The impact of supportive leadership on employee outcomes during organizational mergers: An organizational-level field study.
Journal of Applied Psychology, Vol 108(4), Apr 2023, 686-697; doi:10.1037/apl0001042Past merger and acquisition research has reported mixed findings on the impact of mergers on workforces. To address these ambiguities and advance merger research at the organizational level of analysis, we present a natural quasi-experiment focusing on mergers in the English National Health Service. Building on organizational support theory and conservation of resources theory, we propose that merger events represent environmental stressors, with negative implications for employees’ subjective (job satisfaction) and objective (absenteeism...
Source: Journal of Applied Psychology - September 15, 2022 Category: Psychiatry & Psychology Source Type: research
The impact of structural changes to community nursing services on the rate of emergency hospital use of older people: a longitudinal ecological study of based on 140 primary care trusts in England
This study’s outcome measures were (1) emergency hospital admissions and (2) emergency hospital bed use, for people aged 65+ years in 140 primary care trusts (PCTs) in England.
The authors found no statistically significant difference in the post-intervention trend in emergency hospital admissions between those PCTS that integrated community nursing services with an acute care provider and those integrated with a mental health provider (IRR 0.999, 95% CI 0.986–1.013) or those that did not structurally integrate services (IRR 0.996, 95% CI 0.982–1.010). The authors similarly found no difference in the trends for ...
Source: Journal of Integrated Care - January 20, 2021 Category: International Medicine & Public Health Authors: Steven Wyatt Robin Miller Peter Spilsbury Mohammed Amin Mohammed Source Type: research
Viral bronchiolitis management in hospitals in the UK
In developed countries, viral bronchiolitis, in particular that caused by respiratory syncytial virus (RSV), is the leading cause of hospitalisation in infants less than a year old [1]. More than 30,000 infants are hospitalised each year in England and Wales due to viral bronchiolitis with a wide variation in rates of hospitalisation in different geographical regions of the United Kingdom (UK) [2 –4]. In one study hospitalisation rates varied between 351 and 5140 per 100 000 in English Primary Care Trusts [3]. (Source: Journal of Clinical Virology)
Source: Journal of Clinical Virology - April 17, 2018 Category: Virology Authors: Elliott J. Carande, Eva P. Galiza, Alecia Nickless, Andrew J. Pollard, Simon B. Drysdale Source Type: research
Primary care trusts provide poor information for practice based commissioning
(Source: BMJ News)
Source: BMJ News - February 21, 2018 Category: General Medicine Source Type: research
Quality of and access to green space in relation to psychological distress: results from a population-based cross-sectional study as part of the EURO-URHIS 2 project
This is a correction notice for article ckv094 (DOI:https://doi.org/10.1093/eurpub/ckv094), published on 15 July 2015. The authors regret to inform that Alexis Macherianakis was not credited as an author of this article. His name should have been listed after C. Birt and his affiliation should have been given as “Sandwell Primary Care Trust, Birmingham, UK.” The funding statement should also have read as follows: “This research project was co-funded by EU Commission, under the 7th Framework Programme (FP7/2007-2013) as part of the EUROURHIS 2 project (grant agreement no. 223711), Sandwell Primary Care Trust Public He...
Source: The European Journal of Public Health - December 8, 2017 Category: General Medicine Source Type: research
In a challenging environment, intelligent use of surveillance data can help guide sexual health commissioners choices to maximise public health benefit
The past 3 years have seen significant changes for sexual health services in England. The Health and Social Care Act 2012 transferred responsibility for commissioning most of specialist sexual and reproductive health (SRH) services from primary care trusts to local government alongside responsibility for other public health initiatives.1 Since the transition, local government has paid for SRH clinical services and HIV prevention activities from a ring-fenced public health programme grant.2 In the summer of 2015, the government announced that the public health grant would be reduced by £200M3 as part of the natio...
Source: Sexually Transmitted Infections - April 20, 2017 Category: Sexual Medicine Authors: Dunbar, J. K., Hughes, G., Fenton, K. Tags: Editorial Source Type: research
Is small-group education the key to retention of sessional GPs?
Authors: Jenson CM, Hutchins AJ, Rowlands G
Abstract
WHAT IS ALREADY KNOWN IN THIS AREA • Recruitment and retention et general practitioners (GPs) are topical issues in the modern NHS. • There is/a link between reduced stress/burnout in GPs and continuing medical education. • Sessional GPs are known to suffer from isolation and difficulty accessing educational support. • One previous study of retention of sessional GPs cites three key factors: a secure contract, mentoring support and a stimulating work environment with a culture of personal and professional development. WHAT THIS WORK ADDS • A pr...
Source: Education for Primary Care - March 1, 2017 Category: Primary Care Tags: Educ Prim Care Source Type: research
Geographical disparities in access to cancer management and treatment services in England.
This study seeks to examine the extent to which cancer services are geographically located according to cancer incidence, and assess the association with cancer survival. We identified hospital sites serving English PCTs (Primary Care Trusts) with the management and treatment of breast, lung and colorectal cancer. Geographical access was estimated as travel time in minutes from LSOAs (Lower Super Output Areas) to the nearest hospital site and aggregated to PCT level. Correlations between PCT level mean travel times and cancer cases were estimated using Spearman's rank correlation. Associations between PCT level mean travel...
Source: Health and Place - September 6, 2016 Category: Environmental Health Authors: Murage P, Crawford SM, Bachmann M, Jones A Tags: Health Place Source Type: research
The acceptability to patients of PhysioDirect telephone assessment and advice services; a qualitative interview study
In response to long waiting lists and problems with access to primary care physiotherapy, several Primary Care Trusts (PCTs) (now Clinical Commissioning Groups CCGs) developed physiotherapy-led telephone asses... (Source: BMC Health Services Research)
Source: BMC Health Services Research - March 28, 2016 Category: Journals (General) Authors: Jennifer Pearson, Jane Richardson, Michael Calnan, Chris Salisbury and Nadine E. Foster Source Type: research
Obstacles to “race equality” in the English National Health Service: Insights from the healthcare commissioning arena
Publication date: March 2016 Source:Social Science & Medicine, Volume 152 Author(s): Sarah Salway, Ghazala Mir, Daniel Turner, George T.H. Ellison, Lynne Carter, Kate Gerrish Inequitable healthcare access, experiences and outcomes across ethnic groups are of concern across many countries. Progress on this agenda appears limited in England given the apparently strong legal and policy framework. This disjuncture raises questions about how central government policy is translated into local services. Healthcare commissioning organisations are a potentially powerful influence on services, but have rarely...
Source: Social Science and Medicine - February 6, 2016 Category: Psychiatry & Psychology Source Type: research
A qualitative study exploring the acceptability of the McNulty-Zelen design for randomised controlled trials evaluating educational interventions
DiscussionOur RCT was evaluating the effect of an educational intervention to increase chlamydia screening tests in general practices where there was routine monitoring of testing rates; our participants may have been less enthusiastic about the design if it had been evaluating a more controversial educational area, or if data monitoring was not routine.ImplicationsThe McNulty-Zelen design should be considered for the evaluation of educational interventions, but these designs should have clear consent protocols and proportionate ethical review.Trial registrationThe trial was registered on the UK Clinical Research Network S...
Source: BMC Family Practice - November 17, 2015 Category: Primary Care Authors: Cliodna McNultyEllie RickettsClaire RugmanAngela HoganAndre CharlettRona Campbellon behalf of the CIRT study group Source Type: research
A pilot randomised controlled trial to evaluate the feasibility and acceptability of the Baby Triple P Positive Parenting Programme in mothers with postnatal depression
Few interventions for Postnatal Depression (PND) have focused on parenting difficulties; the aim of this research was to investigate the feasibility and evaluate a parenting intervention (Baby Triple P) in women with PND. This was a pilot randomised controlled trial (RCT) to evaluate and determine the feasibility of the newly developed Baby Triple P compared with treatment as usual (TAU) in women with PND. In all, 27 female participants aged from 18 to 45 years (mean age = 28.4 years, standard deviation (SD) = 6.1), with a primary diagnosis of major depression and an infant under 12 months (mean age = 6.2 months, SD = 3.2 ...
Source: Clinical Child Psychology and Psychiatry - September 29, 2015 Category: Psychiatry Authors: Tsivos, Z.-L., Calam, R., Sanders, M. R., Wittkowski, A. Tags: Articles Source Type: research
How would you persuade reluctant commissioners to purchase maxillofacial services from your Trust?
The 2010 White Paper Equity and Excellence: Liberating the NHS led to the creation of national Clinical Commissioning Groups (CCG), which came out of shadow in April 2013. In England, they have taken over the commissioning roles originally performed by primary care trusts (PCT), and they now control around 60% of the NHS budget and have a legal duty to support quality improvement in general practice.1 (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - July 6, 2015 Category: ENT & OMF Authors: Ryan Chin Taw Cheong, Yu Jeat Chong Tags: Editorial Source Type: research
Medicine under capitalism
For about ten years, I have carried out annual appraisals on doctors working in general practice. I do this on a freelance basis, not as part of my salaried work. When I started, I used to claim my fees from a man called Steve, in an office at the local primary care trust. Now Steve is no longer there. Nor is his job, nor his office, nor the trust. Nowadays, I send my invoices to an agency a couple of hundred miles away called ‘Shared Business Services Payables.’ When I write the invoices, I have to use a ‘supplier number’, identifying myself as a private business supplying services to the National ...
Source: Postgraduate Medical Journal - April 10, 2015 Category: Journals (General) Authors: Launer, J. Tags: On reflection Source Type: research
