Home About us Contact
|
Home About us Contact | ||
|
|
||
Recent Policy Changes (recent + policy_change)
Selected AbstractsManaging the entry of new medicines in the National Health Service: health authority experiences and prospects for primary care groups and trustsHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2001Ruth McDonald BA MSc PhD Abstract For the most part, the management of new medicines in the NHS has hitherto been a matter for local discretion. The result is that access to medicines is often determined by where a patient lives, as opposed to some nationally agreed clinical criteria. This ,postcode prescribing' has led to widespread variations in access to medicines and concerns about the resulting inequalities. Primary care groups and trusts are expected to reduce variations in access to care, whilst at the same time balancing their finances, since any overspends on prescribing must be covered by disinvestment in hospital and community services. We interviewed 21 health authority (HA) prescribing advisers to ascertain how they viewed the managed entry of new medicines in order to identify lessons for PCGs. In addition, we report the views of local prescribing managers on the potential impact of recent government policy changes on the process and speculate on the likely implications of these for primary care groups and trusts. What is clear from the study is that HAs often have no explicit objective in relation to new medicines, but that their desire to act is prompted by fears of overspending on prescribing budgets. The danger of this approach is that patients may be denied cost-effective treatments since all new medicines are seen as a problem. It seems likely that PCG/Ts will face the same dilemmas with which the HA advisers in our study have been wrestling for some time. Recent policy changes in relation to prescribing budgets and new medicines are likely to exacerbate these problems. The tensions between local priority setting, which may mean saying no to new medicines, whilst at the same time eradicating postcode prescribing and balancing budgets means that PCG/Ts face difficult policy choices. [source] Mammals, agri-environment schemes and set-aside , what are the putative benefits?MAMMAL REVIEW, Issue 4 2007D. W. MACDONALD ABSTRACT 1The impacts of agricultural intensification on farmland wildlife have been the subject of increasing concern, particularly over the last two decades. Population declines have occurred for a number of mammalian species, sometimes drastically so, and changes in farming practice are believed to be significant contributory factors. 2The major policy instruments for delivering environmental benefits on farmland are agri-environment schemes. These encourage farmers to adopt more environmentally sensitive farming practices to promote farmland biodiversity. Additionally, compulsory set-aside, which reduces agricultural surplus, could also have positive impacts on wildlife. In this paper we consider some of the putative benefits of agri-environment schemes and set-aside for mammals. 3We review how establishment and management options within agri-environment schemes and set-aside might affect habitat resources for mammals. For example, conservation headlands increase plant and invertebrate resources within the crop edge for mammals such as wood mice. Grassy field margins can support communities of smaller mammals, and hedgerows may act as important commuting and hunting routes. Their potential will depend on factors such as seed mixtures used, timing and severity of cutting, and length of time they have been in place. 4At a farm level, habitat heterogeneity may be increased through organic agriculture, which is supported by some agri-environment schemes. Studies suggest significant benefits to mammals, including wood mice and bats. However, it is increasingly recognized that effective conservation of farmland mammals must seek solutions at the landscape scale, addressing such issues as habitat connectivity between farms. One approach may be the better targeting of scheme agreements. 5We suggest that agri-environment schemes and set-aside can contribute to the conservation of mammals on farmland. Recent policy changes are likely to have further positive impacts on farmland wildlife but appropriate mammal monitoring programmes must be developed rigorously to assess their effects. [source] A Quantitative Theory of Unsecured Consumer Credit with Risk of DefaultECONOMETRICA, Issue 6 2007Satyajit Chatterjee We study, theoretically and quantitatively, the general equilibrium of an economy in which households smooth consumption by means of both a riskless asset and unsecured loans with the option to default. The default option resembles a bankruptcy filing under Chapter 7 of the U.S. Bankruptcy Code. Competitive financial intermediaries offer a menu of loan sizes and interest rates wherein each loan makes zero profits. We prove the existence of a steady-state equilibrium and characterize the circumstances under which a household defaults on its loans. We show that our model accounts for the main statistics regarding bankruptcy and unsecured credit while matching key macroeconomic aggregates, and the earnings and wealth distributions. We use this model to address the implications of a recent policy change that introduces a form of "means testing" for households contemplating a Chapter 7 bankruptcy filing. We find that this policy change yields large welfare gains. [source] THE HOWARD-TURNBULL NATIONAL PLAN FOR WATER SECURITY OF JANUARY 2007: RESCUE OR REJECTION?ECONOMIC PAPERS: A JOURNAL OF APPLIED ECONOMICS AND POLICY, Issue 2 2008ALISTAIR WATSON A ten-point, ten-year, ten billion dollar National Plan for Water Security was announced by the (then) Howard Government in January 2007. The Plan was supported by State governments, with the exception of Victoria. The (then) Opposition supported legislation in August 2007 to implement the Plan. The main part of the Plan was investment in off-farm and on-farm irrigation infrastructure, ostensibly to promote water use efficiency. A smaller programme was proposed for buyback of irrigation water for environmental purposes. Various economic criteria would favour the opposite emphasis. Investment by governments in private irrigation infrastructure goes against the spirit of other recent policy changes and, for economic and technical reasons, is unlikely to achieve its objectives. Buyback for environmental purposes should continue, subject to appropriate procedures and discipline in the selection of environmental projects. Recent developments highlight continuing controversies over policy and administration of the Murray-Darling Basin. [source] Empowering looked-after childrenCHILD & FAMILY SOCIAL WORK, Issue 2 2001Munro Children's rights include the right to participation in decisions made about them. For looked-after children, this right is enshrined in the Children Act (England & Wales) 1989. This article reports the results of a study of children's views about their experience of being looked after and the degree of power that they felt they had to influence decision making. Their main areas of criticism were frequent changes of social worker, lack of an effective voice at reviews, lack of confidentiality and, linked to this, lack of a confidante. The findings are discussed in relation to recent policy changes. Specifically, the Looked After Children documentation and the Quality Protects initiative, by setting out uniform objectives and performance criteria, seem to restrict the freedom of local authority management and of social workers to respond to individual children's preferences, or to give weight to what the children themselves consider to be in their best interest. [source] | ||||||||||