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The future (of the future) adult social care workforce: key issues for leaders
- Author:
- HUGHES Rhidian
- Journal article citation:
- International Journal of Leadership in Public Services, 8(2), 2012, pp.90-98.
- Publisher:
- Emerald
Currently, workforce planning in social care is afforded relatively little attention. As such, this article reviews the leadership challenges in workforce planning, paying special reference to adult social care primarily in England. It suggests that growing demands on services, rising expectations for personalised care and support, together with the provision of safe and effective joined up care are some of the key drivers facing social care and wider public services. Leaders need to ensure a robust data and evidence base, sound interpretation of intelligence as well as building integrated approaches to workforce planning both within and between services. The author concludes that workforce leadership provides the bedrock to ensuring social care builds the workforce required for the future – as services undergo redesign and transformation the workforce planning task is more important now than ever and is a key responsibility for every organisation's leadership.
Older people falling out of bed: restraint, risk and safety
- Author:
- HUGHES Rhidian
- Journal article citation:
- British Journal of Occupational Therapy, 71(9), September 2008, pp.389-392.
- Publisher:
- Sage
Bedside rails are used for older people's safety in order to prevent them from falling out of bed and suffering injury. However, bed rails can constitute restraint and the principles underpinning mental capacity legislation illustrate good practice when equipment is used in ways that may restrict people's freedom. The use of bed rails illustrates broader tensions in the care of older people: tensions between ensuring the safety of older people and maintaining independence and freedom, including older people taking risks. Person-centred care emphasises that the views of older people, their family carers and the professionals must all be taken into account when assessing older people's care needs and developing risk assessments and care plans. This opinion piece argues that there needs to be further education and debate about positive practice in the use of bed rails because, all too often, the use of these devices is taken for granted. Staff need support to ensure that they put the best interests of older people at the centre of all decisions about their care.
Safer walking? Issues and ethics in the use of electronic surveillance of people with dementia
- Author:
- HUGHES Rhidian
- Journal article citation:
- Journal of Assistive Technologies, 2(1), March 2008, pp.45-48.
- Publisher:
- Emerald
People with dementia are prone to persistent walking (also known as 'wandering'). Electronic surveillance and tracking, as a form of safer walking technology, can be used to monitor people's whereabouts and is being used in dementia care. The technology raises a number of practical and ethical issues. This article reviews the key themes and arguments surrounding its uses, with a view to raising issues for further debate. The article shows the need to carefully balance people's freedom and rights, including the right to take risks, with care and safety concerns.
Drug injectors and prison mandatory drug testing
- Author:
- HUGHES Rhidian
- Journal article citation:
- Howard Journal of Criminal Justice, 39(1), February 2000, pp.1-13.
- Publisher:
- Wiley
Mandatory drug testing (MDT) is a policy that requires people in prison to provide a sample to be tested for the use of illicit drugs. Drawing on qualitative research carried out with male and female drug injectors this article considers their views and experiences of MDT. The themes include people's experiences of the test, their strategies to evade drug detection, punishments for testing positive, the effect of MDT on patterns of drug use, and, finally, the notions of power and risk are considered on relation to MDT. The article concludes with a discussion on the worth of this policy.
Local Education and Training Boards: key messages for promoting integrated care
- Authors:
- MCCRIRICK Virginia, HUGHES Rhidian
- Journal article citation:
- Journal of Integrated Care, 21(3), 2013, pp.157-163.
- Publisher:
- Emerald
Purpose - NHS reforms in England led to the establishment of Local Education and Training Board (LETBs) to ensure the future supply of staff. LETBs have an important role in addressing health and social care integration. This paper aims to stimulate debate, ideas and opportunities to improve integrated workforce planning, practice and policy. Design/methodology/approach - This is a thought leadership article which presents a distillation of key policy and strategy, drawing out implications for policy makers and workforce planners at a strategic level. Findings - The paper describes and critically appraises the role of LETBs in supporting integration between health and social care. The key messages include: ensure social care and public health representation on the board, track education and training decisions against commissioning priorities, focus on outcomes and transition points, build health related skills in social care, support providers and use performance measures of integration. Practical implications - LETBs need to demonstrate an open and transparent approach to workforce education and planning. All partners need to engage including social care and public health service commissioners and providers. Originality/value - There is a substantial body of literature on integration, although much less is devoted to examining workforce. This article will be of particular interest to LETB leaders, those responsible for reviewing and assessing the performance of LETBs as well as social care leaders and workforce planners. In addition the article will be of interest to those supporting integrated workforce planning and development across the UK and internationally. (Publisher abstract)
Integrating health and social care: workforce perspectives
- Authors:
- HUGHES Rhidian, MCCRIRICK Virginia
- Journal article citation:
- Journal of Care Services Management, 6(1), 2012, pp.10-15.
- Publisher:
- Taylor and Francis
The aim of this paper is to build on the existing literature by drawing out the workforce implications in the drive towards integration of health and social care services. It looks at the background and context to the health and social care workforce and recent policy developments, focusing in particular on the English context and health and adult social care. The paper proposes ideas about workforce challenges, issues and opportunities as changes in the health and social care sectors take hold. It identifies and discusses 5 themes relating to integrating care and the workforce: focusing on outcomes for people, being clear on structures, encouraging innovation, thinking creatively about the future workforce, and getting integration right from the start. The authors emphasise the importance of the workforce in delivering policy ambitions for integrating care.
Making a difference to people’s lives: policy principles and the role of health and social care regulation
- Authors:
- ROSENBACH Alan, HUGHES Rhidian
- Journal article citation:
- Research Policy and Planning, 28(2), 2010, pp.75-90.
- Publisher:
- Social Services Research Group
Society is experiencing significant demographic changes and this, coupled with the consequences of the 2008-2010 economic recession, has put enormous pressures on health and social care services. This paper starts by outlining some of the key issues facing health and social care, including growing demands and expectations for services and responding to the priorities of the new coalition government. The regulatory framework for health and social care is discussed, including the role of the Care Quality Commission (CQC). The paper then examines a number of key policy issues and challenges: putting people at the centre of their care; joining-up care; promoting independent living; providing safe and effective care; safeguarding people in vulnerable circumstances; reducing inequalities; and securing fair access to care. The paper reviews evidence, largely drawn from regulatory work, which demonstrates that more needs to be done to improve outcomes for people using services. It concludes that services need to be commissioned and provided in ways that maximise their value for money and put people’s needs first.
The construction and interpretation of vignettes in social research
- Authors:
- HUGHES Rhidian, HUBY Meg
- Journal article citation:
- Social Work and Social Sciences Review, 11(1), 2004, pp.36-51.
- Publisher:
- Whiting and Birch
Vignettes refer to stimuli, including text and images, which research participants are invited to respond. Drawing on a range of social science sources, this paper focuses on two substantive areas concerning the use of vignettes in research. Considered first is the development and construction of vignettes. This section is concerned with internal reliability; research topics; participants; and interest, relevance, realism and timing. Considered second are vignette interpretations and responses, in particular open and closed questioning; vignette perspectives; and difficulties with interpreting and responding to vignettes. Together these explorations contribute to the wider appreciation of vignette methodologies used within the social sciences. The paper concludes by outlining the limitations of using vignettes in social research.
Living with motor neurone disease: lives, experiences of services and suggestions for change
- Authors:
- HUGHES Rhidian A., et al
- Journal article citation:
- Health and Social Care in the Community, 13(1), January 2005, pp.64-74.
- Publisher:
- Wiley
Palliative care involves the complete, holistic care of people with progressive illness and their families. People living with motor neurone disease (MND) require a range of multidisciplinary palliative care services. However, there are significant gaps in understanding of these people's lives, experiences of services and their suggestions for change. This study addressed the questions: What are the lived experiences of people living with MND?; What are people's experiences of services?; and Can improvements to care be identified? A qualitative research design was adopted using semi-structured interviews. The topic guide was developed from existing literature. The study was based in 3 London boroughs. People living with MND and professionals were drawn from a database at King's College Hospital and through 'snowball' sampling. Nine people with MND, 5 carers/family members and 15 professionals took part in interviews, taped, transcribed and checked for accuracy against the original recordings. Themes within the interviews were coded and grouped. Findings are presented within 3 substantive groups: the impact of MND on people's lives (physical impacts including increasing disability; social issues, including restrictions on social activities; and adjustments to people's lives, including coping methods); experiences of services (accessing service entitlements, information sources, professionals' attitudes and approaches, and professionals' knowledge and understanding of MND); and suggestions for service change (better information and communication, including information on service entitlements; improved knowledge among professionals about MND; and some suggestions for service restructuring). This study brings a fresh approach to understanding the impacts of MND and the ways in which services can be improved to meet people's needs. Concludes with methodological considerations, the implications of the findings for practitioners and policy makers, and suggestions for further research.
The effects on data of using material incentives in social research
- Authors:
- HUBY Meg, HUGHES Rhidian
- Journal article citation:
- Social Work and Social Sciences Review, 9(2), 2001, pp.5-16.
- Publisher:
- Whiting and Birch
This paper draws on a range of studies in the social sciences literature to examine the ways in which material incentives used to encourage research participation can affect not only the quantity but also the quality of data obtained. These issues are pertinent to social sciences research generally and are also of special relevance to social work research when focusing on studies undertaken with vulnerable groups. The paper argues that the effects of incentives operate both directly and indirectly through their crucial influence on the relationships between researchers and research participants. Consequently, effects on the data are determined not only by the form the incentives take but also by the characteristics of, and relations between, the researchers and participants themselves.