132 results on '"Cameron, Ailsa"'
Search Results
102. Identity in the fourth age: perseverance, adaptation and maintaining dignity
- Author
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LLOYD, LIZ, primary, CALNAN, MICHAEL, additional, CAMERON, AILSA, additional, SEYMOUR, JANE, additional, and SMITH, RANDALL, additional
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- 2012
- Full Text
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103. Lessons from evaluation of the NHS white paper Our Health, Our Care, Our Say
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Salisbury, Chris, primary, Stewart, Kate, additional, Purdy, Sarah, additional, Thorp, Helen, additional, Cameron, Ailsa, additional, Lart, Rachel, additional, Peckham, Stephen, additional, and Calnan, Michael, additional
- Published
- 2011
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104. Impermeable boundaries? Developments in professional and inter-professional practice
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Cameron, Ailsa, primary
- Published
- 2010
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105. The contribution of housing support workers to joined-up services
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Cameron, Ailsa, primary
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- 2009
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106. The challenges of joint working: lessons from the Supporting People Health Pilot evaluation
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Cameron, Ailsa, primary, Macdonald, Geraldine, additional, Turner, William, additional, and Lloyd, Liz, additional
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- 2007
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107. What do external consultants from private and not-for-profit companies offer healthcare commissioners? A qualitative study of knowledge exchange.
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Wye, Lesley, Brangan, Emer, Cameron, Ailsa, Gabbay, John, Klein, Jonathan H., Anthwal, Rachel, and Pope, Catherine
- Abstract
Objectives: The use of external consultants from private and not-for-profit providers in the National Health Service (NHS) is intended to improve the quality of commissioning. The aim of this study was to learn about the support offered to healthcare commissioners, how external consultants and their clients work together and the perceived impact on the quality of commissioning. Setting: NHS commissioning organisations and private and not-for-profit providers. Design: Mixed methods case study of eight cases. Data collection: 92 interviews with external consultants (n=36), their clients (n=47) and others (n=9). Observation of 25 training events and meetings. Documentation, for example, meeting minutes and reports. Analysis: Constant comparison. Data were coded, summarised and analysed by the research team with a coding framework to facilitate cross-case comparison. Results: In the four contracts presented here, external providers offered technical solutions (eg, software tools), outsourcing and expertise including project management, data interpretation and brokering relationships with experts. In assessing perceived impact on quality of commissioning, two contracts had limited value, one had short-term benefits and one provided short and longer term benefits. Contracts with commissioners actively learning, embedding and applying new skills were more valued. Other elements of success were: (1) addressing clearly agreed problems of relevance to managerial and operational staff (2) solutions co-produced at all organisational levels (3) external consultants working directly with clients to interpret data outputs to inform locally contextualised commissioning strategies. Without explicit knowledge exchange strategies, outsourcing commissioning to external providers resulted in the NHS clients becoming dependent. Conclusions: NHS commissioning will be disadvantaged if commissioners both fail to learn in the short term from the knowledge of external providers and in the longer term lose local skills. Knowledge exchange mechanisms are a vital component of commissioning and should be embedded in external provider contracts. [ABSTRACT FROM AUTHOR]
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- 2015
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108. Creating the asset base -- a review of literature and policy on housing with care.
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Atkinson, Teresa June, Evans, Simon, Darton, Robin, Cameron, Ailsa, Porteus, Jeremy, and Smith, Randall
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AGING ,COMMUNITIES ,QUALITY of life ,RETIREMENT ,SOCIAL services ,GOVERNMENT policy ,GOVERNMENT programs ,WELL-being ,SENIOR housing ,SOCIAL context - Abstract
Purpose -- Appropriate housing for the growing population of older adults is becoming an international concern. The purpose of this paper is to report on a review of UK and international literature carried out as part of a project exploring the commissioning and delivery of social care in housing with care settings. The paper also considers housing with care in the context of UK policy and practice. Design/methodology/approach -- The peer literature review process used a range of academic databases as well as government and third sector web sites, drawing on relevant material in English published from 1990 to 2012. Findings -- Findings are presented within three main themes: how care and support is provided; the role of the built environment; and the benefits for resident well-being. The review found a paucity of literature focusing specifically on care and support in housing with care settings, particularly in terms of how social care is delivered, but the evidence base suggests that housing with care is in a strong position to deliver on most if not all UK government aspirations. Practical implications -- Despite a growing literature both in the UK and internationally exploring the characteristics and benefits of housing with care for older people, substantial gaps remain in the research evidence. Originality/value -- This paper presents an up to date review of the housing with care literature in the context of current UK policy. [ABSTRACT FROM AUTHOR]
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- 2014
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- View/download PDF
109. Identity in the fourth age: perseverance, adaptation and maintaining dignity.
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LLOYD, LIZ, CALNAN, MICHAEL, CAMERON, AILSA, SEYMOUR, JANE, and SMITH, RANDALL
- Subjects
AGING ,AUTONOMY (Psychology) ,DIGNITY ,EXPERIENCE ,FIELDWORK (Educational method) ,HEALTH status indicators ,INTERPERSONAL relations ,INTERVIEWING ,RESEARCH methodology ,MORTALITY ,QUALITY of life ,THEMATIC analysis - Abstract
The fourth age remains a poorly understood phenomenon and there is a lack of understanding of the perceptions of those who might be considered to be living in it. This article draws on findings from a study of dignity in later life which examined the day-to-day experiences of participants who were in need of support and care because of failing health. It discusses their accounts of the changes to their sense of self and their identity that came about as a result of their ageing and health problems and looks also at the ways in which the support and care they received helped to shape their adjustment to those changes. The accounts given by participants reveal a great deal about the physical, mental and emotional effort entailed in maintaining a sense of self and highlight the essential role played by social relationships in the maintenance of identity. These findings are analysed by reference to emerging theories of the fourth age. [ABSTRACT FROM PUBLISHER]
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- 2014
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110. The Changing Policy Context of Occupational Therapy
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Cameron, Ailsa, primary and Masterson, Abigail, additional
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- 1998
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111. Impermeable boundaries? Developments in professional and inter-professional practice.
- Author
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Cameron, Ailsa
- Subjects
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INTERDISCIPLINARY education , *INTERPROFESSIONAL relations , *MEDICAL care , *QUALITY assurance , *TRENDS - Abstract
The nature of the professional task in welfare services is constantly changing. These changes are not confined to Britain but are widespread across the developed world and include initiatives to develop new professional roles and redesign existing services. Central to these initiatives is an assumption that the professions, and the individual professionals involved, will be willing and able to adapt their professional practice. The challenges inevitably posed by these developments appear to have been played down, particularly in respect of the role played by the boundaries between professions. This article considers the nature of boundaries before exploring these service developments as a means to highlight the issues they raise. The article contends that for these developments to work we need to move beyond the current focus on the role of education, training and regulation which structure professional boundaries to appreciate the 'human and social aspects' of these changes in order to understand how individual professionals perceive and experience the boundaries between professional groups. [ABSTRACT FROM AUTHOR]
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- 2011
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112. The contribution of housing support workers to joined-up services.
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Cameron, Ailsa
- Subjects
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SOCIAL services , *SOCIAL workers , *HOUSING assistance agencies , *PUBLIC welfare , *MODERNIZATION (Social science) , *PUBLIC health - Abstract
This paper explores the role of the “housing support” worker and considers the contribution the role can make to the modernization of welfare services. Although the role is inextricably linked to a growing appreciation of the relationship between housing and wellbeing the paper also considers a range of other drivers that may have had an impact on the emergence of the role. The housing support worker role may, for example, be seen as a response to developments within the social work profession as well as to wider debates about how to support adults with complex needs. The development of roles, such as the housing support worker, that work across organizational boundaries are not without their challenges. This paper explores the drivers behind the development of the housing support role and then, using data from the Supporting People Health Pilots programme evaluation, considers issues about the preparation and support required for those working in these roles to ensure that their potential contribution is maximized. [ABSTRACT FROM AUTHOR]
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- 2010
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113. Exploring 'nested' problematizations of Universal Credit payment to couples
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Howard, Marilyn, Ayres, Sarah, and Cameron, Ailsa
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This study explored discourses surrounding the single payment to couples of Universal Credit). Announced in 2010, Universal Credit is a 'flagship' means-tested benefit reform affecting seven million working-age households. Payment to couples involves various interpretations of 'need', which differ between Scotland's 'administrative' devolution and the policy of the UK Government based at Westminster. The research used poststructural discourse analysis by applying Carol Bacchi's (2009) 'What's The Problem Represented to Be?' and the theoretical lens of Nancy Fraser's (2020) 'politics of needs interpretation'. These frameworks enable a policy to be interrogated for what it problematizes and omits, with a particular focus on needs discourses. Using the qualitative methodology of discourse analysis, this research analysed official documents and semi-structured interviews with policy actors inside and outside of government. Findings highlighted problematizations by the Westminster Government of pre-2010 multiple benefit payments, such as state interference in family life. Newly-devolved powers to Scotland on Universal Credit payment policy created space for thinking differently, and aligning with rights-based social security principles, questioning the framing of devolved payment policy as 'administrative'. Instead, payment to couples concerned policy choices based on different concepts of needs and rights. My original contribution to knowledge builds on Bacchi's concept of problematizations nesting within one another and Fraser's needs interpretation moments, where needs can become 'politicised', rather than private. Needs discourses are contested, engaging different discourse types (dominant, oppositional and expert), and can shift boundaries between political, domestic or economic domains. I identify two 'nesting' dimensions, over time and space, and within wider welfare state discourses. In this study, payment of Universal Credit to couples was nested within the broader discourses of 'family' and UK 'constitutional' issues (whether Scotland should be an independent country). This research is significant and timely because it can inform debates about similar devolution and means-tested reforms.
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- 2023
114. Policy transfer and integrated care development in the Outram Regional Health System (RHS) in Singapore.
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Lai Meng Ow Yong, Payne, Sarah, and Cameron, Ailsa
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INTEGRATED health care delivery ,HEALTH policy ,MEDICAL quality control ,MEDICAL care for older people ,COMMUNITY organization - Abstract
Introduction : (comprising background and problem statement) In Singapore, as in other parts of the world, the healthcare system is undergoing reform. The thrust towards this is motivated by the global shared experience of a rapidly ageing population, an increasing burden of chronic diseases, decreasing old-age support across the nation, increasing healthcare costs, and a rising demand for healthcare. In response to these changes, and amongst many integrated policies and approaches, the government has looked to global partners, and has explored different approaches to integrated care that have been adopted by countries with similar experiences. This lesson-drawing from other countries, known as policy transfer, provides a framework to understand how integrated care is being developed in Singapore to address the problems that it faces. It refers to the notion of improving policy making by looking abroad and adopting policies from elsewhere as a stock response to addressing policy issues. In Singapore, where this Project is based, the Regional Health Systems (RHSs) were created in 2010, and they are tasked with implementing the integrated care policy through innovative methods of care coordination. Within this, there is an expectation that the RHSs will demonstrate public sector entrepreneurism and lead in the development of health systems to enhance the quality of care at reduced costs. This same leadership is expected of the other policy agents, such as the Voluntary Welfare Organisations and General Practitioners in the RHSs, which provide services at the community level. However, it is unclear how integrated care is being developed at the RHS level in Singapore, and the extent to which policy transfer in integrated care has taken place. This is likely to be due to the fact that policy transfer of integrated care is largely undocumented, which makes evaluating the policy problematic. The associated challenges in the development of integrated care are also unknown. Some of these challenges may include the influence of the political economy of integrated care, which is often not explicitly considered. The role of constructivism in the micro-political environment of the organisation is also yet to be explored in the local context. Such local political, cultural, social, economic and administrative contexts are however central to the thesis on policy transfer and for appropriate policy adoptions. The aim of the research is thus to understand how integrated care is being developed specifically at the Outram RHS in Singapore, the extent to which this reflects processes of policy transfer, and the associated challenges involved. Theory/Methods: This study adopts a qualitative approach as the primary theoretical methodological approach to address the research questions. The qualitative approach could help unravel micro-macro interactions between individuals and social structures and institutions, and connect generic and abstract questions with the individuals' specific experiences. As policy actors, state, and non-state actors are involved in developing policy ideas on integrated care, the study will adopt an actor-based approach, utilising a two-pronged method to answer the research question. It will involve semi-structured interviews with these policy agents, which constitute an elite group, and document reviews of the existing materials internal to their organisation in relation to integrated care development. The prospective respondents will be purposively sampled with maximum variation from five distinct clusters of policy agents. They include government officials, Singapore Health Services, service providers (Outram RHS), professional associations, and academic institutions/think-tanks. The data will be analysed using interpretative phenomenological analysis and documentary analysis. The documentary analysis component consists of a two-fold analytic approach: content and textual analyses. Results :(or 'progress report' where results not yet available) Fieldwork will begin in December 2015. Preliminary ideas from the findings will be shared at the conference. Discussion: Policy transfer as a theoretical framework facilitates the examination of barriers and enablers in the study of integrated care development in Singapore. It goes beyond the institutional-structural concerns, to understanding the global and systemic influences, and their roles and limitations. It furthers the exploration and understanding of the nation-state's interests and history, socio-cultural values, and politico-administrative structure on integrated care development. Conclusion: (key findings to date, lessons learned, limitations, suggestions for future research). This paper, which is part of a PhD work, advances policy transfer as an arguably novel approach to explaining integrated care development; this is distinct from the existing approaches in integrated care theories and frameworks. It seeks to make useful contributions to the debate over the development of integrated care, with specific reference to Singapore, and to wider arguments on integrated care development in other parts of the world. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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115. The TARA Project
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Emma Williamson, Abrahams, Hilary A., Karen Morgan, and Cameron, Ailsa M.
116. Healthy Start in England
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Lucas, Patricia J., Patricia Jessiman, Cameron, Ailsa M., and Meg Wiggins
117. Healthy Start Vouchers Study
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Patricia Jane Lucas, Patricia Jessiman, Cameron, Ailsa M., Meg Wiggins, Katie Hollingworth, and Chloe Austerberry
118. The TARA Project: A longitudinal study of the service needs of homeless women: Research Findings
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Emma Williamson, Cameron, Ailsa M., Karen Morgan, and Abrahams, Hilary A.
119. Accessing Meals on Wheels: A qualitative study exploring the experiences of service users and people who refer them to the service.
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Papadaki, Angeliki, Wakeham, Mary, Ali, Becky, Armstrong, Miranda Elaine Glynis, Willis, Paul, and Cameron, Ailsa
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- *
FOOD relief , *RESEARCH methodology , *INTERVIEWING , *EXPERIENCE , *QUALITATIVE research , *HEALTH literacy , *SOUND recordings , *DESCRIPTIVE statistics , *RESEARCH funding , *DATA analysis software , *THEMATIC analysis , *NEEDS assessment , *INFORMATION needs , *PUBLIC opinion , *SOCIAL case work - Abstract
Aims: This study aimed to explore the perceptions of Meals on Wheels (MoWs) service users (SUs), and people who refer them to MoWs ('referrers'), with accessing and commencing the service in England, the barriers that might hinder service uptake, and what information would be valued when considering accessing the service. Methods: Semistructured interviews were conducted in May–July 2022 with seven SUs and 21 referrers, recruited from four MoWs providers across England. Data were analysed using inductive thematic analysis. Results: Participants indicated various pathways into the service, but referrers (family members) were more likely to be the ones enquiring about, and commencing, MoWs for SUs. Once an enquiry about MoWs had been made, the service was perceived as straightforward to set up. However, existing preconceptions and stereotypes were perceived to act as barriers to accessing MoWs. Information that participants deemed important to have available when deciding on whether to access MoWs related to the meals, the specific services provided, the reliability and flexibility of delivery and the cost of services. Conclusion: These findings could inform MoWs service providers' public awareness strategies about MoWs, to facilitate referrals to the service for adults with care and support needs. Patient or Public Contribution: An advisory group of people with lived experience of MoWs (users of the service and their family referrers) extensively discussed the findings of the research and advised on the implications and future dissemination steps. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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120. 'It's just not what I dreamed society should be' : examining autistic adults' narratives of homelessness
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Stone, Beth, Dowling, Sandra, and Cameron, Ailsa
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Autism ,Homelessness ,Narrative inquiry - Abstract
Adults with an autism spectrum condition (ASC) experience a range of socio-economic disadvantages across the life course including; social isolation, low educational attainment, unemployment, and poverty. These outcomes are also risk factors for homelessness. Whilst emerging research in the UK suggests a disproportionate amount of autistic adults experience homelessness, little is known about what predisposes autistic people to homelessness and how best to support them. Additionally, it is likely that many homeless autistic adults are undiagnosed and unable to access suitable support. Therefore, in order to examine the relationship between autism and homelessness, it is first imperative to explore how ASC is defined and diagnostic criteria applied. This thesis presents a multi-causal, social interpretational model of autism which posits that ASC has no singular biological marker and that diagnostic boundaries are historically and socially constructed. From this position, the label of autism still has meaning, as it describes a set of behaviours which sit outside of normative ideals. Using this model as a framework, study recruitment involved identifying adults with a clinical diagnosis of autism, or those who self-identified as autistic, who had experienced homelessness. Ten participants were accessed through homelessness services and consented to take part in the study. Each participant took part in two to three narrative interviews which centred on their life history and experiences of homelessness. Thematic analysis revealed complexity of life experience, with participants reporting abuse in childhood, multiple co-occurring conditions, historic or current substance dependency, or imprisonment. The majority of participants experienced episodic homelessness, sometimes from childhood, which was usually triggered by relationship breakdown coupled with lack of financial and social support. Participants found it difficult to navigate support systems and statutory accommodation provision was insufficient when considering social and sensory needs. In terms of contributors to homelessness, analysis of narratives revealed social rejection across the life course which impeded participants' ability to do well at school, find and maintain employment, access welfare and expand support networks. Participants responded to this exclusion in two distinct ways; by attempting to mask autistic behaviours in order to fit in, or by rejecting social expectations and withdrawing from society. Whilst neither strategy mitigated against homelessness, the majority of participants went on to renegotiate their autistic identities which enabled them to become self-advocates, challenging discriminatory practice and exclusion. This thesis reinterprets study findings using a critical realist framework. Exclusion across the life course is explained through the lens of Critical Disability Studies, wherein disabled persons are rejected for not meeting normative ideals. This thesis goes on to engage with Dis/human Theory, explaining how the labelling of individuals as autistic can be utilised as a position from which to challenge structural inequities. Study findings suggest a need for increased awareness of autism and flexibility of provision in education, employment, welfare, and homelessness services. Whilst some adaptations can be made within existing frameworks, significantly reducing risk of homelessness for autistic adults requires deeper structural changes and the repositioning of accepted forms of personhood and normalcy.
- Published
- 2021
121. Problematising the contemporary migrant health insurance issue : a post-structuralist analysis of the 2013 Migrant Health Insurance Card Scheme policy in Thailand
- Author
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Suntayakorn, Chuthaporn, Lendvai-Bainton, Noemi, and Cameron, Ailsa
- Abstract
Migrant health has increasingly attracted attention in the contemporary global health policy dialogue. The World Health Organisation (WHO) first acknowledged the issue at the 61st World Health Assembly in 2008, encouraging WHO members to ensure the right to health for migrants. The matter is also mentioned in the 2030 Sustainable Development Goals, which argued that a mechanism for achieving these goals is to offer health insurance and health services for all migrants. Thailand is one of many countries where the issue of migrant health is on the national agenda because of the country's reliance on migrant labour. This research aims to understand how the issue of migrant health insurance and services is constituted as a 'problem' in the 2013 Migrant Health Insurance Card Scheme policy and its practices. This policy is targeted at undocumented migrants who face challenges when accessing health services and registering for health insurance. This study uses a poststructural discourse analytic strategy guided by Bacchi's (2009) What's the problem represented to be? approach and Bacchi and Bonham's (2016) Poststructural Interview Analysis approach to explore the 2013 Migrant Health Insurance Care Scheme. It uses policy document analysis and in-depth interviews with policy agents to analyse the discourse in policy problematisation practices. Moreover, it compares the problematisation process in two border provinces (one at the Myanmar border and the other at the Laos PDR border) to reveal the different discourses of health security, neoliberal health and human rights that shape the issue and highlight the effects on health policy stakeholders' practices. These discourses and discourse attributes like Thai bureaucratic culture reveal the power/knowledge relationship in legitimising the different migrant health understandings between institutions and locations. This thesis introduces the use of critical policy analysis to the Thai public health research community, offering an alternative analytical approach for health policy based on discourse sensitivity. It provides opportunities for rethinking the policy problem and establishing an analytical health policy approach based on discourse sensitivity in ways that can mitigate unintended harmful consequences for migrants and improve migrant health services.
- Published
- 2021
122. Book Reviews.
- Author
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Keating, W. Dennis, Tai-lok Lui, Beazley, Mike, Jacobs, Keith, Ya Ping Wang, and Cameron, Ailsa
- Subjects
- HOUSING & the Democratic Ideal (Book), HOUSER (Book), POLITE Politics (Book), INTRODUCTION to Planning Practice (Book)
- Abstract
Reviews books relating to housing. Inclusion of 'Housing and the Democratic Ideal: The Life and Thought of Charles Abrams,' by A. Scott Henderson; 'Houser: The Life and Work of Catherine Bauer,' by H. Peter Oberlander and Eva Newbrun; 'Polite Politics: A Sociological Analysis of an Urban Protest in Hong Kong,' by Denny Ho Kwok-leung; 'Introduction to Planning Practice,' by P. Allmendinger, A. Prior and J. Raemaekers.
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- 2001
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123. Policy making about relationships and sex education in English primary schools
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Wilder, Rachel, Watson, Debbie, and Cameron, Ailsa
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372.37 ,primary school ,England ,relationships and sex education ,critical policy studies ,Macmurray ,Critical Realism ,social realism ,argumentative turn ,decision making ,policy making ,power ,leadership - Abstract
Relationships and sex education (RSE hereafter) is a fiercely political subject, and nowhere is it more contentious than at the primary school where, by some accounts, children's innocence is at risk and which is, by other accounts, an opportune moment for children to acquire important life skills and develop inclusive and informed attitudes about sexuality and relationships. Schools are tasked by the government with developing their own RSE policy, but there is a paucity of knowledge on how they navigate the landscape and what criteria inform their deliberations. I used in-depth interviewing to gather data about RSE policy making from key decision makers - e.g. members of the senior leadership team, teachers, administrators and advisors - at three primary schools, all located in the same English city. Informed by a Critical Realist philosophical approach, my analysis draws on a number of theories to serve my research aims: Macmurray's writing about 'the personal' and 'the functional' and his typology of knowledge in education (1933, 1958, 2012); Social Realist theory about how cognitive norms and values contribute to curricula (Young, 2008; Moore, 2009); Morriss' conceptualisation of power as the capacity to affect outcomes (2008); and Goodnight's framework of argumentative strategies - technical, public or personal (2012). This research is a methodologically innovative approach, relevant for policy as well as scholarly work in the field. This study offers persuasive evidence that in developing their school RSE policy, school decision makers draw significantly upon standards of knowledge, educational values and practices that are defined within the school itself. Decision making sometimes echoes wider public and political discourses - e.g. child protection, educational effectiveness - but local culture and leadership are dominant driving forces. This thesis confirms previous work suggesting that agents are more likely to make appropriate decisions about RSE when they possess epistemic knowledge in the subject, and deepens understanding of structure and agency by demonstrating that agents' capacities to make decisions about RSE are enhanced by collective knowledge of and commitment to the principles of RSE.
- Published
- 2019
124. CHILD ABUSE CONTROVERSY.
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Lucas, Patricia J, Jessiman, Tricia, and Cameron, Ailsa
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CHILD abuse laws ,VITAMIN D deficiency ,DISEASE complications - Abstract
A letter to the editor is presented regarding the case of baby Jarden who was born with congenital rickets due to vitamin D deficit of his mother during pregnancy.
- Published
- 2012
125. The public service ethos : a case study of its meaning in a Strategic Partnership Board
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Parker, Steven and Cameron, Ailsa
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351 - Abstract
Previous decades have seen multi-agency partnerships growing in prominence for policymaking and service delivery. However, when partnership working has been researched in relation to the public service ethos (PSE), studies have tended to investigate collaboration between the public and private sectors and the effect on the PSE. This dissertation contended that discussions about collaboration between the public and private sectors are distinct from other types of partnership working. The study investigated the relationship between the PSE and partnership working in a public setting. The research questions were investigated in a senior partnership board in a city in the UK. A case study approach was used, underpinned by documentary analysis, a board observation and semi-structured interviews. The fieldwork explored the values of staff employed in public services, identified in previous research. Four areas for discussion were identified: the PSE and partnership working; values, the PSE and partnership working; the importance of the PSE and partnership working; and the changing meaning of the PSE and its values. The findings identified three perspectives of the micro, macro and meso PSE. However, in contrast to suggestions that the values of public servants are the most important element of public service, it was found that the language of partnership working was more evident in the case study. The conclusion suggests a number of contributions to understand the PSE and partnership working. Firstly, findings identify the relevance of the PSE in contemporary public services. Secondly, it informs our understanding of the role the PSE plays in multi-agency governance. Thirdly, it identifies the potential use of public service values within the discourse of integration. It also identifies a methodological contribution that it is possible to research the PSE in a public partnership board and use public service values to do so.
- Published
- 2014
126. How do they measure up? Differences in stakeholder perceptions of quality measures used in English community nursing.
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Pollard, Katherine, Horrocks, Sue, Duncan, Lorna, Petsoulas, Christina, Allen, Pauline, Cameron, Ailsa, Cook, Jane, Gibbard, Emma, Harland, Lizanne, Husband, Pete, Loydon, Geoff, McDonald, Ruth, Wye, Lesley, and Salisbury, Chris
- Subjects
- *
ASSOCIATIONS, institutions, etc. , *CLINICAL medicine , *COMMUNITY health nursing , *INFORMATION storage & retrieval systems , *MEDICAL databases , *MEDICAL quality control , *NURSING , *EVALUATION of organizational effectiveness , *RESEARCH funding , *RESPONSIBILITY , *QUALITATIVE research , *KEY performance indicators (Management) , *DATA analysis software , *STAKEHOLDER analysis - Abstract
Objectives: To establish how quality indicators used in English community nursing are selected and applied, and their perceived usefulness to service users, commissioners and service providers. Methods: A qualitative multi-site case study was conducted with five commissioning organizations and their service providers. Participants included commissioners, provider organization managers, nurses and service users. Results: Indicator selection and application often entail complex processes influenced by wider health system and cross-organizational factors. All participants felt that current indicators, while useful for accountability and management purposes, fail to reflect the true quality of community nursing care and may sometimes indirectly compromise care. Conclusions: Valuable resources may be better used for comprehensive system redesign, to ensure that patient, carer and nurse priorities are given equivalence with those of other stakeholders. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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127. The impact of COVID-19 lockdown measures on older residents' social connections and everyday wellbeing within housing schemes that provide care and support in England and Wales.
- Author
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Vickery, Alex, Willis, Paul, Powell, Jillian, Beach, Brian, Cameron, Ailsa, Johnson, Eleanor, and Smith, Randall
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- *
AGE groups , *WELL-being , *ELDER care , *STAY-at-home orders , *OLDER people , *COVID-19 , *AUTONOMY (Psychology) , *REFERENDUM - Abstract
The COVID-19 pandemic and the lockdown measures imposed as a result affected the lives of people in all parts of society across the world. In 2020, during the first UK national lockdown, older adults (aged 70 years and over) were told to 'shield' within their homes, as they were regarded as being at higher risk of serious COVID-19 infection compared to other age groups. This paper explores older adults' experiences of COVID-19 lockdown measures whilst living in housing with care schemes for older people. The purpose is to examine the impact of the lockdown measures on scheme life including social connections amongst residents and their general everyday wellbeing during this time. We present qualitative findings based on interviews with 72 residents who took part in longitudinal and cross-sectional interviews across 26 housing with care schemes. Data were analysed using a thematic framework approach to examine specifically their experiences of living in housing with care schemes during the 2020 UK lockdown. The paper highlights that COVID-19 restrictions had a detrimental impact on the social connections and interactions of older residents living in housing with care schemes, as well as on their feelings of autonomy and independence. Despite this, residents adapted and coped with self-isolation restrictions and sought out positive ways to maintain social contact with others inside and outside to the scheme. We further highlight the tensions that providers of housing for older adults faced in promoting residents' autonomy and connectedness whilst also trying to provide a safe living environment and protect residents from risk of COVID-19 infection. Our findings apply not only to a pandemic situation but to the broader understanding of how housing with care for older adults must navigate between autonomy and support. • COVID-19 lockdowns challenged the independence and autonomy of older residents of housing with care in the UK. • Older adults in housing with care exercised autonomy through employing practices to maintain social connections. • Housing staff bolstered residents' autonomy, facilitated social interactions, and supported residents' wellbeing. • Housing staff faced challenges in maintaining the independent ethos of housing schemes whilst also protecting residents. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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128. From Research to Knowledge Translation: Co-Producing Resources to Raise Awareness of Meals on Wheels in England.
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Papadaki A, Willis P, Armstrong MEG, and Cameron A
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- Humans, England, Qualitative Research, Meals, Adult, Female, Health Knowledge, Attitudes, Practice, Translational Research, Biomedical
- Abstract
Background: Meals on Wheels (MoWs) could help adults with care and support needs continue living independently. However, many people are not aware that the service still exists in England, or that it could provide benefits beyond nutrition., Objective: Working with an existing advisory group of six people with lived experience of MoWs (an adult who uses MoWs and people who have referred a family member to MoWs), this work aimed to co-produce knowledge translation resources (two infographics and a film) to raise awareness of MoWs and their benefits., Methods: Four participatory online workshops were held in May-July 2023, to establish perceived high-priority themes from recent qualitative research that should be included in the resources, and preferences about message content, language, design, and how the resources should be disseminated., Findings: The most important perceived MoWs benefits that the group agreed should be included in the resources were: the importance of a nutritious meal that requires no preparation; the service's reliability/consistency; the importance of interactions in reducing social isolation, and; the ease to commence the service. The group highlighted the need for language to be nontechnical and invitational, and for images to relate to respective messages, and be inclusive of anyone who could benefit from MoWs. Several routes for dissemination were proposed, highlighting the need to disseminate to the NHS, social care organisations and community groups., Conclusion: These co-produced resources could enhance adult social care delivery in England, as raising awareness of MoWs and their benefits could increase referral rates, so that more adults with care and support needs can benefit from the service., Patient or Public Contribution: An advisory group of people with lived experience of MoWs (users of the service and family referrers) participated in the workshops, extensively discussed the findings of earlier research, co-produced the knowledge translation resources, and advised on the implications and future dissemination steps. The group also provided informal feedback on a draft of this manuscript., (© 2024 The Author(s). Health Expectations published by John Wiley & Sons Ltd.)
- Published
- 2024
- Full Text
- View/download PDF
129. Identification and prioritisation of items for a draft participant-reported questionnaire to measure use of social care, informal care, aids and adaptations.
- Author
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Garfield KM, Thornton GA, Husbands S, Cameron A, Hollingworth W, Noble SM, Roy P, and Thorn JC
- Abstract
Background: Resource-use measurement is integral for assessing cost-effectiveness within trial-based economic evaluations. Methods for gathering resource-use data from participants are not well developed, with questionnaires typically produced for each trial and rarely validated. The healthcare module of a generic, modular resource-use measure, designed for collecting self-report resource-utilisation data, has recently been developed in the UK. The objective of this research is to identify and prioritise items for new, bolt-on modules, covering informal care, social care and personal expenses incurred due to health and care needs., Methods: Identification and prioritisation, conducted between April and December 2021, involved a rapid review of questionnaires included in the Database of Instruments for Resource Use Measurement and economic evaluations published from 2011 to 2021 to identify candidate items, an online survey of UK-based social care professionals to identify omitted social care items and focus groups with UK-based health economists and UK-based people who access social care services either for themselves or as carers to prioritise items., Results: The review identified 203 items. Over half of the 24 survey respondents reported no missing items. Five academic health economists and four people who access social care services participated in focus groups. Feedback shaped the social and informal care modules and indicated that no specific personal expenses were essential to collect in all trials. Aids/adaptations were highlighted as costly personal expenses when relevant; therefore, the personal expenses module was narrowed to aids/adaptations only., Conclusion: Draft informal care, social care and aids/adaptations modules were developed, ready for further testing., (© 2024. The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
130. Learning from elsewhere: Integrated care development in Singapore.
- Author
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Ow Yong LM and Cameron A
- Subjects
- Healthcare Financing, Humans, Patient Satisfaction, Policy Making, Qualitative Research, Singapore, Delivery of Health Care, Integrated organization & administration, Health Policy, Quality of Health Care statistics & numerical data
- Abstract
The Singapore healthcare sector faces a myriad of challenges, including a rapidly ageing population, an increasing burden of chronic disease, and the rising cost of healthcare. The Ministry of Health has called for a restructuring and transformation of the current model of care to one that is more accessible, affordable and of higher quality, by the year 2020. In achieving quality health care, care integration through the Regional Health Systems (RHS) is seen as one approach to improving health and social outcomes, increasing healthcare utilisation and increasing satisfaction with healthcare providers. We conducted a qualitative study involving 31 elites from five policy agent clusters, and analysed organisational documents, to explore how the concepts of policy transfer and policy translation, explain the ways in which integrated care was introduced and developed in Singapore, with a focus on the SingHealth (SGH Campus) Regional Health System (RHS). The findings demonstrate that the development of integrated care is mediated by multi-scalar and multi-site networks and contextual features. The multiple and pluralistic interpretations of 'integrated care' and 'policy' are contested spaces or domains requiring further negotiation and debate. Institutional issues in the SingHealth (SGH Campus) RHS, and in the private and ILTC sectors highlight the need to consider spatial and temporal factors, and the multiplexities in the embedding of integrated care policy., (Copyright © 2018 Elsevier B.V. All rights reserved.)
- Published
- 2019
- Full Text
- View/download PDF
131. Healthy Start in England: messages for health professionals.
- Author
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Lucas PJ, Jessiman T, Cameron A, and Wiggins M
- Subjects
- Adolescent, Adult, Child, Child, Preschool, England, Female, Food Supply, Health Services Accessibility, Humans, Infant, Infant, Newborn, Male, Poverty Areas, Pregnancy, Social Welfare, Diet economics, Health Promotion organization & administration, Vitamins administration & dosage, Vitamins economics
- Published
- 2013
132. Don't ignore preventive message of baby Jayden's case.
- Author
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Lucas PJ, Jessiman T, and Cameron A
- Subjects
- Humans, Male, Child Abuse legislation & jurisprudence, Child Advocacy legislation & jurisprudence, Hematoma, Subdural etiology, Parents, Rickets complications, Rickets diagnosis, Skull Fractures complications
- Published
- 2012
- Full Text
- View/download PDF
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