Search results

The article considers the challenges involved in measuring the performance of local public service networks through an empirical analysis of Comprehensive Area Assessments (CAAs), a short-lived but pioneering attempt to gauge the effectiveness of local governments, health trusts, police and fire services in England.

Primary data about the implementation and impact of CAAs were gathered using a mixed method approach, including surveys of local public services, inspectorates and residents together with focus groups and semi-structured interviews in 12 case study areas.

CAAs encouraged agencies to strive to achieve better partnership working but did not provide sufficiently robust comparative data to enable managers to benchmark their performance against other areas or identify good practice elsewhere. Policy makers hoped that citizens would use CAAs to hold services to account but the process failed to attract media or public interest.

The logic of a more ‘joined-up’ approach to performance assessment of local partnerships is compelling. But in practice it is difficult to achieve because institutional arrangements at a national level mean that different sectors work within very different budget systems, professional networks and performance frameworks. Assessing the outcomes achieved by local partnerships also presents new challenges for inspection agencies and requires them to use new kinds of evidence.

This is the only attempt to date to evaluate CAAs and adds to an understanding of the challenges of assessing the performance of local public service partnerships. It highlights new questions for researchers and policy makers about the types of evidence needed to measure partnership performance and the extent to which the public may use the results.

The purpose of this paper is to qualitatively analyse the inspection and regulation of care for people with learning disabilities and mental health problems in Scotland, in two time periods.

The paper uses comparative historical research drawing on primary sources from 1857 to 1862 in the form of Annual Reports of the General Board of Commissioners in Lunacy for Scotland and associated papers, to compare inspection methods, quality standards and to identify persistent challenges to effective inspection.

Political, clinical and public awareness led initially to criticisms of existing care and eventually to the development of the “The Lunacy Act” of 1857. This Act resulted in the first attempts to set minimum standards of care for individuals at risk, with enforceable regulation. Some factors recur as challenges to effective practice in the inspection and regulation of care today.

There are problems of definition, reliable monitoring of quality standards and adequate, independent inspection of services that respond to unacceptable standards of care. There is a growing evidence base about best methods of inspection of services for people in care who are most at risk. These methods attempt to strike a balance between evidence- and value-based judgments. Perspectives from history may help focus resources.

This paper compares common and common challenges in two time periods to investigate what can be learned about the development of policy and practice in inspection and regulation of care.

The UK has been a pioneer and international leader in the development of fire and rescue services and this has been based on a long attachment and strong adherence to empirical evidence at both the local and national levels. Policy makers, in close collaboration with practitioners, have also developed standards and practices and any changes have traditionally needed robust justification. Yet the evidence base and the tools and techniques for investigating and interrogating the evidence base have been significantly deteriorating over the last 10 years. This chapter sets out what is inadequate, what is missing and suggests what needs to be done about it.

This paper considers the influences that have shaped local domestic violence policy and how this has affected police practice in one English police force.

The research in this paper is based upon theoretical concepts of central government and local accountability over policing; policy making and implementation; and pressure group influence. Documents issued to local police forces from Central Government were examined and compared to local policy documents to assess their affect over local police policy. Using a structured format, senior managers were interviewed to gain their impressions of these influences. Views of ground level staff were obtained through postal questionnaires.

This paper finds public opinion and pressure from academic research upon Central Government has resulted in a very strong central influence over local police policy and practice. Police officers believe that these influences have had a major affect upon the way that they respond to domestic violence issues at a local level, to the point where both managers and front line police officers believe that their discretion in dealing with these issues has been curtailed, and that top down control over police practice has increased. Police attitudes towards policing domestic violence are more enlightened than they once were.

This paper examines the opinions of both senior local police policy makers and front line policy implementers and will be of value to those interested in the policing of domestic violence issues.

Current health care quality performance indicators appear to be inadequate to inform the public to make the right choices. The aim of this paper is to define a framework and an organizational setting in which valid and reliable healthcare information can be produced to inform the general public about healthcare quality.

To improve health care quality information, the paper explores the analogy between financial accounting, which aims to produce valid and reliable information to support companies informing their shareholders and stakeholders, and healthcare aiming to inform future patients about healthcare quality. Based on this analogy, the authors suggest a measurement framework and an organizational setting to produce healthcare information.

The authors suggest a five‐quality element framework to structure quality reporting. The authors also indicate the best way to report each type of quality, comparing performance indicators with certification/accreditation. Health gain is the most relevant quality indicator to inform the public, but this information is the most difficult to obtain. Finally, the organizational setting, comparable to financial accounting, required to provide valid, reliable and objective information on healthcare quality is described.

Framework elements should be tested in quantitative studies or case studies, such as a performance indicator's relative value compared to accreditation/ certification. There are, however, elements that can be implemented right away such as third party validation of healthcare information produced by healthcare institutions.

Given the money spent on healthcare worldwide, valid and reliable healthcare quality information's value can never be overestimated. It can justify delivering “expensive” healthcare, but also points the way to savings by stopping useless healthcare. Valid and reliable information puts the patient in the driver's seat and enables him or her to make the right decision when choosing their healthcare provider.

Recovery is the predominant discourse within current UK drug policy, promoted as freedom from dependence. In support of such a policy driver, prison drug recovery wings have been piloted in ten prisons in England and Wales to address high drug prevalence rates in prisoner populations. The purpose of this paper is to explore the development of these specialist wings within the context of wider developments to tackle reoffending among drug-using prisoners.

The first part of the paper offers an analysis of the emergence of the recovery paradigm in the prison context through analysis of official policy documents. The second draws predominantly upon two process evaluations of the drug recovery wings, alongside literature on prison drug treatment.

There is limited empirical evidence to inform the debate about whether prisons can provide settings to facilitate recovery from the effects of illicit drug use. What is available suggests that effective therapeutic environments for recovering drug users could be established within prisons. Key components for these appear to be sufficient numbers of staff who are competent and confident in providing a dual role of support and discipline, and a common purpose of all prisoners committing to recovery from illicit drugs and supporting each other. Further research regarding the impact of drug recovery wings upon health, crime and wider social outcomes is needed.

This paper provides an updated perspective on the development of drug treatment in prisons, with a particular focus on the implications of the new recovery paradigm.

In many conceptual discussions of criteria for defining the quality of working life safe and healthy working conditions figure prominently. A well known paper by Richard Walton, for example, lists eight major conceptual categories (the second of which is safe and healthy working conditions) which in his view, “… provide a framework for analysis of the salient features that together make up the quality of working life”. It is Walton's contention that this schema of eight conceptual categories invites several types of analysis, including that of how each quality of working life attribute tends to be related to the others in practice, i.e. are these attributes positively or negatively correlated and to what extent?

This concluding chapter not only summarises the key discussions and arguments of the preceding chapters but also reflects on organisational, managerial, supervisory, behavioural, social and cultural factors shaping the miners’ reactions to the restructured and formalised deep-level mining work processes and their unofficial job tactic of making a plan (planisa). The chapter provides suggestions on how the positive aspects of planisa could be harnessed and negative aspects addressed towards efficient, productive and safer organisational, managerial, supervisory and operational practices at the rock-face down the mine.

The second in a series of four articles that seek to answer questions about where and where not action learning is most applicable. Aims to identify the kinds of people who benefit most from action learning and the most appropriate times in their lives to undertake an action learning programme. The authors reflect on their own experience as action learning participants and set advisers to identify those who have got most and least out of action learning. Concludes that action learning has worked best with people who are willing and able to take action, are skilled at reflection and want to take responsibility for their own learning. Such people are likely to be mature adults who want to learn about themselves, as well as the world they inhabit, with a view to changing both themselves and their worlds.

This chapter reviews the new inspectorate, Her Majesty's Inspectorate of Constabulary and Fire & Rescue Services, and the new Inspection Framework for Fire and Rescue Services in England. It will look at the antecedents of the inspectorate and the history of inspections in both the police and in the fire and rescue services. Prior to the Policing and Crime Act 2017, Fire and Rescue Services in England were without a dedicated independent inspectorate for almost 10 years and the government promised a new independent and a rigorous inspection regime. This chapter critically evaluates the government's response and the early development of the new regime.