Accounting for hospices: Palliative care at risk

This paper is based on a presentation given at the British Accounting and Finance Association 46th Annual Conference in 30 March to 1 April 2010 at Cardiff City HallThis article is concerned with how the Government’s end of life care strategy seeks to draw upon the capacity and additional choice provided by voluntary charitable hospices in England. Constructing a hospice financial business model we consider the extent to which the policy intersection outlined in the Governments End of Life Care Strategy between Primary Care Trust (PCT) commissioning and the contribution of voluntary hospices is robust or fragile going forward

Teaching Accounting and Finance to non-specialists: revealing the students' perspective on the learning experience

This study is concerned with the non-specialist accounting and finance students’ perspective on the usefulness, scope, and practical application of relevant modules within their program of study. It also evaluates relevant teaching and learning approaches adopted by accounting academics teaching non-specialist - instead of introductory - accounting modules, through revealing the students' perceptions on the effectiveness of these approaches in creating a high quality learning experience. Lectures' teaching competencies are rated first in terms of importance for their learning experience by the vast majority of students. Issues relevant to the curricula's 'real world' application, as well as, the development of clear links between lecture material and assessment practise, engrossed considerable attention by the respondents. Education technology and reading material on the other hand appeared to be of prior importance for a smaller number of students

Business models in health care: Accounting for the sustainability of palliative and end of life care provision by voluntary hospices' in England

This study evaluates the sustainability of palliative and end of life care provision by voluntary hospices in England. Using a mixed methods, inductive approach, we construct a ‘descriptive business model’ for hospices which is grounded in analysis of relevant accounting information, and supported by narratives extracted from interviews with senior clinical and non clinical managers from four large and medium sized hospices. The study reveals the strengths and weaknesses of the hospice business model and evaluates its robustness against forthcoming challenges. Our findings highlight the gradual transition from a basic voluntary sector business model to a complex, highly sophisticated, and institutionalized care establishment, sharing many of the characteristics found in large private and public organizations. The sustainability however of the business model is threatened due to its exposure to a number of contradictory forces. Whilst demand for palliative and end of life care going forward is set to increase, due to both demographic and regulatory factors, hospices' voluntary income is highly volatile. Dependency on sustaining a complex network of stakeholder groups to underwrite income, challenges the hospice business model’s ability to cope with the anticipated challenges