Sheena Asthana
Biographic Data
| ID | 363914 |
|---|---|
| NAME | Sheena Asthana |
| GIVEN NAMES | Sheena |
| FAMILY NAME | Asthana |
| SIGNATURE | ASTHANA S |
| AFFILIATIONS | University of Plymouth |
| ORCID | 0000-0002-1483-2719 |
| VERIFIED | Yes |
| TOTAL WORKS | 41 |
| TOTAL CITATIONS | 214 |
| AUTHOR COUNT | 41 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1994 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 7 |
Acute Practitioners’ Experiences of Implementing Frailty Same Day Emergency Care: A Researcher-in-Residence Study
Introduction: NHS policy promotes Frailty Same Day Emergency Care (F-SDEC) units to alleviate pressure on emergency departments (ED) and improve care for frail people through comprehensive geriatric assessment and same-day discharge. However, evidence remains limited on how such services are implemented in practice, particularly in resource-constrained and geographically peripheral settings. This study aimed to examine how implementation barriers…
Implementing Population Health Management (PHM) Across an Integrated Care System in England, Using Action Learning Sets and an Embedded, Formative Process Evaluation
Introduction: Population Health Management (PHM) is a UK priority for Integrated Care Systems (ICSs), aiming to deliver proactive, preventative, person-centred care using integrated health and care datasets. However, evidence on implementation in primary care remains limited. Methods: This comparative case study used embedded researchers, ethnography, interviews, and observations to formatively evaluate a 24-month PHM programme across 31 Primary …
Implementing Population Health Management across Primary Care in a UK Integrated Care System (April 2022-2024)
Background: Population Health Management (PHM) is pivotal for England’s 42 Integrated Care Systems (ICSs) to transition from reactive to proactive, preventative, and person-centred care. By integrating health and social care datasets, including health determinants, ICSs aim to redesign and target services in order to use resources more effectively, improve population heath and reduce health inequalities. However, there is no agreed definition of …
Pilot Testing an Ecotherapy Program for Adolescence: Initial Findings and Methodological Reflections
Children and young people's mental health and well-being has seen a dramatic decline. In the UK, this has been exacerbated by service retrenchment associated with austerity, with evidence of increasing health inequalities. Service innovation that is grounded in practice, has ongoing learning, and is co-designed with children and young people is required now. This can provide creative solutions within the local context and contribute to the fledgl…
Loneliness and social networks of older adults in rural communities: A narrative synthesis systematic review
Autistic adults’ experiences of managing wellbeing and implications for social prescribing
Autistic people demonstrate poor outcomes on objective measures of wellbeing, yet research centring lived experience provides a more nuanced picture. There is growing support for person-centred, holistic and community approaches to enhancing wellbeing for autistic people. Social prescribing may be one such approach. This qualitative study explored the concept of wellbeing for autistic adults - including barriers and self-management - and the impl…
Health and wellbeing outcomes and social prescribing pathways in community‐based support for autistic adults: A systematic mapping review of reviews
Adults on the autism spectrum are affected by health disparities which significantly reduce life expectancy and experience barriers to accessing healthcare. Social prescribing is a holistic approach that diverts patients from primary care to health-enhancing activities in communities. However, there has been a lack of research attention to how autistic people navigate the social prescribing pathway and the ability of these approaches to address e…
Impact of ‘Enhanced’ Intermediate Care Integrating Acute, Primary and Community Care and the Voluntary Sector in Torbay and South Devon, UK
Enhancing IC through greater acute, primary care and voluntary sector integration can lead to more complex, older patients being managed in the community, with modest impacts on service efficiency, system activity, and notional costs off-set by perceived benefits
Impact of Covid‐19 on social prescribing across an Integrated Care System: A Researcher in Residence study
Emerging evidence suggests that connecting people to non-medical activities in the community (social prescribing) may relieve pressure on services by promoting autonomy and resilience, thereby improving well-being and self-management of health. This way of working has a long history in the voluntary and community sector but has only recently been widely funded by the National Health Service (NHS) in England and implemented in Primary Care Network…
Link worker perspectives of early implementation of social prescribing: A ‘Researcher‐in‐Residence’ study
Social prescribing (SP) is increasing in popularity in the UK and can enable healthcare providers to respond more effectively to a range of non-clinical needs. With the NHS commitment to establish an SP link worker in all GP practices, there is a rapid increase in the number of SP schemes across the country. There is currently insufficient evidence concerning the implementation and acceptability of SP schemes. In this paper, we report our analysi…
EHealth technologies and the know-do gap: Exploring the role of knowledge mobilisation
Background: eHealth technologies are widely believed to contribute to improving health and patients’ experience of care and reducing health system costs. While many studies explore barriers to and facilitators of eHealth innovation, we lack understanding of how this knowledge can be translated into workable, practicable and properly resourced knowledge mobilisation (KM) strategies. Aims and objectives: This paper describes the aims, methods and o…
Capturing the Role of Context in Complex System Change: An Application of the Canadian Context and Capabilities for Integrating Care (CCIC) Framework to an Integrated Care Organisation in the UK
The CCIC Framework provided a useful tool capturing key elements of complex system change with key domains being transferable across settings, while also finding local variation in the UK. This would encourage its wider application so that further comparisons can be made of the ways in which different contextual and implementation properties impact upon delivery and outcomes
Reflections on the Researcher-in-Residence model co-producing knowledge for action in an Integrated Care Organisation: A mixed methods case study using an impact survey and field notes
Background / aims / objectives ‘Embedded’ approaches to knowledge mobilisation are gaining currency, as health and social care services come under increasing pressure to redesign services now rather than wait for research. One such approach is the ‘Researcher-in-Residence’ (RiR) model which seeks to co-produce knowledge for action. The aim of this paper is to extend the evidence base regarding mechanisms of impact. Methods A two-year mixed-method…
Implementation and impact of co-locating the voluntary sector with a multidisciplinary, cross-sector community hub at the Integrated Care Organisation (ICO) in Torbay and South Devon, UK
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Impact of “enhanced” intermediate care located in a health & wellbeing hub at the integrated care organisation (ico) in torbay and south devon, uk
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Inequity in cardiovascular care in the English National Health Service (NHS): A scoping review of the literature
There is a general understanding that socioeconomically disadvantaged people are also disadvantaged with respect to their access to NHS care. Insofar as considerable NHS funding has been targeted at deprived areas, it is important to better understand whether and why socioeconomic variations in access and utilisation exist. Exploring this question with reference to cardiovascular care, our aims were to synthesise and evaluate evidence relating to…
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…
Playing with fire: Limitations of the Big Society for an emergency service
A key role of the Big Society is to bring about a transformation in public service provision through the greater involvement of voluntary and community groups. It is often assumed that, because rural areas have higher levels of volunteering, they are most likely to ‘benefit’ from the Big Society, while deprived urban areas will benefit the least. This article questions that assumption. Examining the scope and impact for promoting localism in the …
A Tangled Web: Complexity and Inequality in the English Local Government Finance Settlement
The £29 billion formula grant stands at the heart of the English local government finance system. This transfer of resource from central to local government has, since 2006–07, been distributed using the so-called ‘four block model’. This extraordinarily complex formula-based funding mechanism aims to ensure that all local authorities are able to provide individuals with a broadly comparable level of public service – offering greatest support to …
Liberating the NHS? A commentary on the Lansley White Paper, “Equity and Excellence”
Social exclusion and social justice: A Rural Perspective on Resource Allocation
The process by which the UK government allocates resources for public sector services has rarely been scrutinised from the perspective of social exclusion or social justice. Yet, not only is a significant proportion of public expenditure targeted at just these issues but also the resulting per capita and areal allocations vary significantly with important implications for distributional equity. One product is an apparent urban/rural divide. This …
From evidence to practice: Addressing health inequalities through Sure Start
English Tackling health inequalities has become a key policy objective in the UK in recent years, with inequalities in early life accorded strategic importance. The Sure Start programme has been central to this strategy. Over time, however, the early recognition given to the evidence base and the interconnected nature of social problems has given way to a more targeted approach, arguably marginalising those aspects that have been key to success. …
Policy at the margins: Developing community capacity in a rural Health Action Zone
The imperative to engage with communities and employ a community development approach is an integral part of the national agenda under New Labour. However, a large part of the literature and experience that informs contemporary policy and practice draws on the urban realm. This paper draws on the evaluation of a rural Health Action Zone to explore the extent to which national policy can facilitate local approaches to community health development …
Evaluating Partnership: The Role of Formal Assessment Tools
Partnerships are increasingly seeking tools that enable stakeholders to reflect on their own effectiveness, benchmark the status of their partnership and provide a framework for development. Drawing on the evaluation of two Health Action Zones, this article focuses on the use of one such formal assessment tool, adapted from the Nuffield Partnership Assessment Tool and the Verona Benchmark, to explore the contribution of formal tools to our unders…
What can rural agencies do to address the additional costs of rural services? A typology of rural service innovation
There is a national commitment to ensuring that, regardless of where patients live, they should be provided with an acceptable level of service in terms of quality, effectiveness and accessibility. Because of differences in the distributions of their populations, rural and urban areas present quite different challenges for the optimal design of health services and social care. However, this has not been fully acknowledged in the development of na…
Community participation in HIV prevention: Problems and prospects for community-based strategies among female sex workers in Madras
The social construction of male 'homosexuality' in India: Implications for HIV transmission and prevention
Local Markets and the Polarization of Public‐Sector Schools in England and Wales
Notwithstanding the recent change of government, UK educational policy continues to stress school performance tables, parental choice and competition – reflecting an acceptance by New Labour of Tory notions concerning the role that market mechanisms play in improving school performance. In view of the 1997 Education White Paper's insistence that the new government's goal was to ‘overcome the spiral of disadvantage ... passed from one generation t…
What's in a number? Commentary on Gorard and Fitz's ‘Investigating the determinants of segregation between schools’
This paper seeks to critique the methodology utilized by Gorard and Fitz in their work on changing levels of social segregation between schools. Demonstrating the extent to which their ‘Index of Segregation’ is determined by overall levels of free school meal entitlement, this paper argues that their Index does not, as is claimed, reveal how patterns of school enrolment have changed over time. Their dismissal of the polarization hypothesis is thu…
Partnership Working in Public Policy Provision: A Framework for Evaluation
Partnership working has emerged as a key feature of New Labour’s approach to social policy. However, although the theoretical benefits of partnership have been well rehearsed, agencies charged with fostering partnerships lack “evidence” about how best to proceed in bringing about organizational change. This paper describes the development and implementation of a practical approach to capturing the strategies that can be used to establish, strengt…
Schools, Pupils and Examination Results: Contextualising school ‘performance’
This article seeks to demonstrate the extent to which school‐level performance in the General Certificate of Secondary Education (GCSE) is underpinned by variations in the socio‐economic background of pupils. Using a postcode‐census method of profiling the socio‐economic characteristics of school populations, the study analyses the examination performance of 259 schools in 12 local education authorities (LEAs). Describing an Ordinary Least Square…
The pursuit of equity in NHS resource allocation: Should Morbidity Replace Utilisation as the Basis for Setting Health Care Capitations
Geographies of need and the new NHS: Methodological issues in the definition and measurement of the health needs of local populations
Variations in poverty and health between slum settlements: Contradictory findings from Visakhapatnam, India
Impact of Covid‐19 on social prescribing across an Integrated Care System: A Researcher in Residence study
Emerging evidence suggests that connecting people to non-medical activities in the community (social prescribing) may relieve pressure on services by promoting autonomy and resilience, thereby improving well-being and self-management of health. This way of working has a long history in the voluntary and community sector but has only recently been widely funded by the National Health Service (NHS) in England and implemented in Primary Care Network…
Link worker perspectives of early implementation of social prescribing: A ‘Researcher‐in‐Residence’ study
Social prescribing (SP) is increasing in popularity in the UK and can enable healthcare providers to respond more effectively to a range of non-clinical needs. With the NHS commitment to establish an SP link worker in all GP practices, there is a rapid increase in the number of SP schemes across the country. There is currently insufficient evidence concerning the implementation and acceptability of SP schemes. In this paper, we report our analysi…
What can rural agencies do to address the additional costs of rural services? A typology of rural service innovation
There is a national commitment to ensuring that, regardless of where patients live, they should be provided with an acceptable level of service in terms of quality, effectiveness and accessibility. Because of differences in the distributions of their populations, rural and urban areas present quite different challenges for the optimal design of health services and social care. However, this has not been fully acknowledged in the development of na…
Social exclusion and social justice: A Rural Perspective on Resource Allocation
The process by which the UK government allocates resources for public sector services has rarely been scrutinised from the perspective of social exclusion or social justice. Yet, not only is a significant proportion of public expenditure targeted at just these issues but also the resulting per capita and areal allocations vary significantly with important implications for distributional equity. One product is an apparent urban/rural divide. This …
Evaluating Partnership: The Role of Formal Assessment Tools
Partnerships are increasingly seeking tools that enable stakeholders to reflect on their own effectiveness, benchmark the status of their partnership and provide a framework for development. Drawing on the evaluation of two Health Action Zones, this article focuses on the use of one such formal assessment tool, adapted from the Nuffield Partnership Assessment Tool and the Verona Benchmark, to explore the contribution of formal tools to our unders…
Reflections on the Researcher-in-Residence model co-producing knowledge for action in an Integrated Care Organisation: A mixed methods case study using an impact survey and field notes
Background / aims / objectives ‘Embedded’ approaches to knowledge mobilisation are gaining currency, as health and social care services come under increasing pressure to redesign services now rather than wait for research. One such approach is the ‘Researcher-in-Residence’ (RiR) model which seeks to co-produce knowledge for action. The aim of this paper is to extend the evidence base regarding mechanisms of impact. Methods A two-year mixed-method…
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…
A Tangled Web: Complexity and Inequality in the English Local Government Finance Settlement
The £29 billion formula grant stands at the heart of the English local government finance system. This transfer of resource from central to local government has, since 2006–07, been distributed using the so-called ‘four block model’. This extraordinarily complex formula-based funding mechanism aims to ensure that all local authorities are able to provide individuals with a broadly comparable level of public service – offering greatest support to …
Aids-related policies, legislation and programme implementation in India
This paper traces the evolution of AIDS-related policy and legislation in India from an initial response characterized by conservatism and discrimination to the development of a coherent national programme which aims to prevent the transmission of HIV and to develop support structures for people with HIV and AIDS. Examining the strategies, achievements and problems of specific components of the National AIDS Control Programme (NACP), the paper fi…
Women's health and women's empowerment: A locality perspective
Integrated slum improvement in Visakhapatnam, India
Autistic adults’ experiences of managing wellbeing and implications for social prescribing
Autistic people demonstrate poor outcomes on objective measures of wellbeing, yet research centring lived experience provides a more nuanced picture. There is growing support for person-centred, holistic and community approaches to enhancing wellbeing for autistic people. Social prescribing may be one such approach. This qualitative study explored the concept of wellbeing for autistic adults - including barriers and self-management - and the impl…
The demographic and social class basis of inequality in self reported morbidity: An exploration using the Health Survey for England
Study objectives: To assess the relative contribution of age and social class to variations in the prevalence of a selection of self reported health problems. To examine the implications of observed variations for research on health inequalities. Design: Secondary analysis of the Health Survey for England (1991–1997) using morbidities that are particularly prone to class effects. A statistical measure of the “relative class effect” is introduced …
Estimating the Socioeconomic Characteristics of School Populations with the Aid of Pupil Postcodes and Small-Area Census Data: An Appraisal
It is becoming increasingly important to understand the social and economic circumstances under which schools operate. Benchmarking school performance targets, contextualising performance outcomes, and Ofsted inspections all rely upon measures of the socioeconomic status of school populations. These tend to utilise administrative data-such as the percentage of pupils eligible for free school meals-or census data for the ward or neighbourhood of w…
The geography of fundholding in southwest England: Implications for the evolution of primary care groups
EHealth technologies and the know-do gap: Exploring the role of knowledge mobilisation
Background: eHealth technologies are widely believed to contribute to improving health and patients’ experience of care and reducing health system costs. While many studies explore barriers to and facilitators of eHealth innovation, we lack understanding of how this knowledge can be translated into workable, practicable and properly resourced knowledge mobilisation (KM) strategies. Aims and objectives: This paper describes the aims, methods and o…
Integrated slum improvement in Visakhapatnam, India
Variations in poverty and health between slum settlements: Contradictory findings from Visakhapatnam, India
Women's health and women's empowerment: A locality perspective
Aids-related policies, legislation and programme implementation in India
This paper traces the evolution of AIDS-related policy and legislation in India from an initial response characterized by conservatism and discrimination to the development of a coherent national programme which aims to prevent the transmission of HIV and to develop support structures for people with HIV and AIDS. Examining the strategies, achievements and problems of specific components of the National AIDS Control Programme (NACP), the paper fi…
Community participation in HIV prevention: Problems and prospects for community-based strategies among female sex workers in Madras
Schools, Pupils and Examination Results: Contextualising school ‘performance’
This article seeks to demonstrate the extent to which school‐level performance in the General Certificate of Secondary Education (GCSE) is underpinned by variations in the socio‐economic background of pupils. Using a postcode‐census method of profiling the socio‐economic characteristics of school populations, the study analyses the examination performance of 259 schools in 12 local education authorities (LEAs). Describing an Ordinary Least Square…
The geography of fundholding in southwest England: Implications for the evolution of primary care groups
What's in a number? Commentary on Gorard and Fitz's ‘Investigating the determinants of segregation between schools’
This paper seeks to critique the methodology utilized by Gorard and Fitz in their work on changing levels of social segregation between schools. Demonstrating the extent to which their ‘Index of Segregation’ is determined by overall levels of free school meal entitlement, this paper argues that their Index does not, as is claimed, reveal how patterns of school enrolment have changed over time. Their dismissal of the polarization hypothesis is thu…
Local Markets and the Polarization of Public‐Sector Schools in England and Wales
Notwithstanding the recent change of government, UK educational policy continues to stress school performance tables, parental choice and competition – reflecting an acceptance by New Labour of Tory notions concerning the role that market mechanisms play in improving school performance. In view of the 1997 Education White Paper's insistence that the new government's goal was to ‘overcome the spiral of disadvantage ... passed from one generation t…
Estimating the Socioeconomic Characteristics of School Populations with the Aid of Pupil Postcodes and Small-Area Census Data: An Appraisal
It is becoming increasingly important to understand the social and economic circumstances under which schools operate. Benchmarking school performance targets, contextualising performance outcomes, and Ofsted inspections all rely upon measures of the socioeconomic status of school populations. These tend to utilise administrative data-such as the percentage of pupils eligible for free school meals-or census data for the ward or neighbourhood of w…
The social construction of male 'homosexuality' in India: Implications for HIV transmission and prevention
Themes in British health geography at the end of the century: A review of published research 1998–2000
Geographies of need and the new NHS: Methodological issues in the definition and measurement of the health needs of local populations
Partnership Working in Public Policy Provision: A Framework for Evaluation
Partnership working has emerged as a key feature of New Labour’s approach to social policy. However, although the theoretical benefits of partnership have been well rehearsed, agencies charged with fostering partnerships lack “evidence” about how best to proceed in bringing about organizational change. This paper describes the development and implementation of a practical approach to capturing the strategies that can be used to establish, strengt…
Evaluating Partnership: The Role of Formal Assessment Tools
Partnerships are increasingly seeking tools that enable stakeholders to reflect on their own effectiveness, benchmark the status of their partnership and provide a framework for development. Drawing on the evaluation of two Health Action Zones, this article focuses on the use of one such formal assessment tool, adapted from the Nuffield Partnership Assessment Tool and the Verona Benchmark, to explore the contribution of formal tools to our unders…
What can rural agencies do to address the additional costs of rural services? A typology of rural service innovation
There is a national commitment to ensuring that, regardless of where patients live, they should be provided with an acceptable level of service in terms of quality, effectiveness and accessibility. Because of differences in the distributions of their populations, rural and urban areas present quite different challenges for the optimal design of health services and social care. However, this has not been fully acknowledged in the development of na…
The demographic and social class basis of inequality in self reported morbidity: An exploration using the Health Survey for England
Study objectives: To assess the relative contribution of age and social class to variations in the prevalence of a selection of self reported health problems. To examine the implications of observed variations for research on health inequalities. Design: Secondary analysis of the Health Survey for England (1991–1997) using morbidities that are particularly prone to class effects. A statistical measure of the “relative class effect” is introduced …
The pursuit of equity in NHS resource allocation: Should Morbidity Replace Utilisation as the Basis for Setting Health Care Capitations
Policy at the margins: Developing community capacity in a rural Health Action Zone
The imperative to engage with communities and employ a community development approach is an integral part of the national agenda under New Labour. However, a large part of the literature and experience that informs contemporary policy and practice draws on the urban realm. This paper draws on the evaluation of a rural Health Action Zone to explore the extent to which national policy can facilitate local approaches to community health development …
From evidence to practice: Addressing health inequalities through Sure Start
English Tackling health inequalities has become a key policy objective in the UK in recent years, with inequalities in early life accorded strategic importance. The Sure Start programme has been central to this strategy. Over time, however, the early recognition given to the evidence base and the interconnected nature of social problems has given way to a more targeted approach, arguably marginalising those aspects that have been key to success. …
Social exclusion and social justice: A Rural Perspective on Resource Allocation
The process by which the UK government allocates resources for public sector services has rarely been scrutinised from the perspective of social exclusion or social justice. Yet, not only is a significant proportion of public expenditure targeted at just these issues but also the resulting per capita and areal allocations vary significantly with important implications for distributional equity. One product is an apparent urban/rural divide. This …
Liberating the NHS? A commentary on the Lansley White Paper, “Equity and Excellence”
A Tangled Web: Complexity and Inequality in the English Local Government Finance Settlement
The £29 billion formula grant stands at the heart of the English local government finance system. This transfer of resource from central to local government has, since 2006–07, been distributed using the so-called ‘four block model’. This extraordinarily complex formula-based funding mechanism aims to ensure that all local authorities are able to provide individuals with a broadly comparable level of public service – offering greatest support to …
Playing with fire: Limitations of the Big Society for an emergency service
A key role of the Big Society is to bring about a transformation in public service provision through the greater involvement of voluntary and community groups. It is often assumed that, because rural areas have higher levels of volunteering, they are most likely to ‘benefit’ from the Big Society, while deprived urban areas will benefit the least. This article questions that assumption. Examining the scope and impact for promoting localism in the …
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…
Political science (29 works) · Sociology (23 works) · Medicine (18 works) · Economics (16 works) · Business (15 works) · Computer Science (14 works) · Economic growth (13 works) · Geography (13 works) · Health care (12 works) · Psychology (12 works)