The East Lancashire Clinic Model: Supporting care homes to understand reactive behaviours (Innovative Practice)

The East Lancashire Clinic model is a consultancy-based approach to supporting care home staff to assess and respond to reactive behaviours of people with dementia and reduce the need to refer into secondary mental health services. The clinics are person centred and solution focused, aiming to promote recognition of unmet needs and early interventions implemented by staff. The pilot was able to resolve most cases and reduce referral rates into secondary care services. Through working collaboratively, it empowers staff to improve the care of all their residents, improves relationship with secondary care services and has potential to offer efficiency savings

Prospects in Britain in the light of the Bus Services Act 2017

The aim of this paper is not to document a specific research project, but to provide an international audience with an overview of the Bus Services Act 2017 in Britain in the light of the extensive experience of deregulation and privatisation within the British bus and coach industry since the early 1980s. It provides a range of powers, mostly permissive rather than mandatory. The general emphasis of the Act displays marked shift from the previous focus on competition as a major policy aim, to one in which partnerships between operators and local transport authorities are encouraged. Procedures for franchising are simplified, in contrast to those under the 2000 and 2008 Acts, which did not result in any franchising scheme outside London being introduced. The changes relate to a number of themes examined in previous Thredbo conferences, including aspects of competition law, service tendering, data disclosure and network planning. This paper begins by examining the historical background to the Act, then discusses its main provisions. Data requirements for research to monitor the possible effects of its implementation are outlined. It is concluded that the Act has the potential to encourage greater bus use, but the extent of this is highly uncertain. All views expressed are those of the author personally, and do not represent those of the British government or any other organisation

Move your money? Sustainability Transitions in Regimes and Practices in the UK Retail Banking Sector

We present and test a new conceptual framework for understanding sustainable transitions in co-evolutionary sociotechnical systems. We apply this in the first study of sustainable transitions in UK retail banking. This system has suffered recently from banking crises, and links to environmentally-sensitive industries such as fossil fuels. Sustainability-focused values-based banks are a potential solution, but have had little impact on mainstream banking systems. We aim to understand the constraints on a potential transition and how to overcome them. Our new approach identifies the intersections between transitions in regimes (using the multi-level perspective MLP) and transitions in practices (using social practice theory SPT), two competing conceptual frameworks in the literature. We ask: what are the intersections between transitions in the banking regime and banking practices, and how may critical points of constraint be unlocked to become points of opportunity, thereby aiding a transition to more sustainable banking systems? We present new empirical findings from a mixed-method case study of the UK banking sector and two values-based banks in particular. Interventions for growing sustainable banking are identified and we demonstrate the added-value of the combined approach through indicating strategies for unlocking the transformative potential of sustainable innovations