Climate Policy in a Fragmented World - Transformative Governance Interactions at Multiple Levels

This is the final version. Available on open access from MDPI via the DOI in this recor

Diffusion of climate policy integration in adaptation strategies: Translating the EU mandate into UK and Danish national contexts

This is the author accepted manuscript/In this paper, we examine how EU Climate Adaptation Strategy and especially its pivotal principle of policy integration of climate adaptation has diffused to the climate adaptation strategies of Member States. We explore how this quest for climate adaptation policy integration was pushed by vertical diffusion of the framing and policy mixes launched at EU level. To do so, we analyse and compare national climate adaptation strategies in two EU Member States – the UK and Denmark – over a period of time 2013-2021 that witnessed Brexit and increased attention to climate impacts. Conceptually and analytically, we draw on the policy diffusion literature centring on four potential drivers of vertical policy diffusion: interests, rights, ideology, and recognition which inform the analysis. Further, to scrutinize what is diffused, we conceptualise climate policy integration including the rationale and policy instruments for CPI. We find that both countries’ approaches to climate change adaptation have been shaped by rights-based diffusion in a mixture of shadow hierarchy, soft power and activation of other policy areas with binding directives, and we further identify divergence between the cases in attention before and after Brexit and in mandating local level actions.European Commissio

Minimum standards of pelvic exenterative practice: PelvEx Collaborative guideline

This document outlines the important aspects of caring for patients who have been diagnosed with advanced pelvic cancer. It is primarily aimed at those who are establishing a service that adequately caters to this patient group. The relevant literature has been summarized and an attempt made to simplify the approach to management of these complex cases

Beating the empty pelvis syndrome: the PelvEx Collaborative core outcome set study protocol

Introduction The empty pelvis syndrome is a significant source of morbidity following pelvic exenteration surgery. It remains poorly defined with research in this field being heterogeneous and of low quality. Furthermore, there has been minimal engagement with patient representatives following pelvic exenteration with respect to the empty pelvic syndrome. ‘PelvEx—Beating the empty pelvis syndrome’ aims to engage both patient representatives and healthcare professionals to achieve an international consensus on a core outcome set, pathophysiology and mitigation of the empty pelvis syndrome.Methods and analysis A modified-Delphi approach will be followed with a three-stage study design. First, statements will be longlisted using a recent systematic review, healthcare professional event, patient and public engagement, and Delphi piloting. Second, statements will be shortlisted using up to three rounds of online modified Delphi. Third, statements will be confirmed and instruments for measurable statements selected using a virtual patient-representative consensus meeting, and finally a face-to-face healthcare professional consensus meeting.Ethics and dissemination The University of Southampton Faculty of Medicine ethics committee has approved this protocol, which is registered as a study with the Core Outcome Measures in Effectiveness Trials Initiative. Publication of this study will increase the potential for comparative research to further understanding and prevent the empty pelvis syndrome.Trial registration number NCT05683795