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The purpose of this paper is to describe the recent efforts of a large publicly funded healthcare organisation in Sydney, Australia to implement integrated care (IC) “at scale and pace” in the messy, real-world context of a District Health Service.

The paper outlines the theoretical and practical considerations used to design and develop a localised IC Strategy informed by the “House of Care” model (NHS England, 2016).

The need for cross-agency partnership, a shared narrative, joint leadership and an IC Strategy underpinned by proven theoretical models model is described.

This paper highlights key factors relating to implementation and evaluation of a local IC Strategy in the real world.

Type 2 diabetes mellitus has become a major concern of Australian healthcare providers. From rates of barely more than 1 percent in the mid-90s, diabetes is now the leading cause of morbidity in the country. To combat the growing diabetes epidemic, Western Sydney Local Health District created the Western Sydney Diabetes (WSD) initiative. One of the key components of the WSD initiative since 2014 has been joint specialist case conferencing (JSCC). The purpose of this paper is to evaluate the JSCC service including both individual- and practice-based changes.

The authors evaluated the JSCC program by conducting an analysis of patient-level data in addition to a discrete practice-level study. The study aim was to examine both the effect on individual patients and the practice, as well as acceptability of the program for both doctors and their patients. The evaluation included data collection and analysis of primary patient outcomes, as well as a survey of GPs and patients. Patient data on primary outcomes were obtained by accessing and downloading them through GP practice management software by GP practice staff.

The authors found significant improvements at both the patient levels, with reductions in BMI, HbA1c and blood pressure sustained at three years, and at the practice level with improvements in markers of patient management. The authors also found high acceptability of the program from both patients and GPs.

This paper provides good evidence for the use of a JSCC program to improve diabetes management in primary care through capacity building with GPs.

The COVID-19 pandemic dramatically altered daily life for Gen Z. The purpose of this study was to examine parental perceptions of the pandemic’s effects on their children’s peer relationships. As children sought peer connection during the pandemic, technology usage soared. The second purpose of the current study was to assess how greater time on social media affected adjustment among Gen Z and whether this effect was mediated by experiences of cyber victimization.

In total, 250 U.S. parent-child dyads participated in the study. Parents reported on their children’s social media use and described how they believed the pandemic affected their children’s peer relationships. Child participants were transitioning to middle school and reported on cyber victimization and adjustment.

Thematic analysis of parental reflections revealed three themes: children spent more time online since the onset of the pandemic, there were negative implications of increased time online and there were positive and protective implications of being online. Analysis also indicated significant indirect effects of social media use on internalizing and externalizing problems through victimization.

Parents reported Gen Z continues to use electronic forms of communication and social media at high rates even after pandemic-related restrictions eased with some suggesting that their children prefer digital over face-to-face communication because they have become accustomed to this way of connecting and may find it easier than in-person interaction. Current findings highlight concerns about this increased time online as social media use negatively affected adjustment via cyber victimization.

Warwickshire County Council’s Libraries and Heritage Department has opened two new libraries in the past year – one of them in a former public swimming pool in the centre of Royal Leamington Spa. The £7 million redevelopment of the town’s Royal Pump Room complex presented an unexpected and irresistible opportunity which, you might say, plunged Libraries and Heritage “in at the deep end”. Almost 12 months on, members of the project team reflect on the process and problems of adapting a derelict listed building for a new purpose – and then moving an entire library across town. They review reactions to the new library and its extended services, both initially and once things settled down. Outstanding issues and ongoing concerns are covered, as well as the new library’s successes.

This letter to David R. Maines celebrates our friendship over the last 35 years. I read his voice in emails, handwritten letters, and recollected phone conversations to display the meaningful exchanges of our scholarly friendship. I thank Dave for teaching me how to retire from the academy and grow older with purpose and grace. Highlighting his expert mentoring of my book Friendship Matters (1992), I recall how his suggested revisions for the chapters on aging anticipated a poignant array of our own experiences as friends in our later years. Finally, I appreciate his cultivated interests in drawing, writing poetry, and playing guitar, and thank him for encouraging my music. I am grateful for his dedication to esthetic endeavors, which warmly shaped our friendship during our later years.

The old year has gone, leaving its trail of never‐to‐be‐forgotten memories of strife and turbulence, calamity, disaster, and a huge burden of worries for us to face in the New Year. Few if any will not be deeply grateful to see the passing of 1985. Except for the periods of calm there cannot be a year within living memory to equal it in terms of violence, unparalleled in times of “peace”, collosal in terms of soaring social and public expenditure and financial loss, and in disasters in the world beyond the shores of these islands. It would not be an exaggeration to state that the enormous indebtedness which the year has heaped upon the people will never be wiped off, and it has got to be done mainly by those innocent of any misconduct, and their descendants. The unprecedented scale of street and community violence, the looting, thieving and general crime committed behind the screen of it.

Resource sharing is not an idea that is new to the University of London. Indeed the need for this has been recognised for many years but several factors have long prevented its realisation.