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The question has been recently raised as to how far the operation of the Sale of Food and Drugs Acts of 1875, 1879, and 1899, and the Margarine Act, 1887, is affected by the Act 29 Charles II., cap. 7, “for the better observation of the Lord's Day, commonly called Sunday.” At first sight it would seem a palpable absurdity to suppose that a man could escape the penalties of one offence because he has committed another breach of the law at the same time, and in this respect law and common‐sense are, broadly speaking, in agreement; yet there are one or two cases in which at least some show of argument can be brought forward in favour of the opposite contention.

The NHS review has implications for the funding of teaching hospitals and the relationship between them and the medical schools. The ring‐fencing of the Service Increment for Teaching and Research (SIFTR) and the need to develop contractual relationships for the provision of service facilities for teaching and research means that more information is needed on the nature and distribution of the service costs of these activities. The article describes research which informed the process of allocating SIFTR in a large teaching district. A methodology for developing rational SIFTR contracts is described and the implications for the future of medical education and research discussed. The local distribution of SIFTR must be well managed if teaching and research are not to suffer as a result of the financial pressures generated by the NHS review.

The purpose of this paper is to elaborate on the commonality between the Theory of Didactical Situations (TDS) and lesson study to propose a model of lesson study using both the predominant graphical representation of lesson study by Lewis and the model of the didactical situation at the heart of TDS by Brousseau.

Starting by describing and adapting the predominant graphical representation of lesson study by Lewis and the model of the didactical situation at the heart of TDS by Brousseau, the paper integrates the two representations to highlight the commonalities between the students’ learning situation and the teachers’. Based on this integrated graphical representation, the key phases of lesson study are then conceptualised by the mean of the dialectic between didactical and adidactical situation.

The reflection about the use of the TDS graphical representation embedded in the lesson study diagram helps the reflection on the use of TDS itself to analyse lesson study. This theoretical analysis describes the process of teacher learning in lesson study and the link between their learning and the student’s. It also shows that lesson study is a good candidate for the fundamental situation of the knowledge for teaching.

The graphical conceptualisation of lesson study as a learning situation for teachers offers new insight about how teachers learn in lesson study.

The purpose of this paper is to study the changing relationship between auditing and evaluation. Over the past several years, supreme auditing institutions (SAIs) in a number of advanced democracies have evolved from conventional auditing institutions to becoming increasingly concerned with assisting policy change and administrative reform in the public sector; tasks that are traditionally associated with evaluation. The paper discusses the potential consequences of this development for the SAIs themselves as well as for the audited and reforming institutions and for policy-making.

The paper uses qualitative method and draws on the extensive literature on auditing and evaluation. The analysis has also benefitted from the authors’ recent comparative research on SAIs.

The findings, summarized in six points, are that the growth of auditing in areas previously assigned to evaluators, has led to a shortened time perspective; stronger emphasis on the administration of policies; increased focus on efficiency of the audited entity; greater independence from the evaluated organizations; a shift in receiver of information toward the legislature and/or the public; and improved communication.

Evaluation as a professional and scholarly field has developed theories and advanced methods to assess the effectiveness of public programs. The growth of auditing may thus change the focus and quality of policy evaluation.

The paper speaks to both scholars and practitioners. To the best of the knowledge a similar analysis has not been done before.

This paper aims to argue that the implementation of the Choose and Book system has failed due to the inability of project sponsors to appreciate the complex and far‐reaching softer implications of the implementation, especially in a complex organisation such as the NHS, which has multifarious stakeholders.

The authors use practice‐oriented research to try and isolate key parameters. These parameters are compared with existing conventional thinking in a number of focused areas.

Like many previous NHS initiatives, the focus of this system is in its obvious link to patients. However we find that although this project has cultural, social and organisational implications, programme managers and champions of the Connecting for Health programme emphasised the technical domains to IS/IT adoption.

This paper has been written in advance of a fully implemented Choose and Book system.

The paper requests that more attention be paid to the softer side of IS/IT delivery, implementation, introduction and adoption.

The paper shows that patient experience within the UK healthcare sector is still well below what is desired.

Formalised support services for prisoners that rely on peer methods of delivery show promising health and social outcomes but there is also conjecture that negative effects, both at an individual and organisational level, can occur. The paper aims to discuss these issues.

Individuals with recognised professional expertise from various sectors (including ex-prisoners) were invited to contribute to an expert symposium to share their perceptions of the positive and negative effects of peer interventions in prison. Discussions and debate were audio recorded with the consent of all delegates and verbatim transcripts were analysed using framework analysis.

According to the participants, peer interventions in the prison setting created both positive and negative impacts. It was clear from the evidence gathered that peer interventions in prisons can impact positively on health outcomes, but these effects were perceived to be more well-defined for peer deliverers. The notion that peer deliverers can be subjected to “burnout” suggests that supervisory processes for peer workers need to be considered carefully in order to avoid the intervention from being counter-productive. Organisationally, one of the salient issues was the adverse effects that peer interventions cause to the security of the prison.

To the authors’ knowledge, this is the first time an expert symposium has been conducted to specifically examine peer interventions in prison and to consider the effects, both positive and negative, of such schemes.

Purpose – Studies suggest that children's experiences during first grade help establish educational trajectories that eventually shape their life chances. Research also indicates that student attentiveness in the classroom is integral to learning and later academic achievement, with low-income students of color running a greater risk of “attentional difficulties.”

Methodology – Joining these two bodies of work, I map the social conditions that shape attentiveness in the first-grade classrooms of “at-risk” students. Using ethnographic data collected over three school years, I examine how children actively construct attentiveness during their everyday interactions at school.

Findings – First graders sustain attention but often onto their own auto-involvements and mutual engagements, focal concerns teachers consider “distractions.” By learning the moment-by-moment variations of what to pay attention to and how “attentiveness” looks, children navigate the social ropes of schooling. Young students apply these lessons to self and peers, regulating attentiveness and socializing one another to the norms of their classroom. They are also resourceful actors who skillfully use their understandings of attentiveness to maneuver around the strict order of the day. Schoolchildren multitask, conceal other focal concerns, and give the impression of attentiveness, all of which influence what behaviors get detected as “(in)attentive.”

The purpose of this paper is to solicit perspectives from stakeholders concerning health, environmental and operational challenges among Commercial motor vehicle (CMV) drivers in Canada (truck and bus drivers).

Two focus groups and one interview were conducted with key industry, government and advocacy groups representing or working with CMV drivers. Perspectives pertaining to working conditions, health issues, driver recruitment and retention, and other key issues in the CMV sector were obtained.

The findings show that undesirable working conditions are primary issues that impact recruitment and retention, as well as health and wellness (H&W), and productivity of drivers in both the truck and bus sectors. Compared to our US counterparts, finding parking areas and rest stops were seen as a major issue for Canadian truckers (particularly in the north). Unfortunately, there is limited or out-dated information on drivers and companies in Canada. Stakeholders stated the need for more information from both carriers/companies and from drivers themselves (particularly long-haul drivers).

This study identifies gaps and key priority research areas pertaining to the H&W of the CMV sector in Canada that require further investigation.

CMV drivers are considered a vulnerable sector of the population. While drivers themselves have reported on undesirable work conditions leading to poor health, prior studies have not assessed the awareness or perspective of stakeholders involved in the CMV sector. This is the first study to capture stakeholder perspectives of the working conditions and health outcomes of CMV drivers.

The purpose of this paper is to explore perceptions of family-to-family (F2F) information centres by health care providers serving Hispanic and African American families of children with special healthcare needs (CSHCN) and how that information can be used to enhance effective collaboration to address disparities in access to services.

In this second phase of a formative, qualitative multi-phase, collaborative study by a university centre and three F2Fs to develop strategies to increase the use of their centres by Hispanic and African American populations, the authors report the results of key informant interviews with healthcare providers serving the African American and Hispanic families who participated in focus groups at the three centres.

Healthcare providers reported that F2Fs play a unique role in providing families support and skills to advocate within systems. However, barriers to healthcare providers recommending F2Fs to families include a lack of knowledge about the specific services provided, the need for face-to-face contact to feel comfortable making a referral and a lack of a formalised referral and feedback process that is in line with their experiences in the medical services system.

F2Fs can increase use of their centres by African American and Hispanic families through provider referrals by: promoting specific services and supports they offer families, rather than describing their programmes; promoting how they can help providers with the care coordination functions that are time consuming; offering providers training opportunities; and developing processes for referrals that include feedback to providers.

There are no studies that currently address strengthening the collaboration between medical homes and F2F centres to improve care coordination, access to information and receiving needed services for Hispanic and African American CSHCN and their families. Understanding how healthcare providers serving Hispanic and African American CSHCN perceive F2Fs and currently work with them will enhance this collaboration.

The purpose of this paper is to understand the use of Facebook by Israeli party leaders during an election period by examining four elements: the type of Aristotelian language of persuasion; the level of online engagement measured by three different types of feedback: likes, comments and shares; the use of personalization elements as engagement strategies; and the vividness features used in the post (text, photographs and video).

All of the posts from the Facebook pages of ten Israeli party leaders were collected for 45 days prior to the 2015 general elections. The number of posts, likes, comments and shares in each post were captured and the data were analyzed looking for elements of Aristotelian persuasion and of online engagement with the users.

The dominance of pathos was a salient element in the data demonstrating the politicians’ need to create an affective alliance with the public and it was the element that resulted in a higher number of likes, shares and comments. Only a few relationships were found and these do not point to a clear relationship between multimedia use and social media engagement. The interactive, open and free nature of social networking sites contributes to their development as a new type of political podia that allow politicians to produce a different kind of political communication. Instead of using these sites as platforms to disseminate their ideas, plans and strategies, politicians focus their interactions with the audience on the creation and maintenance of affective alliances.

The study contributes to the existing literature on the subject by examining four characteristics of the politicians’ personal profiles on social networks simultaneously while most of the past studies have focused on only one or two of these characteristics.