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Despite the new ‘needs driven’ criteria for public funded admission to nursing homes, there remains concern that older people are entering such care inappropriately. However, neither previous research or policy makers have sub‐divided such inappropriate entries into their constituent groups: those who are inappropriate because they are too independent and those who are inappropriate because they are too dependent. The aims of this study were to determine the extent of inappropriate nursing home admission amongst older people in nursing homes in six areas of England and Wales between 1995‐96. This was done through a retrospective case‐note review using a structured data‐collection pro forma. Although the study found no evidence of extensive inappropriate placement, extrapolation of these data suggests that 6,750 of those admitted to nursing care could have coped in a more independent environment. The inappropriately admitted group were more likely to have lived alone, be female, elderly and not to have seen a geriatrician. It is concluded that the most effective way to prevent such admissions would be to ensure the involvement of specialist geriatricians in the multidisciplinary team involved in admission decisions.

This article reports on the fourth in a series of annual Pavilion conferences, charting the gritty texture of real‐time organisational development set against the formal policy agenda. Those engaged in PCT development will find the messages instructive and reassuring.

Corporate governance; General management; Strategy

Post Graduate/MBA

Tata Group is a conglomerate having 29 listed companies with consolidated revenues of $103bn in FY2016. On October 24, 2016, Cyrus Mistry, chairman of the group has been replaced in an unceremonious way from this job, in a boardroom coup, without being given any opportunity to explain his case. This news arrived in the media between October 2016 and December 2016 and wide and public debates took place on the corporate governance practices of Tata Group. Mistry’s ouster was attributed to non-performance, unethical practices and non-compliance to Tata culture. This case presents the Tata Group performance before Mistry, at the ouster of Mistry, the major trouble points and the corporate governance activities that took place in this saga at Tata Group. The real losers in this battle were the investors who lost $12bn between October 2016 and December 2016. Many of Tata Group companies’ stocks plunged.

The students will learn corporate governance, know how a non-listed company control and govern listed entities, know the way performance of a chairman of a company has been evaluated and learn how ethical and cultural issues impact the performance of chairman of a listed company.

Teaching Notes are available for educators only. Please contact your library to gain login details or email support@emeraldinsight.com to request teaching notes.

CSS: 11: Strategy

The assessment of risk of recidivism in sexual offenders is fundamental to clinical practice. It is widely accepted that, compared with actuarial measures of risk, unaided clinical judgment has generally been found to be of low reliability. Consequently, the literature has shown a surge in actuarial measures. However, a major difficulty in assessing risk in sex offenders is the low base rate, leading to an increased likelihood of making a false positive predictive error. To overcome this, risk assessment studies are increasingly using the receiver operating characteristic (ROC), which displays the relationship between level of risk and decision choice. This note summarises the methodological issues in measuring predictive accuracy in assessing risk of re‐offending in sexual offenders, and identifies from the literature both static and dynamic risk factors associated with sexual offence recidivism.

The Court of Arbitration for Sport (CAS), created by the International Olympic Committee (IOC) in 1983, resolves disputes between athletes and national or international sports governing bodies. The purpose of this paper is to critically examine the history and functions of CAS, with a particular focus on the ways in which athletes’ rights are threatened by the IOC’s Code of Sports-Related Arbitration.

The author reviews relevant law literature and media sources.

The concept of lex sportiva (global sport law), general arbitration practices and controversies concerning CAS’s impartiality are investigated, and the “strict liability” principle that CAS applies to doping allegations is assessed. This analysis points to a long record of inconsistencies and contradictions in the history and function of CAS. The findings lead to questions of arbitration or litigation; confidential or public proceedings; specialist or generalist arbitrators; lex sportiva or international legal principles; precedential or non-precedential awards; and civil or criminal burden of proof.

These unresolved issues demonstrate how the IOC struggles to maintain supremacy over world sport by promoting sport exceptionalism, and provide possible grounds for athletes’ future challenges to CAS.

There has not been much movement in the British library field since we wrote last in these pages. Such reports as come to hand indicate increased work, and even more difficult conditions, in the various libraries of the kingdom; and there are indications of an anxiety, very natural, as we think, as to the results of the new National Service Act upon the future. So far the Government has dealt not unwisely with local government staffs, and as many librarians are engaged in war‐work in addition to their ordinary duties, they will receive consideration no doubt. The removal of all eligible municipal staffs under the age of 51 would be a weakening of many war efforts which the central Government has devolved upon local authorities; and in these efforts librarians have in general taken a more than generous share.

The recent epidemic of food poisoning at Nelson, Lancashire, is an event which is unfortunately not unknown in this country, especially in summer time. It has been said that at least two hundred people have been affected more or less seriously, and that there have been four deaths from acute gastro enteritis. Cases of suspected food poisoning are now in many places compulsorily notifiable to the local authority by medical practitioners to whose notice such cases may have been brought in the course of their practice. As far as we know such notification was not made compulsory before the year 1924, when Wakefield obtained powers under a Corporation Act to do so. A large number of places since that time have followed the lead of Wakefield. Thus among watering places, Cleethorpes, Bridlington, Brighton and Bournemouth; among manufacturing centres, Sheffield, Stoke‐on‐Trent, Bradford, Blackburn, Oldbury, Smethwick, Cardiff and Rochdale have powers of compulsory notification.—Cheap, rapid, and frequent means of road and rail transport has in these days resulted in an enormously increased influx of holiday makers from the manufacturing centres into seaside towns during the summer. Here, then, is a floating population amounting to several thousands. They are at a place that has been freely and emphatically advertised as a health resort. The have come for a “change” in every sense of the word. It is high summer. The weather is hot. The holiday spirit in the air. A very natural result is for people to eat more fruit, ice cream, and fancy dishes than they would ordinarily do. Assume through some mischance there are one or two cases of food poisoning. These are now automatically reported to the local authority, which at once institutes investigations, tries to trace the evil to its source, and check it from spreading. A serious outbreak is a damning catastrophe for the place, and may adversely affect its future for years to come. In manufacturing centres the need for action on the part of the local authority is still more urgent. The danger is perennial. It may easily reach the dimensions of an epidemic in a poor and crowded district. The people are there from necessity not from choice, and there they would have to stay even if the place were swept by cholera. In the County of London notification is compulsory under the London County Council (General Powers) Act, 1932, Pt. II., s.7, which says : “ Every registered medical practitioner, if he suspects that a person is suffering from food poisoning shall notify the Medical Officer of Health for the district.” This section it is pointed out, was drawn up on the lines of the Sheffield Corporation Act, 1928, s.190, one of the main Corporation Acts that insist on notification. There seems indeed to be a growing belief that compulsory notification of food poisoning is desirable in the interests of public health. Processed foods are particularly liable to become sources of infection. Thus the Act just quoted, Pt. II. s.5, states that premises used for the sale or manufacture of ice cream; or for the preparation or manufacture of sausages or potted, pressed, pickled, or preserved meat, fish or other food must be registered with the Sanitary Authority of the district. Under the same section registration may be refused or registration may be cancelled. Many towns have similar regulations. This section of the London County Act is founded on the Exeter Corporation Act, 1928, s.111. The fact that the London County Council have adopted these two regulations that had already been “ tried out ” in two important cities of such widely different interests as Sheffield and Exeter is a good illustration of how closely associated all municipal bodies are in matters connected with public health. Medical Officers of Health and Public Analysts are officers of the Ministry of Health, and the Ministry itself is a clearing house for general information, investigation, and the co‐ordination of statistics. The sanitary authority of, and the medical practitioners in, any given district discharge not only admittedly most important but, as it seems to us, complementary duties. Each has knowledge not possessed by the other. Diagnosis in cases of suspected food poisoning is by no means easy. Time is not on the doctor's side so that the sooner the sanitary authority is notified the better are the chances of being able to trace the trouble to its source and to deal with it— assuming, of course, that it did not originate in some piece of purely domestic carelessness or ignorance. The information acquired may be slight, or even negative in any given case, but in the aggregate a fund of knowledge must accumulate that cannot fail in the long run to be of value. In many cases of suspected food poisoning further investigation has shown that they are not due to food poisoning at all. For instance, in one borough nine cases reported were found to be due to “ dietetic indiscretion ”; in another twenty reported cases were only forms of more or less acute digestive disturbance of the ordinary kind; in another it was found that daffodil bulbs had been eaten in mistake for onions. Other instances could be given. Facts like these would seem to support the argument that compulsory notification is unnecessary, but it is surely better that twenty suppositious cases should be reported than that the circumstances of one real case should escape investigation. In other cases the cause may remain unknown, but as to the seriousness of the matter there can be no doubt. In a recent outbreak in a home for “unwanted” children out of thirty‐nine infants in one dormitory twenty‐seven were attacked, and twenty died in from two to four days from some obscure form of gastro enteritis. Bacteriological examination of excreta and vomit yielded negative results. The high rate of mortality was attributed to the poor physical condition of the children when they were admitted to the institution in which they died. The case is admittedly an extreme one. Another was reported of exactly the opposite character. Twelve cases of undoubted food poisoning were reported, but these were of so slight a character that no action was taken in regard to the circumstances. In general, however, there is no room for giving the benefit of the doubt. The error—even if it may be so called—of reporting what turns out to be a case of indigestion instead of one of food poisoning is an error on the right side. A question arose recently in the House of Commons as to whether it was necessary to retain an Act on the Statute Book when there had been no prosecutions under the Act. It will be remembered that the Solicitor‐General replied that the mere fact that the Act was on the Statute Book had a very salutary effect. As far as it may be possible to draw an analogy it seems that even better reasons exist not only for retaining, but for extending, compulsory notification of cases of suspected food poisoning. Registration and inspection of premises, plant, storage conditions, and the food itself in places where food is prepared and sold is now a general practice in all centres of population. How necessary this is a glance at the Law Reports of this journal will show. The state of the places mentioned in the records of the prosecution was often such as to ensure them being potential centres of food poisoning. Had it not been for the vigilance of the respective sanitary authorities they would have become actively and permanently so. Such prosecutions are comparatively rare having regard to the large number of food shops in existence, but it would certainly be a backward step to cease to register and to inspect.