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The purpose of this paper is to review the establishment of Primary Health Network (PHN) in Australia and its utility in commissioning Primary Health Care (PHC) services.

This study is an analysis of management practice about the establishment and development of a PHN as a case study over the three-year period. The PHN is the Hunter New England and Central Coast PHN (HNECCPHN). The study is based on “insiders perspectives” drawing from documentation, reports and evaluations undertaken.

HNECCPHN demonstrates a unique inclusive organisation across a substantial diverse geographic area. It has taken an innovative and evidence-based approach to its creation, governance and operation. HNECCPHN addresses the health challenges of a substantial Aboriginal and/or Torres Strait Islander population. It contains significant and diverse urban, coastal and distinct rural, regional and remote populations. It can be described as a “virtual” organisation, using a distributed network of practice approach to engage clinicians, communities and providers. The authors describe progress and learning in the context of theories of complex organisations, innovation, networks of practice, knowledge translation and social innovation.

The study provides initial publication into the establishment phase of a PHN in Australia.

The study describes the implementation and progress in terms of relevant international practice and theoretical concepts. This paper demonstrates significant innovative practice in the short term.

The study describes significant engagement and the importance of that with and between communities, service providers and health professionals.

This is the first study of the results of the implementation of an important change in the funding and delivery of PHC in Australia.

The problems of implementation which bedevilled, and ultimately killed, the ambitious and comprehensive approach of ED 18 have been referred to earlier in this book and, in any case, are well documented in the financial and professional press.

The purpose of this paper is to introduce counterfactual analysis and reasoning to the study of accounting history. The counterfactual focus is the institutionalisation of public accountancy in the UK.

The study adopts a counterfactual research design using Ferguson and Bunzl and asks a “what if” question of an event of importance to accounting historians in order to create a plausible counterfactual outcome that is grounded in rationality and causal analysis. The specific counterfactual question relates to the royal charter granted to public accountants practicing in Edinburgh in 1854. The counterfactual outcome is compared to the actual timeline of public accountancy institutionalisation in the UK.

The “alternative” history reveals uncertainties that confronted public accountants in the past and provides a basis for suggesting that the current fractured and inefficient state of institutionalised public accountancy in the UK has its origins at least partially in the 1854 royal charter. It also suggests that attempts to register and unify public accountants in the UK have been hindered by nineteenth century royal charters.

The study argues that counterfactual analysis is a useful historical tool with which to understand the consequences of historical decisions made in the professional project of British public accountancy. In addition, the study reveals the potential for counterfactual analysis to illumine the consequences of decisions in other areas of accounting and auditing history.

This study is the first counterfactual analysis in the accounting history literature and therefore provides a template for further studies and improved research design.

This essay is an exercise in imaginative historiography. Its purpose is to modify the boundaries between sociology, social work, and literature that have become impediments to the pursuit of socially responsible scholarship; its goal is to create an analogue in the past for a field that many revisionists wish to create in the present – a field of cultural inquiry in which knowledge is considered both cognitive and emotional, methods are imaginative, and results are meant to improve human relations. In the past I posit as a “working hypothesis” (in Mead’s sense of the term) for this field, I bring together figures, specifically Jane Addams and the nineteenth-century playwright Joanna Baillie, whose contributions to sociology and literature are being separately but not jointly recovered. I examine three key similarities that make Addams and Baillie kindred spirits: they cultivated sympathy as a way of knowing and acting, and made it the basis for social change; they preferred situational problem-solving to theory-building; they used drama for value inquiry and morality construction. Throughout, I also allude to affinities with the thought of Mead, affinities that are important for avoiding gender essentialism in this argument. I illustrate the combined use of problem-solving, sympathy and drama by linking Baillie’s plays on criminality with Addams’s and Mead’s efforts at criminal justice reform and with present-day efforts to move from an ethics of justice to an ethics of care. By bringing Baillie to Hull-House and considering how she might have contributed to the work of Addams, Mead, and their associates, I construct a precedent for transdisciplinary cultural inquiry.

The Librarians of Glasgow University since 1641 are identified, and their periods of office summarised and assessed as far as information allows. The terms of appointment in early years and pattern of town and university alternating nominations are outlined, and the gradual development of the post into that of a professional librarian in the twentieth century is illustrated.

The purpose of the paper is to design and explain a moral compass framework that informs decision-making by those engaged in shaping the doctoral education and supervision environment.

The research involved analysis of transcripts of 50 interviews with a range of doctoral students and supervisors. The framework was derived from the integration of the transcript analysis with a range of theoretical constructs: Rittel and Webber’s (1973) “wicked” problems; Bowden’s (2004) capability for the unknown future; Baillie et al.’s (2013) threshold capability development; liminality (Meyer and Land 2006); mindfulness (Langer and Moldoveanu, 2000; Green and Bowden, 2012); as well as our interpretation of moral compass and collective morality.

Although applicable to a wide range of contexts, with broader, potentially universal implications for professional life, the framework is explained using the doctoral education system as example, and supervisor and candidate experiences as illustration. It relates individual decision-making to notions of collective morality and moral development within a multi-level system, through moral advocacy and moral mediation, activities identified as necessary at all levels of the doctoral system.

Our framework demonstrates the need for developing awareness of the multi-factorial nature of the wicked problems that arise in doctoral education and the requirement to address such problems across all levels – individual, organisational and national. We identified the central importance of a new construct – collective morality and the way that moral advocacy and moral mediation can contribute to resolution of such wicked problems in doctoral education and supervision.

The purpose of this paper is to determine the effectiveness of an adapted dialectical behaviour therapy (DBT) treatment programme for individuals with an intellectual disability, via completion of a service evaluation.

Outcome measurements were competed at pre-, post- and 12 months follow-up, and the effectiveness of the intervention was assessed using a Friedman analysis.

Findings demonstrated that the treatment group showed significant differences in their “psychological distress” scores, but no significant differences were found in their “psychological well-being”, “anxiety” or “quality of life” (WHO-QOL) scores over time.

Overall, the current study adds to the small but growing literature that supports using the skills training group part of DBT as a stand-alone psychological intervention when working with people with an intellectual disability.

On 24th January this year the new and long‐promised legislation for public libraries in England and Wales made its bow in the shape of the Public Libraries and Museums Bill. Its first reading took place in the House of Commons on that day, and the unopposed second reading was on 5th February. As we write, future timing is uncertain, and it may be that by the time our readers are perusing these pages that the Bill will hare been passed in all its stages. The 23 clauses of the Bill occupy only 12½ pages. Briefly, the Bill will place the development of the public library service under the superintendence of the Minister of Education, and will set up two advisory councils as well as regional councils for interlibrary co‐operation. Non‐county boroughs and urban districts of less than 40,000 population which are existing library authorities will have to apply to the Minister for approval to continue as such. Clause 7 states that every library authority has a duty to provide a comprehensive and efficient library service, while the succeeding clause provides that, apart from certain exceptions, no charges shall be made by public library authorities. The Bill places considerable powers upon the Minister. Like most Bills, there is much in it which is open to interpretation. Does, for instance, clause 8, subsection (1) mean that those library authorities which are at present charging for the issue of gramophone records will have to cease doing so? This would seem to be the case, and we hope it is the case. On the other hand, which precise facilities are meant in subsection (4) of the same clause? Librarians will be disappointed that there is no reference to the need for library authorities to appoint separate library committees, nor is there a duty placed upon them to appoint suitably qualified persons as chief librarians. The Minister is given the power of inspection, and few library authorities or librarians will fear this. On the other hand no state financial assistance to library authorities is mentioned. In the 1930s and 19405 many wanted state aid but feared the consequential inspection. Now we have got the inspection without the money! When the Bill appeared, The Library World asked several librarians for their brief first impressions and in the following symposium will be found the views of a city librarian, a county librarian, two London librarians, a Welsh librarian, the librarian of a smaller town, and a member of the younger generation whose professional future may well be shaped by this new legislation.