Search results

This paper gives an overview of the ‘non‐professionally affiliated’ (NPA) workforce in mental health in relation to their education, training and development. Some comparison is made with the current situation for the key professions in mental health. We argue that the NPA workforce is an increasingly significant and important part of the workforce and that attention needs to be paid to the construction of an overall development and qualification pathway for these workers, who embody many of the strengths of generic mental health work and have been found to be of great value to service users and their families.

One of the key initiatives of the National Institute of Mental Health in England National Workforce Programme (NIMHE NWP) has been to explore the development and sustainability of the non‐professionally qualified workforce (NPQW). Both the National Service Framework (NSF) for Mental Health (Department of Health, 1999) and the wider Department of Health Changing Workforce Programme (Department of Health, 2001) provided a unique opportunity to start this process off.

The purpose of this paper is to review some of the key mental health education and training developments of the last decade of immense change to the service system in England. This change was part and parcel of the Labour Government's mental health modernisation agenda.

This paper gives a picture of the development of four new roles in mental health over a two‐year period. It draws on data from the national mapping project to provide a unique perspective on the emergence of the roles of support, time and recovery workers, gateway workers, carer support workers and community development workers for black and minority ethnic communities. The tracking of such roles on a national level reveals a number of issues, in particular the need for clarity of terms if there is to be an undisputed understanding of what mental health services are provided and by whom.

Support, time and recovery (STR) workers are in the vanguard of the new frontline, non‐professionally affiliated groups identified in the NHS Plan (Department of Health, 2000).Since 2003, the former changing workforce programme mental health team (now part of NIMHE's national workforce programme) have facilitated the implementation of this role across England, initially through a pilot project, then an accelerated development programme (ADP). It is this latter, ongoing, programme that forms the basis of this article. The authors refer to the challenge of establishing the STR worker role in a variety of statutory, non‐statutory and independent service settings and achieving the Department of Health (DH) target of 3000 STR workers in post by December 2006. The collaborative implementation process is discussed and many issues such as performance management, measures, service user involvement, organisational (including human resources and occupational health) support, and education and training, are explored. Key learning from the process is identified, and consideration given to the future application of such a simple yet effective model for change.

The purpose of this review paper is to address the need for mapping the thematic structure of fuzzy-set qualitative comparative analysis (fsQCA) in the context of tourism and hospitality research, in response to the growing interest in this methodology.

This study conducts a comprehensive systematic review using the SPAR-4-SLR procedure to produce a scientific map of top-tier research using the fsQCA technique in tourism and hospitality studies.

A major finding of this review investigation is the identification of six knowledge clusters: business competitiveness in the hospitality sector; psychoanalysis of tourist behaviour and satisfaction; entrepreneurship in the tourism and hospitality sector; tourism business ecosystem; sustainable tourism; and service quality in the tourism and hospitality sectors.

Although this review assessment relied heavily on articles published in prestigious journals, it does not rule out the idea that other sources, such as conference proceedings, can provide valuable insight.

Novel insights into the intellectual structure of tourism and hospitality research using the fsQCA technique, as well as ideas for future exploration in this domain, are presented in this review.

The issue of responsibility and accountability is central to the development of New Ways of Working (NWW), and has also been central to the concerns that members of some professions have expressed about it. Clarity about who is responsible for what, and who is accountable to whom, is particularly important when there are new types of worker roles in the team, and when existing workers are working in a different way or extending their role. NWW emphasises the appropriate distribution of responsibility and team decision‐making, which together are designed to promote patient safety. Distributing responsibility and accountability does not mean diluting or diffusing it; this model supports all workers being responsible for the standards of their own practice, and moves away from the ill‐defined, and perhaps unrealistic, notion of the doctor being ultimately responsible for all patients.The National Workforce Programme has worked with a wide range of stakeholders, including professional regulators and employers, to produce guidance on responsibility and accountability. This guidance is currently in draft form and will be published on the New Ways of Working website (www.newwaysofworking.org.uk) as soon as the final version is published.

Workforce pressures are the key constraining factor in effective delivery of the CAMHS agenda (Kurtz et al, 2006). The continuing investment and expansion of Child and Adolescent Mental Health Services (CAMHS) has key implications for workforce planning, and improving outcomes for children and young people requires an adequately resourced, trained and motivated workforce. Every Child Matters: Change for children in health services and the National Service Framework for Children, Young People and Maternity Services establishes for the first time, clear standards for promoting the health and well‐being of children and young people, and for providing high quality services that meet their needs. This paper explores the key workforce issues facing child and adolescent mental health services as identified by child and adolescent practitioners. A number of key themes are identified along with the associated challenges.

This study examined the contribution of adult social work in integrated teams in the UK.

The study design was realist, evaluation research using a mixed methods approach. Data collection methods included interviews and focus groups. Types of social work activities were extracted from older adults' case records and used to calculate costs of care. The presence or absence of indicators of care quality was recorded using the same sample of case records. Data were collected from three primary care teams in which social work was integrated. They were compared with data from three social-work-only teams in the same districts. Narrative data was analysed thematically. Inferential and descriptive statistics were used to compare costs and care quality.

When social work was embedded or attached to a primary care team, costs of care delivery were lower than in their social-work-only team and more indicators of good quality care outcomes were recorded. Results suggest that embedding social work in integrated primary care teams contributes to cost-effective, quality care for older people if certain conditions for integration are met.

This is the first study to triangulate three data sources to quantify the social work contribution to integrated primary health care teams for older adults.