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Rcpsych Wales 2020 Highlights Report. 2020 Has Been a Year Full of Challenges, a Year Full of Adaptation
RCPsych Wales 2020 Highlights Report. 2020 has been a year full of challenges, a year full of adaptation. It felt right to highlight some of the achievements, and reflect on the strength shown by the Psychiatry community in Wales. We hope you enjoy this short report. Dr Clementine Maddock, Vice-Chair Ollie John, Manager Royal College of Psychiatrists Wales In July, Prof Keith Lloyd came to the end of his term of office as Chair of RCPsych Wales, and was succeeded by Dr Maria Atkins. We owe a great deal to Keith and he departed on the announcement of several further notable achievements: Wales saw the highest % of members attaining fellowship across any region of the UK, and the highest % of members voting for the RCPsych presidential elections. In 2019 and 2020, Wales has achieved an 100% fill rate into core training, and between 2019 and 2020, Wales achieved the highest fill rate for specialty training across the UK at 92%. Whilst a number of projects initiated and overseen during his tenure are littered throughout this report, we’ll be issuing a report on his full term of office in February. Thank you Keith and welcome Maria Recognition Wales saw much recognition at this year's RCPsych Annual Awards, the first virtual award ceremony that the College has held. CWTCH Cymru won RCPsych Team of the Year in recognition for there work in Sustainability. Veryan Richards was awarded a presidential medal for her work in advocating the patient representative voice. Prof Sir Mike Owen, Cardiff University, was awarded an honorary fellowship in recognition of this work in neuroscience. -
Nhs Wales Covid 19 Operating Framework - Quarter 2 (20/21) 1
NHS WALES COVID 19 OPERATING FRAMEWORK - QUARTER 2 (20/21) 1. PURPOSE In line with the shorter planning cycles that we have agreed for 20/21, the purpose of this document is to provide the NHS with an Operating Framework for Q2 and a look ahead to the rest of the year. This framework will build on the themes and principles from Q1, based on a “proceed with caution” approach and will continue to focus on the four harms; 2. CONTEXT There have been a number of developments since the publication of the Operating Framework Guidance for Q 1. In Wales lockdown measures are being eased in a steady and cautious approach, in line with the Welsh Government’s recovery plan, focused on maintaining and controlling the Rt value. In parallel with this, the Test, Trace, Protect Programme has been launched across Wales to improve access to testing and contact tracing to help contain and isolate the virus. Health Boards, Local Authorities, NWIS, Public Health Wales and our military colleagues have been working hard to implement this at scale and pace and this will continue to develop and evolve in Q2. From an NHS perspective, although our understanding of the virus is improving there is still a high degree of uncertainty in the months ahead. This will continue to make planning challenging as we interpret modelling, and as evidence about the virus requires us to continually update guidance and policies in this area at pace. Since the first COVID-19 peak in April the NHS in Wales has been developing and implementing its plans for a dual track approach to delivery of services across all care settings. -
Three Essays on the Behavioral, Socioeconomic, and Geographic Determinants of Mortality: Evidence from the United Kingdom and International Comparisons
University of Pennsylvania ScholarlyCommons Publicly Accessible Penn Dissertations 2016 Three Essays on the Behavioral, Socioeconomic, and Geographic Determinants of Mortality: Evidence From the United Kingdom and International Comparisons Laura Kelly University of Pennsylvania, [email protected] Follow this and additional works at: https://repository.upenn.edu/edissertations Part of the Demography, Population, and Ecology Commons, and the Epidemiology Commons Recommended Citation Kelly, Laura, "Three Essays on the Behavioral, Socioeconomic, and Geographic Determinants of Mortality: Evidence From the United Kingdom and International Comparisons" (2016). Publicly Accessible Penn Dissertations. 1806. https://repository.upenn.edu/edissertations/1806 This paper is posted at ScholarlyCommons. https://repository.upenn.edu/edissertations/1806 For more information, please contact [email protected]. Three Essays on the Behavioral, Socioeconomic, and Geographic Determinants of Mortality: Evidence From the United Kingdom and International Comparisons Abstract This dissertation contains three chapters covering the impact of behavioral, socioeconomic, and geographic determinants of health and mortality in high-income populations, with particular emphasis on the abnormally high mortality in Scotland, and the relative advantages of indirect and direct analyses in estimating national mortality. Chapter one identifies behavioral risk factors underlying mortality variation across small-areas in Great Britain, using the indirect estimation -
The Governance of the NHS in Scotland - Ensuring Delivery of the Best Healthcare for Scotland Published in Scotland by the Scottish Parliamentary Corporate Body
Published 2 July 2018 SP Paper 367 7th report (Session 5) Health and Sport Committee Comataidh Slàinte is Spòrs The Governance of the NHS in Scotland - ensuring delivery of the best healthcare for Scotland Published in Scotland by the Scottish Parliamentary Corporate Body. All documents are available on the Scottish For information on the Scottish Parliament contact Parliament website at: Public Information on: http://www.parliament.scot/abouttheparliament/ Telephone: 0131 348 5000 91279.aspx Textphone: 0800 092 7100 Email: [email protected] © Parliamentary copyright. Scottish Parliament Corporate Body The Scottish Parliament's copyright policy can be found on the website — www.parliament.scot Health and Sport Committee The Governance of the NHS in Scotland - ensuring delivery of the best healthcare for Scotland, 7th report (Session 5) Contents Introduction ____________________________________________________________1 Staff Governance________________________________________________________3 Staff Governance Standard _______________________________________________3 Monitoring views of NHS Scotland staff______________________________________4 Staff Governance - themes raised in evidence ________________________________4 Pressure on staff - what witnesses told us __________________________________5 Consultation and staff relations __________________________________________6 Discrimination, bullying and harassment _________________________________7 Whistleblowing_________________________________________________________8 Confidence to -
Spice Briefing Pàipear-Ullachaidh Spice Primary Care in Scotland
SPICe Briefing Pàipear-ullachaidh SPICe Primary Care in Scotland Lizzy Burgess This briefing outlines how primary care operates in Scotland to inform the Scottish Parliament's Health and Sport Committee's inquiry into "What does primary care look like for the next generation?". 29 May 2019 SB 19-32 Primary Care in Scotland, SB 19-32 Contents Executive Summary _____________________________________________________4 Primary Care ___________________________________________________________5 The Case for Change ____________________________________________________6 Experiences of care ____________________________________________________7 Primary Care Policy _____________________________________________________9 The Primary Care Team _________________________________________________ 11 Regulation of Healthcare Professionals ____________________________________14 Workforce Planning ____________________________________________________15 Workforce Data _______________________________________________________16 Training _____________________________________________________________18 Cost of Training _____________________________________________________19 Cost of Primary Care ___________________________________________________21 Cost Book ___________________________________________________________22 Paying for Services ____________________________________________________23 Primary Care Service Planning ___________________________________________24 Independent Contractors ________________________________________________26 The 2018 Scottish General Medical -
Calling Time for Change
CALLING TIME FOR CHANGE ALCOHOL HARM REDUCTION STRATEGY 2020 - 2024 The North Wales Area Planning Board Foreword This Alcohol Harm Reduction Strategy for North Wales has been produced on behalf of the North Wales Area Planning Board, working in collaboration with partners across the region. It is the first one that has been produced for North Wales and builds on the North Wales Substance Misuse Needs Assessment. It also aligns with the Welsh Government Substance Misuse Delivery Plan 2019-2022 which seeks to reduce the harms associated with substance misuse, including alcohol, to the individual and wider society. Alcohol is thoroughly integrated into all aspects of society and our culture, is widely available, and has become increasingly affordable. Where alcohol is drunk sensibly it is enjoyed by many. However, alcohol is a strong drug with serious health implications. Alcohol misuse has a marked effect on the physical and mental health wellbeing of the individual, as well as affecting their family and wider society. Alcohol misuse is strongly linked to crime and disorder, antisocial behaviour, assault and domestic violence. Alcohol misuse is a major cause of death and illness in Wales with around 1,500 (one in twenty of all deaths) deaths each year being attributable to alcohol. There is no single organisation well placed to address all the harmful impacts of alcohol. This strategy sets out our partnership commitment to reduce the harms of alcohol misuse over the next 5 years and will require a collaborative approach across the region whilst also addressing local issues. This is why the strategy has been developed in partnership and is endorsed by me, as Chair of the North Wales Area Planning Board, on behalf of strategic partners for substance misuse (alcohol). -
The Four Health Systems of the United Kingdom: How Do They Compare?
The four health systems of the United Kingdom: how do they compare? Gwyn Bevan, Marina Karanikolos, Jo Exley, Ellen Nolte, Sheelah Connolly and Nicholas Mays Source report April 2014 About this research This report is the fourth in a series dating back to 1999 which looks at how the publicly financed health care systems in the four countries of the UK have fared before and after devolution. The report was commissioned jointly by The Health Foundation and the Nuffield Trust. The research team was led by Nicholas Mays at the London School of Hygiene and Tropical Medicine. The research looks at how the four national health systems compare and how they have performed in terms of quality and productivity before and after devolution. The research also examines performance in North East England, which is acknowledged to be the region that is most comparable to Wales, Scotland and Northern Ireland in terms of socioeconomic and other indicators. This report, along with an accompanying summary report, data appendices, digital outputs and a short report on the history of devolution (to be published later in 2014), are available to download free of charge at www.nuffieldtrust.org.uk/compare-uk-health www.health.org.uk/compareUKhealth. Acknowledgements We are grateful: to government statisticians in the four countries for guidance on sources of data, highlighting problems of comparability and for checking the data we have used; for comments on the draft report from anonymous referees and from Vernon Bogdanor, Alec Morton and Laura Schang; and for guidance on national clinical audits from Nick Black and on nursing data from Jim Buchan. -
The Conservative Agenda for Constitutional Reform
UCL DEPARTMENT OF POLITICAL SCIENCE The Constitution Unit Department of Political Science UniversityThe Constitution College London Unit 29–30 Tavistock Square London WC1H 9QU phone: 020 7679 4977 fax: 020 7679 4978 The Conservative email: [email protected] www.ucl.ac.uk/constitution-unit A genda for Constitutional The Constitution Unit at UCL is the UK’s foremost independent research body on constitutional change. It is part of the UCL School of Public Policy. THE CONSERVATIVE Robert Hazell founded the Constitution Unit in 1995 to do detailed research and planning on constitutional reform in the UK. The Unit has done work on every aspect AGENDA of the UK’s constitutional reform programme: devolution in Scotland, Wales, Northern Ireland and the English regions, reform of the House of Lords, electoral reform, R parliamentary reform, the new Supreme Court, the conduct of referendums, freedom eform Prof FOR CONSTITUTIONAL of information, the Human Rights Act. The Unit is the only body in the UK to cover the whole of the constitutional reform agenda. REFORM The Unit conducts academic research on current or future policy issues, often in collaboration with other universities and partners from overseas. We organise regular R programmes of seminars and conferences. We do consultancy work for government obert and other public bodies. We act as special advisers to government departments and H parliamentary committees. We work closely with government, parliament and the azell judiciary. All our work has a sharply practical focus, is concise and clearly written, timely and relevant to policy makers and practitioners. The Unit has always been multi disciplinary, with academic researchers drawn mainly from politics and law. -
National Framework for Service Change in the NHS in Scotland
National Framework for Service Change in the NHS in Scotland Drivers for Change in Health Care in Scotland National Planning Team May 2005 Contents. 1. Introduction 2 2. The changing population, patterns of ill-health 3 and the health service response 3. Health Inequalities 35 4. Patient Expectations 39 5. Remoteness and Rurality 42 6. Finance and Performance 44 7. Workforce 48 8. Clinical Standards and Quality 65 9. Medical Science 70 10. Information and Communication Technology 75 11. Conclusion 80 1 1. Introduction This paper pulls together, for the first time, the key factors driving change in Scotland’s health care system. Much of the information is already in the public domain but in this analysis we attempt to examine the inter-dependency of the various drivers and to seek to provide some clarity about what they mean for the future shape of the health service in Scotland. The position is complex. Not all of the factors driving change point in the same direction. But the implications are obvious: • change is inevitable • given the complexity of the drivers, planning for change is essential • “more of the same” is not the solution – to meet the challenge of the drivers will require new ways of working, involving the whole health care system in the change process. We do not attempt in this document to provide solutions. Rather, we seek to inform a debate about what those solutions might be. That debate needs to involve patients, the public, NHS staff and our clinical leaders. Its outcome will have considerable influence on the development of the National Framework for Service Change and its subsequent implementation. -
Unique Paths to Devolution Wales, Scotland, and Northern Ireland
Unique Paths to Devolution Wales, Scotland, and Northern Ireland Arthur Aughey, Eberhard Bort, John Osmond The Institute of Welsh Affairs exists to promote quality research and informed debate affecting the cultural, social, political and economic well-being of Wales. The IWA is an independent organisation owing no allegiance to any political or economic interest group. Our only interest is in seeing Wales flourish as a country in which to work and live. We are funded by a range of organisations and individuals, including the Joseph Rowntree Charitable Trust, the Esmée Fairbairn Foundation, the Waterloo Foundation and PricewaterhouseCoopers. For more information about the Institute, its publications, and how to join, either as an individual or corporate supporter, contact: IWA - Institute of Welsh Affairs 4 Cathedral Road Cardiff CF11 9LJ Tel 029 2066 0820 Fax 029 2023 3741 Email [email protected] Web www.iwa.org.uk www.clickonwales.org £7.50 ISBN 978 1 904773 56 6 February 2011 The authors Arthur Aughey is Professor of Politics at the University of Ulster and a Fellow of the Royal Society of Arts. He is a Senior Fellow of the Centre for British Politics at the University of Hull and Fellow of the Institute for British Irish Studies at University College Dublin. His recent publications include Nationalism Devolution and the Challenge to the United Kingdom State (London: Pluto Press 2001); Northern Ireland Politics: After the Belfast Agreement (London: Routledge 2005); and The Politics of Englishness (Manchester: Manchester University Press 2007). He is currently a Leverhulme Major Research Fellow and gratefully acknowledges its financial assistance in the writing of this essay. -
Devolution, Debate and Change: Changing the UK’S Constitutional Settlements Carol Howells and Edwin Parks
Chapter 2 Devolution, debate and change: Changing the UK’s constitutional settlements Carol Howells and Edwin Parks Abstract Devolution has been ‘a process not an event’ resulting in new constitutional settlements . This chapter covers the processes of devolution, processes which mirror the first 50 years of the Open University and the first 22 years of the OU Law School. The chapter explores the devolution of powers to parliaments in Scotland and Wales. It begins with the referendums of the early 1970s and traces events leading up to both the initial transfer of powers and those resulting in subsequent transfer of powers. The process has not been without its critics and the use of differing models helped create complexity re-enforcing historical legacies. Devolution created new legal orders and challenged accepted traditional constitutional theory. The story is not yet over. 1. Introduction The establishment of The Open University (OU) in 1969 changed the landscape of higher education in the United Kingdom (UK). Its mission of being ‘Open to people, places, methods and ideas’1 and its promotion of social justice through high quality education2 has challenged thinking around educational practices. In the 50 years since it was established it has transformed the lives of many through its work and partnerships. It has students in over 90% of UK postcodes3 and continues to hold a unique position within the UK’s Higher Education sector working across, and receiving funding from, all four UK nations. In celebrating its 50th anniversary its Vice Chancellor expressed pride in being the UK’s only four nations university.4 During the OU’s 50-year history there have been significant changes and challenges within the higher education landscape. -
(Meeifp) Project Across Wales
MONITORING AND EVALUATION OF THE EFFECTIVE IMPLEMENTATION OF THE FOUNDATION PHASE (MEEIFP) PROJECT ACROSS WALES FINAL REPORT OF YEAR 1 PILOT – ROLL OUT AGE 3-5 YEARS NOVEMBER 2005 AN EVALUATION FUNDED BY THE WELSH ASSEMBLY GOVERNMENT 2004-2005 AUTHORS: Iram Siraj-Blatchford Kathy Sylva Janet Laugharne Emmajane Milton Frances Charles Correspondence: Professor Iram Siraj-Blatchford [email protected] THE MEEIFP PROJECT RESEARCH TEAM Principal Investigators Professor Iram Siraj-Blatchford Institute of Education, University of London [email protected] Professor Kathy Sylva Department of Educational Studies, University of Oxford [email protected] Dr. Janet Laugharne Cardiff School of Education, University of Wales Institute, Cardiff [email protected] Research Coordinator Emmajane Milton Cardiff School of Education, University of Wales Institute, Cardiff [email protected] Research Officer Frances Charles Cardiff School of Education, University of Wales Institute, Cardiff [email protected] Acknowledgements: This study would not have been possible without the support of a good number of people.We are grateful to Laura Manni and Sofka Barreau for some analysis and advice; Sandra Mathers for training of researchers on the ECERS R, ECERS E and CIS observational instruments; Helen Taylor for the analysis of ECERS R, ECERS E and CIS observational data and Daniel Tiplady the Welsh translation during the project and of the final report. We are particularly grateful to the pilot settings, their staff and parents for responding to our requests for information and all the advisors, EYDCPs, Directors of Education and governors who completed questionnaires and gave of their time so generously.