Stephen Peckham
Datos Biográficos
| ID | 3603531 |
|---|---|
| NOMBRE | Stephen Peckham |
| NOMBRES | Stephen |
| APELLIDO | Peckham |
| FIRMA | PECKHAM S |
| AFILIACIONES | University of Kent |
| ORCID | 0000-0002-7002-2614 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 45 |
| TOTAL DE CITAS | 73 |
| TOTAL COMO AUTOR | 44 |
| TOTAL COMO EDITOR | 1 |
| PRIMER AÑO DE PUBLICACIÓN | 1994 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 6 |
The impact of NHS outsourcing of elective care to the independent sector on outcomes for patients, healthcare professionals and the United Kingdom health care system
Policy formulation and actor roles in the expanded Kenyan free maternity policy (Linda Mama)
In 2013, Kenya implemented free maternity services, later expanded in 2016 into the ‘Linda Mama’ policy to provide essential health services for pregnant women. This study explored the policy formulation background, processes, content, and actors’ roles in formulation and implementation. Using a convergent parallel mixed-methods case study design, we reviewed documents and conducted in-depth interviews with national stakeholders, county officials…
Enhancing the Scrutiny Role of Select Committees
We report on a recent innovation for one Departmental Select Committee. While government policy commitments are well publicised, little attention is paid to the quality of commitments made or to assessing progress against those commitments. In 2020, the Health and Social Care Select Committee commissioned an Expert Panel to conduct independent, in-depth evaluations of government progress on selected policy commitments. The first evaluations in 20…
The effect of becoming a Fistula Advocate on the recovery of women with Obstetric Fistula in Sierra Leone
Engaging women affected by Obstetric Fistula as advocates has been proposed as an effective strategy to raise awareness of the condition. Limited literature exists on the experience of those who become advocates. A model of community education, in Sierra Leone, trained women affected by Obstetric Fistula to become volunteer Fistula Advocates. This study explored Advocates’ perception of their role and its influence on their recovery and reintegra…
Implementing England’s Care Act 2014
Many countries are reforming long-term care to deal with the social risks created by demographic and social change. However, the passage of legislation is often followed by a new set of challenges as policy is implemented. This article examines England’s Care Act 2014 through Compton and ‘t Hart’s criteria of policy endurance to demonstrate the importance of assessing effectiveness at multiple time points. Early success in ‘implementation readine…
Critical policy capacity factors in the implementation of the community health worker program in India
This paper employs the policy capacity framework to develop a multidimensional and nested policy analysis that is able to examine how different types of capacity—analytical, organizational, and political from different related levels of the health system—have contributed to both policy success and failure during the implementation of a politically significant national community health worker (CHW) program in India. Directed toward rural and urban…
Employing the policy capacity framework for health system strengthening
The policy capacity framework offers relevant analytical ideas that can be mobilized for health system strengthening. However, the employment of this framework in the health field constitutes a relevant interdisciplinary gap in knowledge. This themed issue explores the relationships between the policy capacity framework and health system strengthening, in a multidimensional and interdisciplinary way, in high-income and low–middle-income countries…
Assessing air-quality impacts in planning decisions in England
While there has been an increasing recognition of the health impacts of air pollution assessment of air quality and health impacts is rarely adequately reviewed in planning decisions. Planning decisions are generally based on meeting national annual average air quality targets despite substantial evidence that levels below these are harmful to health and references to population health impacts in the UK National Planning Policy Framework and Envi…
Policy success
The policy implementation process is often overlooked when policy is introduced potentially leading to policy failure. This is particularly relevant in complex policy areas where there is a lack of collaborative policy‐making and where implementation is in dispersed governance. This paper discusses the findings of a study examining a novel policy implementation support programme developed by the English Department of Health for the Care Act 2014,…
How did the UK government face the global Covid-19 pandemic
This paper aims to analyse the coordination and cooperation in Primary Health Care (PHC) measures adopted by the British government against the spread of the COVID-19. PHC is clearly part of the solution founded by governments across the world to fight against the spread of the virus. Data analysis was performed based on coordination, cooperation, and PHC literature crossed with documentary analysis of the situation reports released by the World …
Policy failure and the policy-implementation gap
There is an increasing awareness that policies do not succeed or fail on their own merits. Within complex messy systems, it is unclear how best to ensure effective policy design and implementation. However, rather than just let policies drift into full or even partial failure, governments are now beginning to take an interest in ways in which the policy process – especially the implementation phase – can be strengthened and supported. This articl…
Garbage in, gospel out? – Air quality assessment in the UK planning system
Avoiding mixed messages
Presentation
Low and middle income countries (LMICs), as well as high income countries (HICs), with different politicaleconomic contexts, varying dependence on external financing, as well as in differentiated stages of development of primary health care (PHC), have adopted payment for performance or performance-based financing programs (P4P/PBF). Addressing the reality of different health systems and contexts, in LMICs and HICs, the rational basedassumptions …
Commissioning for health improvement following the 2012 health and social care reforms in England
Our findings suggest that, while some of the intended opportunities to improve population health and create a more joined-up system with clearer leadership have been achieved, fragmentation, dispersed decision-making and uncertainties regarding funding remain significant challenges. There have been profound changes in commissioning processes, with consequences for what health improvement services are ultimately commissioned. Time (and further res…
Fluoride levels in drinking water and hypothyroidism
A response to criticisms of a previously published paper (http://dx.doi.org/10.1136/jech-2014-204971)
Views of public health leaders in English local authorities – changing perspectives following the transfer of responsibilities from the National Health Service to local government
This paper reports on the findings of a research project that examined the changes to the public health system in England introduced in 2013. Drawing on case study research and two national surveys the findings explore the impact of organisational change on the composition and role of public health teams. Views and experiences were obtained from public health leaders involved in the transfer of staff and functions from the National Health Service…
Bridging the discursive gap between lay and medical discourse in care coordination
For older people with multiple chronic co-morbidities, strategies to coordinate care depend heavily on information exchange. We analyse the information-sharing difficulties arising from differences between patients' oral narratives and medical sense-making; and whether a modified form of 'narrative medicine' might mitigate them. We systematically compared 66 general practice patients' own narratives of their health problems and care with the cont…
Are fluoride levels in drinking water associated with hypothyroidism prevalence in England? A large observational study of GP practice data and fluoride levels in drinking water
BACKGROUND: While previous research has suggested that there is an association between fluoride ingestion and the incidence of hypothyroidism, few population level studies have been undertaken. In England, approximately 10% of the population live in areas with community fluoridation schemes and hypothyroidism prevalence can be assessed from general practice data. This observational study examines the association between levels of fluoride in wate…
Changing the Ties That Bind? The Emerging Roles and Identities of General Practitioners and Managers in the New Clinical Commissioning Groups in the English NHS
The English National Health Service (NHS) is undergoing significant reorganization following the 2012 Health and Social Care Act. Key to these changes is the shift of responsibility for commissioning services from Primary Care Trusts (PCTs) to general practitioners (GPs) working together in Clinical Commissioning Groups (CCGs). This article is based on an empirical study that examined the development of emerging CCGs in eight case studies across …
Joining it up? Health and Wellbeing Boards in English Local Governance
Statutory responsibility for health care and social care has long been separated between National Health Service (NHS) bodies and local government authorities. Repeated policy attempts to promote service integration through collaboration between such authorities have achieved little. The latest of such policy interventions are the Health and Wellbeing Boards (HWBs) established by the 2012 Health and Social Care Act (HSCA) alongside a range of oth…
Devolution and Patient Choice
Background: market reforms in England have been identified as making a clear distinction between English health policy and health policy in the devolved systems in Northern Ireland, Scotland and Wales. Patient choice is a high profile policy in the English National Health Service that constitutes significant changes to the demand side of health care. It is not clear what national differences this has led to regarding implementation of policy. Thi…
OP69 The use of NHS Routine Data to Analyse The Effects of Healthcare Interventions
Background In 2007, the strategy ‘Healthcare for London’ planned the establishment of polyclinics in each PCT to help improve the primary care infrastructure. These polyclinics serve as a hub for a group of GP practices which combined form a polysystem. We aimed to investigate the impact of services provided in a polysystem on unplanned (emergency) admissions, using routine NHS activity data. In one polysystem case study, a pulmonary rehabilitati…
The Discursive Turn in Policy Analysis and the Validation of Policy Stories
This paper is concerned with the language of policy documents in the field of health care, and how 'readings' of such documents might be validated in the context of a narrative analysis. The substantive focus is on a comparative study of UK health policy documents (N= 20) as produced by the various assemblies, governments and executives of England, Scotland, Wales and Northern Ireland during the period 2000-09. Following the identification of som…
Shaping Health PolicyCase Study Methods and Analysis
This book examines the role that case studies play in understanding and explaining British health policy. Overall, the chapters cover the key health policy literatures in terms of the policy process, analytical frameworks and some of the seminal moments of the NHS. They have been written by health policy researchers in sociology, social policy, management and organisation studies. The book explores and promotes the case study as an under-used met…
Access, Choice and Travel
The UK National Health Service is introducing policies offering patients a choice of the hospital where they would like to be treated. ‘Patient choice’ policies form part of a wider debate about the access to health care and the interaction between providers (including information, provision, performance and reputation) and patients (including knowledge, resources and willingness to travel). As the hospital of ‘choice’ might not necessarily be th…
Decentralizing Health Services in the Uk
Decentralization is a central plank of current government health policy. However, it is possible to discern both centralist and decentralist movements in the UK. This paper examines existing frameworks of decentralization in relation to identifying whether policy is decentralist or not and identifies a number of problems that limit their value. Key problems relate to the way decentralization is conceptualized and defined. Existing frameworks are …
Joining it up? Health and Wellbeing Boards in English Local Governance
Statutory responsibility for health care and social care has long been separated between National Health Service (NHS) bodies and local government authorities. Repeated policy attempts to promote service integration through collaboration between such authorities have achieved little. The latest of such policy interventions are the Health and Wellbeing Boards (HWBs) established by the 2012 Health and Social Care Act (HSCA) alongside a range of oth…
Devolution and Patient Choice
Background: market reforms in England have been identified as making a clear distinction between English health policy and health policy in the devolved systems in Northern Ireland, Scotland and Wales. Patient choice is a high profile policy in the English National Health Service that constitutes significant changes to the demand side of health care. It is not clear what national differences this has led to regarding implementation of policy. Thi…
The Discursive Turn in Policy Analysis and the Validation of Policy Stories
This paper is concerned with the language of policy documents in the field of health care, and how 'readings' of such documents might be validated in the context of a narrative analysis. The substantive focus is on a comparative study of UK health policy documents (N= 20) as produced by the various assemblies, governments and executives of England, Scotland, Wales and Northern Ireland during the period 2000-09. Following the identification of som…
Policy makers’ perceptions on the use of evidence from evaluations
Using data from the Department of Health funded study ‘Making the most of policy evaluations’, this paper explores the views of those working within the policy process about the role of evidence. It highlights a tension between formative and summative uses of research, which appeared to be exacerbated by a lack of clarity surrounding the objectives that policy leads had for the research. Additionally, the data reveal an uncertainty about the stat…
Analysing Structural Interests in Primary Care Groups
Alford’s theory of structural interests in health care has been used as a heuristic device both in the USA and the UK. Despite concerns about its heuristic power it provides a lucid analytical framework and is helpful in exposing the structural interests that underpin political processes in health systems. To date its application in the UK has been primarily in relation to an NHS dominated by health authorities and hospital providers. Recent refo…
Employing the policy capacity framework for health system strengthening
The policy capacity framework offers relevant analytical ideas that can be mobilized for health system strengthening. However, the employment of this framework in the health field constitutes a relevant interdisciplinary gap in knowledge. This themed issue explores the relationships between the policy capacity framework and health system strengthening, in a multidimensional and interdisciplinary way, in high-income and low–middle-income countries…
Bridging the discursive gap between lay and medical discourse in care coordination
For older people with multiple chronic co-morbidities, strategies to coordinate care depend heavily on information exchange. We analyse the information-sharing difficulties arising from differences between patients' oral narratives and medical sense-making; and whether a modified form of 'narrative medicine' might mitigate them. We systematically compared 66 general practice patients' own narratives of their health problems and care with the cont…
Implementing England’s Care Act 2014
Many countries are reforming long-term care to deal with the social risks created by demographic and social change. However, the passage of legislation is often followed by a new set of challenges as policy is implemented. This article examines England’s Care Act 2014 through Compton and ‘t Hart’s criteria of policy endurance to demonstrate the importance of assessing effectiveness at multiple time points. Early success in ‘implementation readine…
Are fluoride levels in drinking water associated with hypothyroidism prevalence in England? A large observational study of GP practice data and fluoride levels in drinking water
BACKGROUND: While previous research has suggested that there is an association between fluoride ingestion and the incidence of hypothyroidism, few population level studies have been undertaken. In England, approximately 10% of the population live in areas with community fluoridation schemes and hypothyroidism prevalence can be assessed from general practice data. This observational study examines the association between levels of fluoride in wate…
Enhancing the Scrutiny Role of Select Committees
We report on a recent innovation for one Departmental Select Committee. While government policy commitments are well publicised, little attention is paid to the quality of commitments made or to assessing progress against those commitments. In 2020, the Health and Social Care Select Committee commissioned an Expert Panel to conduct independent, in-depth evaluations of government progress on selected policy commitments. The first evaluations in 20…
Critical policy capacity factors in the implementation of the community health worker program in India
This paper employs the policy capacity framework to develop a multidimensional and nested policy analysis that is able to examine how different types of capacity—analytical, organizational, and political from different related levels of the health system—have contributed to both policy success and failure during the implementation of a politically significant national community health worker (CHW) program in India. Directed toward rural and urban…
Policy success
The policy implementation process is often overlooked when policy is introduced potentially leading to policy failure. This is particularly relevant in complex policy areas where there is a lack of collaborative policy‐making and where implementation is in dispersed governance. This paper discusses the findings of a study examining a novel policy implementation support programme developed by the English Department of Health for the Care Act 2014,…
Has Labour decentralised the NHS? Terminological obfuscation and analytical confusion
This article considers the rise of decentralisation as an approach to public-sector \nreform generally, and its approach to the British National Health Service (NHS) \nspecifically. It suggests that the term ‘decentralisation’ is often so poorly defined \nthat reforms made in its name cannot be assessed to see if they have achieved it as \na goal or not. The article explores the meanings of decentralisation and attempts \nto clarify it, before go…
Assessing the impact of the NHS Service Delivery and Organisation Research and Development Programme
This article summarises the results of a review of the impact of research funded by the NHS Service Delivery and Organisation Research and Development (SDO) Programme. The review draws primarily on the HERG Payback model, and the outputs and outcomes of SDO research are summarised in each of the five Payback domains: service delivery, policy, practice, research and capacity building. The article also discusses conceptual and methodological proble…
Commissioning research that is used
English This article discusses the experiences of the NHS Service Delivery and Organisation Research and Development Programme (the SDO) in transferring knowledge from research into practice. In the context of relevant theories, four main difficulties in achieving knowledge transfer are described and two modes of knowledge production are uncovered: one being discipline based, and the other valuing research for its usefulness. In attempting to hol…
Informing UK Policy Development on the Regulation of CAM Practitioners
Public policy discussions on how to regulate acupuncture and herbal medical practitioners have reached a stalemate in the United Kingdom. After considerable activity in the first half of the current decade a wider review of professional regulation has re‐opened the discussion as to the most appropriate way to regulate the practice of all health‐care practitioners. In the meantime, the public continues to consult complementary and alternative medi…
The contribution of coterminosity to joint purchasing in health and social care
Local voices and primary health care
The contribution of coterminosity to joint purchasing in health and social care
The Politics of Patients’ Associations in Britain and America
Analysing Structural Interests in Primary Care Groups
Alford’s theory of structural interests in health care has been used as a heuristic device both in the USA and the UK. Despite concerns about its heuristic power it provides a lucid analytical framework and is helpful in exposing the structural interests that underpin political processes in health systems. To date its application in the UK has been primarily in relation to an NHS dominated by health authorities and hospital providers. Recent refo…
Access, Choice and Travel
The UK National Health Service is introducing policies offering patients a choice of the hospital where they would like to be treated. ‘Patient choice’ policies form part of a wider debate about the access to health care and the interaction between providers (including information, provision, performance and reputation) and patients (including knowledge, resources and willingness to travel). As the hospital of ‘choice’ might not necessarily be th…
Commissioning research that is used
English This article discusses the experiences of the NHS Service Delivery and Organisation Research and Development Programme (the SDO) in transferring knowledge from research into practice. In the context of relevant theories, four main difficulties in achieving knowledge transfer are described and two modes of knowledge production are uncovered: one being discipline based, and the other valuing research for its usefulness. In attempting to hol…
Informing UK Policy Development on the Regulation of CAM Practitioners
Public policy discussions on how to regulate acupuncture and herbal medical practitioners have reached a stalemate in the United Kingdom. After considerable activity in the first half of the current decade a wider review of professional regulation has re‐opened the discussion as to the most appropriate way to regulate the practice of all health‐care practitioners. In the meantime, the public continues to consult complementary and alternative medi…
Social Policy for Nurses and the Helping Professions (Social Science for Nurses and the Caring Professions)
Asking the right questions
Scoping studies have been used across a range of disciplines for a wide variety of purposes. However, their value is increasingly limited by a lack of definition and clarity of purpose. The UK's Service Delivery and Organisation Research Programme (SDO) has extensive experience of commissioning and using such studies; twenty four have now been completed.This review article has four objectives; to describe the nature of the scoping studies that ha…
General practice and public health
Over the past 30 years, the important role of primary care in public health has been widely recognised, and in the UK a range of measures to support public health in general practice have been introduced since the late 1980s. In 2004 a new general medical services contract was introduced changing the way general practitioners are reimbursed in the NHS. The new contract shifted the emphasis from the individual practitioner to the practice and intr…
Assessing the impact of the NHS Service Delivery and Organisation Research and Development Programme
This article summarises the results of a review of the impact of research funded by the NHS Service Delivery and Organisation Research and Development (SDO) Programme. The review draws primarily on the HERG Payback model, and the outputs and outcomes of SDO research are summarised in each of the five Payback domains: service delivery, policy, practice, research and capacity building. The article also discusses conceptual and methodological proble…
Decentralizing Health Services in the Uk
Decentralization is a central plank of current government health policy. However, it is possible to discern both centralist and decentralist movements in the UK. This paper examines existing frameworks of decentralization in relation to identifying whether policy is decentralist or not and identifies a number of problems that limit their value. Key problems relate to the way decentralization is conceptualized and defined. Existing frameworks are …
Public Health Ethics and Practice
Has Labour decentralised the NHS? Terminological obfuscation and analytical confusion
This article considers the rise of decentralisation as an approach to public-sector \nreform generally, and its approach to the British National Health Service (NHS) \nspecifically. It suggests that the term ‘decentralisation’ is often so poorly defined \nthat reforms made in its name cannot be assessed to see if they have achieved it as \na goal or not. The article explores the meanings of decentralisation and attempts \nto clarify it, before go…
Healthcare in the Uk
Cholesterol screening and the Gold Effect
This paper explores the concept of the ‘Gold Effect’ in relation to the use of serum cholesterol measurement as a screening test for cardiovascular disease. The Gold Effect explains the phenomenon of the process by which an idea comes to be held as a generally accepted truth. In this paper we argue that cholesterol screening is the product of the Gold Effect. Screening tests need to be sufficiently robust as an indicator of risk and thus their ev…
Shaping Health PolicyCase Study Methods and Analysis
This book examines the role that case studies play in understanding and explaining British health policy. Overall, the chapters cover the key health policy literatures in terms of the policy process, analytical frameworks and some of the seminal moments of the NHS. They have been written by health policy researchers in sociology, social policy, management and organisation studies. The book explores and promotes the case study as an under-used met…
Shaping Health Policy
The case against fluoride
The case against fluoride: how hazardous waste ended up in our drinking water and the bad science and powerful politics that keep it there, by Paul Connett, James Beck, and H Spedding Micklem." Critical Public Health, 22(1), pp. 113–114
Slaying sacred cows
Water fluoridation continues to be a contentious public health policy. Recent moves to introduce schemes in England raise important questions about the use of evidence in public policy. Of particular concern is how evidence is used for public health policy-making purposes. This article reviews some of the key debates about water fluoridation and examines the way evidence has been promoted and used. The background to water fluoridation is discusse…
Policy makers’ perceptions on the use of evidence from evaluations
Using data from the Department of Health funded study ‘Making the most of policy evaluations’, this paper explores the views of those working within the policy process about the role of evidence. It highlights a tension between formative and summative uses of research, which appeared to be exacerbated by a lack of clarity surrounding the objectives that policy leads had for the research. Additionally, the data reveal an uncertainty about the stat…
Devolution and Patient Choice
Background: market reforms in England have been identified as making a clear distinction between English health policy and health policy in the devolved systems in Northern Ireland, Scotland and Wales. Patient choice is a high profile policy in the English National Health Service that constitutes significant changes to the demand side of health care. It is not clear what national differences this has led to regarding implementation of policy. Thi…
OP69 The use of NHS Routine Data to Analyse The Effects of Healthcare Interventions
Background In 2007, the strategy ‘Healthcare for London’ planned the establishment of polyclinics in each PCT to help improve the primary care infrastructure. These polyclinics serve as a hub for a group of GP practices which combined form a polysystem. We aimed to investigate the impact of services provided in a polysystem on unplanned (emergency) admissions, using routine NHS activity data. In one polysystem case study, a pulmonary rehabilitati…
The Discursive Turn in Policy Analysis and the Validation of Policy Stories
This paper is concerned with the language of policy documents in the field of health care, and how 'readings' of such documents might be validated in the context of a narrative analysis. The substantive focus is on a comparative study of UK health policy documents (N= 20) as produced by the various assemblies, governments and executives of England, Scotland, Wales and Northern Ireland during the period 2000-09. Following the identification of som…
Changing the Ties That Bind? The Emerging Roles and Identities of General Practitioners and Managers in the New Clinical Commissioning Groups in the English NHS
The English National Health Service (NHS) is undergoing significant reorganization following the 2012 Health and Social Care Act. Key to these changes is the shift of responsibility for commissioning services from Primary Care Trusts (PCTs) to general practitioners (GPs) working together in Clinical Commissioning Groups (CCGs). This article is based on an empirical study that examined the development of emerging CCGs in eight case studies across …
Political science (36 obras) · Medicine (25 obras) · Public relations (23 obras) · Health care (21 obras) · Business (17 obras) · Law (17 obras) · Sociology (17 obras) · Nursing (16 obras) · Public Administration (16 obras) · Law (14 obras)