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Article
Publication date: 7 December 2020

Michael Lyne and Jonathan Parker

This paper aims to examine advance decisions to refuse treatment (ADRTs) in the context of the COVID-19 (Coronavirus 2019) pandemic. This study considers the development of ADRTs

Abstract

Purpose

This paper aims to examine advance decisions to refuse treatment (ADRTs) in the context of the COVID-19 (Coronavirus 2019) pandemic. This study considers the development of ADRTs, the lack of take up and confusion among the general public, clinicians and health and social care staff.

Design/methodology/approach

The paper is a conceptual piece that reflects on ADRTs in the particular context of COVID-19. It considers professional concerns and pronouncements on ADRTs.

Findings

ADRTs have a low take up currently. There is misunderstanding among public and professionals. There is a need for raising awareness, developing practice and a need to allay fears of misuse and abuse of ADRTs in clinical, health and social care settings.

Practical implications

The authors make recommendations that reflexive training and awareness become the norm in health and social care, that reform of ADRTs is undertaken to prevent misunderstandings and that the person becomes central in all decision-making processes.

Originality/value

This paper is original in considering ADRTs as a safeguarding issue from two perspectives: that of the person making the ADRT and being confident in respect for the decisions made; and that of clinicians and other professionals being reflexively aware of the need to accept advance decisions and not acting according to unconscious biases in times of crisis.

Details

The Journal of Adult Protection, vol. 22 no. 6
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 10 October 2016

Jeremy C. Gibson, Bill Nicol, Ed Ronayne and Michelle Grant

First, the authors summarise arrangements expected from general practice (GP) surgeries, to optimize their safeguarding adults role. Second, using case-based discussions, the…

Abstract

Purpose

First, the authors summarise arrangements expected from general practice (GP) surgeries, to optimize their safeguarding adults role. Second, using case-based discussions, the authors present specific safeguarding pathways (through which the authors have produced a downloadable interactive app) that the authors have developed to help Derbyshire GPs respond appropriately to safeguarding adults concerns. Third, the authors present the Derbyshire clinical commissioning Groups’ (CCG) approach to seeking assurance from their GPs that they have effective safeguarding adults arrangements in place. The paper aims to discuss these issues.

Design/methodology/approach

The authors have based the paper on relevant current UK legislation and national guidance, the local approach to seeking assurance from GP surgeries; the authors adjusted the pathways on the basis of feedback received from eight out of 103 (7.76 per cent response rate) Derbyshire GP safeguarding leads who responded to an e-mail containing draft pathways.

Findings

Primary care staff are ideally placed to identify safeguarding adults issues and to act to protect those who are at risk of abuse or neglect.

Originality/value

The authors are unaware of any other paper that does all of the following: summarises policies GP surgeries should implement regarding safeguarding adults; details core competencies required of GPs regarding safeguarding adults; presents how CCGs can seek assurance from GP surgeries regarding safeguarding adults; and presents straightforward pathways for specific safeguarding adults scenarios. In one paper, now published in the British Journal of General Practice, the authors presented a generic safeguarding adults pathway.

Details

The Journal of Adult Protection, vol. 18 no. 5
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 2 November 2015

Kevin Z Chen, Pramod K Joshi, Enjiang Cheng and Pratap S Birthal

The purpose of this paper is to synthesize lessons from the agricultural value chain models and their associated financing mechanisms in China and India as to provide policy…

4153

Abstract

Purpose

The purpose of this paper is to synthesize lessons from the agricultural value chain models and their associated financing mechanisms in China and India as to provide policy recommendations on how best to facilitate development of efficient and inclusive value chains.

Design/methodology/approach

The paper builds on a review of the existing literature on agricultural value chains and their financing mechanisms, and draws lessons from it for strengthening interface between product and financial markets in order to enable smallholders capture benefits of the value addition.

Findings

From the comparative review of value chain financing mechanisms and current policy contexts the authors find dominance of internal financing of value chains (in terms of provision of inputs, technology and services) in both the countries. Value chain finance from commercial banks and other financial institutions is limited and mainly through tripartite agreements among the financing institutions, lead firms and farmers.

Practical implications

The lessons drawn from various value chain models and their financing mechanisms provide feedback to financial institutions and policymakers to take measures to strengthen value chain finance in smallholder agriculture.

Originality/value

The paper undertakes a rigorous review of the existing value chain models and their financing mechanisms in light of the most recent research on emerging innovations and development strategies, in order to glean key lessons for policy recommendations on strengthening linkages between financial and product markets.

Details

China Agricultural Economic Review, vol. 7 no. 4
Type: Research Article
ISSN: 1756-137X

Keywords

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