Critical friends: exploring arm’s length actor relationships to local government in education

Discussions charting the changing role of local government in education have often focused extensively on ‘concrete’ policy changes over time, but have provided less detail on the contribution to changing power relations of less tangible shifts. Drawing on Foucauldian notions of discourse and governmentality, in this paper, detailed rationalities of local third sector and other ‘arm’s length’ actors in English education are explored, with a focus on their relationship to local authority (LA) school admissions teams. The paper aims to provide deeper understanding of tactical struggles for authority which happen within competitive local socio-political spaces. Data is utilised from a study of ‘Choice Advice’ (CA) in ten LAs, within a background context where arm’s length agents deployed to deliver CA have been co-opted into central government marketization regimes, but local state planning of schooling is arguably more equitable for vulnerable families than are logics advancing a marketization of education. The research reveals: 1) discourses valorising 'independence' and ‘distance’ from local state 'agendas'; 2) discourses separating the interests of ‘parents’ and ‘schools’, with LAs positioned as representing the latter; 3) dehumanising representations of LA officers as ‘faceless’, obstructive and requiring regulation from ‘critical friends’

Social administration revisited: traditions of observational fieldwork and their value

This article revisits traditions of observational fieldwork inside welfare institutions which formed a core part of past social administration teaching and research in the United Kingdom. Drawing on archive materials, a historical exploration of journal contents and some supplementary interview data, it is argued that such approaches—though carried out in a less theoretically pluralist, more vocationally‐oriented time for the subject of social policy and administration—were at the same time valuable in facilitating critical perspectives on how welfare bureaucracies work. Their popularity is potentially rising once again in social policy teaching. Where cultivated alongside an appreciation of theory and where carefully integrated into university social policy departments' wider pedagogical and curricular strategies, they may be of benefit today to students and more senior scholars alike

Selective schooling and its relationship to private tutoring: the case of South Korea

The notion of selecting students based on academic achievement into different schools at certain points in their educational careers is one that has long been contested in education. In this paper I consider the role selective schooling may play in driving families’ demand for private tutoring – a phenomenon currently growing in many regions of the world. The paper explores the ‘extreme case’ of South Korea – a country with some of the highest spending on private tutoring globally and also a long history of selective schooling. Drawing on interviews with experts and key stakeholders in the Korean education system, the paper reports a number of findings. Interviewees for this project were in many respects critical of a 1970s ‘equalisation’ of Korean schooling, though they also viewed moves back towards selection as fuelling ‘shadow education’. Concern about this has driven governments to curb selective schooling for a second time in Korean history

Paramedic information needs in end-of-life care: a qualitative interview study exploring access to a shared electronic record as a potential solution

Background: Limited access to, understanding of, and trust in paper-based patient information is a key factor influencing paramedic decisions to transfer patients nearing end-of-life to hospital. Practical solutions to this problem are rarely examined in research. This paper explores the extent to which access to, and quality of, patient information affects the care paramedics provide to patients nearing end-of-life, and their views on a shared electronic record as a means of accessing up-to-date patient information. Method: Semi-structured interviews with paramedics (n = 10) based in the north of England, drawn from a group of health and social care professionals (n = 61) participating in a study exploring data recording and sharing practices in end-of-life care. Data were analysed using thematic analysis. Results: Two key themes were identified regarding paramedic views of patient information: 1) access to information on patients nearing end-of-life, and 2) views on the proposed EPaCCS. Paramedics reported they are typically unable to access up-to-date patient information, particularly advance care planning documents, and consequently often feel they have little option but to actively treat and transport patients to hospital – a decision not always appropriate for, or desired by, the patient. While paramedics acknowledged a shared electronic record (such as EPaCCs) could support them to provide community-based care where desired and appropriate, numerous practical and technical issues must be overcome to ensure the successful implementation of such a record. Conclusions: Access to up-to-date patient information is a barrier to paramedics delivering appropriate end-of-life care. Current approaches to information recording are often inconsistent, inaccurate, and inaccessible to paramedics. Whilst a shared electronic record may provide paramedics with greater and timelier access to patient information, meaning they are better able to facilitate community-based care, this is only one of a series of improvements required to enable this to become routine practice

Information sharing challenges in end-of-life care: a qualitative study of patient, family and professional perspectives on the potential of an Electronic Palliative Care Co-ordination System

Objectives: To explore current challenges in interdisciplinary management of end-of-life care in the community and the potential of an Electronic Palliative Care Co-ordination System (EPaCCS) to facilitate the delivery of care that meets patient preferences. Design: Qualitative study using interviews and focus groups. Setting: Health and Social Care Services in the North of England. Participants: 71 participants, 62 health and social care professionals, 9 patients and family members. Results: Four key themes were identified: information sharing challenges; information sharing systems; perceived benefits of an EPaCCS and barriers to use and requirements for an EPaCCS. Challenges in sharing information were a source of frustration for health and social care professionals as well as patients, and were suggested to result in inappropriate hospital admissions. Current systems were perceived by participants to not work well—paper advance care planning (ACP) documentation was often unavailable or inaccessible, meaning it could not be used to inform decision-making at the point of care. Participants acknowledged the benefits of an EPaCCS to facilitate information sharing; however, they also raised concerns about confidentiality, and availability of the increased time and resources required to access and maintain such a system. Conclusions: EPaCCS offer a potential solution to information sharing challenges in end-of-life care. However, our findings suggest that there are issues in the initiation and documentation of end-of-life discussions that must be addressed through investment in training in order to ensure that there is sufficient information regarding ACP to populate the system. There is a need for further qualitative research evaluating use of an EPaCCS, which explores benefits and challenges, uptake and reasons for disparities in use to better understand the potential utility and implications of such systems

A critical exploration of professional jurisdictions and role boundaries in inter-professional end-of-life care in the community

This article critically examines how professional boundaries and hierarchies influence how end-of-life care is managed and negotiated between health and social care professionals. Our findings suggest there is uncertainty and lack of clarity amongst health and social care professionals regarding whose responsibility it is to engage, and document, the wishes of patients who are dying, which can lead to ambiguity in treatment decisions. We go on to explore the potential role of a new electronic system, designed to facilitate information sharing across professional boundaries, in shaping and bridging professional boundaries in the delivery of end-of-life care. We highlight potential negative impacts that may arise when health and social care groups are permitted varying levels of access to the system, and how this may be seen to reflect the value placed on their role in end-of-life care

People think parents should put their own children first when it comes to schooling decisions – but not without consideration for others

We hear it all the time in the media and in public debates about education – that parents have a right to do what is best for their own children when it comes to choosing schools. But research shows the British public might really think differently. Sonia Exley finds a surprisingly egalitarian attitude toward educational opportunities amongst British parents and non-parents alike

The politics of educational policy making under New Labour: an illustration of shifts in public service governance

This article draws on data from a study carried out on the evolution of specialist schools under New Labour in England in order to illustrate changes in educational governance. Shifts in policy-making power are highlighted, away from increasingly marginalised traditional corporatist partners, towards 'denocracy' (Seldon, 2004) or greater political centralisation. 'Presidentialisation' under Prime Minister Tony Blair was accompanied by fast-growing policy networks, lending legitimacy to centralised policy ideas while intensifying connections and blurring lines between state and non-state. However, while spaces and sites for policy activity became more extensive, they remained exclusive, with insiders and outsiders clearly defined