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The purpose of this paper is to explore physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors underlying effective care and to identify areas in which patient experience could be improved.

Totally, 12 MDTs within the North Thames area participated; the authors recruited 13 patients from physical health MDTs and seven patients from mental health MDTs. The authors conducted semi-structured interviews with each participant and thematically analysed the transcripts.

The study found a marked contrast in patient experience: physical health patients emphasised their faith in the judgement of MDT clinicians, described experiencing high quality care and expressed a strong preference not to attend MDT meetings; mental health patients highlighted a range of negative experiences, were frequently sceptical about their diagnosis, and expressed a desire to have greater involvement in the decisions directing their care.

It was necessary to revise the initial target of interviewing six patients per MDT due to recruitment difficulties.

In order to improve care, mental health MDTs should focus on promoting a shared understanding of illness by increasing the transparency of the diagnostic process. Key factors underlying effective MDT care in physical health services include enabling patients to determine their level of involvement in decision making and ensuring patients have a clear understanding of their care plan.

The paper highlights the importance of mental health MDTs focusing on developing a shared understanding of illness with their patients.

Managing differences is a difficult undertaking, especially considering the difficulties arising from the unconscious functions of our brains. Organisations should strive to counteract the potentially harmful effects of unconscious bias by implementing policies that support bias-aware management and decision-making. Although it is obvious that bias cannot be completely eliminated, there is enough data, as discussed in this work, to demonstrate that unconscious bias and stereotypes can be addressed and decreased with mindfulness-based interventions (MBIs) to some extent. Mindfulness involves the process of bringing non-judgemental awareness to experience by striving for full attention in the present moment. In this context, including mindfulness practises into training programmes for equality, diversity, and inclusion may serve as an accelerator for recognising hidden biases, reducing stereotypes, eliminating discrimination, and encouraging cognitive changes. This chapter explains the ways in which MBIs can be used to promote cognitive changes and comprehend the automatic and unconscious nature of emotions and thoughts in order to remove barriers between all differences in the workplace.

The black and ethnic minority (BME) elderly population in England and Wales is increasing. As dementia is an age‐related disorder and the prevalence of depression in old age is high, the absolute number of cases of dementia and depression will increase among BME elders. This has implications for the development and delivery of old age psychiatry services (OAPSs) for BME elders. Demographic data pertaining to the elderly from BME groups in the 2001 population census were analysed in detail to evaluate the implications for development and delivery of OAPSs for BME elders. The demographic changes identified have important future implications for the development and delivery of OAPSs for BME elders. Unless they are addressed systematically, BME elders will continue to harbour untreated, hidden psychiatric morbidity. Strategies to ensure that this vulnerable group of elderly are identified and provided with accessible, acceptable and culturally sensitive OAPSs should be developed.

This study offers a lens for exploring women leaders’ production of resistance through postfeminist discourses. Through the case study of Bozoma Saint John, a high-profile Black C-Suite executive, this study examines micro-acts of subversion and considers the extent they can promote feminist thinking in the corporate world and the implications for feminist theorising about women in leadership.

Interviews with Saint John were collected from YouTube and examined using feminist critical discourse analysis informed by intersectionality, feminist poststructuralism and Foucault’s notion of “reverse discourse”.

Saint John reproduces elements of the postfeminist confidence discourse to defy stereotypes of Black women, while simultaneously reversing the individualistic conception of confidence in favour of corporate and collective action. This has the potential to facilitate positive change, albeit within the boundaries of the confidence culture.

Combining reverse discourse, intersectionality and feminist poststructuralism with a micro-level analysis of women leaders’ language use can help to capture the ways postfeminist concepts are given new subversive meanings.

Whereas existing studies have focused on how elite women’s promotion of confidence sustains the status quo, this study shifts the research gaze to the resistance realised through rearticulations of confidence, illustrating how women-in-leadership research can advance feminist theorising without vilifying senior women even as they participate in postfeminist logics of success.

THE scientist and philosopher will tell us that the mind of man cannot in a lifetime fully grasp and understand any one subject. Consequently it is unreasonable to expect that the librarian—who, in spite of popular belief, is but man—can have a complete understanding of every department of knowledge relative to his work. He must, in common with his fellows in other callings, content himself with a more or less general professional knowledge, and may specialize, if he be so disposed, in certain branches of that knowledge. The more restricted this particular knowledge is, the greater will be its value from a specialistic point of view.

This paper seeks to describe a “bubble strategy” to public sector change, based on the principles that a change initiative must be defensible and supportive of an alternative, entrepreneurial culture.

The research is developed through an action research case in Salford City Council, through which theory from technology innovation, change management and other sources is explored.

The paper finds that the managers developed a dynamic process wherein their ability to defend the new change initiative was primary. This required “under‐the‐radar” tactics that allowed different elements of the change initiative to grow before they were assessed or adopted by the wider organisation.

The paper speculates on the ways in which the characteristics of the “bubble” could be adopted elsewhere. However, as an action research case, restrictions on the generalisability of the evidence are noted.

The “bubble” strategy is set out in its constituent parts and is thereby available for adoption elsewhere.

The strategy employed in the case is not documented elsewhere. The paper utilizes technology innovation theory and related literature like “skunk works”, outside their intended private sector context.

When it comes to capital spending, British industry's habit of departmentalising budgets is reflected in piecemeal acquisition of materials handling equipment, says John Williams of the Materials Handling Centre. Yet an efficient handling system is as beneficial to warehousing and distribution as it is to production.

Investigates the differences in protocols between arbitral tribunals and courts, with particular emphasis on US, Greek and English law. Gives examples of each country and its way of using the law in specific circumstances, and shows the variations therein. Sums up that arbitration is much the better way to gok as it avoids delays and expenses, plus the vexation/frustration of normal litigation. Concludes that the US and Greek constitutions and common law tradition in England appear to allow involved parties to choose their own judge, who can thus be an arbitrator. Discusses e‐commerce and speculates on this for the future.