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General practice medical offices are planning for the use of computers in Australia, and some lessons can be learned from what has taken place in the United Kingdom. Many general practitioners (GPs) in Australia are working with government, consumers and information technology developers to put together a national strategic effort so that information management for medical practices will be based on demonstrably sound concepts. Topics include security/confidentiality, lack of education/training/support, of a common data model, of information exchange, of a common coding scheme, of a reasonable business case, and of data validation/verification procedures.

Aims:Uptake of childhood immunisations is lower among Gypsy, Roma and Traveller (GRT) communities than in the general UK population. This small-scale study aimed to elicit insights from GRT mothers on their interaction with health services in London around childhood immunisations. The purpose was to inform a larger piece of work by the NHS England and Improvement (London) Public Health Commissioning Team to inform their planning to improve access to vaccination services for GRT communities in London.Study design:An exploratory qualitative study using semi-structured interviews and a focus group.Methods:There was purposive sampling of mothers from any GRT background from south-west London using snowballing methods. One focus group and three interviews were conducted. A thematic analysis approach was used.Results:A total of nine women were recruited and seven participated between March and April 2018. Five themes were identified: adherence with antenatal care, self-declared parenting expertise, family support, childhood immunisations, keep children healthy but ‘they say wait on the MMR until they are talking’.Conclusion:Compliance with antenatal care, strong parenting beliefs and cohesive family support are strong influences on decision-making regarding immunisations. The women interviewed emphasised their own expertise in child rearing. This was occasionally at odds with the health advice provided by health professionals. The women widely shared their experiences of health professionals with other family and community members and this impacted on others' intention to vaccinate. These are key issues that should be considered when trying to improve uptake of immunisations in GRT families in a face-to-face manner. Equally, it warrants further exploration in a larger-scale study to see whether this reflects the wider community and in order to tailor supplementary immunisation activities to improve uptake.

ABSTRACTBreastfeeding rates in the UK remain persistently low, with a rapid fall off during the first 6–8 weeks. The work of healthcare and public health practitioners impacts on mothers’ experiences of infant feeding. Support, promotion and protection of breastfeeding are a national priority. Semi-structured qualitative interviews were undertaken with mothers who had experience of breastfeeding. Participants were engaged with a local Children’s Centre (indicating engagement with public health provision) and their babies were up to 6-month old (to increase recall of early experiences). Twenty-four participants were recruited and interviews thematically analysed. Mothers identified matters significant in relation to public health provision for breastfeeding, including three stages of time of significance for breastfeeding impact. These interlinked critical stages impact on a mother’s experiences. Joined up public health practice providing breastfeeding support and information before birth, around the time of the birth, and once home is significant in mother’s accounts. Breastfeeding support, in both healthcare and public health contexts, needs to be highly attuned to different stages in the experiences of mothers. Breastfeeding continuation is influenced by support experienced antenatally, perinatally, and in early weeks. To enhance the initiation and retention of breastfeeding, public health practice must pay attention to these stages. Breastfeeding support needs to begin prior to birth and be given throughout the postnatal period and beyond.

IntroductionIn March 2014, Case Study 8, a public hearing of the national Royal Commission into Institutional Responses to Child Sexual Abuse focused on John Ellis's experience both of the Catholic Church's Towards Healingprotocol and of litigation. This article outlines some aspects of these avenues of seeking redress following John's abuse by a priest as a child. It also discusses the challenges involved in the development of what some church lawyers have come to refer to as ‘the Ellis Process’: an alternative, extrajudicial process for seeking redress for survivors of church-related abuse. This process, advocated by John and Nicola Ellis, aims to afford survivors of church-based sexual abuse greater autonomy, responsiveness and satisfaction in seeking redress from the Church in a way that is restorative of dignity, agency, connection, and hope of recovery. Redress that is meaningful may be both financial and non-financial. John Ellis's adverse experiences of the ‘in-house’ church process and then litigation, point to the need to develop new redress processes: processes not tainted by past attitudes and consequent failures; processes that can provide a form of victim advocacy to alleviate the power imbalance and the sense of futility that many victims, including John, have experienced in pursuing a complaint of sexual abuse against a religious or other powerful institution.

Nicola Ellis discusses how music can be used to develop problem solving and reasoning skills.