Health and social work practitioners’ experiences of working with risk and older people

The purpose of this paper is to explore interprofessional and multidisciplinary working between health and social care practitioners providing services to older people through the prism of how risk is assessed and managed. It proposes that whilst interprofessional and multidisciplinary working is a broad and commonly researched topic, there is a relative paucity of evidence specifically regarding how health and social care practitioners work together across structural, cultural and ideological divides. The study aims to expand the domain of integrated health and social care by including perceptions, understanding and use of the concept of risk by professionals from different disciplines.Design/methodology/approachThis paper is based upon an exploratory study using an interpretivist phenomenological perspective, including 23 semi-structured individual interviews with health and social care practitioners and 2 non-participant observations of multidisciplinary team meetings.FindingsThe paper provides empirical insights around the complex dynamics of interprofessional and multidisciplinary working between health and social care practitioners, in particular the saliency of the interconnectedness of individual practitioner Personalities with the Process of interprofessional and multidisciplinary working under the auspices of relevant Policy drivers.Research limitations/implicationsThe research was conducted in Wales and, due to the increasingly divergent policy context within the UK, the research results may lack generalisability from a wider UK or international perspective. Therefore, researchers are encouraged to test the propositions of this research further.Practical implicationsThe paper includes implications for both interprofessional and multidisciplinary policy and practice with older people. With new models of integrated care being sought, the findings of this study may offer a timely and valuable contribution, particularly from the inclusion of a social care perspective and in better understanding the interconnectedness of practitioner personalities with process and policy.Originality/valueThis paper fulfils an identified need to study the complex dynamics and interconnectedness between health and social care practitioners who work together to provide services to older people

True gender ratios and stereotype rating norms

We present a study comparing, in English, perceived distributions of men and women in 422 named occupations with actual real world distributions. The first set of data was obtained from previous a large-scale norming study, whereas the second set was mostly drawn from UK governmental sources. In total, real world ratios for 290 occupations were obtained for our perceive vs. real world comparison, of which 205 were deemed to be unproblematic. The means for the two sources were similar and the correlation between them was high, suggesting that people are generally accurate at judging real gender ratios, though there were some notable exceptions. Beside this correlation, some interesting patterns emerged from the two sources, suggesting some response strategies when people complete norming studies. We discuss these patterns in terms of the way real world data might complement norming studies in determining gender stereotypicality

The UK Transport Carbon Model : An integrated life cycle approach to explore low carbon futures

Peer reviewedPostprin

Combining energy efficiency measure approaches and occupancy patterns in building modelling in the UK residential context

The UK faces a significant retrofit challenge, especially with its housing stock of old, hard-to-treat solid walled dwellings. In this work, we investigate the delivery of heated thermal comfort with a lower energy demand through four types of energy efficiency interventions: passive system, conversion device, method of service control, and level of service demanded. These are compared for three distinct household occupancy patterns, corresponding to a working family, a working couple and a daytime-present couple. Energy efficiency measures are considered singly and in combination, to study whether multiple lower cost measures can achieve comparable savings to higher cost individual measures. Scenarios are simulated using engineering building modelling software TRNSYS with data taken from literature. Upgraded insulation of wall and roof resulted in highest savings in all occupancy scenarios, but comparable savings were calculated for reduced internal temperature and partial spatial heating in scenarios in which the house is not at maximum capacity. Zonal heating control is expected to achieve greatest savings for the working couple who had a flexible occupancy pattern. The results from this modelling work show the extent to which energy consumption depends on the appropriate matching between energy efficiency measures and occupant type

Drug use among British Bangladeshis in London: a macro-structural perspective focusing on disadvantages contributing to individuals’ drug use trajectories and engagement with treatment services

Aims: The main aim of our study was to produce an understanding of factors contributing to drug-using trajectories among men and women from a Bangladeshi background living in East London. Methods: Fifteen semi-structured, one-to-one interviews were conducted with male and female Bangladeshi drug users accessing treatment services. A macro-structural lens was adopted to interpret participants’ accounts of their drug use and explored the intersecting factors that at a micro, meso, and macro level impacted on their drug-using trajectories. Findings: Problem drug use (heroin and crack cocaine) among participants was the result of inter-related factors such as their friendship networks and the embeddedness of drugs in drug-using networks, the structural disadvantages participants experienced, and the need for concealment of their drug use which impacted on participants’ effective utilisation of drug treatment services. Problem drug use was a functional way of responding to and dealing with social, economic, and cultural disconnection from mainstream institutions as participants faced severe multiple disadvantages engendering stigma and shame. Conclusions: We propose a ‘life-focused’ intervention aimed at creating extra opportunities and making critically-needed resources available in the marginalised environment of the study’s participants, which are key to restoring and maintaining agency and sustaining well-being

Higher education, graduate skills and the skills of graduates: the case of graduates as residential sales estate agents

The UK labour market is subject to significant graduatisation. Yet in the context of an over-supply of graduates, little is known about the demand for and deployment of graduate skills in previously non-graduate jobs. Moreover, there is little examination of where these skills are developed, save an assumption in higher education. Using interviews and questionnaire data from a study of British residential sales estate agents, this article explores the demand, deployment and development of graduate skills in an occupation that is becoming graduatised. These data provide no evidence to support the view that the skills demanded and deployed are those solely developed within higher education. Instead what employers require is a wide array of predominantly soft skills developed in many different situs. These findings suggest that, in the case of estate agents, what matters are the ‘skills of graduates’ rather than putative ‘graduate skills’

QALY gain and health care resource impacts of air pollution control: A Markov modelling approach

This paper proposes a novel complementary approach to evaluate the public health benefits of air pollution control, where the joint impact on individuals’ quality and length of life is fully quantified using Markov modelling. A Markov model which captures, for the first time: (i) air pollution's influence on population individuals’ quality of life and life expectancy at baseline and (ii) dynamics in individuals’ susceptibility to air pollution exposure, is developed. In order to represent the body of epidemiological evidence on the cardio-respiratory effects of long-term exposure to fine particulate air pollution, the model is structured around three diseases: chronic obstructive pulmonary disease, coronary heart disease and lung cancer. Application of the model provides the first estimates of age and gender-specific quality-adjusted life years (QALY) gains from air quality improvement in the UK. Reducing mean PM2.5 concentrations by 1 μg/m3 in London and in England and Wales is expected to yield more than 63,000 and 540,000 QALYs respectively, to adults aged 40 and above over their remaining lifetime, discounting at 3.5% p.a. At a WTP value for a QALY of £65,000, which is in line with recommendations for the UK, the expected discounted monetary benefit of the intervention amounts to £4 billion in London and £34 billion in England and Wales