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Voluntary Sector (voluntary + sector)
Selected AbstractsBRITISH SOCIAL HOUSING AND THE VOLUNTARY SECTORECONOMIC AFFAIRS, Issue 2 2008Robert Whelan Housing for the poor was a thriving part of the voluntary sector in the nineteenth century, providing thousands of homes through hundreds of societies without subsidy. It was undermined by state action which has effectively driven other providers from the field. [source] Geographies of Care: Space, Place and the Voluntary SectorHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2002Mark Exworthy BSc PhD No abstract is available for this article. [source] Employment Relations in the Voluntary Sector , By Ian CunninghamBRITISH JOURNAL OF INDUSTRIAL RELATIONS, Issue 3 2010Steve Davies No abstract is available for this article. [source] The snakes and ladders of accountability: Contradictions between contracting and collaboration for Canada's voluntary sectorCANADIAN PUBLIC ADMINISTRATION/ADMINISTRATION PUBLIQUE DU CANADA, Issue 4 2004Susan Phillips As part of this transition, however, contracting is being used not only as a means to control performance but also as a governance tool to guide the development of more collaborative relationships between government as a whole and entire sectors. In its relationship with the voluntary sector, the Government of Canada is caught in these contradictory trends - between the control of contracting and the collaboration inherent in a governance contract. This article first examines the impact on voluntary organizations of the very stringent federal rneasures over contribution agreements that were brought in as a reaction to crisis in 2000. The effects are found to be significant and overwhelmingly negative, imposing direct financial costs on voluntary organizations and stifling innovation. The authors then consider whether the implementation of the Accord Between the Government of Canada and the Voluntary Sector and its Code of Good Practice on Funding might mitigate the negative effects of these accountability measures. Sommaire: S'il est vrai que le Canada s'oriente vers un modèle de « gouvemance horizontale « privilégiant la collaboration avec différents acteurs non-gouvernementaux, la culture de marchés (contrats) et le régime d'imputabilité qui I'accompagne n'en demeurent pas moins un legs de la nouvelle gestion publique. Toutefois, dans le cadre de cette transition, les marchés (contrats), en plus de servir de moyen de contrôler le rendement, sont aussi un outil de gouvernance pour accroître la collaboration entre le gouvernement dam son ensemble et des secteurs tout entiers. Dam sa relation avec le secteur bénévole, le gowernement du Canada est pris dans ces tendances contradictoires - entre le contrôle des marchés (contrats) et la collabordtion inhérente à un contrat de gouvernance. L'article se penche en premier sur l'incidence pour les organismes bénévoles des mesures contraignantes imposées par le gouvernement fédéral relativement aux ententes de contribution introduites pour fairc face a la crise qui a sévi en 2000. Ces impacts sont à la fois considérables et des plus négatifs, imposant des frais de financement directs aux organismes bénévoles et suffoquant l'innovation. Les auteurs cherchent ensuite a déterminer si la mise en application de l'accord passé entre le gouvernement du Canada et le secteur bénévole et son Code de boMes pratiques de financement pourraient atténuer certains effets négatifs de ces mesures d'imputabilité. [source] Effra Trust and the voluntary sector: a world of opportunityCRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue S1 2002Tim Cook First page of article [source] BRITISH SOCIAL HOUSING AND THE VOLUNTARY SECTORECONOMIC AFFAIRS, Issue 2 2008Robert Whelan Housing for the poor was a thriving part of the voluntary sector in the nineteenth century, providing thousands of homes through hundreds of societies without subsidy. It was undermined by state action which has effectively driven other providers from the field. [source] Independent sector mental health care: a 1-day census of private and voluntary sector placements in seven Strategic Health Authority areas in EnglandHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2007Barbara Hatfield PhD Abstract The aims of this study were (i) to map the extent of all mental health placements in the independent sector, for adults of working age, and elderly people (excluding those with a diagnosis of dementia placed in Local Authority care homes), on a census date, across the areas in which the study was commissioned; (ii) to identify the characteristics of the population in placements; (iii) to explore some of the characteristics of the placements and the patterns of use within the private and voluntary sectors; and (iv) to identify the funding source of placements, and cost differences between the private and voluntary sector. The study took place in seven Strategic Health Authority areas, and information was sought from all Primary Care Trust and Social Services commissioners of mental health services, including regional secure commissioning teams, within those areas. A cross-sectional sample was used. Information was requested in relation to every individual meeting the inclusion criteria, placed in independent (private or voluntary) psychiatric hospitals, registered mental nursing homes and care homes on a specified study ,census date' of 28 June 2004 in six of the Strategic Health Authority areas, and 7 October 2004 in the seventh. Information was recorded on a standard questionnaire specifically designed for the study. Information was obtained on 3535 adults and 1623 elderly people in private or voluntary facilities. The largest groups of adults and elderly people had diagnoses of severe mental illnesses (42.1% and 30.5%, respectively), and placements were described as ,continuing care' or rehabilitation, with a ,niche' in specialist forensic care. Around four-fifths of units were in the private sector, which for adults was significantly more expensive than the voluntary sector. A large proportion of units (47.2% of adult placements and 59.3% of placements for elderly people) had only single placements from particular commissioning authorities, whilst others had large numbers, raising issues for effective commissioning. The distance of placements from patients' area of origin, is also an issue highlighted by the study. The study findings are discussed in relation to commissioning practice, and the development of the independent sector in mental health care. [source] ,We didn't know it would get that bad': South Asian experiences of dementia and the service responseHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2003Alison Bowes BA PhD Abstract The aim of the present paper was to examine some views and experiences of dementia among older South Asian people, as well as their families and carers, and to explore central issues of service support. Data were collected in Scotland through interviews with 11 professionals working with South Asian people with dementia, and four case studies of South Asian people with a diagnosis of dementia, as well as their families and carers. The case studies demonstrated overwhelmingly negative experiences of dementia, with poor quality of life, desperate needs for support, lack of access to appropriate services, little knowledge of dementia, and isolation from community and family life. The interviews with professionals described a strong demand for services, a need to develop awareness and knowledge about dementia in South Asian communities, and a need to promote more culturally sensitive, individually responsive services. Similarities between South Asian people and the non-South Asian population include stress on carers, increasing isolation, problematic diagnostic practices, lack of knowledge and demand for service support. Differences include limited use of non-National Health Service (NHS) support, dealing with later stages of dementia at home, particularly negative views about residential care, culturally based attitudinal differences and use of the term ,dementia' in English as neutral rather than stigmatising. The present authors suggest that there is little knowledge and experience of dementia in South Asian communities, as well as restricted access to appropriate services, despite the efforts of voluntary sector and NHS special projects. There is demand for services, especially at home. Services need to develop individual responsiveness for effective working in a diverse society. [source] Involving mental health service users in quality assuranceHEALTH EXPECTATIONS, Issue 2 2006Jenny Weinstein BPhil BA(Hons) Msc Abstract Objective, This study compares the process and outcomes of two approaches to engaging mental health (MH) service users in the quality assurance (QA) process. Background, QA plays a significant role in health and care services, including those delivered in the voluntary sector. The importance of actively, rather than passively, involving service users in evaluation and service development has been increasingly recognized during the last decade. Design, This retrospective small-scale study uses document analysis to compare two QA reviews of a MH Day Centre, one that took place in 1998 as a traditional inspection-type event and one that took place in 2000 as a collaborative process with a user-led QA agenda. Setting and participants, The project was undertaken with staff, volunteers and service users in a voluntary sector MH Day Centre. Intervention, The study compares the management, style, evaluation tools and service user responses for the two reviews; it considers staff perspectives and discusses the implications of a collaborative, user-led QA process for service development. Results, The first traditional top,down inspection-type QA event had less ownership from service users and staff and served the main purpose of demonstrating that services met organizational standards. The second review, undertaken collaboratively with a user-led agenda focused on different priorities, evolving a new approach to seeking users' views and achieving a higher response rate. Conclusions, Because both users and staff had participated in most aspects of the second review they were more willing to work together and action plan to improve the service. It is suggested that the process contributed to an evolving ethos of more effective quality improvement and user involvement within the organization. [source] A job to believe in: recruitment in the Scottish voluntary sectorHUMAN RESOURCE MANAGEMENT JOURNAL, Issue 1 2008Dennis Nickson The voluntary sector is an important source of employment in the UK and is increasingly providing services previously provided by the public sector. However, the ability of the sector to provide such services is dependent on the quantity and quality of suitable labour. This article examines recruitment issues in seven case-study voluntary organisations offering social care in Scotland. Interviews were conducted with 137 managers and employees in these organisations. In addition, to assess potential labour supply, interviews and focus groups were conducted with careers advisers and potential employees. The findings suggest that, with a tightening labour market, uncompetitive pay and misconceptions about the sector, recruitment is a problem. However, job satisfaction is high for current employees, and potential employees whose values are commensurate with the sector might be attracted. The findings thus have relevance not just for the case-study organisations, but for HRM in the voluntary sector generally. [source] Prospects for union growth in the UK voluntary sector: the impact of the Employment Relations Act 1999INDUSTRIAL RELATIONS JOURNAL, Issue 3 2000Ian Cunningham The article argues that despite the imminent introduction of the Employment Relations Act 1999, unions face a difficult environment in which to achieve recognition deals in the voluntary sector. However, it also highlights how some large charities are re-evaluating their position on employee representation in response to government legislation and that unions can use these developments to encourage further growth. [source] Perceived value of corporate donations: an empirical investigationINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 4 2008Narissa Gipp There is current recognition that value is the fundamental basis for all marketing activities. The present research provides an empirical examination of perceptions of value within the voluntary sector and specifically donations made by organisations towards the funding of charitable projects. The impact of a number of charity and project-related variables on the formation of value and the corresponding effect of value on satisfaction and behavioural variables are examined. The results support claims that past experience with and information about a charity as well as information about a specific project are significant determinants of value. However, the impact of these constructs is differential between the two components of value (i.e. get/benefits and give/sacrifices). We confirm the significant effect of value on satisfaction and indicate that satisfaction and benefits derived from a donation have a direct impact on behavioural intention. Copyright © 2008 John Wiley & Sons, Ltd. [source] Charity law reform: implementing the Strategy Unit proposalsINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 3 2004Belinda Pratten This paper discusses the recommendations arising from the Strategy Unit review of charities and the wider voluntary sector in England and Wales and the government's response to these. The proposed reforms will involve an updating of charity law; changes to the regulatory framework governing the sector; and a greater emphasis on improving the accountability, transparency and performance of charities and voluntary organisations. In the main these proposals have been welcomed by the sector. In particular there is a clear recognition of the need to modernise the legal position of charities to reflect changes in society and changing public perceptions of what is, or should be, charitable. Copyright © 2004 Henry Stewart Publications [source] Public services and the future of the UK voluntary sectorINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 2 2004Stuart Etherington First page of article [source] Philanthropy, social capital or strategic alliance?INTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 3 2002The involvement of senior UK business executives with the voluntary sector, implications for corporate fundraising Although corporate fundraising is popular there has been very little discussion in the voluntary sector literature of its context. Using questionnaire data from senior executives representing one-third of the FTSE350 companies, and in-depth interviews with a number of top level business men, this paper reports the first UK survey of the personal involvement of senior executives with charities, voluntary and community organisations,[Walker, C. and Pharoah, C. (2000) ,Making time for charity: A survey of top business leaders' involvement with voluntary organisations', Charities Aid Foundation, Kent.] and pinpoints messages about corporate involvement which may help fundraisers develop corporate fundraising strategies. The data give the first indications of how many of the UK's top business executives give time to charity, how much time they give and what they do. It also addresses what there is to gain for and from the charity, the senior executive and their company. The results present a picture of widespread and enthusiastic involvement of senior executives with the voluntary sector; a picture of both a deep personal commitment and of a strong sense of corporate benefit. The survey also raises several important issues and implications for corporate fundraising: should charities be doing more to attract top executives into an active relationship with them? How can they do this? What are the pros and cons of an alliance between corporate figureheads and charitable organisations; how might this relationship be viewed by the public; and how might it best be managed? This paper draws on the results of the survey to illustrate and discuss these issues. Copyright © 2002 Henry Stewart Publications [source] Understanding the volunteer market: the what, where, who and why of volunteeringINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 3 2002Helen Bussell Although the work of the voluntary sector is growing, the number of people volunteering is not increasing at a comparable rate. This paper argues that the key to an organisation's success in recruiting and retaining its volunteers is to have an understanding of its target group. As a means to developing this understanding the paper reviews the prior research on volunteering and outlines the current situation in the voluntary sector with regard to the donation of time. The review shows that those who volunteer are an extremely diverse group, active in a wide variety of contexts. This makes the definition of a volunteer a more complex task than one would expect. It also demonstrates that individuals and organisations may volunteer for reasons other than purely altruistic motives. Finally, the paper identifies gaps in this area of research and presents topics for further research. Copyright © 2002 Henry Stewart Publications [source] Marketing collaborations in the voluntary sectorINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 3 2001Meg Abdy This paper examines the current status of marketing collaborations in the voluntary sector, within the context of the overall charity marketing environment. It compares the incidence and scope of collaborations in the voluntary sector with those of the commercial sector; while being mindful of some important inherent differences between the two milieus. The findings are illustrated with examples of charity collaborations, both past and present. The paper concludes with some possible ways forward for both practitioners and policy makers. Copyright © 2001 Henry Stewart Publications [source] ARCHSECRET: a multi-item scale to measure service quality within the voluntary sectorINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 2 2001Liz Vaughan This paper provides an overview of the application of SERVQUAL reflecting the theoretical criticisms concerning disconfirmation model, process orientation, role of expectations and portability. The original SERVQUAL framework was found to be inappropriate for services that had no close analogue with the private sector. A qualitative research study was undertaken to establish the sector-specific criteria used by customers to evaluate service quality. The study identified 40 potentially unique features of the service as perceived by service recipients. These features were developed into a pilot survey instrument that comprised 40 questions, covering expectations, perceptions and importance. A pilot study was undertaken to test the instrument among disabled customers and their carers across the main centres of a national voluntary organisation. Analyses of the pilot survey data resulted in a set of 27 distinct statements across ten hypothesised service quality dimensions. These are Access, Responsiveness, Communication, Humaneness, Security, Enabling/Empowerment, Competence, Reliability, Equity, and Tangibles, giving rise to the acronym ARCHSECRET. The ARCHSECRET instrument is potentially a powerful diagnostic tool for managers in their pursuit of continuous quality improvement within voluntary sector organisations. Copyright © 2001 Henry Stewart Publications [source] A contingency approach to reward strategy in the UK not-for-profit sectorINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 4 2000Anjali Bakhru The word ,charity' is derived from the Latin word ,caritas', meaning love of other people or beneficence and liberality to those in distress. It is argued, however, that as organisations within the charity or not-for-profit (NFP) sector become more commercial or ,business-like', the greater is the imperative to focus on effectiveness as well as efficiency. In terms of an organisation's reward strategy, it is critical that individual performance is assessed and linked to rewards. The aim of the paper is essentially to examine current approaches to reward strategy in the UK voluntary sector as well as to assess the ,effectiveness' of existing reward strategies, making suggestions as to how a ,best practice' approach could be adopted. Primary data were gathered from organisations within the NFP sector, and it was concluded that the sector needs to question the ,effectiveness' of reward strategies, to link individual performance objectives with its reward strategy, and to move away from pure cost-efficiency considerations to ensure that there is a balance between long-term and short-term objectives. At the same time, a ,best practice' approach for reward strategies within the NFP sector cannot be prescriptive in terms of suggesting ,one best way', but rather a contingency approach is recommended with regard to the selection of the mix of financial and non-financial factors within the reward strategy. Copyright © 2000 Henry Stewart Publications. [source] Results of the first survey of independent trust grantmaking: who is setting the agenda?INTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 3 2000Cathy Pharoah Based on an analysis of 2,300 grants made by a representative sample of independent trusts and foundations, ,Patterns of Independent Grantmaking in the UK' is the first national survey identifying where independent trusts allocate their funds. The results show that, as in mainstream central and local government expenditure, social care was a clear priority for independent grantmakers, not only attracting the highest proportion of grants overall, but also the single largest proportion of funding, £233m. This figure equals just over one-third of local authority support for social services in the voluntary sector and indicates that the collective impact of independent funding to the sector is significant. Social care funding consisted mainly of a large number of small to medium-sized grants. Health was the second largest area, followed by education and the arts. There was a considerable regional imbalance in funding. Given this fairly conservative pattern of funding, the question arises whether funders are led by applicants or vice versa? What is needed to introduce more change and risk into trust funding? Copyright © 2000 Henry Stewart Publications. [source] Civil Society or the State?: Recent Approaches to the History of Voluntary WelfareJOURNAL OF HISTORICAL SOCIOLOGY, Issue 3 2002Alan Kidd Since the 1970s a drift away from state corporatist solutions to social welfare problems has had its parallel in an academic rediscovery of the voluntary sector. Revived confidence in non,statutory approaches often assumes two things. Firstly, that voluntary action is a vital component in civil society and that civil society itself is an attribute of liberal democracy. These ideas are central to the perceived ,crisis of the welfare state'. They are also related to debates about political culture and the future of democracy with the institutions of civil society cast positively as ,schools of citizenship'. Secondly, it is frequently assumed that there is an opposition in principle between the voluntary and the statutory and in some quarters an assumption (reversing an earlier presumption about the rationality of state welfare) that voluntary action is the superior mechanism (at least morally). The purpose of this paper is threefold. First, I want to reflect on the revival of interest in the role of the institutions of civil society in the history of welfare provision. Second, I will survey some recent approaches to voluntary action and ,civil society'. Third, in the process of this survey I discuss the relevance of these approaches to the study of past states of welfare. [source] Government-Voluntary Sector Compacts: Governance, Governmentality, and Civil SocietyJOURNAL OF LAW AND SOCIETY, Issue 1 2000John Morison In 1998 government and the main representatives of the voluntary sector in each of the four countries in the United Kingdom published ,compacts' on relations between government and the voluntary sector. These were joint documents, carrying forward ideas expressed by the Labour Party when in opposition, and directed at developing a new relationship for partnership with those ,not-for-profit organizations' that are involved primarily in the areas of policy and service delivery. This article seeks to use an examination of the compacts, and the processes that produced them and that they have now set in train, to explore some of the wider issues about the changing role of government and its developing relationships with civil society. In particular, it argues that the new partnership builds upon a movement from welfarism to economism which is being developed further through the compact process. Drawing upon a governmentality approach, and illustrating the account with interview material obtained from some of those involved in compact issues from within both government and those umbrella groups which represent the voluntary sector, an argument is made that this overall process represents the beginning of a new reconfiguration of the state that is of considerable constitutional significance. [source] Statistics on the voluntary sector in the UKJOURNAL OF THE ROYAL STATISTICAL SOCIETY: SERIES A (STATISTICS IN SOCIETY), Issue 3 2000Roger Tarling First page of article [source] Diversifying revenue sources in Canada: Are women's voluntary organizations different?NONPROFIT MANAGEMENT & LEADERSHIP, Issue 1 2005Mary K. Foster Government policies in Canada have taken a hard right turn, and tax cuts now have priority over investing in social programming. Both federal and provincial governments have been withdrawing from direct service provision, with the expectation that the voluntary sector will fill the gap. At the same time, traditional government support for the voluntary sector has declined, which limits the ability of organizations to meet their current service demands. Using a sample of 645 organizations from across Canada, this article explores the use of revenue diversification as a response to policy changes. The findings indicate that the factors related to voluntary organizations' in Canada embracing revenue diversification to support program delivery differ for organizations run by women and nongendered organizations. [source] Latest news and product developmentsPRESCRIBER, Issue 10 2007Article first published online: 13 SEP 200 Sitagliptin: novel drug for type 2 diabetes Sitagliptin (Januvia), the first dipeptidyl peptidase-4 (DPP-4) inhibitor, has been introduced for the treatment of type 2 diabetes in combination with metformin or a glitazone when either agent plus exercise and diet fail to control blood glucose. Inhibition of DPP-4 prevents the breakdown of incretin hormones that promote insulin release from pancreatic beta cells. In trials lasting up to 24 weeks, adding sitagliptin to established therapy reduced HbA1C by 0.67-0.90 per cent. It is contraindicated in patients with moderate or more severe renal impairment. At the recommended dose of 100mg per day, a month's treatment with sitagliptin costs £33.36. Guide to treating mentalillness in primary care A new guide from the Centre for Clinical and Academic Workforce Innovation aims to help health professionals and others treating people with mental illness. A Complete Guide to Primary Care Mental Health, a toolkit presented as a reference book and CD, covers aspects of treatment, the law and working with the voluntary sector and includes training materials compatible with evidence-based guidance. Copies are available from amazon.co.uk. Follow-up improves statin adherence Patients may take long holidays from statin treatment but a visit to the doctor is among the most effective ways to improve adherence, a US study shows (Arch Intern Med 2007;167:847,52). Observation of 239 911 patients who began statin treatment during a seven-year period showed that 54 per cent stopped their treatment for at least 90 days. Of these, 48 per cent restarted within one year and 60 per cent within two years. Factors associated with restarting treatment were a visit to the doctor who prescribed the statin (odds ratio, OR, 6.1) or a visit to a different doctor (OR 2.9). A cholesterol test and hospital admission for a cardiovascular event were also significant factors. Pharmacist MUR does not reduce heart failure deaths Medication review by trained community pharmacists does not reduce admissions or deaths among patients with heart failure, according to a study from East Anglia (BMJ online: 23 April 2007; doi:10.1136/bmj.39164.568183.AE). Patients admitted as emergencies with heart failure were randomised to usual care or two home visits by a community pharmacist within two and eight weeks after discharge. Pharmacists reviewed medication and advised on self-management of symptoms and lifestyle. There were no significant differences in hospital admissions over the next six months (rate ratio 1.15 for pharmacist vs control) or deaths (rate ratio 1.18); quality of life scores were similar in the two groups. The authors speculate that the interventions may have been too brief or too late (lifestyle changes having been made already), or disadvantaged by not adjusting beta-blocker doses. A Cardiff study of pharmacist medication reviews for elderly patients (BMJ online: 20 April 2007; doi:10.1136/bmj.39171. 577106.55), found that their advice had the potential to undermine patients' ,confidence, integrity and self-governanc'. The study found that pharmacists gave advice unnecessarily and uninvited. CHD targets met early The national programme to tackle heart disease has made substantial progress towards it targets, the Department of Health says in a 10-year report, and a 40 per cent cut in mortality will be achieved ahead of the deadline of 2010. Coronary Heart Disease Ten Years On: Improving Heart Care, a report by Professor Roger Boyle, National Director for Heart Disease and Stroke, states that 7 per cent of the population is now taking statins, resulting in 9700 deaths avoided annually. The prevalence of untreated hypertension fell from 32 to 24 per cent between 1998 and 2003. The report also summarises changes in service delivery, nutrition and smoking cessation. HRT: ovarian cancer risk The MHRA has not altered its advice on the use of HRT following news that five years' use increases ovarian cancer risk in women over 50. The Million Women Study revealed an approximately 20 per cent increased risk of ovarian cancer or death among women still using HRT after five or more years. There was no difference in risk between oestrogen-only and combined formulations. The MHRA says HRT is still indicated for relieving symptoms of the menopause for short-term use; as an alternative for women over 50 who cannot take other treatments to prevent osteoporosis, or when such options fail; and in women under 50 who experience a premature menopause. Poor angina treatment Over half of patients with angina continue to experience attacks despite treatment, according to a survey by the British Cardiac Patients Association. The survey of 600 patients with angina also found that twot-hirds of respondents reported that angina had a moderate to severe impact on their lives. Half said that the adverse effects of their treatment negatively affected their work, two-thirds reported an adverse impact on sex, and almost three-quarters of patients taking beta-blockers reported fatigue. A second survey of 2000 adults revealed widespread ignorance about the prevalence and symptoms of angina. The surveys were sponsored by Servier Laboratories Limited and conducted in collaboration with Research Quorum. Cabergoline restriction Indications for the dopamine agonist cabergoline (Cabaser) are being restricted to match those of pergolide (Celance), the MHRA has announced. Pergolide was recently withdrawn in the United States and its use in the EU is limited because of the risk of cardiac valvular damage. Similar toxicity has been reported with cabergolide, which is now restricted to second-line use when a nonergot treatment for Parkinson's disease has failed. It is contraindicated in patients with valvular damage or a history of fibrotic disorders and requires patient monitoring. Sodium reduction cuts CV events Long-term reduction in dietary sodium may reduce cardiovascular events by 25 per cent, US epidemiologists say (BMJ online: 20 April 2007; doi:10.1136/bmj.39147.604896.55). Participants in the two Trials of Hypertension Prevention (TOHP I and II) reduced their sodium intake by 44 and 33mmol per 24hr. After 10,15 years' follow-up of 2415 participants, the adjusted relative risk of cardiovascular events was 0.75 compared with controls. There was a nonsignificant 20 per cent reduction in mortality. Copyright © 2007 Wiley Interface Ltd [source] The snakes and ladders of accountability: Contradictions between contracting and collaboration for Canada's voluntary sectorCANADIAN PUBLIC ADMINISTRATION/ADMINISTRATION PUBLIQUE DU CANADA, Issue 4 2004Susan Phillips As part of this transition, however, contracting is being used not only as a means to control performance but also as a governance tool to guide the development of more collaborative relationships between government as a whole and entire sectors. In its relationship with the voluntary sector, the Government of Canada is caught in these contradictory trends - between the control of contracting and the collaboration inherent in a governance contract. This article first examines the impact on voluntary organizations of the very stringent federal rneasures over contribution agreements that were brought in as a reaction to crisis in 2000. The effects are found to be significant and overwhelmingly negative, imposing direct financial costs on voluntary organizations and stifling innovation. The authors then consider whether the implementation of the Accord Between the Government of Canada and the Voluntary Sector and its Code of Good Practice on Funding might mitigate the negative effects of these accountability measures. Sommaire: S'il est vrai que le Canada s'oriente vers un modèle de « gouvemance horizontale « privilégiant la collaboration avec différents acteurs non-gouvernementaux, la culture de marchés (contrats) et le régime d'imputabilité qui I'accompagne n'en demeurent pas moins un legs de la nouvelle gestion publique. Toutefois, dans le cadre de cette transition, les marchés (contrats), en plus de servir de moyen de contrôler le rendement, sont aussi un outil de gouvernance pour accroître la collaboration entre le gouvernement dam son ensemble et des secteurs tout entiers. Dam sa relation avec le secteur bénévole, le gowernement du Canada est pris dans ces tendances contradictoires - entre le contrôle des marchés (contrats) et la collabordtion inhérente à un contrat de gouvernance. L'article se penche en premier sur l'incidence pour les organismes bénévoles des mesures contraignantes imposées par le gouvernement fédéral relativement aux ententes de contribution introduites pour fairc face a la crise qui a sévi en 2000. Ces impacts sont à la fois considérables et des plus négatifs, imposant des frais de financement directs aux organismes bénévoles et suffoquant l'innovation. Les auteurs cherchent ensuite a déterminer si la mise en application de l'accord passé entre le gouvernement du Canada et le secteur bénévole et son Code de boMes pratiques de financement pourraient atténuer certains effets négatifs de ces mesures d'imputabilité. [source] Visibility, Immobility and Stigma: Young People's Use of Sexual Health Services in Rural Areas,CHILDREN & SOCIETY, Issue 3 2006Gary Craig Teenage pregnancy has become a major policy issue, for which young people are often publicly held solely responsible. However, a combination of factors substantially increases the risks of conception faced by young people engaging in early sexual activity. This article reports the main findings of a study of teenage pregnancy in linked seaside and rural areas, focusing on the experiences and perceptions of young people living in rural localities. They identify the issues of immobility, visibility and attitudes of stigma as affecting their ability to access sexual health services. The young people highlighted issues for service and policy development and the behaviour of professionals, both within schools and from sexual health services. Education, social and health services and the voluntary sector have important roles to play in responding to their needs. [source] Food and Poverty: Insights from the ,North'DEVELOPMENT POLICY REVIEW, Issue 5-6 2003Elizabeth Dowler The role that food and nutrition play in the material definitions of poverty are contrasted with the social construction of malnutrition and poverty, drawing largely on British experience. The consequences for poor health and premature death are briefly examined; in particular, the connection is made to the world-wide growth in obesity, and in cardio-vascular disease, cancers and diabetes. The lived experience of those defined as poor in the North, and the implications of contemporary policy initiatives and responses by state, private and voluntary sectors, are explored. The challenges of the dominant policy framework remain consumer and individual choice, rather than public health and citizenship, which militates against the realisation of true food security. [source] Independent sector mental health care: a 1-day census of private and voluntary sector placements in seven Strategic Health Authority areas in EnglandHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2007Barbara Hatfield PhD Abstract The aims of this study were (i) to map the extent of all mental health placements in the independent sector, for adults of working age, and elderly people (excluding those with a diagnosis of dementia placed in Local Authority care homes), on a census date, across the areas in which the study was commissioned; (ii) to identify the characteristics of the population in placements; (iii) to explore some of the characteristics of the placements and the patterns of use within the private and voluntary sectors; and (iv) to identify the funding source of placements, and cost differences between the private and voluntary sector. The study took place in seven Strategic Health Authority areas, and information was sought from all Primary Care Trust and Social Services commissioners of mental health services, including regional secure commissioning teams, within those areas. A cross-sectional sample was used. Information was requested in relation to every individual meeting the inclusion criteria, placed in independent (private or voluntary) psychiatric hospitals, registered mental nursing homes and care homes on a specified study ,census date' of 28 June 2004 in six of the Strategic Health Authority areas, and 7 October 2004 in the seventh. Information was recorded on a standard questionnaire specifically designed for the study. Information was obtained on 3535 adults and 1623 elderly people in private or voluntary facilities. The largest groups of adults and elderly people had diagnoses of severe mental illnesses (42.1% and 30.5%, respectively), and placements were described as ,continuing care' or rehabilitation, with a ,niche' in specialist forensic care. Around four-fifths of units were in the private sector, which for adults was significantly more expensive than the voluntary sector. A large proportion of units (47.2% of adult placements and 59.3% of placements for elderly people) had only single placements from particular commissioning authorities, whilst others had large numbers, raising issues for effective commissioning. The distance of placements from patients' area of origin, is also an issue highlighted by the study. The study findings are discussed in relation to commissioning practice, and the development of the independent sector in mental health care. [source] Accessibility and equity of health and social care services: exploring the views and experiences of Bangladeshi carers in South Wales, UKHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 3 2006HV Tut Cert, Joy Merrell BSc (Hons) Abstract There is a paucity of information regarding the extent and nature of caring provided by minority ethnic communities. The proportion of older people from these communities will dramatically increase in the next 20 years, which will be accompanied by increasing health and social care needs and an increased demand for carers. A qualitative, exploratory study was conducted to identify the health and social care needs of informal carers, who were caring for a dependent adult from a Bangladeshi community in South Wales, UK. This paper focuses on Bangladeshi carers' access to formal support services provided by the statutory, private and voluntary sectors to assist them with their caring responsibilities. The findings are based on data collected using face-to-face, focused interviews with 20 Bangladeshi carers. Purposive and snowball sampling were used to recruit the sample. The data were analysed using thematic content analysis. The dimensions of accessibility and equity of quality of care were drawn upon to aid understanding of the findings. Bangladeshi carers faced a number of barriers in accessing health and social service provision, which impeded uptake of these services. Additionally, there was evidence of inequity in service provision. Recommendations for improving the accessibility of health and social care services are proposed, which may assist in promoting more equitable services for carers from the Bangladeshi community. [source] | ||||||||||||||||||||||