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The potential for including patients in implementation processes has received limited attention in the literature. The purpose of this paper is to explore the different roles adopted by 63 patients that emerged during and after four participatory quality improvement interventions, and the nature of their impact upon implementation processes and outcomes.

A cross-case ethnographic comparison of Experience-based Co-design in two clinical pathways in two UK NHS Trusts.

Two key themes emerge from the data. First, the authors found a range of different roles adopted by patients within and across the four projects; some were happy to share their experiences, others also helped to identify improvement priorities alongside staff whilst others were also involved in developing potential solutions with the staff who had cared for them. A few participants also helped implement those solutions and became “experts by experience” through engaging in the whole co-design process. Second, in terms of the impact of patient engagement with the co-design process whilst the changes championed by patients and carers were often small scale, as co-designers patients provided innovative ideas and solutions. Through their involvement and contributions they also acted as catalysts for broader change in the attitudes of staff by providing a motivation for wider organisational and attitudinal changes.

The research was conducted in two clinical pathways in two NHS trusts. However, the findings complement and add to the growing body of knowledge on experience based co-design.

Patient engagement is likely to require support and facilitation to ensure that patients can play a meaningful role as partners and co-designers in service improvement and implementation. Different roles suited particular individuals, with participants stepping in and out of the co-design process at various stages as suited their needs, capacities and (albeit sometimes perceptions re) skills. In this context, facilitation needs to be sensitive to individual needs and flexible to support involvement.

Patients and carers can play active roles in service improvement, particularly where the approach facilitate active engagement as co-designers.

Analysis of the role patients and carers in implementation and improvement.

In this essay I discuss how law and legal precedent present a false or eschewed construction of the past. The Chicago Haymarket Riot in 1886 and the subsequent trial of eight rioters in Spies vs. People provide a dramatic illustration of the lasting consequences of privileging some historical narratives and silencing others. Occurring as it did at the dawn of the “Red Scare,” the miscarriage of justice in Spies vs. People acts as a landmark precedent in a tradition within the United States of extra-judicial lawlessness that stretches from this case through 100 years of labor turmoil, two World Wars, McCarthyism, the Cold War, and up to the current War on Terror. Moreover, these instances of lawlessness and extra-judicial activity, while not written into legal records, nonetheless resurface again and again to form patterns of behavior that amount to what I call precedents of injustice, and which I argue are as integral to law as any formal legal precedents. By way of conclusion I urge all sociolegal scholars to remain attentive to the wider historical contexts which over time are repeatedly silenced through the institutionalized legal processes of denial and forgetfulness.

The purpose of the paper is to contribute to the debate on the maintenance and enhancement of quality in the emerging landscape of higher education practice and delivery where new kinds of institutional relationships are emerging. Much of the literature describes situations where the risk to quality assurance is relatively low. The example discussed here details how principles of risk management can be used to assure quality where the risk of reputational damage is far greater.

The paper uses a single case study approach.

New and flexible forms of delivery in higher education present opportunities but also the potential for reputational damage so innovative delivery must be matched by a corresponding commitment to quality. This must be embedded at all levels, including tutors. Much of the literature from the perspective of tutors emphasises their experience of quality as a matter of bureaucratic compliance. The case study illustrates that in circumstances where there is a risk of compromise academic tutors can actively engage with a quality enhancement process.

Although a case study of specialised practice there is evidence that increasing numbers of universities are seeking to engage in similar methods. The literature on the implications of these initiatives is comprised of case studies so there is a need for more systematic research which examines practices more broadly. The case study also suggests that the search for quality cultures in HE may fruitfully investigate circumstances where quality has to be fought for rather than assumed.

The paper demonstrates that universities can deliver in flexible and innovative ways which do not compromise their reputation provided they risk assess the implications of each arrangement and develop appropriate procedures and practices at all levels of operation.

The case study is not the first of its kind to be published but it is the first to be published in the context of the quality assurance literature rather than the more specialist work based learning literature. It links developments within that specialist field to more mainstream discourses in the quality assurance literature. It also draws attention of a wider audience to some of the more innovative developments in British HE practice.

The fundamental challenge for project management is dealing with people and their feelings. While there has been sporadic attention to the importance of emotions in project work, project management practices tend to neglect the role of emotions and emotional reflexivity. The authors use a symbolic interaction framework to present an in-depth exploration of emotions and emotional reflexivity in projects.

Empirical data was gathered in 19 semi-structured interviews with diverse project managers to assess their experience of emotion (15 male, 4 female, early 20s to late 50s, 3–38 years of expertise). Transcribed interviews were thematically analysed using a sociology of emotions informed, grounded theory, interactional framework.

The data revealed that emotional states are framed by factors specific to project management, including organisational change, project constraints and dealing with stakeholders. Explicitly managing emotions improved team engagement and project performance by acting as a catalyst for engaging in reflective practice and intuitive decision making.

Given the widely held misconceptions of emotion as maladaptive, project management education must focus on empathy in communication and leadership if practitioners are to master valuable soft skills. Techniques for emotional reflection and learning feeling lessons must be incorporated into practice.

The authors contribute to the emerging understanding that emotions matter in project management. The authors demonstrate the centrality of emotions in projects and the substantial impact they have on the wellbeing of practitioners and staff. Emotional reflexivity in practice, which is widely acknowledged yet tends to be ignored, is an essential part of the project manager's toolkit.

This article provides an overview of the opportunities enforcement has to undertake activities to reduce harms caused by drug markets. Four pathways are open to the police in relation to drug harm‐reduction: reducing the amount of drug use; reducing the harm that drug users experience; reducing the harms that drug users impose on others; and reducing the harms caused by drug markets. It is the latter pathway that is the main focus of this article, which draws on a range of international examples. After highlighting that ‘not all dealers are equally destructive’ it is argued that one aim for enforcement could be to shape the drug market by making the most noxious forms of selling uncompetitive relative to less harmful practices.

The development of information technology (IT) networks in the delivery of a range of material to learners in higher education is explored. Factors which influence the application of IT are described and learner characteristics and needs are enumerated. The range of learning material appropriate to, and the mechanisms for, IT delivery are examined. Some examples of provision are noted. Strategic issues and the strengths and weaknesses of networked access are analysed. Prospects for developing systems and the requirements are discussed. The results of a small scale survey of provision in academic institutions are reported and discussed in a second part of the paper.

This paper is an exploratory quantitative study aimed at providing the first overview of the incidence of female directors in UK companies, mapped against types of firms. It provides a unique quantitative perspective on the types of companies with boards on which female directors serve.

A quantitative analysis of a newly constructed database based on data for all UK companies (using Companies House Financial Analysis Made Easy data) was carried out to explore overall data for board membership related to gender, resulting in a new typology to describe firms with female directors.

The data supports earlier partial studies suggesting male dominance continues at senior levels. Although female directors represented one in four directors in UK firms, most companies remain male dominated. Women directors are generally found in smaller firms and only one in 226 of larger firms have a majority of female directors. The service sector remains the main focus for female firms, both business services and other services.

The study suggests that at the rate of progress achieved over the 2003‐2005 period, it will be the year 2225 before gender balance in company directorships is achieved in the UK. The study was based on Companies House data, where gender is a self‐reported variable; therefore, considerable work had to be done to identify the gender of directors in order to build the database. This is a limitation for others trying to assess female board membership. The study did not attempt to explain why these levels of female participation are observed – this is a necessary second step following this first analysis of the incidence of women on boards.

The data provides the first comprehensive picture of the senior positions of women across UK businesses as it relates to their positions on the boards of companies.

WE open our new volume in circumstances of hope. The recent developments of the war give real encouragement to the expectation that a few more months of endurance may see if not the end of war, at least its prospect. For many work has been pursued recently in circumstances of difficulty and, occasionally, of danger, but we do not know of any library which has closed for any length of time because of enemy action. Those in the South of England have had anxious hours; for a few days book issues went down, and thus the experiences of the autumn of 1940 were repeated. Such fluctuations are not likely to be permanent or even long‐lasting. For librarians, as for all our people, there is now evidence that before the volume we begin today is complete, we may be able to give undivided attention to libraries.

The topic of whistleblowing is achieving prominence as a question of social policy. Some influential voices are suggesting that far from whistleblowing — informing on organisations —, being socially undesirable, it may in certain circumstances be an activity deserving high praise. Inevitably it entails huge risks to the activist, and these risks need to be personally and carefully considered. John Banham, Director General of the Confederation of British Industry, wrote in support of the Social Audit report on the subject (Winfield 1990), and a committee established by the Speaker of the House of Commons has suggested the possibility of honouring whistleblowers in the British Honours system for their good corporate citizenship. There have also been landmark reports in America, Australia and Canada (Leahy 1978, Electoral and Administrative Review Commission 1990, Ontario Law Reform Commission 1986).