Back to the future in NHS reform

PURPOSE - In the mid 1990s the NHS ‘did’ competition, in the mid 2000s the NHS is ‘doing’ choice. This paper aims to cut through the rhetoric, highlight the differences and parallels between then and now and identify if these differences will have a different or the same impact on local services. DESIGN/METHODOLOGY/APPROACH – Following a review of literature from the 1990s, a qualitative research study is used to examine the impact of competition and markets in the 1990s. The discussion examines the implications of this study for current system reform. FINDINGS - Patient choice recreates many of the features of the internal market, but despite concerns at the time, the internal market did not have a significant impact on services. It is likely that patient choice will similarly have a limited impact. RESEARCH LIMITATIONS/IMPLICATIONS - The research is a case study confined to Day Surgery in one part of the North of England. ORIGINALITY/VALUE - The paper reminds academics and practitioners what happened last time the NHS attempted to introduce a market-based system

International Students in the UK : how can we give them a better experience?

This paper focuses on practical actions that can be taken to improve the learning experience of international students in the UK. Informed by personal experience in the UK, New Zealand and Australia, supplemented by an extensive literature search, a series of actions are recommended to improve the learning experience of international students from culturally diverse backgrounds. The suggested actions cover issues for individual lecturers, Departments, Higher Education Institutions and national level bodies. The approach taken is to incorporate personal reflection and personal views and the ideas of writers in the field. The paper is written in the first person and sets out the author’s wish list of ideas, hopes and aspirations for the future, from the perspective of a teaching fellow working in a research focussed University in the UK

Building Cross Cultural Competencies.

The Building Cross Cultural Competencies project was developed with the aim of equipping undergraduate students at the University of York with skills to work in the globalised world, while at the same time assisting with the induction and orientation of international students, new to the institution and to study in the UK. The inspiration for the programme dates back to 2006, when one of the authors visited three Universities in New Zealand and Australia. These Universities were perceived to be further down the route to internationalisation (as defined by Knight 2003) than was the norm in the UK at the time. Innovations observed at Massey and Waikato Universities in New Zealand and the University of Sydney, Australia, were redesigned and redeveloped for use at the University of York, with the agreement of the staff involved at those institutions. In particular, a cross cultural communication module and two distinctive peer mentor schemes provided the nucleus of the idea for a new initiative at York that would span the employability and internationalisation agendas This paper identifies how the project redesigned and developed ideas taken from Australian and New Zealand Universities for use in a UK context. It makes links to the literature on student adjustment and institutional adaptation; peer teaching and cross cultural communication skills. It will also consider the problems and difficulties experienced as the project progressed

An application of dynamic programming to pattern recognition

technique which has found only limited usage in the Industrial and Business Management fields which are home to many other of the OR techniques. Its main application has been in problems o

Quantum metrology and its application in biology

Quantum metrology provides a route to overcome practical limits in sensing devices. It holds particular relevance to biology, where sensitivity and resolution constraints restrict applications both in fundamental biophysics and in medicine. Here, we review quantum metrology from this biological context, focusing on optical techniques due to their particular relevance for biological imaging, sensing, and stimulation. Our understanding of quantum mechanics has already enabled important applications in biology, including positron emission tomography (PET) with entangled photons, magnetic resonance imaging (MRI) using nuclear magnetic resonance, and bio-magnetic imaging with superconducting quantum interference devices (SQUIDs). In quantum metrology an even greater range of applications arise from the ability to not just understand, but to engineer, coherence and correlations at the quantum level. In the past few years, quite dramatic progress has been seen in applying these ideas into biological systems. Capabilities that have been demonstrated include enhanced sensitivity and resolution, immunity to imaging artifacts and technical noise, and characterization of the biological response to light at the single-photon level. New quantum measurement techniques offer even greater promise, raising the prospect for improved multi-photon microscopy and magnetic imaging, among many other possible applications. Realization of this potential will require cross-disciplinary input from researchers in both biology and quantum physics. In this review we seek to communicate the developments of quantum metrology in a way that is accessible to biologists and biophysicists, while providing sufficient detail to allow the interested reader to obtain a solid understanding of the field. We further seek to introduce quantum physicists to some of the central challenges of optical measurements in biological science.Comment: Submitted review article, comments and suggestions welcom

Rational expectations modelling in O.R

The conventional OR approach to managing a system is, in outline, firstly to create a model of the existing system, secondly, to investigate changes in the model which improve or control the behaviour of the model and thirdly, to implement these changes in the system. It is assumed that the model incorporating these changes will be a valid representation of the system after the changes, in as far as the original model was a valid representation of the original system, and can thus be used to assess the benefits and disbenefits arising from the changes

On characterising the variability properties of X-ray light curves from active galaxies

We review some practical aspects of measuring the amplitude of variability in `red noise' light curves typical of those from Active Galactic Nuclei (AGN). The quantities commonly used to estimate the variability amplitude in AGN light curves, such as the fractional rms variability amplitude, F_var, and excess variance, sigma_XS^2, are examined. Their statistical properties, relationship to the power spectrum, and uses for investigating the nature of the variability processes are discussed. We demonstrate that sigma_XS^2 (or similarly F_var) shows large changes from one part of the light curve to the next, even when the variability is produced by a stationary process. This limits the usefulness of these estimators for quantifying differences in variability amplitude between different sources or from epoch to epoch in one source. Some examples of the expected scatter in the variance are tabulated for various typical power spectral shapes, based on Monte Carlo simulations. The excess variance can be useful for comparing the variability amplitudes of light curves in different energy bands from the same observation. Monte Carlo simulations are used to derive a description of the uncertainty in the amplitude expected between different energy bands (due to measurement errors). Finally, these estimators are used to demonstrate some variability properties of the bright Seyfert 1 galaxy Markarian 766. The source is found to show a strong, linear correlation between rms amplitude and flux, and to show significant spectral variability.Comment: 14 pages. 12 figures. Accepted for publication in MNRA

Injection locking of an electro-optomechanical device

The techniques of cavity optomechanics have enabled significant achievements in precision sensing, including the detection of gravitational waves and the cooling of mechanical systems to their quantum ground state. Recently, the inherent non-linearity in the optomechanical interaction has been harnessed to explore synchronization effects, including the spontaneous locking of an oscillator to a reference injection signal delivered via the optical field. Here, we present the first demonstration of a radiation-pressure driven optomechanical system locking to an inertial drive, with actuation provided by an integrated electrical interface. We use the injection signal to suppress drift in the optomechanical oscillation frequency, strongly reducing phase noise by over 55 dBc/Hz at 2 Hz offset. We further employ the injection tone to tune the oscillation frequency by more than 2 million times its narrowed linewidth. In addition, we uncover previously unreported synchronization dynamics, enabled by the independence of the inertial drive from the optical drive field. Finally, we show that our approach may enable control of the optomechanical gain competition between different mechanical modes of a single resonator. The electrical interface allows enhanced scalability for future applications involving arrays of injection-locked precision sensors.Comment: Main text: 10 pages, 7 figures. Supplementary Information: 5 pages, 4 figure

Experimental demonstration of continuous variable polarization entanglement

We report the experimental transformation of quadrature entanglement between two optical beams into continuous variable polarization entanglement. We extend the inseparability criterion proposed by Duan, et al. [Duan00] to polarization states and use it to quantify the entanglement between the three Stokes operators of the beams. We propose an extension to this scheme utilizing two quadrature entangled pairs for which all three Stokes operators between a pair of beams are entangled.Comment: 4 pages, 4 figure