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Aim: To compare mortality rates for cardiovascular disease, cancer, and respiratory disease between adults with cerebral palsy (CP) and the general population.Method: A cohort study was conducted using data from adults with CP in England, identified through a primary care data set (the Clinical Practice Research Datalink), with linked data on death registrations from the Office for National Statistics. Cause of death was categorized according to International Classification of Diseases codes. Standardized mortality ratios (SMRs) were calculated to compare mortality rates between adults with CP and the general population, adjusted for age, sex, and calendar year.Results: Nine hundred and fifty-eight adults with CP were identified (52.5% males, 47.5% females; median age at start of follow-up 31y [interquartile range 22-43y]) and followed for a total of 7693 person-years. One hundred and forty-two patients (15%) died during follow-up. Adults with CP had an increased risk of death due to cardiovascular disease (SMR: 3.19, 95% confidence interval [CI] 2.20-4.62) and respiratory disease (SMR: 13.59, 95% CI 9.89-18.67), but not from malignant neoplasms (SMR: 1.42, 95% CI 0.83-2.45).Interpretation: We found that adults with CP in England have increased risk of death due to diseases of the circulatory and respiratory systems, supporting findings from two studies that compared cause-specific mortality rates between adults with CP in the USA and the general population. Further research is required into primary and secondary prevention of cardiovascular and respiratory disease in people with CP worldwide.What This Paper Adds: Adults with cerebral palsy (CP) in England have 14-fold increased risk of mortality due to diseases of the respiratory system. They have a 3-fold increased risk of mortality due to diseases of the circulatory system. Adults with CP had an increased risk of death due to cerebrovascular disease and ischaemic heart disease. The elevated risk of ischaemic heart disease, however, did not reach statistical significance at the 5% per cent level. [ABSTRACT FROM AUTHOR]

Background: Engaging with the public is a key element of health research; however, little work has examined experiences of public involvement in research dissemination. The aim of this paper was to assess the extent of public involvement, experiences of public advisers and resulting changes in the dissemination of the North West Coast Household Health Survey (HHS). Methods: Three writing groups allowed public advisers to contribute to the dissemination of the HHS. A public workshop was set up to aid the co‐production of the research evidence and discuss the experiences of public advisers involved with the survey in March 2018. A focus group with public advisers was conducted in August 2018 to understand their experiences of involvement. Data were analysed using thematic analysis and coded by two researchers. Writing groups are still on‐going. Results: Fourteen public advisers contributed via three face‐to‐face writing groups, by actively interpreting findings and helping in the write‐up of research articles and by presenting talks at the public workshop. At the workshop, seven public advisors contributed to setting priorities for data analysis from the HHS. Five public advisers took part in the focus group, which highlighted that whilst public advisers were generally satisfied with their involvement, they would like to be involved in more activities. Conclusions: Members of the public shaped the dissemination of evidence and provided guidance for future steps. Public advisers were mostly positive about their involvement in the dissemination of the HHS, but highlighted the need for more transparency and support from researchers. [ABSTRACT FROM AUTHOR]

Child sexual exploitation (CSE) is a category of child abuse that was historically created to recognize the victimhood of children and young people, illuminating the ways that their evolving capacity to consent to sex is manipulated and undermined. Using evidence from the evaluation of specialist foster care provision and a CSE training course for foster carers, this paper considers how training might be used to widen the pool of potential foster carers for children affected by CSE and identifies qualities displayed by effective carers. It argues that improving the recruitment of foster carers can create safer home environments for teenagers at risk of or experiencing sexual exploitation and reduce the risk of further harm and that informed and effective foster care provision is crucial to prevent both the sexual exploitation of looked‐after teenagers and placement breakdowns that can ultimately increase risk. [ABSTRACT FROM AUTHOR]

The experiences and needs of lesbian, gay, bisexual, trans and queer/questioning (LGBTQ) young people in care have been overlooked in England, in both policy and research. This paper reports on findings from the first study of LGBTQ young people in care in England and focuses on the nature of foster carers' experiences and perspectives on caring for LGBTQ young people. Qualitative interviews regarding the fostering role in caring for LGBTQ young people were conducted with a sample of foster carers (n = 26) and analysed thematically. Foster carers described the importance of offering LGBTQ young people not only the nurturing relationships that all children in care need but also availability, sensitivity and acceptance to help young people manage stigma and other challenges associated with minority sexual orientation and gender identity. The Secure Base caregiving model provided a framework for analysing the different dimensions of these relationships. Understanding caregiving roles and relationships for LGBTQ young people in care has important implications for recruiting, training, matching and supporting foster carers to care for LGBTQ young people effectively. [ABSTRACT FROM AUTHOR]

The crossover between systemic psychotherapy and social work has received renewed attention in recent years. Expanding numbers of local authorities are commissioning systemic training and encouraging social workers to apply these ideas within the field of child protection. It is therefore vital and timely to listen to social workers' experiences, in order to attain feedback on how this can best be achieved. This research study interviewed five case‐holding social workers in a London local authority child protection team about their experiences, and used Interpretative Phenomenological Analysis (IPA) to analyse the data. This paper discusses two themes: 'the importance of the organisation' and 'the process of applying learning'. Recommendations for improvements are made for academic and employment organisations from the research findings. The overall argument is that there is a significant opportunity for the field of systemic psychotherapy to learn from and improve the social work field, and vice versa. Practitioner points: Organisational stability, clarity and commitment to systemic practice has a significant impact on social workers' abilities to apply systemic ideas in their practiceSocial workers value being able to put systemic ideas into practice and learning the 'doing' of as well as the 'thinking' behind systemic practiceSystemic psychotherapy has an opportunity to learn from its application to social work, particularly if applied to diverse workforces, who in turn work with diverse client groups [ABSTRACT FROM AUTHOR]

Aim: To test the hypothesis that children and young people with neurological conditions who missed outpatient appointments have more emergency inpatient admissions and Accident and Emergency centre (A&E) visits than those who missed none.Method: Retrospective cohort of individuals aged up to 19 years with neurological conditions, identified from routine hospital data in England, UK from April 1st, 2003 to March 31st, 2015 using an International Statistical Classification of Diseases and Related Health Problems, coding framework. Counts of emergency inpatient admissions and A&E visits per person per year were modelled (random intercept negative binomial regression) with outpatient attendance the independent variable of interest.Results: The cohort numbered 524 613 individuals. Those who missed outpatient appointments had 19 per cent (95% confidence interval [CI] 18-19) more emergency inpatient admissions and 16 per cent (95% CI 15-17) more A&E visits per year than those who missed none. 'Did not attends' had a larger increase in unplanned health care than patient or provider cancellations. If no appointments were missed, the models predict there would have been 107 000 fewer A&E visits from 2007/2008 to 2014/2015 and 104 000 fewer emergency inpatient admissions from 2003/2004 to 2014/2015.Interpretation: Missed outpatient appointments were associated with increased unplanned health care. Improving outpatient attendance may have the potential to reduce emergency inpatient admissions and A&E visits.What This Paper Adds: Missed outpatient appointments by children and young people with neurological conditions are associated with increased unplanned health care. Both emergency inpatient admissions and Accident and Emergency centre visits are increased. 'Did not attends' are more strongly associated with unplanned health care than cancellations. [ABSTRACT FROM AUTHOR]

This paper discusses a recent study on three 'Youth Commission' on police and crime projects. Professional viewpoints were interpreted to understand how they valued young people's participation and made sense of their experiences and capabilities. Framed within policing reforms, the 'Youth Commission' projects regard young people as co‐producers, who work in partnership with professionals to address police and crime issues. The focus is upon professionals and their relationships with young people for transformative participation and social outcomes. Working in partnerships showed interdependency but identifies further challenges if professionals do not truly value young people's participation. [ABSTRACT FROM AUTHOR]

Multicomponent injection molding often combines a stiff thermoplastic material with a thermoplastic elastomer or thermoplastic vulcanite. Recently, for high‐demanding applications, a novel process has been developed to replace these thermoplastic elastomers or vulcanite with a thermoset rubber, for example, NBR or EPDM. One of the most important properties of a two component product is an adequate adhesion between both components. This paper describes a method, which combines experiments and numerical simulations to predict the adhesion strength between a thermoplastic, semicrystalline HDPE, and an EPDM thermoset rubber. This method uses numerical simulations of the interfacial temperature and the local degree of cure. The local interface temperature is combined with the results of DSC measurements to predict the degree of melting, subsequently linked to the ability to develop adhesive strength. The degree of cure is used to determine the local rubber strength. The combination of the given data will be used to predict interfacial strength. The results obtained by proposed numerical strategy have been successfully validated with experimental data on a simple plate product. POLYM. ENG. SCI., 59:1489–1498 2019. © 2019 Society of Plastics Engineers [ABSTRACT FROM AUTHOR]

Objectives: To report on the routine clinical implementation of cell-free DNA (cfDNA) analysis of maternal blood for trisomies 21, 18 and 13 in twin pregnancy and to define the performance of the test by combining our results with those identified in a systematic review of the literature.Methods: The data for the prospective study were derived from screening for trisomies 21, 18 and 13 in twin pregnancies at 10 + 0 to 14 + 1 weeks' gestation. Two populations were included; first, self-referred women to the Fetal Medicine Centre in London or Brugmann University Hospital in Brussels and, second, women selected for the cfDNA test after routine first-trimester combined testing at one of two National Health Service hospitals in England. This dataset was used to determine the performance of screening for the three trisomies. Search of MEDLINE, EMBASE, CENTRAL (The Cochrane Library), ClinicalTrials.gov and the World Health Organization International Clinical Trials Registry Platform (ICTRP) was carried out to identify all peer-reviewed publications on clinical validation or implementation of maternal cfDNA testing for trisomies 21, 18 and 13 in twin pregnancy. A meta-analysis was then performed using our data and those in the studies identified by the literature search.Results: In our dataset of 997 twin pregnancies with a cfDNA result and known outcome, the test classified correctly 16 (94.1%) of the 17 cases of trisomy 21, nine (90.0%) of the 10 cases of trisomy 18, one (50.0%) of the two cases of trisomy 13 and 962 (99.4%) of the 968 cases without any of the three trisomies. The literature search identified seven relevant studies, excluding our previous papers because their data are included in the current study. In the combined populations of our study and the seven studies identified by the literature search, there were 56 trisomy-21 and 3718 non-trisomy-21 twin pregnancies; the pooled weighted detection rate (DR) and false-positive rate (FPR) were 98.2% (95% CI, 83.2-99.8%) and 0.05% (95% CI, 0.01-0.26%), respectively. In the combined total of 18 cases of trisomy 18 and 3143 non-trisomy-18 pregnancies, the pooled weighted DR and FPR were 88.9% (95% CI, 64.8-97.2%) and 0.03% (95% CI, 0.00-0.33%), respectively. For trisomy 13, there were only three affected cases and two (66.7%) of these were detected by the cfDNA test at a FPR of 0.19% (5/2569).Conclusions: The performance of cfDNA testing for trisomy 21 in twin pregnancy is similar to that reported in singleton pregnancy and is superior to that of the first-trimester combined test or second-trimester biochemical testing. The number of cases of trisomies 18 and 13 is too small for accurate assessment of the predictive performance of the cfDNA test. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd. [ABSTRACT FROM AUTHOR]

Aims: This paper presents updated prevalence estimates of awareness, ever‐use, and current use of nicotine vaping products (NVPs) from 14 International Tobacco Control Policy Evaluation Project (ITC Project) countries that have varying regulations governing NVP sales and marketing. Design, Setting, Participants and Measurements: A cross‐sectional analysis of adult (≥ 18 years) current smokers and ex‐smokers from 14 countries participating in the ITC Project. Data from the most recent survey questionnaire for each country were included, which spanned the period 2013–17. Countries were categorized into four groups based on regulations governing NVP sales and marketing (allowable or not), and level of enforcement (strict or weak where NVPs are not permitted to be sold): (1) most restrictive policies (MRPs), not legal to be sold or marketed with strict enforcement: Australia, Brazil, Uruguay; (2) restrictive policies (RPs), not approved for sale or marketing with weak enforcement: Canada, Malaysia, Mexico, New Zealand; (3) less restrictive policies (LRPs), legal to be sold and marketed with regulations: England, the Netherlands, Republic of Korea, United States; and (4) no regulatory policies (NRPs), Bangladesh, China, Zambia. Countries were also grouped by World Bank Income Classifications. Country‐specific weighted logistic regression models estimated adjusted NVP prevalence estimates for: awareness, ever/current use, and frequency of use (daily versus non‐daily). Findings NVP awareness and use were lowest in NRP countries. Generally, ever‐ and current use of NVPs were lower in MRP countries (ever‐use = 7.1–48.9%; current use = 0.3–3.5%) relative to LRP countries (ever‐use = 38.9–66.6%; current use = 5.5–17.2%) and RP countries (ever‐use = 10.0–62.4%; current use = 1.4–15.5%). NVP use was highest among high‐income countries, followed by upper–middle‐income countries, and then by lower–middle‐income countries. Conclusions: With a few exceptions, awareness and use of nicotine vaping products varied by the strength of national regulations governing nicotine vaping product sales/marketing, and by country income. In countries with no regulatory policies, use rates were very low, suggesting that there was little availability, marketing and/or interest in nicotine vaping products in these countries where smoking populations are predominantly poorer. The higher awareness and use of nicotine vaping products in high income countries with moderately (e.g. Canada, New Zealand) and less (e.g. England, United States) restrictive policies, is likely due to the greater availability and affordability of nicotine vaping products. [ABSTRACT FROM AUTHOR]

Summary: This paper provides empirical evidence on sibling spillover effects in school achievement using administrative data on 230,000 siblings in England. We extend previous strategies to identify peer effects by exploiting the variation in school test scores across subjects observed at ages 11 and 16 as well as variation in peer quality between siblings. We find a statistically significant positive spillover effect from the older to the younger sibling. Sibling spillovers account for a non‐negligible proportion of the attainment gap between low‐ and higher income pupils in England. [ABSTRACT FROM AUTHOR]

Food insecurity in the UK is a pressing concern that is associated with poor health outcomes. Research to date has focused on the challenges for adults in providing food for families. However, there is little evidence showing how children and young people experience food insecurity, particularly outside of the home and school. This paper, drawing on 14 months of ethnography in a youth club in the North of England, explores how young people manage food insecurity. In this youth club, the circulation of takeaway food is part of an informal network where boys purchase, share and receive food. This practice allows the boys to participate meaningfully within their peer groups whilst also providing stable access to food. This peer practice, however, was not available to everyone. This was a gendered practice that for the girls held little benefit due to their concerns about eating and pressure to provide for others. Instead, some girls depend on romantic relationships for food provision that is equated with affection and care. The findings will be discussed through a 'materialities of care' perspective to explore the complex ways in which food as a practice of care is part of everyday routines embedded within local places. [ABSTRACT FROM AUTHOR]

This paper aims to explore childcare social workers' attitudes towards female victims of domestic violence in England. The study discusses the concept of "mothering" and the processes through which mothers are potentially denigrated rather than empowered. Semi‐structured interviews were conducted with social workers in a single child protection agency to investigate their perceptions of domestic violence, its gendered nature, and the implications for their practice. Participants' responses were coded using thematic analysis. The results demonstrated social workers' cognisance of the challenges domestic violence poses for abused mothers in terms of the ability to safely parent their children. Although the study is not without its limitations, it nevertheless indicates the need for a more holistic approach to safeguarding children within domestic violence settings. Moreover, it underscores the necessity for improving awareness about the prevalence and importance of domestic violence as a child safeguarding concern within social work training. Indeed, improved training would help to develop social workers' knowledge and understanding of service provisions and partner agencies, thus potentially improving practice in this critically important area. [ABSTRACT FROM AUTHOR]

Child welfare removals of children are among the most invasive decisions a state can make toward its citizens, and typically it is the courts that make these decisions. These interventions are regularly exposed to criticism. In this paper, we examine if and how care order proceedings could be improved in England, Finland, Norway, and California, USA. We have asked the judiciary decision‐makers about their view on what should be improved. Our findings show that the organization of the proceedings, including time and staff, are identified as issues in all four systems. Furthermore, the preparations by the child welfare agency are also mentioned as an issue, for English, Finnish, and Californian decision‐makers. Very few decision‐makers indicate features related to the individual, situational, and contextual dimensions, which is interesting since this would be expected from organization theory. The strong call for change in the way proceedings are organized indicates a need for modernization as well as better use of available competency from child development experts. The respondents focus on the elements that a decision‐maker has direct experience with and knowledge about, and this is indeed worth noting for policymakers in the four systems. [ABSTRACT FROM AUTHOR]

Background: The Healthy Child Programme is the universal public health system in England to assess and monitor child health from 0 to 19. Following a review of measures for closer monitoring at age 2 years, the Department of Health for England implemented the Ages & Stages Questionnaires®, Third Edition (ASQ‐3™; Hereon, ASQ‐3). Aim: The aim of this study was to evaluate the acceptability and understanding of the ASQ‐3 in England by health professionals and parents. Method: A mixed‐methods approach was used. This paper reports on the qualitative data drawn from interviews with 40 parents and 12 focus groups with 85 health professionals. The data were analysed using applied thematic analysis. Findings Overall, parents and health professionals found the ASQ‐3 acceptable and understandable and could use it as a measure at age 2 years. The ability to work in partnership was valued. Some limitations included potential to cause anxiety, concerns around the safety of some of the items, and use of Americanized language. Health professional's training in the use the ASQ‐3 was inconsistent. Conclusion: The ASQ‐3 is an acceptable and understandable measure to use as part of the 2‐year assessment with some adaptations to the English context and some standardized training for health professionals. [ABSTRACT FROM AUTHOR]

Objectives: This paper aims to compare changes over 2 years in patients' health-related quality of life (HRQL) with the health and social care costs of diagnosis and treatment of people newly referred to memory assessment services (MAS).Methods: We analysed observational data from 1318 patients referred to 69 MAS who completed resource use and HRQL questionnaires at baseline 3, 6, 12, and 24 months. We reported mean differences in HRQL (disease-specific DEMQOL and generic EQ-5D-3 L), quality-adjusted life years (QALYs), costs and cost-effectiveness between baseline, and 2-year follow-up.Results: Two years after referral to MAS, patients reported a higher DEMQOL score (mean gain 4.47, 95% confidence interval, 3.08-5.90) and EQ-5D-3 L (0.014, -0.011 to 0.039). Mean total costs and QALYs over 24 months was £2411 (£1721-£2873) and 0.027 (0.003-0.051), respectively. Assuming that patients' HRQL would not have altered over the 2 years had they not attended MAS, these outcomes suggest an incremental cost-effectiveness ratio of £89 546 (£38 123-£145 864) based on changes in EQ-5D-3 L. If we assumed that patients' HRQL would have declined by about 10% over this period had they not attended MAS, the cost-effectiveness ratio would be £25 056. The largest MAS (N = 32; 46%) with over 50 new patients a month were more likely to be cost-effective than smaller ones (P < 0.01).Conclusions: MAS are effective and can be cost-effective for diagnosing and treating people with suspected dementia. Large variations in costs between clinics suggest that many MAS could improve their cost-effectiveness. [ABSTRACT FROM AUTHOR]

Within Northern Europe, gendered roles and responsibilities within the family have been challenged through an emergence of different family forms, increasing cultural diversity, and progressive developments in welfare policies. To varying degrees, welfare policies in different countries support a dual‐earner model and encourage men to be more active as fathers by reinforcing statutory rights and responsibilities. In child welfare practice, there has traditionally been a strong emphasis on the mother as primary carer for the child; the father has been less visible. This paper explores, in four national welfare contexts, how child welfare social workers include fathers in practice decisions. Data were collected using focus group interviews with social workers from England, Ireland, Norway, and Sweden. Similarities and differences emerge in relation to services and the focus of social work assessments. However, overall, the research suggests that despite gains in policy and legislation that promote gender equality, fathers remain largely absent in child welfare practice decisions about the parenting of their children. From the research, we raise questions for social work practice and the development of welfare policies. [ABSTRACT FROM AUTHOR]

Understanding water demand and consumers' capacity for change is essential in underpinning water demand management and water efficiency programmes. This paper presents the outcomes of a qualitative study, which used discussion groups relating to water infrastructure with environmentally aware citizens in five London boroughs in the Lower Lea River Basin. The results showed a subtle interaction between users, water and technology. Users are generally unaware of their own water consumption. Individual perceptions of changes in water behaviour are constrained by habit and lack of knowledge about what changes can be made and how. Knowledge of environmental information was described as the inspiration behind making any changes. The paper concludes that access to information about water resources, infrastructure and conservation measures should be enhanced because although information sources are abundant, participants claimed they were inaccessible without considerable effort. Finally, an emphasis should also be put on helping the public form a more substantial part in environmental decisions. [ABSTRACT FROM AUTHOR]

This paper analyses heterogeneous lockup agreements from the London Stock Market. With hand-collected data, I compare and contrast absolute-date lockups with the relative-date lockups and single lockups versus staggered lockups. This paper tests several potential explanations for the choice of lockup contracts: (i) information asymmetry, (ii) signaling, (iii) agency problem, and (iv) certification. I find strong evidence for information asymmetry and certification (VC and prestigious underwriters) and partial support for agency explanation for the choice of lockups. The insider selling activity and lockup expiration returns are also consistent with asymmetric information, certification and agency hypothesis. [ABSTRACT FROM AUTHOR]

This paper considers how policy-led processes of education reform have reshaped the space in which to think about gender and literacy, both in England and elsewhere. In many jurisdictions, the discourse on quality in education now focuses almost exclusively on numerical outcomes, whether they derive from the school, and/or at local or national level. A heightened focus on performance data has brought new attention to the contrasts in the relative patterns of girls' and boys' attainment in literacy, whilst also changing expectations about what should be done about them. This paper highlights the politics that ensue as these data enter public discourse using examples of policy texts published in England, Ontario and Wales. It examines how these documents mobilise different explanations for the gender gap in the performance data that are then used to guide future action. What kinds of explanations for gender differences in literacy attainment have most purchase in different policy contexts? Which are most useful from a feminist perspective? These issues are considered in relation to the changing policy context in England, which is rapidly moving from a highly centralised system of directed support for school improvement to much more fragmented provision. This creates new conditions in which to act. [ABSTRACT FROM AUTHOR]

ABSTRACT This paper explores non-relinquishing birth parents' experiences of contested child care and adoption proceedings. It highlights the perceptions and voices of birth parents which are rarely prioritized in dominant discourses of professional practice in this area. The paper reviews previous related research and also discusses a small-scale empirical study which elicited the perspectives of three birth parents whose children had been made subject to care proceedings and placed for adoption in England. Drawing on previous research and this study, the paper makes range of practice recommendations for sensitive professional practice with birth parents during contested child care and adoption proceedings. [ABSTRACT FROM AUTHOR]

Drawing on data generated in a recently completed qualitative study in a northern, English city, this paper explores the everyday social encounters of Accession 8 (A8) migrants who entered the UK following the expansion of the European Union in 2004. A number of options from permanent residence in another Member State on the one hand, to more fleeting circulatory and multiple short-term moves on the other, now exist for these new European citizens. The relatively short-term and temporary residence of some A8 migrants calls into question the focus of much UK government policy, which emphasises the need for migrants to integrate into diverse yet cohesive communities. Against this backdrop, the aim of this paper is two-fold. First, it considers the somewhat different character of A8 migration (encompassing a spectrum from permanency to temporariness) and what this means for routine experiences of mixing between new migrants and established host communities. Second, the paper explores such interactions in terms of 'everyday encounters' in both neighbourhood and work spaces and asks whether such spatio-temporal practices and experiences enhance or inhibit the building of 'good relations' in a multicultural city. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

English primary schools are considered quasi-collegial institutions within which staff communicate regularly and openly. The activities of staff, however, are bound by institutional norms and conditions and by societal expectations. Wider agendas of governmental control over the curriculum and external controls to ensure accountability and learning standards have influenced the development and purposes of middle leaders’ roles. This is a conceptual paper that explores issues around the agency of primary school middle leaders within a wider context of the political and educational agenda. Through a reconsideration of research conducted by one of the authors since the inception of the notion of ‘subject leaders’, we exemplify ways in which primary school middle leaders’ attitudes have developed and changed over the past 15 years. In this paper we identify attitudes to leadership, the influence of distributed leadership on primary school role-holders and possible ways forward for middle leaders. [ABSTRACT FROM PUBLISHER]

There is a longstanding literature on the unequal geographical distribution of welfare. In this paper we argue that increasingly geography is becoming the basis for rationing access to some forms of welfare. Focusing on access to secondary schools in East London, England, where the demand for places at the more popular schools generally far exceeds the number of places available, we show how distance from school has now become the primary means of allocating places. Rather than educational resources attempting to compensate for geographical disadvantage, geography (in the form of distance from school) has become the rationale by which those living in advantaged areas continue to have privileged access to educational resources. Whereas previously the role of the state was to compensate for the unfairness of such geographical inequalities, geography (via distance to school) is now used to justify the unequal allocation of scarce school places. The paper demonstrates that not only does the near universal adoption of distance-based allocation policies in East London lead to the reproduction of social advantage and disadvantage, but also it is creating new hierarchies of school popularity and more important unpopularity which are not always clearly related to issues of school attainment. [ABSTRACT FROM AUTHOR]

This paper is concerned with the social and spatial processes adopted by workers who face problems at work. Using interview data with minority ethnic workers in three local communities in London, the paper explores the mechanism people use to seek help and advice and what resources are available from local community organisations. Key findings suggest that many workers, both unionised and non-unionised find themselves isolated and unable to access the support they need. [ABSTRACT FROM AUTHOR]

Background The use of out-of-area placements to meet the needs of individuals with intellectual disabilities and challenging behaviour has been increasing in the UK. Such placements claim a large proportion of service budget expenditure; therefore, it is important to consider whether they offer the best-quality care. This paper reports on current evidence relating to such placements and uses a scoping review across five London boroughs to illustrate key issues on provider characteristics and aspects of good practice. Methods We conducted a literature review to identify papers that describe out-of-area placements and carried out a postal survey of 54 service providers that delivered services to service users from five London boroughs. Results Individuals with intellectual disability and challenging behaviour are more likely to be placed out-of-area in services of variable quality and a minority may underperform. Our empirical data suggest that the private sector that is the main accommodation provider is most likely to underperform on meeting standards of care. Conclusion Overall, the majority of out-of-area providers appear to supply a good standard of care but there are many factors that continue to hinder the local treatment of individuals who present with challenging behaviour. There is an imperative to identify poorly performing providers as well as exploring ways in which service users, out-of-area, can be supported effectively. [ABSTRACT FROM AUTHOR]

This paper highlights some of the archives held at The Women's Library relating to home economics. It concentrates on the archives of the Institute of Home Economics, its successor and predecessor. It considers strengths in the collections, in particular home economics education. Although the profession ultimately failed to secure home economics as a foundation subject in the National Curriculum in 1987, it appears that food education is more important than ever, especially when we are reminded about childhood obesity in the daily news. The paper concludes that formal home economics teaching did fulfil the vitally important function of teaching young people how to feed themselves properly, and that food does provide an important part of children's education. [ABSTRACT FROM AUTHOR]

This paper considers the structure, regulation and performance of the water industry in England and Wales in the postprivatisation period from 1989. The paper examines the improvements achieved in drinking water and wastewater effluent quality and in the overall performance. The challenges facing the industry in the areas of water resource planning, energy efficiency and chemical consumption, arising from climate change, are also considered. The paper considers how the industry's current approach and attitude towards research and development (R&D) will influence its ability to meet the latest challenges laid down by the regulators. The paper calls for increased emphasis on, and incentive for, R&D in the water industry to ensure sustainable solutions in both water and sewage treatment. [ABSTRACT FROM AUTHOR]

Thousands of examiners are employed to mark candidate scripts from the suite of public examinations offered to students during the compulsory and post-compulsory schooling phases in England, Northern Ireland and Wales. All examiners undergo training to ensure that they interpret correctly, and apply consistently, the mark scheme for their particular paper. Traditionally this training has been delivered face-to-face, but several benefits of an online training environment have been identified. This paper outlines the findings of an experimental study designed to quantify and compare the effects of face-to-face and online training on experienced examiners' marking reliability. A sample of 89 experienced examiners was randomly allocated to either a face-to-face or online training group. The participants marked 30 General Certificate of Secondary Education History scripts prior to receiving training and another 30 scripts following training. Two measures of reliability were calculated: marking accuracy (absolute mark differences) and consistency (rank order correlations). The findings suggest that both modes of training had comparable, statistically significant positive effects on examiners' accuracy and consistency. The evidence indicates that online training may be an effective alternative to face-to-face training for the purposes of standardising examiners' marking. [ABSTRACT FROM AUTHOR]

This paper considers the relations between practice, knowledge and context in design consultancies. It uses a case study of design consultancies in London based on in-depth interviews with designers working in design agencies in the city. The paper argues that the relations between design knowledge and context have been conceived in two ways. The first account emphasises the sharing of tacit knowledge in a design community marked by relatively strong and durable social ties. The second approach argues instead that design is a creative collectivity with much weaker social ties and a broader range of types of knowledge. It is argued that while both of these approaches illuminate parts of situated learning and context in design consultancies, these are actually more complex and mixed than either account recognises. Both accounts overlook the crucial importance of what are termed medium-strength ties between designers and their clients that combine market contracts with personal regard and friendship. The paper concludes by suggesting that such medium ties are increasingly important in design-based innovation systems. [ABSTRACT FROM AUTHOR]

This paper presents the findings of a comparative study using data from questionnaire surveys carried out in England ( n=57) and Ireland ( n=72). The researchers examine how teachers and teaching assistants who are currently teaching pupils with dyslexia in primary schools describe dyslexia and what may have influenced their conceptualisation. The paper examines teachers' responses both in terms of how they view their pupils presenting difficulties in the classroom, and how far they link these to underlying differences in cognitive processing. The researchers suggest ways in which this might influence their teaching in terms of methodology. Findings have been mapped to the Morton and Frith causal modelling framework. The implications of these findings for the training and support of teachers are discussed in the light of recent national initiatives to improve the teaching of dyslexic pupils in both countries. [ABSTRACT FROM AUTHOR]

This paper explores some theoretically informed ways in which to use the rich evidence relating to ports, harbours and other waterfront installations in archaeology. It argues that studies of waterfront structures within the specialisms of nautical/maritime and wetland archaeology are extremely important in their own right, but they could also be used to explore broader issues connected with their use and context. These include the cultural and religious significance of water and its dangers, the symbolic significance of landscape change, the relationship between people and their environment and the negotiation of the land/water interface. Examining the evidence of the port of Roman London as a case study, this paper explores the archaeology in its local setting and addresses a number of subjects relating to both its temporal and spatial position. It focuses on the religious significance of water and the implications of altering waterscapes through artificial construction. [ABSTRACT FROM AUTHOR]

Given the overwhelming evidence for the benefits of breastfeeding, and yet the low prevalence rates in the UK, it is crucial to understand the influences on women's infant feeding experiences to target and promote effective support. As part of an evaluation study of the implementation of the UNICEF UK Baby Friendly Initiative (BFI) Community Award within two primary (community-based) care trusts in North West England, 15 women took part in an in-depth interview to explore their experiences, opinions and perceptions of infant feeding. In this paper, we have provided a theoretical interpretation of these women's experiences by drawing upon Aaron Antonovsky's Sense of Coherence (SOC) theory. The SOC is a global orientation to how people are able to cope with stressors and maintain a sense of well-being. The three constructs that underpin the SOC are 'comprehensibility' (one must believe that one understands the life challenge), 'manageability' (one has sufficient resources at one's disposal) and 'meaningfulness' (one must want to cope with the life challenge). In this paper, our interpretations explore how infant feeding is influenced by the 'comprehensibility', 'manageability' and 'meaningfulness' of this event; contextualized within a wider socio-cultural perspective. The findings of this paper offer a unique means through which the influences on women's experiences of infant feeding may be considered. Recommendations and suggestions for practice in relation to the implementation of the BFI have also been presented. [ABSTRACT FROM AUTHOR]

The enlargement of the European Union (EU) in May 2004 produced a very significant wave of immigration to the United Kingdom that is likely to continue to impact its labour market in forthcoming years. Polish migrants were by far the largest cohort of the new entrants. This paper complements previous work that has begun to establish the characteristics and labour market performance of migrants from the new member states who have entered the United Kingdom. This paper uses a unique micro-level data base to investigate the labour market evolution of Polish migrants in the UK labour market. We find that in the first UK job returns to human capital were negligible. However, for the current job an extra year of education increases the weekly gross wage by 3.2 per cent. There is evidence of a gender differential in pay in both jobs and that older workers are paid more than their younger counterparts but this effect becomes insignificant in the current job. We find that hours worked is a significant factor in wage determination. However, the influence of hours worked on wages declined by approximately 38 per cent between the first and current job. Results from multinomial logit models suggest that over-time there is some 'match' between the occupational groupings that these workers were attached to in Poland and the United Kingdom. We also find evidence that the use of employment agencies by some of these workers increases the likelihood of employment in skilled manual and non-manual occupations. Workers who have had supervisory responsibility in the United Kingdom are more likely to be in professional or intermediate occupations. [ABSTRACT FROM AUTHOR]

This paper is based on a qualitative study of recent Polish migrants in London (). The paper reveals the roles that different family members played in the migration narratives of these Polish migrants. In order to gain a broader understanding of migration patterns, it is necessary to explore what is meant by 'the family' and how this may operate transnationally. By examining spatially dispersed relationships, the paper aims to contribute to an understanding of transnational families. In addition, by highlighting the various ways in which families may be split, reunited, and reshaped through the process of migration, the paper argues for a need to explore the shifting ties between relatives 'here' and 'there'. The paper explores the dynamism of these relationships over time in the context of specific immigration regimes and the interplay with local attachments. [ABSTRACT FROM AUTHOR]

This paper responds to recent debates in human geography about ideal-type versus contingent neoliberalism, or what Gibson-Graham conceptualises as 'strong' vs 'weak' theory, by offering some reflections from an in-depth study of the private finance initiative (PFI) in England. It first introduces the history and purpose of the PFI as the Labour government's flagship public-private partnership (PPP) approach to public infrastructure modernisation. It then critically analyses its use in inner-city regeneration through a case study of a PFI housing scheme in the northern English city of Leeds. The paper argues that, when seen through the lens of 'strong theory', a PFI appears to be a consciously designed 'neoliberal straitjacket' intended to lock-in gentrification-based regeneration at the neighbourhood level, guarantee long-term profits to (finance) capital, and create powerful privatising and marketising pressures across the local public sphere. However, it is equally possible to construct a preliminary 'weak theory' of the PFI that unhides its inherent contradictions and shows how everyday activism by local community actors can successfully influence and contest how neoliberalism is rolled out on the ground. [ABSTRACT FROM AUTHOR]

The paper deals with the issue of practical knowledge for enabling participation. Participation as a strategy for change is widespread in community, health and human service contexts. Research to date has focused on the mechanisms of beneficiaries' participation (e.g. identity, empowerment, activity, gender, space). However, participation as an engagement strategy is action oriented and requires high levels of interaction between those creating the conditions for participation and those participating. These conditions need to be continuously adjusted and outcomes are often unpredictable. This process of 'working with' is often dealt with as a technical issue and captured in metaphorical language. Less emphasis has been given to the type of knowledge modalities that might be necessary in order to enable participation. Drawing on an ethnographic case study of participation in a youth inclusion programme the paper explores the role of stories as potential indicators of practical knowledge. The paper argues that enabling young people's participation requires intuition and imagination, patience and perseverance, and judgement for acting under uncertainty. It concludes that stories only partially fulfil their potential as indicators of such knowledge modalities. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

The built heritage of most cities is heterogeneous, hybrid and multiple. However, certain heritage objects and meanings are invariably privileged over others in place-making strategies. In this paper we are interested in the production of local heritage and design discourses and their impact on the regulation of conservation and change in the built environment. Using the example of the legacy of post-war (i.e. 1950s and 1960s) modernist development in Manchester, England, the paper explores the performative work of place narratives in conservation policy. The contested heritage value of post-war modernist development in the UK is particularly relevant, given the difficulties posed by aspects of 1950s and 1960s design set against increased pressures for conservation. Accordingly, the conservation of aspects of 1950s/1960s urbanism can be fiercely resisted by urban leaders. Empirically, we examine the ways in which post-war heritage has been selectively incorporated into the dominant design and heritage narratives of the city of Manchester. Looking beyond Manchester, the paper contributes to conceptual debates about the situated politics of heritage and the institutional work performed by heritage discourse. [ABSTRACT FROM AUTHOR]

Compared with the attention paid to written texts, geographers and others have neglected the spoken word in its many forms, particularly in investigations of the power relations of colonialism and imperialism. This paper argues that considering orality as a series of embodied, situated enunciations, declarations and conversations can provide a basis for historical geographies of the spoken word that engage with representation as practice. Using evidence from the domain of law within the context of Britain's plantation colonies in the Caribbean - particularly Barbados and Jamaica - this paper argues for the significance of the oral culture of empire. This was evident in the ways in which the power of speech - through the rules on oath-taking and evidence-giving - was part of the making of imperial and colonial identities and relationships dividing white and non-white, free and unfree, both within the spaces of plantation societies and in the broader British Atlantic world. The fragility of the identities and relationships made through the spoken word is also demonstrated through a series of moments when changes in the regulation of speech in courts of law were suggested and contested. [ABSTRACT FROM AUTHOR]

To date, much of the work that uses Geographical Information Systems (GIS) to study human geographies applies a social science paradigm to quantitative data. There is a growing recognition of the need, however, to test whether GIS can be used to map out the qualitative 'data' provided by the articulation of subjective spatial experiences. This paper expands the conceptual possibilities opened up by the use of GIS technology through an exploration of the theoretical potentiality of literary GIS. Drawing on work carried out as part of an interdisciplinary project, 'Mapping the Lakes', the paper focuses on the ways in which GIS can be used to explore the spatial relationships between two textual accounts of tours of the English Lake District: the proto-Picturesque journey undertaken by the poet, Thomas Gray, in the autumn of 1769; and Samuel Taylor Coleridge's self-consciously post-Picturesque 'circumcursion' of August 1802. Alongside this text-specific focus, the paper also draws on recent spatial literary criticism to reflect, more generally, on the critical possibilities and problems associated with the digital mapping of space and place in literature. Ultimately, the paper seeks to open up methodological and critical space for the ongoing development of literary GIS. [ABSTRACT FROM AUTHOR]

The role played by the state in regulating population movements has been the subject of study in migration scholarship. Immigration regimes manage migration through visa restrictions stipulating the type of work migrants perform and their entitlement to rights. However, studying migration only in terms of visas or occupational categories limit a full understanding of the breadth and changing episodes making up migrant experiences. Based on a case study of 'highly skilled' Singaporean transmigrants in London, this paper investigates, first, the way such migrants utilise changing visa strategies to incrementally extend their stay in London. Second, the paper contextualises their migrant subjectivities and identities within the immigration and emigration regimes in which they are embedded. In so doing, the paper argues for a trajectory perspective of migration that recognises the changing strategies as well as practical and emotional challenges experienced by 'highly skilled' middling transnationals. Copyright © 2009 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

This paper considers the views and perceptions of police officers and staff from a local police force in England, on the training provided in, and use of, restorative justice. These views were obtained through the use of an online questionnaire as well as the recording of comments made by police officers and staff after one training session. While the overall sample is too small to draw any concrete conclusions, participants appeared to share views expressed in similar, larger studies. This study adds to the literature on restorative justice as police views in this area are underresearched in England and Wales. [ABSTRACT FROM AUTHOR]

Aim: To review the existing evidence regarding the use of language in clinical encounters. Background: Awareness of the importance of language in clinical encounters is mostly lacking or located within broader discussions on communication. Methods: A scoping study was conducted to review existing research that could increase our understanding of the role language plays as well as identify gaps in knowledge and inform the development of a position statement on language in diabetes care. Results: Evidence shows that, although carefully chosen language can have a positive effect, there is a potential negative impact of language on people's experiences of diabetes care. The use of stigmatizing and discriminatory words during communication between healthcare practitioners and people with diabetes can lead to disengagement with health services as well as sub‐optimal diabetes self‐management. Clinical encounters can be compromised where language barriers exist or where there is limited understanding of cultural differences that may have an impact on diabetes self‐management. What little empirical evidence there is shows that training can improve language and communication skills. Conclusion: This review raises a number of questions that are being addressed by the NHS England Language Matters Group, which has developed a set of recommendations to support the use of appropriate language in clinical encounters. What's new?: This paper reviews existing evidence regarding the use of language in clinical encounters.Poor language practices can lead to stigma, lack of engagement with self‐management, low satisfaction with care and poor clinical outcomes.Research has demonstrated the importance of good communication skills and that appropriate use of language can benefit psychosocial well‐being and support optimal diabetes self‐management.Our review has directly informed the publication of a UK Position Statement on Language Matters. [ABSTRACT FROM AUTHOR]

This paper draws on interview data from national policy makers in England, Scotland and the European Commission to illustrate differences in the referencing of 'Europe' in education policy-making in England and Scotland in order to highlight the emergent complexity of post-devolution policy-making in education through a focus on relations and interactions with Europe, as expressed in the negotiation and development of performance data systems. We suggest that policy-makers in England reference global influences, rather than Europe, while policy-makers in Scotland reference Europe in order to project a new positioning of Scotland in closer alignment with Europe. Europeanisation in education thus produces differing policy responses from closely aligned, indeed, in the case of England and Scotland, contiguous policy spaces. Thus the paper seeks to contribute to the literature on 'travelling' education policy and its 'local' mediation and to connect the development of devolution and the changing policy space of education in Europe. [ABSTRACT FROM AUTHOR]

This paper addresses the question of interaction between home and international students using qualitative data from 100 home students at two 'teaching intensive' universities in the southwest of England. Stephan and Stephan's Integrated Threat Theory is used to analyse the data, finding evidence for all four types of threat that they predict when outgroups interact. It is found that home students perceive threats to their academic success and group identity from the presence of international students on the campus and in the classroom. These are linked to anxieties around 'mindful' forms of interaction and a taboo around the discussion of difference, leading to a 'passive xenophobia' for the majority. The paper concludes that Integrated Threat Theory is a useful tool in critiquing the 'internationalisation at home' agenda, making suggestions for policies and practices that may alleviate perceived threats, thereby improving the quality and outcomes of intercultural interaction. [ABSTRACT FROM AUTHOR]

This paper sets out to investigate issues of access to continuous professional development faced by teachers in England. Specifically, the paper attempts to understand the types of CPD activities that are offered to teachers, the types of activities in which teachers participated and whether a disconnect occurs between activities offered and those needed by teachers. Further, the paper also explores the barriers to access to high quality CPD that exist for teachers at both the individual and school levels. Data for the analyses presented were collected as part of the nationally representative, Schools and Continuing Professional Development in England - State of the Nation research study which was funded by the Training and Development Agency for Schools (TDA). [ABSTRACT FROM AUTHOR]

Reported here is one part of the nationally representative, Schools and Continuing Professional Development in England - State of the Nation research study which was funded by the Training and Development Agency for Schools (TDA). This paper sets out to understand how teachers and school leaders in England perceive the benefits and effectiveness of CPD activity. The investigation of benefits and effectiveness of CPD presented in the paper focuses on the various impacts that could result from participation, the forms and features of activities, as well as the conditions that make effectiveness more or less likely to occur. [ABSTRACT FROM AUTHOR]

This paper focuses on offending behaviour and children in residential care. The paper considers whether children's residential care is a 'criminogenic' environment, i.e. whether this type of care environment helps to provide the conditions that produce crime or criminality. The paper draws on the findings from recently completed research on 10 children's homes in a large county local authority in England. This paper focuses on the patterns shown in trend data collected on problematic and offending data across these homes over a 7-year period (2001-2007) and a 1-year cohort study of 46 young people. Interviews with care staff and young people are used to contextualize these patterns. The data provide evidence of an environment where conflict and offending behaviour are common. It is argued that the residential care environment, particularly for older teenagers, often presents a set of risks that tend to reinforce offending behaviour and that this is in part due to its 'last resort' status. [ABSTRACT FROM AUTHOR]

This paper describes the development of the first set of national guidance focused on the prevention of alcohol problems in England. These guidelines were produced by the National Institute for Health and Clinical Excellence (NICE) working with a multidisciplinary program development group of scientists, practitioners and lay members. In this work, screening and brief alcohol interventions represent a key element of a comprehensive public health strategy to prevent alcohol-related risk and harm across the population. The first controlled trials of brief alcohol intervention were published in the mid to late 1980's and there are now around 60 published trials in this field. After 25 years of accumulated evidence in this field, brief alcohol interventions have yet to make a significant impact on routine clinical practice. While it is imperative to have good science to make the case for brief intervention delivery, this work is in vain if practitioners are unwilling or unable to use these interventions with their patients. Evidence from the alcohol field and other clinical areas indicates that national prioritisation of brief alcohol intervention activity, by a body, such as NICE, is likely to be a key driver of implementation by practitioners. This paper summarises a suite of complementary system-level and practice recommendations, which were published by NICE in June 2010, and considers their likely impact on screening and brief alcohol in England.[Kaner E. NICE work if you can get it: Development of national guidance incorporating screening and brief intervention to prevent hazardous and harmful drinking in England. Drug Alcohol Rev 2010;29;589-595] [ABSTRACT FROM AUTHOR]

This paper addresses the issue of how strategic-level partnerships, such as Local Safeguarding Children Boards, know about and learn from practice. The death of Baby Peter in Haringey exposed the dangers of reliance on numerical performance data alone to inform leaders about the true state of practice. The drivers for, and impact of, regulatory, media and political pressures on front-line practice and partnership behaviour are discussed with reference to the rise of organisational risk management and 'rule-based' responses (Munro, 2009). These are exacerbated by an overload of negative data about child protection systems which results in contagious 'attention cascades' which lead to over-simplification of complex issues and the rush to quick-fix solutions. This results in compliance-based responses designed to avoid 'blame', based on individualistic analyses of complex situations. Under these conditions, 'learning', such as from serious case reviews, can become regressive (how to avoid future culpability) rather than progressive (how to improve knowledge skills and practice). It is argued that understanding and improving practice require strategic partnerships to have engaged with front-line staff in order to access practice narratives as well as performance numbers, and to achieve an accurate and systemic analysis of the state of practice and how it can be improved. This calls for collective forms of knowing and reflecting and the paper concludes by describing examples. [ABSTRACT FROM AUTHOR]