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Purpose: This paper aims to explore the perceptions and experiences of a group of extra care tenants, who, as novice internet users, began to maintain their social relationships online. Housing transitions in later life may jeopardise existing social relationships, leading to loneliness and social isolation. More recently, Covid-19 restrictions have limited familial face-to-face contact and wider social interactions. Thus, extra care tenants, who are not already online, may benefit from acquiring internet skills. This paper aims to enhance understanding of the participants' transition from novices to experienced internet users and the impact on their social relationships and sense of self. Design/methodology/approach: A longitudinal, hermeneutic phenomenological study was conducted over eight months in two extra care housing schemes in north east England. Ten participants (56–98 years) with age-related physical, sensory and cognitive losses were recruited to the study. A series of semi-structured interviews and participant diaries captured the participants' experience as they developed internet skills and communicated online. Findings: All participants, including a blind individual, learnt to communicate online. Personalised adaptive strategies, peer support, training and management involvement facilitated internet uptake. Participants felt their social relationships were supported, and they regained biographical continuity, through being and feeling they belonged in the modern digital world. Originality/value: The online experiences of extra care tenants are rarely voiced. Their perceptions may assist others to engage online, maintaining social connections, which could otherwise be lost. [ABSTRACT FROM AUTHOR]

There are many pressing questions about how to deliver adult social care services. Where research evidence exists to address these questions, there is often limited use by social care commissioners, providers and the workforce. Sometimes this is attributed to the lack of perceived relevance and accessibility of the research itself, at other times it is considered to be a matter of individual and organisational capacity. As things stand, there is a gap between social care research and practice. Improving interaction between different stakeholders in the research process is a contemporary mechanism for promoting the production of research that is useful, usable and used. This paper describes one collaborative approach called research-practice partnerships (RPPs). These partnerships share the goal of benefit for all partners and are supported by a growing international evidence base. This paper summarises some of the key literature from different countries and contexts where the approach has been tried. It highlights the main features of RPPs, introduces a project setting up three new partnerships in the care home sector in England and highlights aspects of the theory of change that will guide the evaluation of the partnerships. In doing so, the paper introduces a promising collaborative approach to a social care audience and considers whether RPPs have the potential to achieve meaningful and impactful research in social care contexts. [ABSTRACT FROM AUTHOR]

Mixed‐ability grouping is widespread in primary schools and in several subject areas in secondary schools in England. Notwithstanding, there is scant research on mixed‐ability grouping in the education literature, particularly in terms of its impact on students' experiences. The research reported in this paper employs enactment theory to provide original insights into the diverse practices and complex contextual factors that shape students' perceptions and experiences of mixed‐ability grouping in physical education (PE). Enactment theory acknowledges that school decisions about grouping policy are impacted by wider education policy and other contextual influences, and that the expression of grouping policies in specific subjects and classrooms is navigated and negotiated by students as well as teachers. The paper draws on data from in‐depth, semi‐structured focus groups with 41 Year 10 (aged 14–15) students in a mixed‐gender secondary school in England to explore the different ways in which students are positioned and position themselves in the enactment of mixed‐ability grouping in PE. Findings reveal many contextual factors, including ability and gender discourses, school and subject cultures, and the broader policy context, influencing students' positioning and learning experiences in mixed‐ability PE. The discussion explores distinct differences in the enactment of mixed‐ability grouping in PE in Key Stage 3 (aged 11–14) and Key Stage 4 (aged 14–16) and identifies students as enthusiasts, critics, entrepreneurs and copers in grouping policy enactment. The study affirms the need for educators and professionals to critically engage with the construct of ability, and in turn mixed‐ability grouping policies and pedagogic practices in PE. [ABSTRACT FROM AUTHOR]

This paper aims to explore how social work students can support lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ+) young people in schools. Drawing on the reflective practice portfolio documents of four students who worked with LGBTQ+ young people in a school as part of a social workers in school (SWIS) student placement project, the article uses thematic analysis to identify how the students were able to support young people identifying as LGBTQ+. The article subscribes to a poststructuralist theoretical framework which sees gender and sexual identities as multiple, fragmented and constructed in relation to others and within the systems of knowledge and power that exist in schools. The article demonstrates the benefit to schools of having social work students on practice placement. The students' own reflections critically contemplate the way in which they were able to spend more prolonged periods of time with young people than the teachers could, both with individuals and LGBTQ+ groups. The students' reflective portfolios show the value of the school placements to their own development of knowledge and skills [ABSTRACT FROM AUTHOR]

Older people in England who pay for social care from their own funds ('self-funders') receive little help in seeking and arranging care compared to older people funded by their local council. This suggests an implicit assumption that people funded by local councils need help to manage their care whereas self-funders do not. This article reports findings from a scoping review of published evidence from England, Scotland and Wales on the skills that older people need, and the help they get, to seek, arrange or manage use of social care, and how this help affects outcomes. Searches undertaken in October 2018 resulted in the inclusion of thirty-six empirical papers and seven reviews. Thematic analysis identified the importance of everyday life and specific business skills, and personal attributes including objectivity when evaluating options. The review identified two significant gaps in the evidence: first, how help in seeking and arranging care compensated for lack of, or complemented existing, skills; and secondly, how outcomes for people receiving help in arranging care compared with those not receiving help. The article concludes that a tailored approach to supporting older people arrange and manage care, irrespective of funding, should be considered. [ABSTRACT FROM AUTHOR]

Background: Looked after children and care leavers (denoted as LAC) are often described as a 'hard to reach' group of young people, and their voices are rarely sought to inform academic research. Methods: This paper reports on experiences and reflections of a group of children and young people and academic researchers who developed a Patient and Public Involvement (PPI) group that was set up in the context of an ongoing health service intervention trial with LAC. Setting and participants: Eighteen qualitative semi‐structured interviews were conducted with seven LAC, the participation officer within a North East Children in Care Council and the four researchers involved in developing and facilitating the PPI group. PPI sessions (n = 9) each approximately 1 hour in length were conducted over an 18‐month period. Analysis: The qualitative interviews were transcribed verbatim. Thematic analysis was used to analyse the data, and direct quotes are used within the paper. Main outcomes: The LAC used the PPI group to produce a 5‐minute video to highlight why they think young people should be involved in research. Overall findings suggested that it was feasible to develop a research‐related PPI group with LAC. Findings from the research were used to co‐develop 'top tips' of working with vulnerable young people such as looked after children. Conclusion: This paper has shown that PPI with LAC can be done if a co‐production approach to research is taken. It also suggests that assumptions regarding the capabilities of young people as researchers need to be re‐evaluated. [ABSTRACT FROM AUTHOR]

Aim: To explore higher education institution (HEI) perspectives on the development and implementation of trainee nursing associates (NAs) in the primary care workforce in England. Background: Current shortages of primary health care staff have led to innovative skill mix approaches in attempts to maintain safe and effective care. In England, a new level of nursing practice, NAs, was introduced and joined the workforce in 2019. This role was envisaged as a way of bridging the skills gap between health care assistants and registered nurses and as an alternative route into registered nursing. However, there is limited evidence on programme development and implementation of trainee NAs within primary care settings and HEI perspectives on this. Methods: This paper draws from a larger qualitative study of HEI perspectives on the trainee NA programme. Twenty-seven staff involved in training NAs, from five HEIs across England, were interviewed from June to September 2021. The interview schedule specifically included questions relating to primary care. Data relating to primary care were extracted and analysed using a combined framework and thematic analysis approach. Findings: Three themes were developed: 'Understanding the trainee role and requirements', 'Trainee support in primary care' and 'Skills and scope of practice'. It is apparent that a more limited understanding of the NA programme requirements can lead to difficulties in accessing the right support for trainees in primary care. This can create challenges for trainees in gaining the required competencies and uncertainty in understanding what constitutes a safe scope of practice within the role for both employers and trainees. It might be anticipated that as this new programme becomes more embedded in primary care, a greater understanding will develop, support will improve and the nature and scope of this new level of practice will become clearer. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this action research was to explore, from a workforce and a patient/carer perspective, the skills and the capacity required to deliver integrated care and to inform future workforce development and planning in a new integrated care system in England. Design/methodology/approach: Semi-structured interviews and focus groups with primary, community, acute care, social care and voluntary care, frontline and managerial staff and with patients and carers receiving these services were undertaken. Data were explored using framework analysis. Findings: Analysis revealed three overarching themes: achieving teamwork and integration, managing demands on capacity and capability and delivering holistic and user-centred care. An organisational development (OD) process was developed as part of the action research process to facilitate the large-scale workforce changes taking place. Research limitations/implications: This study did not consider workforce development and planning challenges for nursing and care staff in residential, nursing care homes or domiciliary services. This part of the workforce is integral to the care pathways for many patients, and in line with the current emerging national focus on this sector, these groups require further examination. Further, data explore service users' and carers' perspectives on workforce skills. It proved challenging to recruit patient and carer respondents for the research due to the nature of their illnesses. Practical implications: Many of the required skills already existed within the workforce. The OD process facilitated collaborative learning to enhance skills; however, workforce planning across a whole system has challenges in relation to data gathering and management. Ensuring a focus on workforce development and planning is an important part of integrated care development. Social implications: This study has implications for social and voluntary sector organisations in respect of inter-agency working practices, as well as the identification of workforce development needs and potential for informing subsequent cross-sector workforce planning arrangements and communication. Originality/value: This paper helps to identify the issues and benefits of implementing person-centred, integrated teamworking and the implications for workforce planning and OD approaches. [ABSTRACT FROM AUTHOR]

Background: Bronchiolitis is a seasonal, global acute lower respiratory tract infection caused by respiratory syncytial virus (RSV) and is a leading cause of hospital admission in young children. A peer-led (parents to parents) intervention was implemented to empower parents of children at risk of bronchiolitis and reduce hospital admissions. This paper reported the evaluation that aimed to gain the perspectives and experiences of five key stakeholder groups. Methods: A qualitative remote interview-based design, informed by Appreciative Inquiry was used. Thematic analysis was used. Results: Sixty-five stakeholders participated: parents (n = 43; mothers, n = 42), Parent Champions (n = 9), Children's Centre Managers (n = 8), Children's Centre Group Leaders (n = 11), and Core Team (n = 4). An overarching theme 'Parents reaching out to parents' was supported by five sub-themes (Raising awareness and sharing knowledge; Creating connection, trust, and confidence; Flourishing in their role as a Parent Champion; Rising to the challenges; and Knowledge is power, prevention is key: the government needs to know this.) Conclusions: Parent-to-parent peer support via the Parent Champions was perceived positively by parents who wanted to learn and improve the lives and health of their children. Parent Champions were successful in delivering information. Considering the socioeconomic burden of bronchiolitis to services and families, the potential for an upstream, relatively low cost, high-reach innovative intervention, as evidenced in this project, seems a valuable opportunity for improving children's respiratory health. [ABSTRACT FROM AUTHOR]

Physical education (PE) in England, has historically been and is increasingly seen as a subject in which political agendas can and are being enacted (Penney, [2008]. Playing a political game and playing for position: Policy and curriculum development in health and PE. European Physical Education Review 4(1): 33–49) as health, sport and /or leisure agendas compete for space against educational aspirations (Houlihan & Green, [2006]. The changing status of school sport and physical education: Explaining policy change. Sport, Education and Society 11(1): 73–92). Against this backdrop, in 2012, the U.K. Government announced the launch of 'Primary PE and Sport Premium' (PPESP) funding (amounting to £450 million) for English primary schools, initially for three years (although later extended). Drawing on the theoretical work of Basil Bernstein, particularly his concepts, 'pedagogic device' (PD) and 'classification' (c) and 'framing' (f), this paper sets out to explore how, in a neo liberal outsourced world of primary physical education (PPE), pupils construct knowledge of PE. The analyses illustrate how a performance pedagogy appears to dominate the school setting this research took place in. There was a clear focus on sport rather than PE which in turns impacted how pupils saw PE and construct understandings of ability linked to PE, raising questions over the future direction of the subject. [ABSTRACT FROM AUTHOR]

Purpose -- NHS reforms in England led to the establishment of Local Education and Training Board (LETBs) to ensure the future supply of staff. LETBs have an important role in addressing health and social care integration. This paper aims to stimulate debate, ideas and opportunities to improve integrated worldorce planning, practice and policy. Design/methodology/approach -- This is a thought leadership article which presents a distillation of key policy and strategy, drawing out implications for policy makers and workforce planners at a strategic level. Findings The paper describes and critically appraises the role of LETBs in supporting integration between health and social care. The key messages include: ensure social care and public health representation on the board, track education and training decisions against commissioning priorities, focus on outcomes and transition points, build health-related skills in social care, support providers and use performance measures of integration. Practical implications -- LETBs need to demonstrate an open and transparent approach to workforce education and planning. All partners need to engage including social care and public health service commissioners and providers. Originality/value -- There is a substantial body of literature on integration, although much less is devoted to examining workforce. This article will be of particular interest to LETB leaders, those responsible for reviewing and assessing the performance of LETBs as well as social care leaders and worldorce planners. In addition the article will be of interest to those supporting integrated workforce planning and development across the UK and internationally. [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]

Purpose - In 2010, Vintage Radio, a community radio station in Birkenhead set up and run entirely by older people for older people, received funding from communications charity Media Trust as part of the Community Voices scheme - a nationwide campaign that aims to support disadvantaged and isolated communities to get their stories told. The purpose of this paper is to record and document the creation and development of Vintage Radio and its outcomes to date. The paper seeks to outline the importance of inspiring, engaging, and supporting older communities to get their voices heard through digital media.Design/methodology/approach - Data were gathered via interviews with listeners, members, and volunteers from Vintage Radio via phone and e-mail to find out about their involvement with the station and what it means to them. Quotes were recorded and included in this paper. Information was also gathered from the Vintage Radio web site.Findings - The findings demonstrate that Vintage Radio has made a significant difference to the local community in a number of ways. A greater number of older volunteers have learned new digital and technical skills and this has improved the quality of the station's programming. Participants have forged new friendships and enabled other older people to overcome the sense of invisibility they sometimes suffer from. The radio station has reached out to those in care homes giving isolated and lonely residents a sense of belonging.Research limitations/implications - Owing to geographical distance, face-to-face interviews are not possible.Originality/value - This paper demonstrates how important it is to inspire, engage, and support older communities to get their voices heard through digital media and aims to encourage further similar activity in the UK. [ABSTRACT FROM AUTHOR]

This paper identifies five influences on design & technology education in England—the government agency, the curriculum developer, the teacher, the pupil and the researcher. Using developments in school design & technology education and examples from England the paper describes a range of activities involving one or more influences noting the implications each has for creativity in school design & technology education. In conclusion the paper summarises the impact of the influences and suggests an approach to support further productive collaboration. [ABSTRACT FROM AUTHOR]

Purpose: This paper aims to present a thematic analysis of student nurses' experiences of an innovative collaboration between a mental health Recovery College and a nursing faculty, where Recovery College trainers' expertise in co-production and peer facilitation were foregrounded. The aim of this study is to understand how nursing students experienced being peer facilitators of well-being workshops for fellow students following training with Recovery College trainers. Design/methodology/approach: Thematic analysis of qualitative data from eight semi-structured interviews and a focus group with 15 participants. Findings: The overarching theme that emerged was "The process of being a student Peer Facilitator". Six themes emerged from the data: "What we brought"; "Conceptualisation"; "Adaptation"; "we're giving them the tools"; "What we gained"; and "Development". Practical implications: Mental health nurse educators could forge collaborative relationships with Recovery College colleagues with a broader remit than service users' "lived experience" of mental distress. Student nurses should be given opportunities to be peer facilitators and draw on their lived experience as student nurses as means of addressing their and their peers' mental health. Originality/value: Original findings were that the student experience of being a peer facilitator was different to their other experiences in education and clinical practice. They drew on their lived experience throughout and found that they learned skills to address their well-being through supporting other students to improve theirs. [ABSTRACT FROM AUTHOR]

In England and Wales government pressures to raise attainment has led many schools to implement structured “ability” grouping in the form of setting. The introduction of selective grouping has been justified with the assumption that the differentiation of students by “ability” advances students’ motivation, social skills, independence and academic success in national tests and examinations because students are “better engaged in their own learning”. This paper critically engages with this assumption. Drawing upon qualitative research conducted in primary and secondary mathematics, science and English setted classrooms in England the aim of this literature review is to consider how teachers’ pedagogic practices with low, middle and high “ability” sets facilitates and/or constrains students’ learning and potential achievement. We also explore why, despite strenuous criticism and moves towards egalitarianism in schools, the segregation of students on the basis of “ability” continues to be a common feature in schools in England and Wales. This literature review draws attention to a number of substantive issues including (but not restricted to) fixed and permanent grouping; the potential misplacement of students to sets and a culture of stereotyping where learners within a set are taught as a single homogenous unit. We conclude the paper by suggesting foci for future research in the hope of eliciting renewed critical interest in and investigation of setting by “ability” in a broader range of subjects of the curriculum. [ABSTRACT FROM PUBLISHER]

Given that an estimated 5-10% of the worldwide population is said to have dyslexia, it is of great importance that teachers have an accurate understanding of what dyslexia is and how it effects their students. Using results from a large-scale survey of teachers in England and in Wales (N ≈ 2,600), this paper demonstrates that teachers held a basic understanding of dyslexia, based on the behavioural issues that it is associated with. Teachers lacked the knowledge of the biological (i.e., neurological) and cognitive (i.e., processing) aspects of dyslexia. Moreover, a number of teachers mentioned visual factors in their description of dyslexia, despite there being inconclusive evidence to suggest a direct relationship between visual functioning and dyslexia. Further findings demonstrate the importance of good-quality teacher training in increasing teachers' confidence working with those with dyslexia, while increasing their knowledge of the cognitive aspects of dyslexia. This paper argues that evidence-based teacher training, which informs teachers of the up-to-date research on the biological, cognitive, and behavioural aspects of dyslexia, is essential to combat misconceptions and ensure that teachers have more nuanced and informed understandings of dyslexia. [ABSTRACT FROM AUTHOR]

Background This paper tells the story of Central England People First's ( CEPF) History Project. Method This was an inclusive research project, owned and controlled by members of CEPF which sought to chart its 21-year history, 1990-2012. Results It illustrates both the strengths of such a project and some of the challenges. Conclusion It concludes that using inclusive research methods enabled the story to be told, but that it was less successful in addressing questions about why the organization grew and prospered in the 1990s, only to struggle in its later years, and what this tells us about the conditions which enable self-advocacy to flourish. The paper was collaboratively written by the CEPF History Project team and an academic ally. Different fonts differentiate the contributions, although it is acknowledged that lots of the ideas were shared. Accessible Abstract This paper explores issues in telling the history of self advocacy using inclusive research methods. It explains how and why CEPF recorded its history, what we found out, and some of the questions we have had to think about: whose voices we hear, what to include, what to leave out, what parts of the research people with learning difficulties can do, what self advocacy means to different people, how to make use of research other people have done., It raises some new questions about directions for inclusive research. The Paper was written by the CEPF History team - Craig Hart, Ian Davies, Angela Still and Catherine O'Byrne - working with Jan Walmsley. We wanted to make it clear what were Jan Walmsley's ideas and what were our ideas. We have done this by writing our ideas in a different font. BUT lots of the ideas belong to all of us. [ABSTRACT FROM AUTHOR]

Purpose - The purpose of this paper is to offer a hypothesis about the core elements of an effective transition process in a system of self-directed support and to suggest that the approach to integration in public services may need to radically change. Design/methodology/approach - This a reflective piece, drawing on decades of practical work by the authors, combined with an understanding of the literature and the social policy context. Findings - Typical solutions to the problem of transition focus on system change instead of ensuring that power and control shifts to families and young people. A change in starting point opens up more empowering and practical solutions for the real world. Originality/value - This paper goes deeper than others on the same subject by moving beyond the outcomes and issues, to suggest some lessons for social policy makers, professionals and citizens. [ABSTRACT FROM AUTHOR]

The ability to undertake therapeutic work either directly or indirectly is central to many Clinical Psychology posts. This paper focuses on the acquisition of skills and knowledge gained through experiential learning components of a clinical psychology doctoral training programme following the introduction of Problem-Based Learning (PBL) into its academic curriculum in 2006. At UH, PBL began life for many trainees as a content-focused exercise developed to highlight how one might assess, formulate and intervene with issues presented within a case. Over time the task has increasingly incorporated a process focus, in which the content facilitates PBL groups to reflect on a broad range of concurrent processes, including personal contexts, interactions with others, and the influence of wider systems. This paper explores the overall learning experiences of PBL for trainees within one PBL group and how the exploration of underlying personal and group processes may facilitate a personal and emotional connection with the ‘client’. Further, we consider modes of conveying this information to enable an audience to emotionally connect with the case and the experiences of the group members. We conclude with a consideration of what we may learn for the benefit of future PBL groups within other disciplines. [ABSTRACT FROM PUBLISHER]

The facilitation of children's emotional intelligence (EI) through social and emotional learning (SEL) and wider pastoral support schemes is common practice in schools. Although the benefits of enhanced EI have been widely reported, little is known about its 'dark side': emotional manipulation, or how this may manifest in school settings. Focus group and individual interview data gathered from staff members working across case study schools located in a town in the North West of England inform the points raised in this paper. The article explores the extent to which emotional manipulation takes place in the strategies and forms of support utilised by schools to enhance children's social, emotional and behavioural skills. The ramifications of emotionally manipulative behaviours are discussed and recommendations for future directives are made. [ABSTRACT FROM AUTHOR]

The way is now being paved for a major upheaval to the post-compulsory education and training system in England. By the time the new Learning and Skills Council (LSC) opens for business on 1 April 2001, the Training and Enterprise Councils (TECs) and the Further Education Funding Council (FEFC) will have been in existence for barely ten years. This paper outlines the funding principles on which the TEC and FEFC systems were established and what this meant in practice. It also traces the consequences these arrangements had for skills delivery. The paper therefore offers a retrospective account of previous regimes and their consequences. It is hoped that the paper will serve to inform current policy debates as well as provide a benchmark against which to judge the effectiveness of the LSC in future years. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this paper is to explore the experiences of employees excluded from a talent pool and to identify what career development is provided for them. Design/methodology/approach: A qualitative approach was adopted, and narrative inquiry was selected as the optimum route to obtaining detailed and rich accounts of the experiences of employees excluded from a talent pool. Fifteen in-depth interviews were conducted with eight employees and seven managers in a small hotel chain in the south of England. Findings: The study shows that employees who are excluded from a talent pool feel frustration, mistrust in the organisation, have low expectations of career development and show an intention to leave the organisation. Research limitations/implications: The study was conducted in a chain of hotels where talent management (TM) strategies are one of the key priorities in the organisation. The results may be different in hotels where TM strategies are less formal and talent pool segmentation is not clearly identified. Practical implications: Hotel managers should consider employees who are excluded from a talent pool and build effective TM strategies and provide career development to minimise adverse reactions and improve commitment and motivation. Originality/value: This research contributes to understanding talent pool exclusion and its consequences for the hotel sector. Narrative interviewing is used in this context for the first time. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to determine the efficacy of the Peer Education Project (PEP), a school-based, peer-led intervention designed to support secondary school students to develop the skills and knowledge they need to safeguard their mental health and that of their peers.Design/methodology/approach Six schools from across England and the Channel Islands took part in an evaluation of the PEP across the 2016/2017 academic year. In total, 45 trained peer educators from the sixth form and 455 Year 7 students completed pre- and post-questionnaires assessing their emotional and behavioural difficulties, perceived school climate, and knowledge, skills and confidence related to mental health.Findings Results indicate that participation in the PEP is associated with significant improvement in key skills among both peer educators and student trainees, and in understanding of key terms and readiness to support others among trainees. Most students would recommend participation in the programme to other students.Originality/value While peer education has been found to be effective in some areas of health promotion, research on the effectiveness of peer-led mental health education programmes in schools is limited. This study contributes evidence around the efficacy of a new peer education programme that can be implemented in secondary schools. [ABSTRACT FROM AUTHOR]

We describe the development of an evidence-based training intervention on domestic violence and child safeguarding for general practice teams. We aimed - in the context of a pilot study - to improve knowledge, skills, attitudes and self-efficacy of general practice clinicians caring for families affected by domestic violence. Our evidence sources included: a systematic review of training interventions aiming to improve professional responses to children affected by domestic violence; content mapping of relevant current training in England; qualitative assessment of general practice professionals' responses to domestic violence in families; and a two-stage consensus process with a multi-professional stakeholder group. Data were collected between January and December 2013. This paper reports key research findings and their implications for practice and policy; describes how the research findings informed the training development and outlines the principal features of the training intervention. We found lack of cohesion and co-ordination in the approach to domestic violence and child safeguarding. General practice clinicians have insufficient understanding of multi-agency work, a limited competence in gauging thresholds for child protection referral to children's services and little understanding of outcomes for children. While prioritising children's safety, they are more inclined to engage directly with abusive parents than with affected children. Our research reveals uncertainty and confusion surrounding the recording of domestic violence cases in families' medical records. These findings informed the design of the RESPONDS training, which was developed in 2014 to encourage general practice clinicians to overcome barriers and engage more extensively with adults experiencing abuse, as well as responding directly to the needs of children. We conclude that general practice clinicians need more support in managing the complexity of this area of practice. We need to integrate and further evaluate responses to the needs of children exposed to domestic violence into general practice-based domestic violence training. [ABSTRACT FROM AUTHOR]

The English Learning and Skills Sector (LSS) contains a highly diverse range of learners and covers all aspects of post-16 learning with the exception of higher education. In the research on which this paper is based we are concerned with the effects of policy on three types of learners - unemployed adults attempting to improve their basic skills in community learning settings, younger learners on Level 1 and 2 courses in further education colleges, and employees in basic skills provision in the workplace. What is distinctive about all three groups is that they have historically failed in, or been failed by, compulsory education. What is interesting is that they are constructed as 'problem learners' in learning and skills sector policy documents. We use data from 194 learner interviews, conducted during 2004/5, in 24 learning sites in London and the North East of England, to argue that government policy assumptions about these learners may only be 'half right'. We argue that such assumptions might be leading to half-right policy based on incomplete understandings or surface views of learner needs that are more politically constructed than real. We suggest that policy-makers should focus more on systemic problems in the learning and skills sector and less on problematising groups of learners. [ABSTRACT FROM AUTHOR]

Developing learning programmes to enhance the formation of generic skills is an international concern in education and training policy. This paper provides a broad survey of the development of generic skills policy in England from 1975 to 2002, drawing on both the economic and educational literature. It demonstrates that, despite an evident demand for generic skills in the English economy, successive waves of education and training policy intended to stimulate the supply of such skills have failed to deliver the desired results. Such failure is accounted for using a policy instruments and institutions framework. This suggests that the failure of generic skills policy can be attributed to a combination of weak policy design, the interaction of generic skills policy with other market-led reforms of education and training in England, and broader exogenous socio-economic trends. The paper concludes that current initiatives to develop key skills for all 16-19 learners in England are unlikely to succeed without substantial changes in the current education policy environment. [ABSTRACT FROM AUTHOR]

This paper demonstrates the need to anticipate employers' future skills requirements, and shows how London Skills Forecasting Unit is addressing this problem. The paper first suggests that employers require advice and labour market intelligence in order to determine their skill requirements effectively, and to ensure their future competitiveness. It then shows that educational and training institutions also need to anticipate employers' requirements, and so supply side institutions also need to anticipate employers' skills demand Finally, some theoretical evidence for skills forecasting is presented together with some practical developments of forecasting techniques undertaken by the Unit. [ABSTRACT FROM AUTHOR]

Why you should read this article: • To gain insight into the views and perceptions of nurses regarding digital technology and digital skills • To recognise that using digital technology is likely to have both advantages and drawbacks for patient care • To acknowledge the need for nurses to receive appropriate and accessible digital literacy training. Background: Digital technology has an increasing role in healthcare, but staff lack opportunities to develop their digital skills and there is a lack of research on education and training in digital technology for staff. Aim: To explore nurses' perceptions of the use of digital technology in their practice and to identify the digital skills required by newly registered nurses to work in a digitally enabled environment. Method: Individual semi-structured interviews were conducted on an online communication platform with nine participants – four newly registered nurses and five senior nurses working in clinical and/or management roles. Inductive thematic analysis was used to analyse the data. Findings: Several barriers and facilitators to the use of digital technology were identified, including around infrastructure, time, skills, training, support, leadership, familiarity and confidence. The use of digital technology may enhance care consistency and increase patient autonomy, but it may also erode nurse-patient relationships. Conclusion: Digital technology can enhance patient care but organisational barriers, notably in relation to digital literacy training, need to be addressed for nurses to fully adopt it. [ABSTRACT FROM AUTHOR]

Purpose – Making Safeguarding Personal (MSP) is a national programme to increase the involvement of adults at risk in the adult safeguarding process. The paper aims to discuss this issue. Design/methodology/approach – The implementation of MSP in the London Borough of Sutton involved three areas of analysis: a quantitative analysis of 47 safeguarding cases in which adults at risk were asked what they wanted the safeguarding intervention to achieve and whether or not these outcomes had been achieved; qualitative analysis of the service users’ experience of the safeguarding process using focus groups led by creative arts therapists; and interviews with social workers, team managers and administrators on their experience of the implementation of MSP. Findings – In 81 per cent of safeguarding cases, outcomes were achieved satisfactorily. The focus groups identified the importance of freedom of movement, freedom of association, being listened to and regular communication with a consistent person. The practitioner interviews identified themes of increased efficiency, increased effectiveness, empowerment; the transformation of relationships and the practice of new skills. Research limitations/implications – This research shows that focus groups led by therapists can be used to explore safety and safeguarding and supports the effectiveness of MSP in achieving person-centred outcomes. No baselines or control groups were used, so the extent of effectiveness is difficult to determine. The sample size is relatively small, so results may not be generalised. Practical implications – A number of learning points for practice are identified including how to chair and where to hold safeguarding meetings and changes to practice required to implement MSP. Originality/value – This is the first research into MSP using art, drama and music therapists to explore the experiences and view of adults at risk of safety and safeguarding. [ABSTRACT FROM AUTHOR]

Social workers employed within statutory settings in countries such as the UK are subject to legal and policy requirements to communicate directly and effectively with children and young people. Qualifying social work education is expected to prepare students so that they can practice competently. However, in England at least, practice and education are both falling short. While active attention is now being given to ways of facilitating improvements in practice, almost nothing is known about how qualifying courses might best promote student learning. This paper reports some of the findings from a UK-based empirical study into factors and processes which support students in developing the self-efficacy and 'applied understanding' they need to undertake effective direct work with children. A superficial focus on the 'doing' of communication (techniques and skills) appears to be inadequate: courses must additionally provide a range of experiential, participatory, didactic and critically reflective learning opportunities which can enable deep learning of the underpinning knowledges, ethical commitments and personal qualities also needed. A model is presented of an integrated and coherent learning sequence which could be used by programmes to ensure students develop the necessary generic, child-centred and 'applied child-specialist' capabilities in communication with children. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to describe the results of an evaluation of teaching health coaching to GP trainees for use in consultations with patients. Design Fourteen GP trainees were invited to attend a coaching skills training course. Each trainee was asked to apply coaching skills to up to four patients with long-term conditions. The evaluation used observation, surveys, review of trainee portfolios, and interviews with GP trainees, patients, and other stakeholders. Findings This evaluation found that it is feasible and useful to train GPs in health coaching. It had positive benefits for GP trainees, their patients, and the wider system. Lessons were also learned about the timing of the training, the style and content, the challenges of practising coaching skills within clinical practice, and selecting the most appropriate patients for coaching. Limitations This is a small pilot with a keen group of GP trainees. Further research is needed to determine if such an approach provides meaningful changes to patient outcomes and whether such approaches are costeffective. [ABSTRACT FROM AUTHOR]

This paper considers the factors which might be important to speech and language therapists (SLTs) as they learn to be clinical educators. It draws on an interpretative study that asked ten SLTs in the UK to explain how they felt they had developed the skills necessary to supervise students' learning. The themes of talk, collaboration, reflective practice and experiential learning were central to the stories told by the participants and highlight the diverse range of skills which SLTs draw on to support the limited formal clinical education training they receive. [ABSTRACT FROM AUTHOR]

Background: This paper examines physical education (PE) teachers' perceptions of talent in PE and sport within the context of English policy, where the process of identifying talent has been formalised and supported through specific resources (YST 2009). English policy has merged educational and sporting targets, which has resulted in a shift in foci away from educational objectives towards supporting elite development. Combining the aims of PE and sport contributes to longstanding debates over the nature and purpose of PE. Despite specific initiatives, there remains limited understanding of talent identification (ID) and as such, a danger for talent in PE and sport to be considered synonymous, resulting in a lack of clarity over the methods, purpose and focus of talent ID, and consequently notions of ability in PE. Purpose: In order to gain insight into the processes involved in talent ID in PE an electronic survey was conducted on PE departments' practices and perceptions within London boroughs. The survey aimed to establish a regional picture of respective practices as well as determining how PE teachers define talent in PE and sport. It also attempted to supplement related findings of the national survey on talent in PE (Bailey, Morley, and Dismore 2009). Method: Where an email address was available, an electronic survey link was sent to 400 state secondary schools across all London boroughs during the latter part of the summer term, 2008. A total of 84 (21%) responses were received. Data were collected using an electronic survey consisting of both quantitative and qualitative questions. Questions related to: Gifted and Talented (G&T) Policy; talent ID processes; staff training; and PE teachers' definitions of talent in PE and sport. Analyses of quantitative data were conducted using SPSS (version 15.0) and descriptive frequencies were obtained and reported. Open-ended responses were entered into N-Vivo (©Sage, version 7) and responses were coded into categories in order for themes to be identified. Results and discussion: Talent ID practices are compared to those reported in the national survey on talent development in PE. They reflect limited development in PE specific policy, training, awareness and use of available resources. PE teachers continue to predominantly utilise physical ability as a key indicator of talent; however, there is some indication that perceptions of talent are widening. The findings reveal inconsistencies in PE teachers' definitions of talent in PE and sport, where some are able to distinguish between the two whilst others are not. This is a concern for stakeholders and raises questions on the conceptual clarity of talent in PE. Conclusion: Defining talent in PE remains a contentious issue. The apparent merging of PE and sport, in policy and practice, reinforces the association of talent with physical performance which has re-catalysed debates on whether this is an appropriate way to conceptualise talent within PE. In working towards educational objectives, the PE profession should reflect on the purpose of current practice and consider who may benefit. [ABSTRACT FROM AUTHOR]

Abstract The aim of this paper is to explore eleven year old children's understanding of well-being through their completion of Well-Being Maps and subsequent interviews on their content. The children were asked to describe the people, places and things which they viewed as important to their sense of well-being. The subsequent interviews explored their rationalisations for their choices. Ninety-two eleven year old children attending four schools with varying levels of deprivation and ethnic diversity took part in the study. This is the first section of an English study which is a part of the Multi-National Children's Understanding of Well-Being Study involving 26 countries which aims to explore how children conceptualise and experience well-being from a comparative and global perspective. Commonalities and divergences in the English children's responses were explored. Across the entire sample of 92 children, there were clear commonalities. Relationships with family, predominantly parents, were viewed as very important. The reasons provided were consistent love and affection; constant support, encouragement and protection; fun to be with. The duration of this quality of parent-child interaction appeared to be the key. Trust and a sense of security were the result. Relationships with friends were deemed important by over two thirds of the children. The qualities of these relationships mirrored those with the parents with a sense of trust and security being present. Where places and activities were included on their maps, they were often linked to important relationships. Activities appeared to be important in acknowledging the relationship but also maintaining it. Activities were also valued by the children for skill development. There were some differences across the sample with relationships with friends and grandparents being more reported as important in the two areas of high deprivation, irrespective of ethnic diversity. The level of material possessions and holidays abroad were much more frequently reported in the school serving the low deprivation area. At times, the explanations for differences appeared to be an interplay of socio-economic factors and religious and cultural traditions. Suggestions for further research on children's perspectives on factors important to their well-being are made. Highlights • Children's understanding of well-being is a critical component of conceptual development in the field. • Close relationships with family and friends are identified by 11 year old children as central to their well-being. • It is predominantly through relationships that children attach importance to places and activities. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to investigate the experiences of parents of children with cleft-related speech sound disorders who had received in-depth training, following which they were the active agents of intervention, supported by a specialist cleft therapist. Method: All parents (N = 23) who had participated in the parent training arm of a previously published two-phase, two-center, 12-week randomized controlled trial in Dublin, Ireland, and London, United Kingdom, were invited to participate in the study. Eighteen families consented, and in three families, both parents took part, resulting in 21 participants. Sixteen parents participated in one of the four focus groups conducted in each location after each phase of the trial. Three families (n = 5) participated in semistructured telephone interviews. Focus groups and interviews were conducted by professionals who were not involved in the trial. Results: Focus groups and interviews were analyzed using a thematic analysis. Four main themes with subthemes emerged: growth of parents (knowledge, skills, insights, and emotional experiences), undertaking parent-led articulation therapy (bespoke program, flexibility, challenges, supervision/support), changes in the children (speech, confidence, behavior), and the future (ongoing therapy and recommendation of this approach). Conclusions: This study answered the research question, detailing how in-depth training and parent-led therapist-supervised interventions are acceptable to parents. Speech/language pathologists should encourage trained parents to take a direct role in intervention with their children, with supervision and support from therapists. Future research should investigate the experiences of parents with lower educational attainment, identify parent factors that supported implementation, and report children's experiences. [ABSTRACT FROM AUTHOR]

Background: Leadership is crucial in disease outbreak management to ensure successfulness of control and prevention programme. Leadership theories explain the rational of management action during an outbreak. This paper aims to examine various applications in diseases outbreak management. Materials and Methods: Adopting a scoping review method, articles were identified using four databases namely Scopus, Google Scholar, PubMed and Science Direct through the keywords "leadership" and "outbreak management". Only articles written and published in English within the last 15 years were included. 20 articles were reviewed after the filtering process. Result: Four Participative Leadership Theory themes with various examples were identified. These include "Encouragement to the staff" by hospital administration to control SARS outbreak in Taiwan, "Partnership" between international agency in managing polio outbreak in Africans, "Communication with external factor" between health authorities and external general practitioners in controlling meningococcal outbreak in England and "Collaboration between government agencies" between local hospital and clinic in conducting tuberculosis screening. Three Contingency Theory themes that emerged include "Positional power" "Leader-member relation", "Task-structure" in various outbreak management scenario comprising of various leadership skills. For Transformational Theory, three themes recognised include "Inspirational Motivation" involving a hospital CEO in Taiwan managing the SARS crisis, "Idealized Influence" among the health leaders in Papua New Guinea during a Cholera outbreak and "Individualized Consideration" seen through the management of Ebola outbreak in Liberia. Conclusion: The participative leadership theory, contingency theory and transformational leadership theory is identified as equally prominent leadership theories in effective management of diseases outbreak. [ABSTRACT FROM AUTHOR]

The current study aimed to explore the factors that influence how social workers make decisions and develop their decision‐making skills in care proceedings, and to identify effective support and intervention to develop social worker decision‐making skills. The study employed a mixed thematic approach across two phases of study: an initial inductive thematic analysis of responses to an online qualitative questionnaire and then a mixed thematic analysis of follow‐up focus groups and interviews with social workers working in various social work roles within England and Northern Ireland. The findings identified a number of themes that help to understand the decision‐making skills of social workers; thorough assessment skills, relationship‐based anti‐oppressive practice, being mindful of the lived experience of the child and using critical reflection to make complex decisions. Wider structural factors that support or hinder decision‐making, particularly in respect of organizational support and management supervision were also identified. Social workers can be supported to develop decision‐making skills through additional training, reflective learning and management support to develop their practice wisdom within this field. [ABSTRACT FROM AUTHOR]

Background: Delivering research skills training to health professionals through short, applied sessions outside a formal higher education program, can help fill gaps in training and build research capacity in clinical settings. This has been the endeavor of some of the Applied Research Collaborations funded by the National Institute for Health and Care Research in England since 2014. How to evaluate this type of training in terms of the wider impact it may have, has not featured heavily in the literature and methods have largely borrowed from more generic approaches to training evaluation which can over-simplify outcomes and ignore longer-term impacts. Methods: We developed the framework in four stages: mapping potential impacts of our research skills training courses to identify key concepts; shaping into three domains in which impact could be expected, informed by established definitions of research capacity building; testing the initial framework and adapting wording of impacts; refining the framework into a practical tool. Results: The final framework specifies types of impact in three domains of influence - individual, group/organization and health system, and maps these against key questions to guide inquiry, as well as suggested methods for capturing the impact and expected timeframe for each type of impact. Discussion: The framework provides a structure for guiding the evaluation of research training as well as a focus on medium-longer term impacts, encouraging a broader and continuous approach to evaluation. It is hoped this will support educators in other contexts and fields, in the planning of a wider range of training evaluation activities, to capture impact more fully. [ABSTRACT FROM AUTHOR]

The Pharmacy Integration Fund commissioned 95 cross‐sector pre‐registration trainee pharmacist placements across England, which incorporated trainees spending 3–6 months in general practice (GP), whilst employed in hospital or community pharmacy. Delivery models varied (blocks or split weeks/days); trainees had pharmacist tutors at the employing/base (hospital/community pharmacy) organisation and in GP. This study aimed to evaluate implementation of cross‐sector pre‐registration placements, and to identify barriers and enablers of a "successful" placement that achieved its intended outcomes. A qualitative study was undertaken, using semi‐structured interviews with triads/dyads of trainee and pharmacist tutors at base and/or GP site. Interviews explored trainees' and tutors' GP placement experiences, and the contribution of GP placements to achieving intended learning outcomes. Data were thematically analysed. Thirty‐four interviews (14 trainees, 11 base tutors, 9 GP tutors) were completed in 11 study sites (5 GP/hospital; 6 GP/community pharmacy). GP placements were perceived as valuable and producing well‐rounded pre‐registration trainees with a good understanding of two settings. Key benefits of GP placements were trainees' ability to work within multidisciplinary teams, and improved clinical and consultation skills. Contingency planning/flexibility was important when setting up cross‐sector placements. GP tutor supervision which supported a gradual transition from shadowing to more independent clinical practice with feedback was perceived as valuable. Good collaboration between tutors at the base and GP site ensured joined‐up learning across settings. All participants considered 13 weeks in GP an appropriate minimum duration; community trainees preferred longer duration (26 weeks) for more opportunities for clinical and consultation skills learning. Base and GP tutors would welcome clarity on which pre‐registration competencies should be achieved in GP placements, which would also aid quality and consistency across providers. Findings from this study identified key attributes of a successful pre‐registration cross‐sector training experience. These findings can inform policy reforms including changes to initial education and training of pharmacists. [ABSTRACT FROM AUTHOR]

The term 'Black Wednesday' has been used to describe the August national changeover day, a day when a new cohort of inexperienced doctors start work, many of whom are absent from patient care to attend organisational induction and mandatory training. In this paper, we report on the development and implementation of a novel, interactive e-learning programme for induction and mandatory training for junior doctors in a district general hospital in south-west England from August 2013. This comprehensive mandatory-training programme with summative assessment saved 19.5 hours of trust time per trainee. Since the programme's inception, the completion rate has been 100% (n = 370). Subgroup analysis of starters from August 2013 (n = 141) showed that 85.7% completed by day 1 (mean time of completion 3.0 days before day 1, standard deviation 14.2 days). Importantly, 90 minutes of induction was freed on Black Wednesday, enabling earlier, ward-based clinical orientation, thereby enhancing patient safety. We believe that this is the first programme to combine induction with fully assessed, comprehensive mandatory training in a single package. Such an approach is suitable for widespread application and is to be implemented regionally. [ABSTRACT FROM AUTHOR]

Musculoskeletal (MSK) first contact physiotherapy (FCP) is being rolled out in the National Health Service, but limited research exists on career pathways into MSK FCP, or on pre-and-post-registration educational preparation for the knowledge and skills that are required for musculoskeletal first contact physiotherapy. From the perspectives of existing MSK FCPs, the study sought to understand the pre-and-post-registration professional developmental journey into musculoskeletal first contact physiotherapy. Semi-structured interviews over the telephone were conducted with a self-selected and snowball sample of 15 MSK FCPs from across Britain. Framework analysis was used to analyze the interview transcripts. Four overarching themes were identified: (1) Decision to choose a career path as a MSK FCP; (2) Relevancy of pre-registration physiotherapy (PT) education for MSK FCP; (3) Relevancy of post-registration continuing professional development for MSK FCP, and; (4) Improving pre-registration PT education for the foundational knowledge and skills required to work in musculoskeletal first contact physiotherapy. Each overarching theme generated several subthemes. The research contributes to understanding the career pathway into the MSK FCP role and showed what relevant knowledge and skills were acquired for this role at pre-and-post registration levels. Findings will inform guidance for pre-registration PT curriculum development. [ABSTRACT FROM AUTHOR]

Raymond Williams was a literary critic, sociologist, novelist, and political activist but above all a teacher, with a theory of education as a societal process running through his work. He styled the UK's educational establishment of the 1960s 'Old Humanists'; guardians of a dominant elite culture who were losing their influence to the new 'Industrial Trainers', harbingers of an economic order based on mass production and consumption for which new technical skills were needed. The eclipse of the Old Humanists occurred with the transition from elite to mass higher education and an increasing focus in degree curricula on 'employability'. Yet in England, the degree qualification is now under challenge, with government policy promoting new higher technical qualifications for specific occupations as better options for many learners who would otherwise choose 'academic' degrees. However, this new technical turn reflects thinking more akin to Williams' twentieth century Industrial Trainers than twenty-first century needs. These are more likely to be met by mixed and interweaved 'academic' and 'technical' learning better provided through portfolios of modules built up over time, including progression between levels of study that are not necessarily linear nor within the same subject or occupational area. [ABSTRACT FROM AUTHOR]

Most people living with dementia want to continue living in their own home for as long as possible and many rely on support from homecare services to do so. There are concerns that homecare often fails to meet the needs of clients with dementia, but there is limited evidence regarding effective interventions to improve its delivery for this client group. We aimed to assess whether a co‐designed, 6‐session dementia training intervention for homecare workers (NIDUS‐professional) was acceptable and feasible. Facilitated training sessions were delivered over 3 months, followed by 3, monthly implementation meetings to embed changes in practice. Two trained and supervised facilitators without clinical qualifications delivered the intervention via group video‐calls during Oct 2020–March 2021 to a group of seven homecare workers from one agency in England. Participants provided qualitative feedback 3‐ and 6‐months post intervention. Qualitative interview data and facilitator notes were integrated in a thematic analysis. Adherence to the intervention and fidelity of delivery were high, indicating that it was acceptable and feasible to deliver in practice. Thirty of a possible 42 (71.4%) group sessions were attended. In our thematic analysis we report one over‐arching theme: 'Having time and space to reflect is a rare opportunity'. Within this we identified four subthemes (Having time to reflect is a rare opportunity; Reflecting with peers enhances learning; Reflection and perspective taking can improve care; Recognising skills and building confidence) through which we explored how participants valued the intervention to discuss their work and learn new skills. Attendance was lower for the implementation sessions, perhaps reflecting participants' lack of clarity about their purpose. We used our findings to consider how we can maintain positive impacts of the manualised sessions, so that these are translated into tangible, scalable benefits for people living with dementia and the homecare workforce. A randomised feasibility trial is underway. [ABSTRACT FROM AUTHOR]

Background Previous studies have detailed the technical, learning and soft skills healthcare staff deploy to deliver quality improvement (QI). However, research has mainly focused on management and leadership skills, overlooking the skills frontline staff use to improve care. Our research explored which skills mattered to frontline health practitioners delivering QI projects. Study design We used a theory-driven approach, informed by communities of practice, knowledge-inpractice- in-context and positive deviance theory. We used case studies to examine skill use in three pseudonymised English hospital Trusts, selected on the basis of Care Quality Commission rating. Seventy-three senior staff orientation interviews led to the selection of two QI projects at each site. Snowball sampling obtained a maximally varied range of 87 staff with whom we held 122 semistructured interviews at different stages of QI delivery, analysed thematically. Results Six overarching 'Socio-Organisational Functional and Facilitative Tasks' (SOFFTs) were deployed by frontline staff. Several of these had to be enacted to address challenges faced. The SOFFTs included: (1) adopting and promulgating the appropriate organisational environment; (2) managing the QI rollercoaster; (3) getting the problem right; (4) getting the right message to the right people; (5) enabling learning to occur; and (6) contextualising experience. Each task had its own inherent skills. Conclusion Our case studies provide a nuanced understanding of the skills used by healthcare staff. While technical skills are important, the ability to judge when and how to use wider skills was paramount. The provision of QI training and fidelity to the improvement programme may be less of a priority than the deployment of SOFFT skills used to overcome barriers. QI projects will fail if such skills and resources are not accessed. [ABSTRACT FROM AUTHOR]

In 2000, Skills for Life, a new strategy for literacy, numeracy and language education was introduced in England. It included new core curricula, tough new targets for learner achievement, and significantly increased accountability requirements for teachers and colleges. Many teachers found aspects of this new system difficult. This paper analyses interviews carried out with teachers in 2002 to identify the reasons underlying their resistance. In the interviews, teachers consistently drew on a well-defined discourse which defined 'good' teaching as teaching that is responsive to the learner, negotiating teaching in response to learners' goals and characteristics, and flexible in the teaching moment. Resistance arose when aspects of the centralised strategy were perceived to constrain teachers' ability to respond to learners in this way, being driven more by external demands and advance planning than by responsiveness to learners. Teachers attempted to develop strategies to maintain responsiveness while working within the new strategy. [ABSTRACT FROM AUTHOR]

This article offers an initial account of the Teacher Education Research Network (TERN), a pilot education research capacity building project funded by the ESRC and designed to test a 'social practices' model for building an educational research infrastructure across England. The TERN project is still running at the time of writing, so it is not yet possible to offer a full evaluation or a theorised analysis of the project. Setting the initiative within the regional context of teacher education in the North West of England, the article describes elements of the project and begins to explore their significance, drawing on early evaluation data. The article adapts Charles Desforges' equation of research capacity building as 'Capacity = expertise × motivation × opportunities' as a frame for this exploration. [ABSTRACT FROM AUTHOR]

In this paper we study whether substituting family inputs with school resources in an academically oriented environment has an impact on achievement in high-stakes national examinations. We use administrative data for England to estimate the effect of attending a selective boarding school that admits an unusually high share of pupils with low socio-economic status on attainment at the end of compulsory education. By using propensity score matching we obtain comparable control groups in selective non-boarding schools. Our main finding is that the probability of being in the top decile of achievement in the exams increases by about 18 percentage points compared to 59% for controls. [ABSTRACT FROM AUTHOR]