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Book Full text available online for free

How to achieve more effective services: the evidence ecosystem

Cardiff University
Publication year:
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An evaluation of the What Works initiative, a network of independent centres whose role is to gather, synthesise and disseminate evidence on the effectiveness of interventions in key policy areas, including health and social care, education attainment, ageing better, local economic growth, crime reduction and early intervention. Using the analogy of the supply chain borrowed from the petrochemical industry, the study outlines key aspects of the evidence ecosystem in which the centres operate, including evidence flow, demand pulls, transmission lines, usability, waste and incentives. Drawing on a literature review, the report identifies interventions most likely to improve the implementation of evidence in policy making and delivery and outlines the characteristics of evidence ecosystems that contribute most to their effectiveness and efficiency. The study then presents the findings from fifty-five semi-structured interviews with a structured sample of personnel in each What Works sector, reflecting on evidence sources, transmission lines, problems and incentives across sectors. It concludes with the presentation of a generic form of the evidence ecosystem followed by a list of generic recommendations, addressing issues across all What Works sectors and focusing on evidence creation, translation and implementation. The ecosystem adapted for each What Works sector is then presented followed by lists of recommendations for each sector. (Original abstract)

Journal article

Towards a multi-agency violence prevention and victim support

Journal article citation:
British Journal of Criminology, 38(3), Summer 1998, pp.351-370.
Oxford University Press

Since many serious violent offences are not reported, effective police-accident and emergency department (AED) joint working is important in increasing the chances of offenders being brought to justice and increasing access to victim support services. Liaison was investigated by means of triangulated methods comprising surveys of random stratified samples of police officers and AED personnel and a case series of victims treated in five large AEDs. It was found that there was almost no knowledge of existing formal guidance among health and police practitioners who actually deal with victims. This meant that the roles of other agencies were not considered. This very narrow focus was at odds with the instincts of most health professionals, half of whom believed they should have some role in victim protection and support, the detection of crime and community crime prevention. The results of this study suggest that, based on the exercise of victim choice, there are extensive opportunities ethically to improve rates of detection and access to victim support.

Journal article Full text available online for free

Towards integrated health care: a model for assault victims

SHEPHERD Jonathan P., BISSON Jonathan I.
Journal article citation:
British Journal of Psychiatry, 184(1), January 2004, pp.3-4.
Royal College of Psychiatrists

The 1998 Crime and Disorder Act places a statutory responsibility on the National Health Service (NHS) to work in partnership with the police and local authorities to audit and tackle crime in their areas. One of the principal reasons for this partnership approach is that substantial numbers of offences that result in NHS treatment of physical and psychological injuries are not reported to the police. Nowhere is the 'dark figure' of unrecorded crime more obvious than in accident and emergency departments.

Journal article

Psychological reactions of victims of violent crime

BISSON Jonathan I, SHEPHERD Jonathan P.
Journal article citation:
British Journal of Psychiatry, 167(6), December 1995, pp.718-720.
Royal College of Psychiatrists

The psychological reactions of victims of violent crime have much in common with those experienced by victims of other traumatic events, including disasters. Looks at psychological sequelae of violent crime, factors associated with psychological sequelae, treatment and support for victims of crime.

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