Health Research Access to Personal Confidential Data in England and Wales: Assessing any gap in public attitude between preferable and acceptable models of consent

England and Wales are moving toward a model of ‘opt out’ for use of personal confidential data in health research. Existing research does not make clear how acceptable this move is to the public. While people are typically supportive of health research, when asked to describe the ideal level of control there is a marked lack of consensus over the preferred model of consent (e.g. explicit consent, opt out etc.). This study sought to investigate a relatively unexplored difference between the consent model that people prefer and that which they are willing to accept. It also sought to explore any reasons for such acceptance. A mixed methods approach was used to gather data, incorporating a structured questionnaire and in-depth focus group discussions led by an external facilitator. The sampling strategy was designed to recruit people with different involvement in the NHS but typically with experience of NHS services. Three separate focus groups were carried out over three consecutive days. The central finding is that people are typically willing to accept models of consent other than that which they would prefer. Such acceptance is typically conditional upon a number of factors, including: security and confidentiality, no inappropriate commercialisation or detrimental use, transparency, independent overview, the ability to object to any processing considered to be inappropriate or particularly sensitive. This study suggests that most people would find research use without the possibility of objection to be unacceptable. However, the study also suggests that people who would prefer to be asked explicitly before data were used for purposes beyond direct care may be willing to accept an opt out model of consent if the reasons for not seeking explicit consent are accessible to them and they trust that data is only going to be used under conditions, and with safeguards, that they would consider to be acceptable even if not preferable

Self-employment in Britain: when, who and why?

This work explores self-employment in Britain across recent years with a particular focus on when individuals became self-employed, who is more or less likely to enter self-employment and why individuals choose to enter self-employment. It complements previous microeconomic studies that focus on transitions into and out of selfemployment and presents new evidence on the returns to selfemployment and how these compare to the returns to paid employment. Lifetime employment history data from the British Household Panel Survey suggest that the large increase in self-employment in the 1980’s was due to increases in the inflow rate, while an increase in the outflow rate in the early 1990’s has stopped this trend. Panel data from the same source indicate that gender, parents occupation, assets and considering the work itself, the use of initiative or hours of work to be the most important aspect of a job emerge as key determinants of self-employment entry. Gender, age, occupation and elapsed duration in self-employment emerge as important determinants of selfemployment exit. Our analysis reveals that, all else equal, the selfemployed report higher levels of job satisfaction with pay and with the work itself than employees, but lower levels of satisfaction with job security

Offset Banking - A Way Ahead For Controlling Nonpoint Source Pollution In Urban Areas in Georgia

Nonpoint source discharges remain the major cause of non-attainment of water quality goals in urban areas within Georgia. Hence controlling nonpoint source discharges will be a critical part of achieving water quality goals within urban areas. Efforts to reduce nonpoint discharges are expected to intensify with implementation of Total Maximum Daily Loads (TMDLs) and changes to National Pollutant Discharge Elimination Program (NPDES) permits.Given the need to reduce existing nonpoint source discharges in many urban counties within Georgia, it is likely that regulatory authorities will become more circumspect about approving new developments with negative environmental impacts. Thus, given current policies, conflicts between environmental and developmental goals are expected to increase in future years.In this working paper we discuss the use of Offset Banking, which is flexible mechanism that can facilitate development, but with no net environmental impact. Indeed, it is possible to design an Offset Banking program that results in net environmental improvements from additional development. As well as benefits to the environment, offset banking can provide benefits to developers by enabling further development to occur, reducing overall nonpoint source discharge control costs and reducing uncertainty within the development process.Offset Banking is conceptually similar to wetland mitigation banking, except that it focuses on the control of nonpoint source discharges. In an Offset Banking program, an "Offset Bank" undertakes a series of projects to reduce nonpoint source discharges. In return for undertaking these projects, the bank receives offset credits. When new developments create net environmental impacts, they must offset these impacts by purchasing credits from an offset bank with credits available from a nearby project. In this way, development can proceed without there being an overall negative impact on environmental quality, and potentially an environmental improvement if developers are required to purchase more credits than the pollution generated. Offset Banking thus represents a pragmatic solution to future conflicts between developmental and environmental goals within urban areas. Working Paper #2002-00

National innovation rates: the evidence for/against domestic institutions

Why are some countries more technologically innovative than others? The dominant explanation amongst political-economists is that domestic institutions determine national innovation rates. However, after decades of research, there is still no agreement on precisely how this happens, exactly which institutions matter, and little aggregate evidence has been produced to support any particular hypothesis. This paper will review the equivocating evidence for domestic institutions explanations of national innovation rates. Its survey will show that, although a specific domestic institution or policy might appear to explain a particular instance of innovation, they generally fail to explain national innovation rates across time and space. Instead, the empirical evidence suggests that certain kinds of international relationships (e.g. capital goods imports, foreign direct investment, educational exchanges) affect national innovation rates in the aggregate, and that these relationships are not themselves determined by domestic institutions. In other words, explaining national innovation rates may not be so much a domestic institutions story as it is an international story.technology; technological; innovation; politics; institutions; research

The Purchasing Power Parity Debate

Originally propounded by the sixteenth-century scholars of the University of Salamanca, the concept of purchasing power parity (PPP) was revived in the interwar period in the context of the debate concerning the appropriate level at which to re-establish international exchange rate parities. Broadly accepted as a long-run equilibrium condition in the post-war period, it was first advocated as a short-run equilibrium by many international economists in the first few years following the breakdown of the Bretton Woods system in the early 1970s and then increasingly came under attack on both theoretical and empirical grounds from the late 1970s to the mid 1990s. Accordingly, over the last three decades, a large literature has built up that examines how much the data deviated from theory, and the fruits of this research have provided a deeper understanding of how well PPP applies in both the short run and the long run. Since the mid 1990s, larger datasets and nonlinear econometric methods, in particular, have improved estimation. As deviations narrowed between real exchange rates and PPP, so did the gap narrow between theory and data, and some degree of confidence in long-run PPP began to emerge again. In this respect, the idea of long-run PPP now enjoys perhaps its strongest support in more than thirty years, a distinct reversion in economic thought.