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1 – 10 of over 2000Floor Kist, Hans de Bruijn and Catholijn Jonker
The objective of this paper is to develop a redesigned commissioning process for social care services that fosters integrated care, encourages collaboration and balances…
Abstract
Purpose
The objective of this paper is to develop a redesigned commissioning process for social care services that fosters integrated care, encourages collaboration and balances professional expertise with client engagement.
Design/methodology/approach
This study employs a two-pronged approach: a case study of a municipality’s use of subsidy tables and a literature scoping review on integrated care research.
Findings
The paper introduces a new framework for the study of the new “subsidy tables.” A well-defined and extensive consultation process involving both social care providers (suppliers), the Service Triad, and client representation adds to the existing research on supplier consultation, and on how to define the outcomes for clients via client engagement.
Research limitations/implications
While aspects are clearly relevant to the Netherlands, the design of the commissioning process of social care has international relevance as well: finding definitions, formulating outcomes and incentives, designing a more collaborative instead of competitive process, stakeholder engagement and consultation.
Practical implications
Several Dutch municipalities started using the “subsidy tables” method for commissioning integrated social care. This paper offers clear improvements that benefit the commissioners, the social care providers and their clients.
Social implications
Improving the commissioning process of integrated social care will lead to better fitting care for people who need social care.
Originality/value
This paper is one of the first to do a thorough analysis of the “subsidy tables” method for commissioning integrated social care.
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The purpose of this research is to identify novel ways of tackling health inequalities of underserved populations. It explores the opportunities presented by the changes in health…
Abstract
Purpose
The purpose of this research is to identify novel ways of tackling health inequalities of underserved populations. It explores the opportunities presented by the changes in health and social care legislation to employ historically underused services, such as police custody healthcare providers, in addressing health inequalities.
Design/methodology/approach
This research analyses the policy approaches to tackling health inequalities in the UK in the past 40 years with an emphasis on those experienced by the people detained in English police custodies. It analyses the current model of healthcare in police custody and proposes a novel integrated model of care and joint commissioning opportunities in funding it.
Findings
Policies to tackle health inequalities have largely failed, as they became entrenched. But recent changes in the health and social care legislation in England offer opportunities to address them by employing historically underused healthcare services, such as those operating in police custodies.
Research limitations/implications
The research does not touch upon ethical considerations related to the patient privacy aspect of integrated care. Interventions by and interactions with police custody healthcare providers would be visible to all professionals with access to the patient’s health record. As with all novel interventions or innovative models of care, the effectiveness of such clinical interventions remains to be established by further research. It opens a new line of research on quality improvement through integration of care and explores understudied aspects of joint commissioning of integrated care.
Practical implications
It offers health commissioners and public health leaders the opportunity to employ police custody healthcare services in reaching their population health management objectives and meeting their health inequalities objectives at local level. It also gives police and crime commissioners the opportunity to address the health drivers of criminal behaviour that overlap with health inequalities. It offers funding opportunities presented by jointly commissioning services at lower costs to both police and health commissioners alike. It improves the health outcomes of historically underserved populations by facilitating access to health and social care services and facilities.
Social implications
Reducing health inequalities and disparities in health outcomes can decrease the costs of the healthcare services over the long term and might contribute to reducing criminality by addressing inequities and some health drivers of criminal behaviour.
Originality/value
The paper explores understudied opportunities offered by the recent changes in health and social care legislation in England and includes underused resources to tackle health inequalities.
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Christine Wee, Sujeet Jaydeokar, Chinemerem Ugwuonah, Leanne Armstrong and Mahesh Odiyoor
The purpose of this paper is to outline what early support should be offered to children and young people with neurodevelopmental conditions including those who are autistic or…
Abstract
Purpose
The purpose of this paper is to outline what early support should be offered to children and young people with neurodevelopmental conditions including those who are autistic or have intellectual disability. A review of all child and adolescent mental health services (CAMHS) services in the Northwest completed by NHS England and Improvement (Doyle and Ryan, 2021) found that there was no clear Tier 2 offer (for mild to moderate mental health issues) for autistic children and young people or for those with intellectual disability. Following this review, a project group that had developed a model for mental health services for autistic children and young people and for those with intellectual disability (Wee et al., 2021) was tasked with articulating the “Getting Help” offer for children and young people with neurodevelopmental conditions, including intellectual disability.
Design/methodology/approach
A working group was created consisting of professionals from mental health, education and local authority and lived experience representatives of coproduction partners. A brief review of the background literature was also conducted. Six meetings were held to create a framework for the “Getting Help” offer and to discuss what the offer should be based on professional expertise and lived experience.
Findings
Recommendations for the Getting Help multi-agency offer included pre- and post-assessment support as part of a single attention deficit hyperactivity disorder/autism/neurodevelopmental pathway, community support for children with intellectual disability, access to adapted mental health support and the need for early recognition and support for avoidant and restrictive food intake disorder. Key themes from working group discussions included the reduction in the quality of services experienced by children and families due to silo working, which increased the risk of falling between multi-agency services and led to early signs of neurodevelopmental needs, or mental health issues being missed. Another theme was aiming for equity of access and outcomes.
Originality/value
This work is a response to a coproduced review of CAMHS in the Northwest and incorporates the lived experience of young people and families. It also adopts a holistic multi-agency neurodevelopmental approach rather than focusing on a single diagnosis or service.
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The author, who is Chair of Norfolk’s Safeguarding Adults’ Board (SAB) reflects on the impact of a Safeguarding Adults Review (SAR) and the actions that resulted. The purpose of…
Abstract
Purpose
The author, who is Chair of Norfolk’s Safeguarding Adults’ Board (SAB) reflects on the impact of a Safeguarding Adults Review (SAR) and the actions that resulted. The purpose of the paper is to provide an insight into a significant SAR and the resulting actions desinged to change practice.
Design/methodology/approach
The actions illuminate the power of hospitals and politicians over people’s lives. It took the deaths of three young adults with learning disabilities, in a hospital, to move beyond the status quo and organise some very different service responses.
Findings
“Progress summits” have considered local and national actions. There have been important gains and setbacks, including the delayed reform of the Mental Health Act. Despite uncertainties, SAB can be detonators to listening and taking action.
Originality/value
This is a unique insight into the impact of a Safeguarding Adults Review and the actions that resulted from this.
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Michelle Palharini, Matthias Fertig and Peter Wehnert
Published in June 2020, the European Union (EU) Taxonomy Regulation is an important tool for the reorientation of capital flows toward sustainability, establishing a…
Abstract
Published in June 2020, the European Union (EU) Taxonomy Regulation is an important tool for the reorientation of capital flows toward sustainability, establishing a classification system that enables investors to identify green economic activities. Confronted by the reporting demands of this regulation, companies are caught in a sustainability economic revolution. This study seeks primarily to understand firms’ responses to the EU taxonomy, and whether they recognize value creation opportunities by aligning market and nonmarket strategies with the taxonomy goals. For that, we conducted expert interviews and adopted a conceptual framework based on institutional theory, dynamic capabilities view and nonmarket strategy research. Our findings indicate that most firms respond reactively, while firms with sustainability-driven business models tend to respond in an anticipatory way, and firms with high greenhouse gas (GHG) emissions and low taxonomy eligibility in a defensive way. We also find evidence for mimetic isomorphism related to the influence of consulting and auditing services. Further, high levels of uncertainty, ambiguity and lack of clarity has a great impact on firms’ responses and motives. Finally, this study highlights the EU taxonomy considering a paradigmatic shift toward sustainability, which is not recognized by most firms. To this end, we find that most companies have not identified opportunities arising from nonmarket integration and, rather, see the taxonomy only as an extra regulation to be compliant with. Hence, we argue that it is crucial that firms contextualize the taxonomy within its larger institutional paradigmatic shift to capture the importance of going beyond mere compliance.
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The apex planning body of India, NITI Aayog launched an Aspirational District Programme (ADP) in January 2018. The programme aimed to the quick and effective transformation of 112…
Abstract
The apex planning body of India, NITI Aayog launched an Aspirational District Programme (ADP) in January 2018. The programme aimed to the quick and effective transformation of 112 (14%) districts of the country. This programme is considered as world's biggest result-based governance initiative having reached up to 250 million people. It is based on a ranking that is done on monthly basis. This ranking is based on 49 KPIs across six broad socio-economic themes.
The study attempts to inquire and assess the progress made by 112 Aspirational Districts under Financial Inclusion, Skill Development and Basic Infrastructure theme from the inception of the programme to June 2022 (i.e. 54 months). Instead of ranking districts with delta rank or composite scores, the study divorce from NITI Aayog's methodology of monthly delta ranking. The study explores 8 indicators under the basic infrastructure theme and 16 indicators under the financial inclusion and skill development themes. For this purpose, the study explores the availability of individual household latrines, drinking water, electricity and road connectivity. Districts are also tracked for the number of Internet-connected Gram Panchayats, and panchayats with Common Services. Every district is provided with the target as per national development priority, the study makes an effort to grasp the distance of each district from the national target. This allows researchers to develop a scale Very Far, Far, Near, Very Near, Achieved with descriptive statistics techniques. Juxtaposing the scale with timelines results in a pattern of progress made by these 112 districts.
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Lisa Knight, Rafaela Neiva Ganga and Matthew Tucker
Given the complex nature of integrated care systems (ICSs), the geographical spread and the large number of organisations involved in partnership delivery, the importance of…
Abstract
Purpose
Given the complex nature of integrated care systems (ICSs), the geographical spread and the large number of organisations involved in partnership delivery, the importance of leadership cannot be overstated. This paper aims to present novel findings from a rapid realist review of ICS leadership in England. The overall review question was: how does leadership in ICSs work, for whom and in what circumstances?
Design/methodology/approach
Development of initial programme theories and associated context–mechanism–outcome configurations (CMOCs) were supported by the theory-gleaning activities of a review of ICS strategies and guidance documents, a scoping review of the literature and interviews with key informants. A refined programme theory was then developed by testing these CMOCs against empirical data published in academic literature. Following screening and testing, six CMOCs were extracted from 18 documents. The study design, conduct and reporting were informed by the Realist And Metanarrative Evidence Syntheses: Evolving Standards (RAMESES) training materials (Wong et al., 2013).
Findings
The review informed four programme theories explaining that leadership in ICSs works when ICS leaders hold themselves and others to account for improving population health, a sense of purpose is fostered through a clear vision, partners across the system are engaged in problem ownership and relationships are built at all levels of the system.
Research limitations/implications
Despite being a rigorous and comprehensive investigation, stakeholder input was limited to one ICS, potentially restricting insights from varied geographical contexts. In addition, the recent establishment of ICSs meant limited literature availability, with few empirical studies conducted. Although this emphasises the importance and originality of the research, this scarcity posed challenges in extracting and applying certain programme theory elements, particularly context.
Originality/value
This review will be of relevance to academics and health-care leaders within ICSs in England, offering critical insights into ICS leadership, integrating diverse evidence to develop new evidence-based recommendations, filling a gap in the current literature and informing leadership practice and health-care systems.
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Tanu Manocha and Vinita Sharma
For a sustainable and eco-friendly supply chain, the objective is to reduce the harmful effects on the environment caused by a variety of factors, such as supply chain revenue and…
Abstract
For a sustainable and eco-friendly supply chain, the objective is to reduce the harmful effects on the environment caused by a variety of factors, such as supply chain revenue and profit concerns, water and energy use and waste production. The primary barrier to more sustainable supply chains is cost, and smaller enterprises in particular find it difficult to pay for the upfront expenses. The prices are utmost important in freight forwarding services. The chapter aims to identify the different variables that affect the spot freight rate, considering a small number of Indian logistics firms, and to determine the spot freight rate factors that affects freight rates and supply chain management's sustainability. Using a structured questionnaire, the information was gathered from 308 logistics service companies. Descriptive statistics was used and factor analysis using principal component analysis (PCA) are the tools and methodologies employed for the analysis of the data gathered. The software tool utilized for the data analysis is SPSS (Statistical Package for the Social Sciences) 17.0. SPSS helps to obtain clear and precise results. From the analysis, it was deduced that there are five factors of spot freight rate which was done by using factor analysis using PCA, which affects the volatility explaining a total of 67.75% variation in the data set. The study shows that these identified factors impact the freight rate and also the sustainability in management of supply chain practices in India.
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Justina Falana, Robert Osei-Kyei and Vivian W.Y. Tam
Stakeholder interests are complex, sensitive and highly uncertain and may influence the development of net zero carbon building (NZCB). However, this study aims to conduct a…
Abstract
Purpose
Stakeholder interests are complex, sensitive and highly uncertain and may influence the development of net zero carbon building (NZCB). However, this study aims to conduct a systematic literature review to explore the stakeholder interests towards achieving NZCB.
Design/methodology/approach
A total of 62 articles were identified from the Scopus database and thoroughly reviewed to extract relevant information on stakeholders' interest towards achieving NZCB.
Findings
A total of 28 stakeholder interests influencing the development of NZCB were identified from the literature and were classified into six major groups according to their uniqueness (economic, social, environmental, technological, political, regulatory and legal).
Research limitations/implications
The findings of this study provide insight into the specific stakeholder interests towards achieving NZCB. Thus, the findings of this study could serve as a guide for future research, policy formulation and implementation to expedite the practice of building towards net zero carbon (NZC). Empirical studies are suggested in future studies to test and consolidate the theoretical claims of this study.
Originality/value
This paper undertakes a comprehensive systematic review of studies on stakeholder interests towards achieving NZCB, which is the least investigated in the literature.
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Arash Arianpoor, Milad Valirouh and Cumhur Sahin
The present study aims to investigate the impact of internal control effectiveness on supply chain management efficiency (SCME) and capital allocation efficiency for companies…
Abstract
Purpose
The present study aims to investigate the impact of internal control effectiveness on supply chain management efficiency (SCME) and capital allocation efficiency for companies listed in the Tehran Stock Exchange (TSE). In addition, it investigates the mediating role of supply chain management efficiency in the relationship between internal controls and capital allocation efficiency.
Design/methodology/approach
The data about 191 companies in 2014–2022 were examined. The sales per inventory ratio was used to calculate SCME. The present study also applied the Generalized Method of Moments (GMM) for endogeneity concerns.
Findings
The results showed that internal control effectiveness has a significant positive effect on SCME. Moreover, internal control effectiveness and SCME significantly positively affect capital allocation efficiency. SCME has a mediating role in the relationship between internal control effectiveness and capital allocation efficiency. These findings remained robust even after several robustness tests. In addition, this study tested the results' robustness by dividing data into the pre-COVID-19 and post-COVID-19 years. The previous results were also confirmed according to the robustness test of COVID-19.
Originality/value
Challenges in the supply chain often hinder capital allocation efficiency. In addition, enterprises should try to establish strong internal controls to ensure SCME. Therefore, the relationship between internal control effectiveness, SCME and capital allocation efficiency is complex and underscores the importance of robust internal controls in optimizing resource allocation within organizations. Interestingly, this topic has not been extensively researched in accounting and business research, and there is a lack of empirical evidence on these effects. Consequently, this study aims to fill the gap and identify potential opportunities for new research directions.
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