...An NHS Confederation leading edge report Lean thinking for the NHS Daniel Jones and Alan Mitchell, Lean Enterprise Academy UK A report commissioned by the NHS Confederation The voice of NHS leadership The NHS Confederation brings together the organisations that make up the modern NHS across the UK. We help our members deliver better health and healthcare by: • influencing policy and the wider public debate on the full range of health and health service issues • supporting health leaders through information sharing and networking • working for employers to improve the working lives of staff and, through them, to provide better care for patients. For more information on our work, please contact: NHS Confederation 29 Bressenden Place London SW1E 5DD Tel 020 7074 3200 Fax 020 7074 3201 Email enquiries@nhsconfed.org www.nhsconfed.org Disclaimer All views and opinions in this publication are those of the author and are not the authorised views or opinions of the NHS Confederation. The NHS Confederation shall not be liable for any indirect, special, consequential, or incidental damages or defamation arising from any views, opinions or information contained within this publication. Registered Charity no. 1090329 Published by the NHS Confederation © NHS Confederation 2006 ISBN 1 85947 127 7 Ref: BOK 56701 Acknowledgements This report was written by: Daniel Jones and Alan Mitchell, Lean Enterprise Academy UK with David Ben-Tovim, Flinders Medical Centre, Australia David...
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...have therefore distinguished between crimes: * CORPORATE CRIME - carried out on behalf of the organisation (e.g. tax evasion). * OCCUPATIONAL CRIME - benefits the individual at the expense of the organisation (e.g. embezzling money). White collar crimes are more technical, complex and discrete and often receive more lenient punishments than blue collar crimes. For white collar crimes, there is a fine line between what is acceptable and what is not. It is often about what is morally wrong rather than legally wrong. Occupational/Corporate crime: The study of these crimes developed from the work of Sutherland in the 1940s. He used the term white collar crime to refer to crime committed by people who worked in offices. His work overlaps with the interests of Marxists who were interested in the crimes of the powerful. They share the concern that these types of crimes have been largely ignored, whereas much work has centred on working class crimes. The problem in the debate about what is a occupational/corporate crime is some are not strictly illegal - for example low safety standards at work may meet the minimum legal criteria. As Nelken...
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...UN attacks dropout rate in Philippines The United Nations (UN) has dared the Aquino administration to come up with a breakthrough Millennium Development Goals (MDGs) Plan that will address high dropout rates and extreme poverty in the country, two of the goals that Manila is not on track to achieve the 2015 deadline, the Manila Times reports. The UN was referring to the eight time-bound, concrete and specific goals that 189 world leaders committed to achieving for their nations by 2015 at the UN in September 2000 namely: 1) end extreme poverty and hunger; 2) achieve universal primary education; 3) promote gender equality and empower women; 4) reduce child mortality; 5) improve maternal health; 6) combat HIV/AIDS, malaria and other diseases; 7) ensure environmental sustainability and 8) develop a global partnership for development. Dr. Jacqueline Badcock, UN resident coordinator in the Philippines, underscored that the bigger problem in the education situation is the increasing dropout rate in elementary levels as reported by the National Statistical Coordination Board (NSCB). Based on the 2006 to 2007 NSCB statistics, the dropout rate increased from 8.6 percent to 9 percent, far from the 2006 target of decreasing it to 5.5 percent and 2009 target of 4.3 percent. “A targeted program that will identify causes and solutions for high dropout rates is urgently needed to reverse this alarming trend,” Badcock said. Badcock cited that case of the province of Sulu wherein only 62...
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...The political system The political system The economy The economy The education system The education system Religious instruction Religious instruction Socialisation is a key sociological perspective. Primary socialisation is from what your parents learn you, we also learn our behaviours from others. Socialisation refers to learning the norms, values beliefs, roles, stats and more. Marxism perspective: Marxists believe that society is based on conflict between the upper class (bourgeoisie) and the working class (proletariat). Marxists also believe that to end this in society you need a revolution. We live in a capitalist society. A capitalist society is a society that is built upon a quest for maximum amount of money; people who have a lot of money will have the most power. Marxists sees this as an evil society and it must come to an end. Karl Marx’s perspective could be argued that his idea is outdated and was writing when workers had no power or right but nowadays workers have a lot of different legal rights and have more power than before. Functionalist perspective: Emile Durkheim founded the functionalist perspective and he believes that there is no conflict in society if we all agree to share the same values in order for society to work affectively this creates social harmony. It is also said that society is like organism; for example every organ in are body has a special function, which is very important...
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...Sheffield Hallam University Faculty of Health and Wellbeing Advanced Diploma in Adult Nursing. Summative Assessment Submission. Collaboration in Professional Practice – January ’08 Intake Date of Submission: 20th April 2009 Assignment Title: "Effective Inter-professional Collaboration is key to providing good quality *patient/client/service user centred care"...Discuss. Student details: Name Student Number Word Count: 2,976 Module Tutor: The aim of this assignment is to discuss the importance of working inter-professionally within a multidisciplinary team to achieve the best patient-centred care. It will demonstrate developments achieved, and the knowledge gained around this area throughout my training and practice to date. The assignment will focus on the inter-professional care for adults within a hospital environment, as ‘Advanced Diploma in Adult Nursing’ is my course area. Interprofessional collaboration looks at teamwork, communication, professionalism and modern issues which influence practice at present. Various health care professionals have a range of expertise and skills different to others, their experiences and insights into situations capture dissimilar care needs, therefore enabling the patient to receive the best care. Through working in a multidisciplinary team, different professionals can collaborate with each other in order to benefit the patient and deliver person-centred care. The Royal College of Nursing (RCN 2007) describes...
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...mission. They believed that she wanted to remove the sense of community in Britain. The Thatcher ethos was seen as negativity towards the state’s role in people’s lives that it was up to each individual to look after him or herself. The Thatcher era was seen by many as about winners and losers, the winners were well rewarded with lower taxes, a property boom, rising wages, opportunities to purchase council houses and shares in the privatized companies at discount rates. If you had a job and money under the Thatcher government, there was multitude of opportunities. Whilst those who were without jobs and were dependant on welfare saw industries such as manufacturing decreasing in size, welfare payment cut in size, training being either cut or unfunded. They were expected to pay catch up with the winners on their own initiative without much help from the government. Much of the opposition came from the left, who Thatcher herself had little time for and one of her main objectives was the removal of socialism. Thatcher saw socialism as the polar opposite to her beliefs that people should first and foremost look after themselves. Whilst Thatcher created many enemies during her time as prime minister, she had little time to worry about these and even in her own cabinet she created a 'them' and 'us' situation, referring to those against her as the...
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...Section 1 Medicine and treatment Chapter 3: Extension study: Medicine and public health from Roman Britain to c1350 3.1 The Romans and approaches to medicine Exam practice question 1 (page 17) The Romans believed that disease was caused by an imbalance in the Four Humours. They believed that the body was made up of black bile, yellow bile, blood and phlegm, and that too much or not enough of one of these would cause illness. A fever, for example, showed that you had too much blood. This belief was developed by Galen from the work of Hippocrates, an Ancient Greek doctor. The Romans also believed that bad air could cause disease. They thought it was important to build cities and settlements away from swamps and marshes. This would have helped them avoid diseases like malarias which were caused by mosquitoes, but they didn’t understand why. The Romans also believed that dirt and sedentary lifestyles caused disease, because they encouraged the population to bathe regularly and exercise in the bath house. However, they would not have understood why this kept people healthy. Exam practice question 2 (page 18) In some ways the influence of Hippocrates on Roman medicine was extremely important. Hippocrates’s teachings included the theory of the four humours, which taught that the body was made up of four elements and too much of one of these would cause illness. He also taught the importance of clinical observation: watching a patient very carefully and keeping detailed...
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...market I am going to be looking at Saga over 50’s, they offer life insurance, health insurance, car insurance, home insurance, travel insurance, cruise holidays, tour holidays, savings, bank accounts, saga magazines and cheap UK trips, they are all very important when you look at their target market which are over 50’s, the average pension pay-out is £113 a week, and when you hit 80 you get a 25p increase, regarding the holidays, they are offering cheaper holidays and cheap cruises and 25% of UK trips. Saga Insurance is a good investment. Seniors and older people may find that a fixed income investment comes with less financial risk. It allows them to have a fixed monthly income, this is perfect for retirement. Health insurance- Although the NHS does a wonderful job, many people choose private health insurance to speed up diagnosis and treatment. Private health insurance also gives you much greater choice about where, when and by whom you’ll be treated. Saga target this age group by offering these service because they are discounted and are suited to a pensioners pay out. • Quick referral to a consultant • Access to prompt treatment- at a private hospital of your choice from our extensive nationwide list • Treatment at a time to suit you - to fit in with your work or life • A clean, quiet, private room - usually with en suite facilities, including a TV and phone by the bed • Unrestricted visiting hours - so family and friends can stay as long as you like. Sony PlayStation...
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...Robert Johnston Stuart Chambers Christine Harland Alan Harrison Nigel Slack Cases in Operations Management third edition Cases in Operations Management We work with leading authors to develop the strongest educational materials in operations management, bringing cutting-edge thinking and best learning practice to a global market. Under a range of well-known imprints, including Financial Times Prentice Hall, we craft high quality print and electronic publications which help readers to understand and apply their content, whether studying or at work. To find out more about the complete range of our publishing, please visit us on the World Wide Web at: www.pearsoneduc.com THIRD EDITION Cases in Operations Management Robert Johnston Warwick Business School, University of Warwick Stuart Chambers Warwick Business School, University of Warwick Christine Harland School of Management, University of Bath Alan Harrison Cranfield School of Management, Cranfield University Nigel Slack Warwick Business School, University of Warwick Pearson Education Limited Edinburgh Gate Harlow Essex CM20 2JE United Kingdom and Associated Companies throughout the world Visit us on the World Wide Web at: www.pearsoned.co.uk First published 1993 Second published 1997 Third Edition 2003 © Robert Johnston, Stuart Chambers, Christine Harland, Alan Harrison and Nigel Slack 1993, 2003 The rights of Robert Johnston, Stuart Chambers, Christine Harland, Alan Harrison...
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...(08/1501/94) Changing Management Cultures and Organisational Performance in the NHS (OC2) Research Report Produced for the National Institute for Health Research Service Delivery and Organisation programme April 2010 prepared by: Russell Mannion (University of Birmingham), Huw Davies (University of Dundee & St Andrews), Stephen Harrison (University of Manchester), Frederick Konteh (University of York), Ian Greener (University of Durham), Ruth McDonald (University of Nottingham), George Dowswell (University of Birmingham), Kieran Walshe (University of Manchester), Naomi Fulop (King’s College, London), Rhiannon Walters (King’s College, London), Rowena Jacobs (University of York), Paula Hyde (University of Manchester) Address for correspondence: Professor Russell Mannion Health Services Management Centre University of Birmingham Park House 40 Edgbaston Park Road Birmingham B15 2RT Queen’s Printer and Controller of HMSO 2010 1 SDO Project (08/1501/94) Contents Acknowledgements ....................................................8 1 Introduction .......................................................9 1.1 Aims and objectives of the study ..................................... 9 1.2 Research design and project overview .............................10 1.3 Structure of the report ..................................................11 2 Policy and Organisational Culture in the NHS: An Overview .............................................................12 2.1...
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...House of Commons Health Committee Modernising Medical Careers Volume II Written evidence Ordered by The House of Commons to be printed 8 November 2007 HC 25-II, Session 2007-08 Published on 14 November 2007 by authority of the House of Commons London: The Stationery Office Limited £20.50 The Health Committee The Health Committee is appointed by the House of Commons to examine the expenditure, administration, and policy of the Department of Health and its associated bodies. Current membership Rt Hon Kevin Barron MP (Labour, Rother Valley) (Chairman) Charlotte Atkins MP (Labour, Staffordshire Moorlands) Mr Ronnie Campbell MP (Labour, Blyth Valley) Jim Dowd MP (Labour, Lewisham West) Sandra Gidley MP (Liberal Democrat, Romsey) Dr Doug Naysmith MP (Labour, Bristol North West) Mike Penning MP (Conservative, Hemel Hempstead) Mr Lee Scott MP (Conservative, Ilford North) Dr Howard Stoate MP (Labour, Dartford) Mr Robert Syms MP (Conservative, Poole) Dr Richard Taylor MP (Independent, Wyre Forest) Powers The Committee is one of the departmental select committees, the powers of which are set out in House of Commons Standing Orders, principally in SO No 152. These are available on the Internet via www.parliament.uk. Publications The Reports and evidence of the Committee are published by The Stationery Office by Order of the House. All publications of the Committee (including press notices) are on the Internet at www.parliament.uk/healthcom Committee staff The current staff...
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...Leading and Managing Nursing Care Introduction This assignment will examine and reflect upon a critical incident that occurred whilst on placement. The incident will be analysed using relevant management concepts and an action plan formulated, which will propose a change in practice. Minghella and Benson (1995) cited by Ghyae, T and Lillyman, S (1997) identifies that ‘critical incident analysis has been espoused as a valuable method of promoting reflective practice in nursing and it can be used as a tool in developing curriculum content’ (p770). The Reflective Cycle of Gibb’s (1988) (appendix 1) will be used as a framework to conduct this assignment. My reasoning for choosing Gibb’s can be explained by [anon] (2006) ‘Gibb’s reflective cycle is fairly straight forward and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, and analysis to make sense of the experience’. The assignment will also be organised into sections based on the reflective cycle. Pseudonyms will be used to maintain anonymity and confidentiality in accordance with clause five of the NMC (2004). The critical incident which I have chosen is an inappropriate assessment and application of mouth care in a pre-operative patient. ‘Oral assessment is required in planning effective care, and that the incidence of oral complications was reduced by the frequency of care’ Ginsberg (1961) cited by Mallett, J and Dougherty, L (2000 p361). I have chosen...
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...Government & Politics Unit 2 * Constitution * Codified Constitution ✓ * Advantages & Disadvantages * Features * Uncodified Constitution ✓ * Advantages & Disadvantages * Features * Is Parliament Sovereign? ✓ * Arguments For and Against * Strengths and Weaknesses of the UK’s constitution ✓ * Constitutional Reforms – Coalition and 1997-2010 ✓ * What are they? * Are they effective? * PM & Cabinet * Features & Functions of the PM ✓ * What must a politician be to becoming PM * What can a PM do? * Functions of Cabinet ✓ * Factors that affect promotion and resignation of a minister ✓ * Powers and Constraints of PM ✓ * Theories of Executive Power ✓ * PM V Cabinet ✓ * Parliament * Functions of Parliament ✓ * What are they? * How effective are they? * Powers of Parliament ✓ * What are they? * How effective are they? * Parliamentary Reform ✓ * What are they? * How effective are they? * Relationship between Parliament and Government ✓ * Factors that affect it * How the coalition affects it Constitution: 2 Types of Constitution * Codified & Uncodified Codified Constitution * Constitution where the rules are written down in a single document. Example could be the USA...
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...Task P3 Explain the possible influences on dietary intake. M1 Discuss the similarities and differences in the nutritional and energy requirement of two groups of individuals. M2 Assess how influences on dietary intake may affect the nutritional health on individuals. D1 Make realistic recommendations for minimising negative influences of individuals in a specific health and social care environment. In this report I shall be explaining the possible influences on dietary intake of students at Our Lady’s Convent High School (OLCHS). I am going to be writing a report that will be explaining the possible influences on dietary intake on the students of Our Lady’s Convert High School. It shall contain information about the prevalence of type 2 diabetes in the Black British population. A description of the causes, symptoms and treatment of the condition, personal preferences access to food outlets, choices of food at morning break, results of questionnaires. Our Lady’s Convent School is a Catholic girl’s school located in Stamford Hill. The school’s ethnics has all races. The school’s ethnics is mixed making up of Africans, black Caribbean, Asian, white, Hispanic and so on. 80 percent of the school population are Catholics, 65 percent are Black African or Black Caribbean and about 4O percent of the students do not speak English as their first language. It is located in a deprived area. As deprived as it is, it is also surrounded by many schools. Stamford Hill has two main...
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...health and illness. These things will include the introduction of social groups and looking at their statistics. “A social group is a collection of people who interact with each other and share similar characteristics and a sense of unity. A social category is a collection of people who do not interact but who share similar characteristics. For example, women, men, the elderly, and high school students all constitute social categories. A social category can become a social group when the members in the category interact with each other and identify themselves as members of the group.” - Anonymous, 2014. No only will I be looking at the social elements, but how it links in to health and trends in illness to find out just how the can both relate. Things such as Morbidity rates (the counted statistic rate in which disease appears in the population). Not forgetting other patterns in health including mortality rate known to be the amount of deaths calculated per annum along with many other rates that can effect the illness of social groups and reasons as to why and how these rates may effect them. As previously mentioned before a social group is a collection of people who interact with each other and share similar characteristics and a sense of unity. A social category is a collection of people who do not interact but who share similar characteristics. For example, women, men, the elderly, and high school students all constitute social categories. A social category can become...
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