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Neoliberal reform of the university sector has resulted in increasing numbers of academics employed on casual or fixed-term contracts. While there is an emergent body of literature on issues of precarity in the academy, relatively little attention has been paid to the roles and responsibilities of those tenured academics who employ and "manage" non-tenured researchers. The work involved in hiring and managing a contract researcher is rarely acknowledged or supported, and managers receive little to no training. In this paper, we draw on Dorothy Smith's feminist sociological approach to analyse interviews with 22 non-tenured researchers to examine how managerial relationships shape the employment experiences of those working precariously. We argue that tenured academics have ethical responsibilities to provide a working environment that is fair, supports the ongoing development and wellbeing of non-tenured staff, and challenges dominant discourses of precarious academics as 'other'.

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Objectives: The objectives are to determine the factors that motivated GP practice managers in England to employ non-medical roles, and to identify an ideal hypothetical GP practice workforce. Methods: Cross-sectional survey of GP practice managers in England (n = 1205). The survey focused on six non-medical roles: advanced nurse practitioner, specialist nurse, health care assistant, physician associate, paramedic and pharmacist. Results: The three most commonly selected motivating factors were: (i) to achieve a better match between what patients need and what the practitioner team can deliver; (ii) to increase overall appointment availability and (iii) to release GP time. Employment of pharmacists and physician associates was most commonly supported by additional funding. Practice managers preferred accessing new non-medical roles through a primary care network or similar, while there was a clear preference for direct employment of additional GPs, advanced nurse practitioners or practice nurses. The ideal practice workforce would comprise over 70% of GPs and nurses, containing, on average, fewer GPs than the current GP practice workforce. Conclusion: This study confirms that more diverse teams of practitioners are playing an increasing role in providing primary care in England. Managers prefer not to employ all new roles directly within the practice. A more detailed investigation of future workforce requirements is necessary to ensure that health policy supports the funding (whether practice or population based), recruitment, training, deployment and workloads associated with the mix of roles needed in an effective primary care workforce. [ABSTRACT FROM AUTHOR]

To make the increasing amounts of data about the performance of public sector organisations digestible by decision makers, composite indicators are commonly constructed, from which a natural step is rankings and league tables. However, how much credence should be given to the results of such approaches? Studying English NHS maternity services (N = 130 hospital trusts), we assembled and used a set of 38 indicators grouped into four baskets of aspects of service delivery. In the absence of opinion on how the indicators should be aggregated, we focus on the uncertainty this brings to the composite results. We use a large two-stage Monte Carlo simulation to generate possible aggregation weights and examine the discrimination in the composite results. We find that positive and negative "outliers" can be identified robustly, of particular value to decision makers for investigation for learning or intervention, however results in between should be treated with great caution. [ABSTRACT FROM AUTHOR]

This paper develops the argument that post-COVID-19 recovery strategies need to focus on building back fairer cities and communities, and that this requires a strong embedding of ' age-friendly ' principles to support marginalised groups of older people, especially those living in deprived urban neighbourhoods, trapped in poor quality housing. It shows that older people living in such areas are likely to experience a 'double lockdown' as a result of restrictions imposed by social distancing combined with the intensification of social and spatial inequalities. This argument is presented as follows: first, the paper examines the disproportionate impact of COVID-19 on older people , highlighting how the pandemic is both creating new and reinforcing existing inequalities in ageing along the lines of gender, class, ethnicity, race, ability and sexuality. Second, the paper explores the role of spatial inequalities in the context of COVID-19, highlighting how the pandemic is having a disproportionate impact on deprived urban areas already affected by cuts to public services, the loss of social infrastructure and pressures on the voluntary sector. Finally, the paper examines how interrelated social inequalities at both the individual and spatial level are affecting the lives of older people living in deprived urban neighbourhoods during the pandemic. The paper concludes by developing six principles for 'age-friendly' community recovery planning aimed at maintaining and improving the quality of life and wellbeing of older residents in the post-pandemic city., Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© Urban Studies Journal Limited 2021.)