. [ABSTRACT FROM AUTHOR]

The article examines the possible impact of the plan by the British coalition government to increase the number of social enterprises in the National Health Service (NHS). The white paper "Equity and Excellence: Liberating the NHS" discusses how NHS staff can transform their organisations into employee-led social enterprises, since the approach is said to lead to high productivity, better care and greater job satisfaction. The health service union UNISON argues that social enterprise is equivalent to the privatisation of health services.