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An introduction is presented in which the editor refers to articles in the first issue of the periodical, such as Continuing Professional Development (CPD) on preventing child abuse and promoting wellbeing of children, vulnerability of children with albinism in Africa, and domestic violence.

Purpose - The paper aims to highlight the contributions and opportunities offered by an ageing society to their local communities and wider society.Design/methodology/approach - The paper is set out in six sections: an over view of WRVS; challenges of an ageing society; the "grey pound"; provision of social care; volunteering and non-financial and other contributions of older people. This paper draws on research published by WRVS in March 2011 while providing more detail on the contribution of, and opportunities for, older volunteers with supporting case studies.Findings - The paper shows the benefits of an ageing population, the contributions currently made by the UK's pensioners, and the inevitable increase in their provision to society.Social implications - In the UK, over 65s are often seen as a burden on society's resources. In many other cultures older people have an elevated status and respect. Older people make a huge contribution to the UK's society but their potential is not always realised. This paper gives evidence of the contribution of older people, the difference they are making in their communities and how the roles they take on can only become more important in their local communities.Originality/value - This paper refers to research which places an economic value on the contribution of older people to society. Equally important is recognising the value of older people to local communities: organisations and individuals may find this paper a useful insight into older volunteering. [ABSTRACT FROM AUTHOR]

In the United Kingdom there are guidelines and policies to facilitate boundaries within professional interactions which recognise power differences between those employed in services and those referred to them. However, perhaps we must acknowledge that these boundaries may have indirectly resulted in an unbridgeable division between professionals and those that use services in current professional policies. This paper considers what it means to be a Clinical Psychologist and user of services or carer with the complexity that surrounds this dual position. Through incorporating personal reflections, it seeks to highlight how hard it can be to break down 'them and us' barriers despite the best intentions of the profession and policy makers. The suggestion is that to be truly equal and inclusive we must shift from relating differently to service users, professionals and professionals who may use services by acknowledging our personal positions; otherwise breaking down barriers will remain an ideal rather than a reality. When it comes to our overall well-being breaking down these barriers could shift us from direct or oblique misunderstandings, judgements and stigma towards understanding, tolerance and acceptance within and between all of us. [ABSTRACT FROM AUTHOR]

To evaluate the usability and acceptability of the Mental Capacity Assessment Support Toolkit (MCAST) in healthcare settings and whether its use was associated with increased legal compliance and assessor confidence. A mixed methods convergence triangulation model was used. Multidisciplinary professionals used the MCAST during mental capacity assessments for UK hospital patients with diagnoses of stroke or acute or chronic cognitive impairment. Changes in legal compliance were investigated by comparing scores on case note audits before and after implementation of the MCAST. Changes in assessor confidence and professionals' perceptions of the MCAST's usability and acceptability were explored using surveys. Patients' and family members' views on acceptability were determined using semi-structured interviews. Data were integrated using triangulation. Twenty-one professionals, 17 patients and two family members participated. Use of the MCAST was associated with significant increases in legal compliance and assessor confidence. Most professionals found the MCAST easy to use and beneficial to their practice and patients. Patients and family members found the MCAST materials acceptable. The MCAST is the first toolkit to support the needs of individuals with communication disabilities during mental capacity assessments. It enables assessors to deliver high quality, legally compliant and confident practice. Mental capacity assessment practice needs to be improved to maximise patient autonomy, safety and well-being. The MCAST is a paper-based toolkit designed to facilitate and improve mental capacity practice in England and Wales. This study suggests the MCAST would be easy and acceptable to use in healthcare settings and could lead to improvements in assessment quality and assessor confidence. [ABSTRACT FROM AUTHOR]

Purpose: Relational dynamics between patients and staff in forensic settings can be complicated and demanding for both sides. Reflective practice groups (RPGs) bring clinicians together to reflect on these dynamics. To date, evaluation of RPGs has lacked quantitative focus and a suitable quantitative tool. Therefore, a self-report tool was designed. This paper aims to pilot The Relational Aspects of CarE (TRACE) scale with clinicians in a high-secure hospital and investigate its psychometric properties. Design/methodology/approach: A multi-professional sample of 80 clinicians were recruited, completing TRACE and attitudes to personality disorder questionnaire (APDQ). Exploratory factor analysis (EFA) determined factor structure and internal consistency of TRACE. A subset was selected to measure test–retest reliability. TRACE was cross-validated against the APDQ. Findings: EFA found five factors underlying the 20 TRACE items: "awareness of common responses," "discussing and normalising feelings;" "utilising feelings," "wish to care" and "awareness of complicated affects." This factor structure is complex, but items clustered logically to key areas originally used to generate items. Internal consistency (α = 0.66, 95% confidence interval (CI) = 0.55–0.76) demonstrated borderline acceptability. TRACE demonstrated good test–retest reliability (intra-class correlation = 0.94, 95% CI = 0.78–0.98) and face validity. TRACE indicated a slight negative correlation with APDQ. A larger data set is needed to substantiate these preliminary findings. Practical implications: Early indications suggested TRACE was valid and reliable, suitable to measure the effectiveness of reflective practice. Originality/value: The TRACE was a distinctive measure that filled a methodological gap in the literature. [ABSTRACT FROM AUTHOR]

Purpose – Approximately 100,000 people in the UK aged 75 and over have concurrent dementia and sight loss, but current understanding of their experiences, needs and preferences is limited. The purpose of this paper is to report on a research project that explored the provision of social care and support for older people with both conditions. Design/methodology/approach – The project was a collaboration between the universities of York, Worcester, Bournemouth and Cambridge, supported by the Thomas Pocklington Trust and the Housing and Dementia Research Consortium. Data for this paper were drawn from focus groups held in 2013 involving 47 professionals across the dementia, sight loss and housing sectors. Findings – Thematic analysis identified five main barriers to providing high-quality, cost-effective social care and support: time constraints; financial limitations; insufficient professional knowledge; a lack of joint working; and inconsistency of services. The requirements of dementia and sight loss often conflict, which can limit the usefulness of equipment, aids and adaptations. Support and information needs to address individual needs and preferences. Research limitations/implications – Unless professionals consider dementia and sight loss together, they are unlikely to think about the impact of both conditions and the potential of their own services to provide effective support for individuals and their informal carers. Failing to consider both conditions together can also limit the availability and accessibility of social care and support services. This paper is based on input from a small sample of self-selecting professionals across three geographical regions of England. More research is needed in this area. Practical implications – There are growing numbers of people living with concurrent dementia and sight loss, many of whom wish to remain living in their own homes. There is limited awareness of the experiences and needs of this group and limited provision of appropriate services aids/adaptations. A range of measures should be implemented in order to support independence and well-being for people living with both conditions and their family carers. These include increased awareness, improved assessment, more training and greater joint working. Social implications – People living with dementia or sight loss are at high risk of social isolation, increasingly so for those with both conditions. Services that take an inclusive approach to both conditions can provide crucial opportunities for social interaction. Extra care housing has the potential to provide a supportive, community-based environment that can help residents to maintain social contact. Originality/value – This paper adds much-needed evidence to the limited existing literature, and reflects the views of diverse professionals across housing, health and social care. [ABSTRACT FROM AUTHOR]

Background: In spite of ongoing UK Government recommendations for integrated health and social care, the implementation has been slow. While there are pockets of integration happening across England, many services remain isolated and fragmented. Aim: This review aims to critically review existing evidence to identify if there are any factors enabling successful implementation of integrated health and social care for people with long-term conditions in the community. Method: A review was conducted following the principles of a systematic review. Relevant data was extracted from the identified papers and the papers were quality appraised. Results: A total of seven studies were included in the review. Data analysis and synthesis identified a number of themes in relation to enablers of integrated care, including co-location of teams, communication, integrated organisations, management and leadership, capacity and resources, and information technology. Conclusion: There is a limited amount of evidence regarding integrated health and social care teams. Although there are some consistencies within the findings, further research is needed to enhance the validity of the body of evidence available. [ABSTRACT FROM AUTHOR]

Background: Remote consultations (RCs) enable clinicians to continue to support patients when face-to-face appointments are not possible. Restrictions to face-to-face care during the COVID-19 pandemic has accelerated a pre-existing trend for their adoption. This is true for many health professionals including some chiropractors. Whilst most chiropractors in the UK have used RCs in some form during the pandemic, others have not. This study seeks to understand the views of chiropractors not using RCs and to explore perceived potential barriers. Methods: A national online survey was completed by 534 registered practicing UK chiropractors on the use of RCs. Respondents had the opportunity of providing open-ended responses concerning lack of engagement in RCs during the COVID-19 pandemic. Textual responses obtained from 137 respondents were coded and analysed using thematic analysis. Results: The use of RCs provided an opportunity for chiropractors to deliver ongoing care during the COVID-19 pandemic. However, many chiropractors expressed concern that RCs misaligned with their strong professional identity of providing 'hands-on' care. Some chiropractors also perceived that patients expected physical interventions during chiropractic care and thus considered a lack of demand when direct contact is not possible. In the absence of a physical examination, some chiropractors had concerns about potential misdiagnosis, and perceived lack of diagnostic information with which to guide treatment. Clinic closures and change in working environment led to practical difficulties of providing remote care for a few chiropractors. Conclusions: The COVID-19 pandemic may have accelerated changes in the way healthcare is provided with RCs becoming more commonplace in primary healthcare provision. This paper highlights perceived barriers which may lead to reduced utilisation of RCs by chiropractors, some of which appear fundamental to their perceived identity, whilst others are likely amenable to change with training and experience. [ABSTRACT FROM AUTHOR]

In the UK support for older people living in residential care to undertake meaningful activities is provided by Activities Co‐ordinators. There is also a growing trend for care home providers to invite arts organisations into care settings to deliver a range of arts and cultural activities. These arts and cultural activities are delivered by Arts Facilitators, who are distinct from Activities Co‐ordinators because their practice is specifically in an art form. This paper presents findings from the Creative Journeys research project which focused on exploring the role of participatory arts within residential care home in developing and maintaining social relationships between residents and staff. One of the objectives of the research was to identify factors which facilitated or hindered the delivery and impact of the activities. Data collection methods included observations and semi‐structured interviews with residents and staff. Thematic analysis was conducted on the qualitative data. It was found that a key factor in the successful delivery of the groups was the working relationship between the Arts Facilitators and the Activities Co‐ordinators. This relationship is explored and presented under three main themes: the collaborative process, practicalities and preparation and the approach of the Arts Facilitator. The Activities Co‐ordinators' role is an under‐researched area, but they play a central role in supporting visiting arts organisations to deliver the sessions and in enabling residents to attend and engage with meaningful activities. [ABSTRACT FROM AUTHOR]

Objective: A key issue in Britain's referendum on European Union membership was the free movement of labor into Britain, with Brexit "Leavers" having more negative attitudes toward immigrants than "Remainers." Such anti‐immigrant attitudes are driven by feelings of threat. The coronavirus pandemic presented a new threat in the context of ongoing Brexit negotiations. This paper examines how the COVID‐19 pandemic affected anti‐immigrant attitudes and how these effects differ between Leavers and Remainers. Methods: Using an online survey in Spring 2020 of 3,708 individuals residing in the UK, we experimentally test the effect of priming COVID‐19 thoughts on anti‐immigrant attitudes, and examine whether this effect varies by Brexit identity. Results: We show that COVID‐19 may exacerbate anti‐immigrant attitudes among Leavers while having little effect on Remainers. Conclusion: These findings support the idea that the coronavirus pandemic might have presented a new, viral, threat that heightened anti‐immigrant attitudes among certain political identities. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to explore some of the themes identified by Wark et al.’s paper and to highlight commonalities and differences between the Australian and the UK social and health care regimes. It also points to evidence about other implications for policy and practice of the increasing numbers of people growing older who have learning disabilities. Design/methodology/approach – The commentary analyses some policy and practice documents and identifies a range of other research and commentary on this topic. Findings – Wark et al. have identified areas of importance for supporting older people with learning disabilities, particularly access to suitable and acceptable services and the importance of sufficient support worker time. They also identify gaps in the research on people’s needs and service responses. The commentary also highlights other factors for consideration in work with this group of people, particularly the implementation of personalisation policies in social care and integration between health and social care services. Research limitations/implications – There is a need for further research into developing policy and practice for health and social care for older people with learning disabilities. Some of the evidence supports the case for specialist involvement, particularly by nursing professionals. Originality/value – The paper and this commentary highlight the challenges associated with the increasing number of older people with learning disabilities in contemporary debates about the role of the state and professional specialists. [ABSTRACT FROM AUTHOR]

This paper discusses nihilism as it relates to contemporary urban multiculture in outer East London. It addresses how contemporary discourses on, and performances of, nihilism signal shifts in the constitution of urban multiculture. Attention is paid to acts of anti-sociability (and sociability) for what they reveal about contemporary urban rearrangement, and in particular the re-formation of urban multiculture in a moment defined by globalization, virtual communication, ethnic diversity and neoliberal marginalization. Through addressing discourses on, and performances of, nihilism the overall argument of the paper is for a renewal of the terms on which we understand and engage with urban multiculture, and for an appreciation of how relations between class, race and culture have shifted since key texts on the subject were published. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to describe the delivery of a mainstreaming model within a public sector, mental health (National Health Service (NHS)) organisation. The model promotes the inclusivity of a spectrum of presentations from co-existing moderate anxiety and depression to severe mental disorder (psychosis) and problematic substance and alcohol use. Design/methodology/approach – This paper introduces the delivery of three collective approaches, termed the “three essential elements” to support a mainstreaming treatment model, facilitated by a “Dual Diagnosis Lead”. The model encompasses; a “direct access” referral pathway, joint collaboration with practitioners and the delivery of a “Dual Diagnosis” training programme. An independent evaluation was commissioned to explore eight mental health and substance misuse practitioners’ views and experiences in relation to the impact of the mainstreaming model. This paper also considers feedback from 230 course participants attending a one day “Dual Diagnosis” training programme. Findings – This paper suggests that practitioners may benefit from the implementation of the mainstreaming approach and the delivery of this approach could be moving “Dual Diagnosis” interventions closer to mainstream practice. Research limitations/implications – The limitations of the mainstreaming model are acknowledged in relation to the generalisation of practitioners’ views and reported experiences. Originality/value – This paper offers a description of the delivery of a mainstreaming model involving the “three essential elements”. The model provides a useful insight and demonstrates the possibilities which may be achieved when attempting to implement a mainstreaming treatment approach within mainstream mental health and drug and alcohol services. [ABSTRACT FROM AUTHOR]

Since its legal inception in 1926, adoption work has been centrally concerned with the matter of the adopted child's 'first' or prior life, whilst also focussed on achieving a new and secure substitute family for that child. Adoptive kinship has been formed through this dual and contradictory concern, a concern that has produced diverse policies and practices over the last 90 years. Drawing on Foucault's concept of technologies of the subject, this paper is an exploration of adoptive kinship within the new context of open adoption, a set of practices that more actively promotes the involvements of the adopted child's former family. These practices both promote a radical reworking of adoptive kinship, as well as confirming its more orthodox moorings. Drawing on an adoption archive study, the paper concludes with an analysis of letterbox contact to explore how far this form of open practice transforms adoptive kinship in the contemporary era. [ABSTRACT FROM AUTHOR]

Purpose -- This paper aims to consider whether the hospital mission statement can be used as a management tool to improve service provision in failing hospitals. Design/methodology/approach -- A literature search into the potential value and harm of hospital mission statements was done, followed by a survey of initial attitudes within a failing hospital. Do they indicate likely success of the tool? Findings -- Mission statement is a potentially valuable leadership tool in the hospital environment. The success of its implementation is broadly dependent on its being developed with the support of stakeholders and its real application to all management decisions and questions of asset allocation. The potential danger lies in the fact that it can be seen as an expensive expression of politically correct platitudes which leads to cynical alienation of stakeholders. Research limitations/implications -- This was a small study within a single UK failing hospital, and extending its range will help to clarify whether its findings are typical of attitudes within such institutions. Practical implications -- The likely success of the hospital mission statement as a management tool within a failing hospital is significantly limited by initial attitudes and preconceptions. Our research suggests that implementation is likely to be detrimental without preparatory involvement of the local community and hospital staff at all levels. Social implications -- Hospital management cannot be divorced from the local community where patient confidence must be maintained. Originality/value -- This paper complements previous research, which has looked at mission statement acceptance among the upper echelons of hospital management. [ABSTRACT FROM AUTHOR]

This paper addresses the lack of collective political action and engagement in protests and anti-deportation campaigns (ADCs) on the part of foreign-national offenders facing deportation from the UK. Taking ADC guidelines from migrant support groups, and drawing on ethnographic fieldwork conducted in London, I show that the circumstances of foreign-national offenders, and in particular their own understandings of their removal, appear incompatible with open political action and with the broader work of ADC support groups. The findings presented throughout this paper make the case that foreign-national offenders have conflicting notions about their deportation and their ‘right’ to protest and campaign against it, revealing how perceptions of legitimacy impact not only on how policies are lived and experienced but also on the scope for political action on the part of those who are experiencing those policies. [ABSTRACT FROM PUBLISHER]

Purpose -- Improvements in organisational culture are a common recommendation of enquiries into system failure and an aspiration of policy. The purpose of this paper is to explore an initiative to change culture in a low-secure service through the introduction of a self-advocacy group. Design/methodology/approach -- An independent evaluation was carried out by a university research team. A theory-based methodology was deployed with qualitative data gathered through observations, interviews and focus groups. Findings -- Culture change was reported by senior managers and clinicians in relation to the transparency of the service, decision making regarding resources, and engagement of patients in redesign. Self-advocacy group members reported a different relationship with senior management which in turn enabled greater influence in the organisation. Achieving these impacts relied on independent and skilled external facilitation, support from senior managers, and a calm and democratic atmosphere in the meetings. Ward staff were kept at an arms-length from the group and were less certain that it had made any difference to the way in which the ward operated. Research limitations/implications -- The research was only based in one organisation and the impacts of the initiative may vary with a different local context. Research in a wider sample of organisations and culture change initiatives will provide greater insights. Practical implications -- Self-advocacy groups can lead to organisation culture change alongside benefits for individual group members but require funding, external and independent facilitation, and organisational endorsement and support. Originality/value -- This paper adds to the limited literature regarding culture change in secure services and services for people with a learning disability in general and also to the understanding of the impact of self-advocacy groups. [ABSTRACT FROM AUTHOR]

Purpose - The purpose of this paper is to highlight some of the benefits and issues relating to arts participation in later life. Design/methodology/approach - The paper draws on literature relating to older people's arts participation, and also includes discussion of the author's doctoral research into arts and ageing. The research was a qualitative study, influenced by narrative approaches and life-course perspectives. It involved interviews with 24 participants who have connections with a case-study town in the English Midlands. Findings - The paper focuses on the findings from six participants belonging to a male voice choir. The themes that are discussed include the importance of continuity; issues of identity; mutual support; impact of ill health and the sustainability of group activities. Research limitations/implications - This is a small-scale study, based in one case study town. Care should therefore be taken in generalising to different populations and areas. Potential for future research includes: other geographical locations, including larger urban areas. Specific focus on choir participation, or other art form. Involving people from a wider range of ethnic backgrounds. Social implications - This study adds to a growing body of evidence about the value of arts and culture to society. Originality/value - This study is original in adopting life-course perspectives to understand later life arts participation. It also offers original insights into the nature of arts-generated social capital and how this may be viewed within a wider context of resourceful ageing. [ABSTRACT FROM AUTHOR]

This paper offers an original approach to examining the UK book-publishing industry over the past 30 years: as a case study within the context of boundaryless career theory. Boundaryless career theory has inspired a broad body of research but there is a research gap relating to its application in publishing. The paper considers how an industry that was largely boundaryless (with regular and often rapid transition of individuals between different organizations and functions), and was at the same time highly boundaried from external involvement (little penetrated by those without either previous connections or understanding), is now opening up to a range of external forces and personnel. This development has largely arisen from the digital revolution and the associated processes and practice of self-publishing. The paper considers the various existing stakeholders in the industry, and the impact that current changes may have on previous business models. Finally, it considers the transferable skills being gained by those acquiring publishing expertise and offers predictions about how these trends will impact on the publishing industry in the future. [ABSTRACT FROM AUTHOR]

Purpose: To fashion an analytic view of representations of Muslim women in British Muslim magazines. Design/methodology/approach: Drawing on theories from within the history of Islamic art and data from the current population of Muslims in the United Kingdom, this paper examines the representation of Muslim women. Four images were selected from recent media products and discussed to expose how the magazines have employed their cultural identity to represent Muslim women. Findings: The paper explores the representation of Muslim women within Muslim media in the UK. It explores the extent to which the history of Islamic art has relevance for making sense of recent media representations and outputs. Research limitations/implications: Future research into Muslim images may improve the way Muslims are visually represented in the mass media and help position them as 'us' and 'insider' rather than 'them' and 'alien' in a context of multiculturalism. Originality/value: The paper contributes to scholarship by improving understanding of the visual representations of Islam and Muslims in the media. [ABSTRACT FROM AUTHOR]

An introduction is presented in which the editor discusses articles in the issue on topics including the health risk of children with Down syndrome, the benefits of regular physical activity, and foot care.

This paper explores the gendered experience of singleness in Britain through a theoretical and empirical understanding of the abject. Drawing on the writings of Judith Butler, we argue that singleness is culturally pathologised as an abject ‘other’, a liminal state which renders the legitimation of the single subject unintelligible. Through 14 active interviews with British singles, we demonstrate how our participants negotiate their marginal status vis-à-vis the marketplace and the broader society that continue to uphold heterosexual partnership as a normative form of intimacy. Our data uncovers persistent and powerful gender stereotypes of how singles ought to organise their lives and conform both to social, as well as market-driven pressures. We therefore highlight research gaps in the experience of singleness and critique the heteronormative framework that remains dominant, yet concealed, in gender research. [ABSTRACT FROM PUBLISHER]

Background: Despite a fast-paced environment, the emergency clinician has a duty to meet the palliative patient's needs. Despite suggested models and interventions, this remains challenging in practice. Aim: To raise awareness of these challenges by exploring the experience of palliative care patients and their families and informal carers attending the emergency department, and of the clinicians caring for them. Design: Qualitative systematic literature review and thematic synthesis. Search terms related to the population (palliative care patients, family carers, clinicians), exposure (the emergency department) and outcome (experience). The search was international but restricted to English and used a qualitative filter. Title, abstracts and, where retrieved, full texts were reviewed independently by two reviewers against predefined inclusion criteria arbitrated by a third reviewer. Studies were appraised for quality but not excluded on that basis. Data sources: MEDLINE [1946-], Embase[1947-], CINAHL [1981-] and PsycINFO [1987-] with a bibliography search. Results: 19 papers of 16 studies were included from Australia (n = 5), the United Kingdom (n = 5), and United States (n = 9) representing 482 clinical staff involved in the emergency department (doctors, nurses, paramedics, social workers, technicians), 61 patients and 36 carers. Nine descriptive themes formed three analytic themes: 'Environment and Purpose', 'Systems of Care and Interdisciplinary Working' and 'Education and Training'. Conclusion: In the included studies, provision of emergency palliative care is a necessary purpose of the emergency department. Failure to recognise this, gain the necessary skills or change to systems better suited to its delivery perpetuates poor implementation of palliative care in this environment. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to understand the lived experience of people who have experienced homelessness and street activity, and professional stakeholders’ views about the challenges faced by this client group. The study sought to identify measures to improve the current situation for both individuals experiencing homelessness and professionals working with them.Design/methodology/approach Peer researchers with lived experience of multiple and complex needs conducted semi-structured interviews/surveys with 18 participants (eight individuals experiencing homelessness and street activity and ten professional stakeholders). The authors of the paper conducted a thematic analysis of the data.Findings This paper offers insights into both the current challenges and assets for people who are or have been homeless in an urban setting. Key findings include the need for a coordinated partnership approach to address pathways to support, and the importance of developing opportunities for meaningful activity and building on local resources including giving homeless people a voice. These findings are discussed within the context of current policy (Housing First) and legislation (Homelessness Reduction Act 2017) and the impact on integrated care for people who have experienced homelessness.Research limitations/implications The views explored in this study are specific to one city centre in the West Midlands; thus, generalisability may be limited.Originality/value This study presents a participatory research approach with peer researchers exploring the perspective of individuals experiencing homelessness and wider stakeholders. The findings of this research are considered with reference to the provisions of the HRA 2017. [ABSTRACT FROM AUTHOR]

Objective: In order to increase the efficacy of psychosocial interventions in dementia, a step-by-step process translating evidence and public engagement should be adhered to. This paper describes such a process by involving a two-stage focus group with people with dementia (PwD), informal carers, and staff. Methods: Based on previous evidence, general aspects of effective interventions were drawn out. These were tested in the first stage of focus groups, one with informal carers and PwD and one with staff. Findings from this stage helped shape the intervention further specifying its content. In the second stage, participants were consulted about the detailed components. Findings: The extant evidence base and focus groups helped to identify six practical and situation-specific elements worthy of consideration in planning such an intervention, including underlying theory and personal motivations for participation. Carers, PwD, and staff highlighted the importance of rapport between practitioners and PwD prior to commencing the intervention. It was also considered important that the intervention would be personalised to each individual. Conclusions: This paper shows how valuable public involvement can be to intervention development, and outlines a process of public involvement for future intervention development. The next step would be to formally test the intervention. [ABSTRACT FROM AUTHOR]

Poor education and employment outcomes have long been associated with care experienced young people transitioning into independence, even after adjusting for prior disadvantage. In the United Kingdom, such young people are generally referred to as care leavers. Policies that aim to reduce the gap between care leavers and noncare experienced young people's success transitioning to employment and independence have had limited success. This paper draws on a qualitative methodology that utilized theories of resilience, to glean a range of perspectives from both care leavers and their employers. All the participants were engaged in a U.K. local authority's initiative to support care leavers into employment. Drawing on resilience theory, resilience was found to be located in a complex interaction between a resilience enabling environment and, crucially, emotionally supportive networks. Uniquely, we argue that emotional support, drawn from such networks, is the key factor that facilitates young people navigating towards such resources, leading to successful outcomes. Previous studies have underplayed this aspect in favour of more tangible resources. Attention to strengthening emotional support networks is thus identified as a significant factor that supports transition to employment and successful independence for care leavers. [ABSTRACT FROM AUTHOR]

Evidence is accumulating of the negative impact of the COVID‐19 pandemic and related public health measures on mental health. In this emergent field, there has been little research into the role of risk perception on depressive symptoms and the contribution of health‐care resources to model risk perception and mental health. The aim of this paper is to describe the relationship between individual‐level perception of risk and depression, controlling for a set of confounders and for country‐level heterogeneity. A cross‐sectional and observational online survey was conducted using a non‐probability snowball sampling technique. We use data on 11,340 respondents, living in six European countries (Italy, Sweden, United Kingdom, France, Poland, Czech Republic) who completed survey questionnaires during the first months of the pandemic. We used a fixed‐effect approach, which included individual and macro‐level variables. The findings suggest that a high proportion of people suffering from depression and heightened risk perception is positively associated with reporting depressive symptoms, even if this relationship varies significantly between countries. Moreover, the association is moderated by contextual factors including health‐care expenditure as a percentage of Gross Domestic Product, hospital beds for acute care, and number of medical specialists per head of population. Investment in health care offers a concrete means of protecting the mental health of a population living under pandemic restrictions. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this paper is to outline the "Hybrid" "International" Emergency Medicine (HIEM) programme, which is an ethical pathway for the recruitment, employment and training of Emergency Medicine doctors; with a rotation through the NHS on a two-year medical training initiative with a Tier 5 visa, "earn, learn and return" programme. The HIEM programme offers an advantage to the Tier 2 visa by combining training, education and employment resulting in new learning to help improve the health system in Nepal and provide continued cultural support, clinical and leadership development experience in the UK NHS. Finally, this programme also provides a Return on Investment to the NHS. Design/methodology/approach: A shortage of doctors in the UK, combined with a need to develop Emergency Medicine doctors in Nepal, led to a UK Emergency Medicine Physician (PS) to facilitate collaboration between UK/Nepal partners. A mapping exercise of the Royal College of Emergency Medicine curriculum with the competencies for the health system and quality improvement leaders and partners with patients produced a "HIEM programme". The HIEM programme aims to develop first-class doctors to study in Emergency Departments in the UK NHS while also building trainee capability to improve the health system in Nepal with a research thesis. Findings: The HIEM programme has 12 doctors on its programme across years one and two, with the first six doctors working in the UK NHS and progressing well. There are reports of high levels of satisfaction with the trainees in their transition from Nepal to the UK and the hospital is due to save £720,000 (after costs) over two years. Each trainee will earn £79,200 over two years which is enough to pay back the £16,000 cost for the course fees. Nepal as a country will benefit from the HIEM programme as each trainee will submit a health system improvement Thesis. Research limitations/implications: The HIEM programme is in its infancy as it is two years through a four-year programme. Further evaluation data are required to assess the full impact of this programme. In addition, the HIEM programme has only focussed on the development of one medical speciality which is Emergency Medicine. Further research is required to evaluate the impact of this model across other medical and surgical specialties. Practical implications: The HIEM programme has exciting potential to support International Medical Graduates undertake a planned programme of development while they study in the UK with a Tier 5 visa. IMGs require continuous support while in the UK and are required to demonstrate continued learning through continuous professional development (CPD). The HIEM programme offers an opportunity for this CPD learning to be structured, meaningful and progressive to enable new learning. There is also specific support to develop academic and research skills to undertake a thesis in an area that requires health system improvement in Nepal. Originality/value: This is the first time an integrated clinical, leadership, quality improvement and patient partnership model curriculum has been developed. The integrated nature of the curriculum saves precious time, money and resources. The integrated nature of this "hybrid" curriculum supports the development of an evidence-based approach to generating attitudes of collaboration, partnership and facilitation and team building in medical leadership with patient engagement. This "hybrid" model gives hope for the increased added value of the programme at a time of global austerity and challenges in healthcare. [ABSTRACT FROM AUTHOR]

Evidence suggests that physical activity (PA) programmes promoted via healthcare settings worldwide may not currently meet the needs of many patients and healthcare professionals (HCPs). This paper describes the outcomes of a qualitative enquiry into the perspectives of patients and professionals from multiple healthcare services regarding the role of PA. 19 patients and 22 HCPs were purposively recruited from physiotherapy, podiatry, chronic pain, diabetes and continence services at a community-based healthcare clinic in the United Kingdom. Participants' views were explored using semi-structured interviews and analysed using thematic analysis. Results identified five themes: differences between the social and medical rationales underpinning PA promotion; the impact of the patient-professional relationship on patient activation, self-management and PA; a risk culture surrounding PA; challenges to meet variation in patients' needs and preferences; and lack of formal role for PA as a core part of routine healthcare. The study highlights tensions between needs and aspirations, and the reality of delivering advice and support for PA. Challenges resonated with patients and HCPs across different care groups and were not condition-specific. This highlights a need for sharing good practice across healthcare services and system-level interventions to address organisational barriers to the promotion of PA. [ABSTRACT FROM AUTHOR]

This paper reports on a study of the views and experiences of 21 sperm donors and five egg donors registered with UK DonorLink (UKDL), a voluntary DNA-based contact register established to facilitate contact between adults who wish to identify and locate others to whom they are genetically related following donor conception. Specifically, the paper examines donors’ reasons for searching for, or making information about themselves available to donor-conceived offspring. Their expectations of registration with UKDL, experiences of being registered and finally, the experiences of those who had contacted donor-conceived offspring and other genetic relatives are investigated. While most respondents reported largely positive experiences of registration, the study found significant issues relating to concerns about donation, DNA testing, possible linking with offspring and expectations of any relationship that might be established with offspring that have implications for support, mediation and counselling. Research that puts the experiences, perceptions and interests of gamete donors as the central focus of study is a relatively recent phenomenon. This study contributes to this debate and highlights directions for future research in this area. [ABSTRACT FROM PUBLISHER]

The release of the 2014 REF results in the UK is a timely reminder that many national governments have aimed to increase the research productivity of universities, by introducing performance-based research systems. This paper examines whether there is a relationship between attitudes to these research systems and research productivity, using interview data from three universities in Australia, New Zealand and the UK. It concludes that attitudes are not strongly related to productivity, and that only a better understanding of system limitations will help to improve them. [ABSTRACT FROM AUTHOR]

This paper uses analysis of interview transcripts and notes from participant observation to explore white reactions to the introduction of diversity management in a large public sector workplace in Glasgow. The paper analyses white talk about racial equality in a social context where the shaming, exclusion and demonization of disadvantaged groups including migrants, asylum seekers and the poor have ensured that issues of entitlement and race are highly charged. It is suggested that in such contexts diversity management is being wielded as a new kind of civility by middle-class people invested in the objectification of poor whites. This represents a form of class conflict over belonging within the body of whiteness that risks reinforcing rather than redressing racial resentments. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to explore how two kinds of UK-based media positioned investment banking as dirty work during the financial crisis, thereby engaging in moral enterprise (Becker, 1963) and contributing to the shaping of society's normative contours (Cohen, 1972). Design/methodology/approach – The authors employ rhetorical analysis to explore how newspaper editorials and an online blog portray investment banking as tainted between April 2008 and October 2009. Findings – These media sources construct the values and behaviours of investment bankers, rather than the tasks of their occupation, as morally tainted. Through specific rhetorical strategies the authors advance three key arguments: bankers are morally tainted because their wealth is excessive; because their wealth is not earned; and because they are selfish and materialist. Originality/value – In investigating media designations of investment banking as dirty work, the paper addresses two aspects of dirty work which are underexplored. First, it examines a high-prestige occupation and second, investigates the construction and attribution of taint to a previously untainted occupation. It makes two methodological contributions to the literature: contributing to the nascent interest in the media's construction of dirty work (e.g. Grandy and Mavin, 2012); and using rhetorical analysis to study the construction of taint. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to demonstrate how access to vaccination for older people in the UK can be both improved and used as a tool for healthy ageing. Design/methodology/approach – ILC-UK released a report “Adult Immunisation in the UK”, which applied a UK perspective to a 2013 Supporting Active Ageing Through Immunisation (SAATI) report on immunisation. The ILC report combined the SAATI findings with a traditional literature review, a policy review incorporating grey literature and the outcomes of a focus group discussion. This paper highlights the key findings of the ILC-UK report. Findings – Vaccination needs to be included as part of proactive strategies to promote healthy and active ageing. Initiatives need to be explored that increase the rate of delivery of vaccinations. Barriers to the vaccination of health and social care professionals working with older people need to be removed. The government should explore using psychological insights into human behaviour to improve the take-up of vaccinations amongst adults. The range of settings where older people can receive vaccination needs to be expanded. Information on the potential benefits of immunisation should be made readily available and easily accessible to older people. Practical implications – The paper calls for a structural shift in how vaccination services in the UK are organised. Social implications – The paper calls for a cultural shift in how society views immunisation and the role it has to play in the healthy ageing process. Originality/value – The paper uses new European research on immunisation and applies it to the UK's situation. [ABSTRACT FROM AUTHOR]

Purpose – An innovative training initiative to raise the awareness of personality disorder and enable more effective working with people with personality disorder who come into contact with the wider multi-agency system has been developed. For the purpose of the training initiative the nationally recognised Knowledge and Understanding Framework (KUF, awareness-level programme) has been employed. An overview of the comprehensive multi-agency training initiative will be outlined with reporting and discussion of the outcome data provided within this paper. The paper aims to discuss these issues. Design/methodology/approach – This paper outlines the development and outcomes of a service evaluation study. The utilised outcome measures were carried out at pre-, post- and three-month follow-up measures. The Personality Disorder-Knowledge Attitude and Skills Questionnaire was utilised on the recommendation of the central team. Additionally a Visual Analogue Scale was developed for the purpose of this study was also employed. Findings – Data findings are positive particularly when comparing pre- and post-results and the pre- and follow-up results. There appears to be an apparent peak in results post-training which could be attributed to the fact that knowledge and understanding is recent and fresh in the delegates mind, however positive results are still reported at follow-up there does appear to be decline in results and durability of the effect when three-month follow-up is compared against the post-training results. Research limitations/implications – Follow-up was at three months, which is a relatively short-time span post-training it would be of great interest to see in the future if the decline in the three areas continues. If this was followed up and if this pattern continued this could provide us with evidence to support the development of refresher courses. In the future, due to the multi-agency design of this service evaluation, comparisons of the different sectors, agencies and occupations involved, could also be explored further to establish what multi-agency areas the training has had the most effect and impact. Practical implications – High levels of demand from multi-agencies to receive training in personality disorder is reported. Our findings and experience provide evidence that multi-agencies partners from a variety of professional backgrounds can effectively work in partnership with people with lived experience to effectively deliver the KUF training. Social implications – This innovative roll-out of KUF training provides evidence that with a little investment, a comprehensive multi-agency roll-out of KUF is achievable and can provide statistically significant positive results displaying the effectiveness and change brought about via the KUF training. Originality/value – The originality of this sustainable and low-cost approach to educating the wider system is reported in this paper. This has lead to the strategy receiving national recognition winning a nursing times award in 2011 and a model of innovative practice nationally. [ABSTRACT FROM AUTHOR]

Purpose -- Government guidelines promote service user consultation without providing extensive advice on people in later dementia. "Seen as too difficult to involve, they are effectively excluded from [...] influenc(ing) service provision", especially institutional care residents (Clare and Cox, 2003, p. 936). This hard-to-reach group presents methodological challenges. The purpose of this paper is to explore innovative approaches, offering even those with fragmented or lost speech the opportunity to contribute to decisions about their care. Design/methodology/approach -- This specialists dementia home consultation included staff and every resident, irrespective of the level of their communication impairment Consultation on potential colour schemes took the form of a ballot. Staff helped develop an unpatronising, person-centred approach. Visual aids supported communication, de-emphasising the spoken word and promoting inclusion. Findings -- The majority of residents appeared to express an opinion on the potential decor. Others chose a colour while not necessarily grasping the context. The approach engaged all except four. Research limitations/implications -- Even people with moderate/advanced dementia may be enabled to participate in consultation. Further research needs to refine methodology to include everyone and clarify the interpretation of results. Practical implications -- Service providers may widen their expectations of inclusivity in consultation exercises. Originality/value -- This consultation is important to researchers and practitioners because it explores ways of communicating, which avoid privileging the spoken word, revealing seldom-recognised abilities in people with moderate/advanced dementia. [ABSTRACT FROM AUTHOR]

ABSTRACT UK voluntary and community sector organizations (VCOs) play a key role in caring for homeless people. However, there are widespread concerns about the impact of increasing government contracting on the quality of their services. This paper examines understandings of homelessness and identities as homelessness professionals, as expressed by VCO professionals. By so doing, it considers how 'partnership working' enables or undermines their capacities to care. The paper uses 24 in-depth interviews and four focus groups with London-based homelessness professionals. Professionals expressed deep tensions in their experience of their role. On one hand, they reported a deep ethical commitment to care and to develop quality supporting relationships to respond to their clients' complex needs. On the other, their capacity to care was undermined by their dependence on statutory resources and the controls this involved over the way VCOs delivered care. Professionals had to adjust to statutory monitoring frameworks and hard performance targets, which detached them from the human and intimate encounter with their clients and constrained their person-centred caring interventions. The findings highlight the contradictory nature of contemporary systems of 'joined up' welfare that neglect the very human and complex nature of the issues that they were originally created to address. Copyright © 2013 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

The paper discusses a survey of British academic human geographers enquiring about change and diversification within personal research activities, their nature, motivations and impacts. It argues that this is widespread and a significant aspect of the production of contemporary geographical knowledge. The findings highlight the range of motivations underpinning research change, its impacts and mediation through the institutional context of British human geography. It concludes that despite a more prescriptive institutional context geographers have a degree of autonomy, albeit somewhat fettered, to shape their own research trajectories to some extent. This provides some important capacity with which to engage with imminent challenges facing the discipline in the UK). The paper complements recent critical histories of geography and sociological accounts of the discipline. [ABSTRACT FROM AUTHOR]

This paper is concerned with public perceptions and attitudes to heritage townscapes, and how these might be influenced by investment in such places, focused on their public realm, and building restoration and improvement as a catalyst for urban regeneration. It draws on a ten-year study of the impact of the Townscape Heritage Initiative, funded by the Heritage Lottery Fund, on a sample of 16 cases across the UK. By comparing an analysis of changes in townscape quality over this period, with changes in public perceptions (captured through the use of a household survey in all 16 cases at three points in the ten-year period), it draws empirically grounded conclusions about the influence of heritage investment on attitudes and perceptions to the quality of the local environment. The findings from the research suggests that public attitudes are positively influenced by programmes of investment in the built heritage, but that this influence is complex and is not as robust as the physical regeneration itself. The paper also reflects on the relative influence of the post-2008 economic recession on public attitudes to place compared with the influence of heritage investment. [ABSTRACT FROM AUTHOR]

The active involvement of patients in decisionmaking and the focus on patient expertise in managing chronic illness constitutes a priority in many healthcare systems including the NHS in the UK. With easier access to health information, patients are almost expected to be (or present self) as an 'expert patient' (Ziebland 2004). This paper draws on the meta-analysis of interview data collected for identifying treatment outcomes important to patients with rheumatoid arthritis (RA). Taking a discourse approach to identity, the discussion focuses on the resources used in the negotiation and coconstruction of expert identities, including domainspecific knowledge, access to institutional resources, and ability to self-manage. The analysis shows that expertise is both projected (institutionally sanctioned) and claimed by the patient (self-defined). We close the paper by highlighting the limitations of our pilot study and suggest avenues for further research. [ABSTRACT FROM AUTHOR]

This paper presents two cross‐sectional survey studies, both conducted in Britain, which focus on how different cultural identities are managed in multicultural settings. Specifically, the studies explored the extent to which essentialism moderates the perceived compatibility of acculturation orientations, heritage culture maintenance and majority culture adoption. In study 1, participants (N = 198) were Somali minority members living in the UK. It was found when minority members essentialized Britishness themselves, and when they perceived that British people essentialized Britishness, they saw a desire to maintain the culture of origin and a desire adopt the majority culture as conflicting with each other. In study 2, participants (N = 200) were white British majority members living in the UK. Findings showed that when white British majority members essentialized Britishness, they too perceived the two acculturation preferences as being incompatible with each other. Taken together, these studies show that essentializing British identity can lead to a view that the majority and minority cultures are mutually exclusive. Implications for intergroup relations and integration into British society are discussed. [ABSTRACT FROM AUTHOR]

Although breastfeeding is known to improve health, economic and environmental outcomes, breastfeeding initiation and continuation rates are low in the United Kingdom. The global WHO/UNICEF Baby Friendly Hospital Initiative (BFHI) aims to reverse declining rates of breastfeeding by shifting the culture of infant feeding care provision throughout hospital maternity settings. In the United Kingdom, the global BFHI has been adapted by UNICEF UK reflecting a paradigm shift towards the experiences of women and families using maternity services. This research used a critical ethnographic approach to explore the influence of the national UNICEF UK Baby Friendly Initiative (BFI) standards on the culture of one typical maternity service in England, over a period of 8 weeks, across four phases of data collection between 2011 and 2017. Twenty‐one staff and 26 service users were recruited and engaged in moderate‐level participant observation and/or guided interviews and conversations. Basic, organising and a final global theme emerged through thematic network analysis, describing the influence of the BFI on providing, receiving and leading infant feeding care in a hospital maternity setting. Using Antonovsky's sense of coherence construct, the findings discussed in this paper highlight how the BFI offers 'informational' (comprehensible), 'practical' (manageable) and 'emotional' (meaningful) support for both staff and service users, strengthened by effective, local leadership and a team approach. This is juxtaposed against the tensions and demands of the busy hospital maternity setting. It is recommended that ongoing infant feeding policy, practice and leadership balance relational and rational approaches for positive infant feeding care and experiences to flourish. [ABSTRACT FROM AUTHOR]

Cognitive Impairment (CI) screening is recommended for those engaged in harmful levels of alcohol use. However, there is a lack of evidence on implementation. This paper explores the barriers and facilitators to CI screening experienced across a service specifically for older drinkers. The findings draw on data gathered as part of an evaluation of a multilevel programme to reduce alcohol‐related harm in adults aged 50 and over in five demonstration areas across the United Kingdom. It is based on qualitative interviews and focus groups with 14 service providers and 22 service users. Findings are presented thematically under the section headings: acceptability of screening, interpretation and making sense of screening and treatment options. It is suggested that engagement with CI screening is most likely when its fit with agency culture and its purpose is clear; where service providers have the technical skills to administer and discuss the results of screening with service users; and where those undertaking screening have had the opportunity to reflect on their own experience of being screened. Engagement with CI screening is also most likely where specific intervention pathways and engagement practices can be accessed to respond to assessed need. [ABSTRACT FROM AUTHOR]

This paper offers a case study of a large UK local authority adult care department as it introduces a new practice model. The change programme is examined through a lens of complexity theory. Complexity offers a way of understanding constantly changing systems and uses concepts such as 'feedback loops' and recognition of 'emergent' behaviours to offer a means to anticipate patterns of change in otherwise unpredictable systems. In this study, complexity is found to offer a helpful understanding of behaviour across the complex adaptive system of a large organisation but it falls short at recognising the cause of behaviours that can be obstructive. The author suggests the use of psychoanalytic theory to acknowledge the emotion that might be the driver for resistance to change and notices how effectively the two theories applied together can bring rich understanding as well as strategic oversight to a complex social care system. This study provides a useful, theoretically informed insight into change management and leadership within a social work agency that is moving away from transactional practice and promoting creative, autonomous, relationship-based practice. The study advances understanding of how complexity and psychoanalytic theory can be used in tangent to support organisational change within social care. [ABSTRACT FROM AUTHOR]

Practitioners working with disturbed and neglected children and young people face many practical and personal challenges, including countertransference and secondary trauma reactions. One underexplored area is the practitioner requirement to negotiate with children's parents and to process feelings towards both parents and children. We explore the experiences of female counsellors and psychologists working with children and young adults in the UK mental health care sector, using an inductive thematic analysis. While participants spoke positively about their vocation and satisfaction gained from acting as an agent of change in young people's lives, they also related highly intense emotional work and traumatic accounts, using powerful metaphors to convey the impact of hearing and processing stories, indicating vicarious trauma effects and a strong parental invocation in therapists, including maternal feelings towards some children ('vicarious parenting'). Some parents were cast as potentially harming a child and obstructing the professional's work. Our paper fleshes out vicarious parenting as a particular form of countertransference. [ABSTRACT FROM AUTHOR]

The history and professionalisation of midwifery has travelled through turbulent times to arrive at an opportunity for transformation in the contemporary UK maternity system. This professionalisation, the midwifery profession and professional autonomy are explored in this article from a sociological perspective, to answer the question of whether a midwife can achieve professional autonomy within the UK system. This is a two-part article. Part one has a strong focus on the historical context of midwifery, government policy and guidelines, risk, litigation and increasing managerialisation to frame the discussion in part two. The second part provides a discussion of autonomy, choice, managerialisation and reflexive practice, to create a conceptual framework utilising the concept New Professional Midwifery. This is to centralise a core belief in midwifery autonomy and women's choice facilitation. This paper is part one of two. [ABSTRACT FROM AUTHOR]

Since the 1980s, the primary public health response to injecting drug use in the UK has been one of harm reduction. That is, reducing the harms associated with drug use without necessarily reducing consumption itself. Rooted in a post-Enlightenment idea of rationalism, interventions are premised on the rational individual who, given the right means, will choose to avoid harm. This lies in stark contrast to dominant addiction models that pervade popular images of the ‘out of control’ drug user, or worse, ‘junkie’. Whilst harm reduction has undoubtedly had vast successes, including challenging the otherwise pathologising and often stigmatising model of addiction, I argue that it has not gone far enough in addressing aspects of drug use that go beyond ‘rational’ and ‘human’ control. Drawing on my doctoral research with people who inject drugs, conducted in London, UK, this paper highlights the role of the injecting ‘event’, which far from being directed or controlled by a pre-defined individual or ‘body’ was composed by a fragile assemblage of bodies, human and nonhuman. Furthermore, in line with the ‘event’s’ heterogeneous and precarious make-up, multiple ways of ‘becoming’ through these events were possible. I look here at these ‘becomings’ as both stabilising and destabilising ways of being in the world, and argue that we need to pay closer attention to these events and what people are actually in the process of becoming in order to enact more accountable and ‘response-able’ harm reduction. [ABSTRACT FROM PUBLISHER]

Building on the pioneering research of a small number of gerontologists, this paper explores the rarely trodden common ground between the academic domains of social gerontology and modern history. Through empirical research it illustrates the complex networking that exists through space and time in the relational making of people and places. Indeed, the study focuses specifically on the lived reality and ongoing significance of life on the small-town British coastal homefront during World War II. Seventeen interviews with older residents of Teignmouth, Devon, United Kingdom, investigate two points in their lives: the ‘then’ (their historical experiences during this period) and the ‘then and now’ (how they continue to reverberate). In particular, their stories illustrate the relationalities that make each of these points. The first involves residents’ unique interactions during the war with structures and technologies (such as rules, bombs and barriers) and other people (such as soldiers and outsiders) which themselves were connected to wider historical, social, political and military networks. The second involves residents’ perceptions of their own and their town's wartime histories, how this gels or conflicts with public awareness, and how this history connects to their current lives. The paper closes with some thoughts on bringing together the past, present and older people in the same scholarship. [ABSTRACT FROM PUBLISHER]

The purpose of the present paper is to illustrate how leaders can create high performance environments. Using Team Great Britain (TeamGB) cycling’s performance director as a case example, we discuss how leaders can develop social identities (i.e. an emotional attachment and sense of belonging) and shape group meanings as mechanisms through which performance excellence can be achieved. We draw on a contemporary theory of leadership derived from organisational and social psychology to explain how leaders can act to strengthen the emotional bonds within their sport group and motivate athletes to embrace specific group meanings. The present paper also reflects on the lessons learnt from London 2012 that could inform leadership practice in preparation for Rio 2016. In particular, the leaders’ role in developing social identities and distinctive group meanings is important to create an environment conducive to optimum performance. In sum, a social identity approach to leadership detailed within the current paper provides a useful framework to help maximise the opportunities that TeamGB gleaned from London 2012 in order to deliver performance excellence again in Rio 2016. [ABSTRACT FROM PUBLISHER]