Jane Hughes
Datos Biográficos
| ID | 5915458 |
|---|---|
| NOMBRE | Jane Hughes |
| NOMBRES | Jane |
| APELLIDO | Hughes |
| FIRMA | HUGHES J |
| AFILIACIONES | University of Manchester |
| ORCID | 0000-0002-6158-1211 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 38 |
| TOTAL DE CITAS | 65 |
| TOTAL COMO AUTOR | 38 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1984 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
Developing and Assessing the Acceptability of an Information Booklet for Patients in Surveillance for Abdominal Aortic Aneurysms
BACKGROUND: In the United Kingdom and Sweden, men aged 65 are offered screening for Abdominal Aortic Aneurysm (AAA). Men with small AAA enter a surveillance programme to monitor growth until the AAA is large enough for referral for treatment. Some men develop anxiety related to having an AAA or being in surveillance. AIM: The original aim was to develop and assess the acceptability of a new intervention to help men in surveillance manage anxiety.…
The impact of Scotland's minimum unit pricing for alcohol policy on people accessing services for alcohol dependence
Exiting Surveillance From Abdominal Aortic Aneurysm Screening
BACKGROUND: The NHS Abdominal Aortic Aneurysm (AAA) Screening Programme in England screens men aged 65. Men with small aneurysms enter annual surveillance. The current 'exit strategy' is to leave surveillance after 15 years if the aneurysm remains small. OBJECTIVES: The aim was to explore the views of clinicians, men in surveillance and their family members about exiting surveillance. DESIGN: A sequential study involving a Clinical Stakeholder Wo…
Expected and actual responses to minimum unit pricing (MUP) for alcohol of people drinking at harmful levels in Scotland
Background This paper considers the extent to which people drinking at harmful levels responded to minimum unit pricing (MUP) in Scotland in the way they, family members and those providing services anticipated they would. It examines data taken from a larger evaluation of the impact of MUP on people who are drinking at harmful levels.Methods Qualitative interview data, (utilizing interviews and focus groups, with individuals, treatment services,…
My Mothers, My Others
In the process of grieving the loss of her mother, the author notices her personal reluctance to engage emotionally and goes on to identify this as a familial trait. Intrigued as to how far her personal feelings might be affected by inherited reactions to trauma, she uses dialogical thinking to have a conversation with three generations of her deceased female relatives to explore material that has been 'handed down
Views on minimum unit pricing for alcohol before its introduction among people with alcohol dependence in Scotland
The social worker in community mental health teams
Social workers have been members of community mental health teams (CMHTs) for many years. However, a combination of factors has resulted in their removal from CMHTs in some areas in recent years. This study presents findings from a 2018 national survey of CMHT team managers (44% response rate), to ascertain the current position of the social worker within CMHTs in England. Analyses focussed on membership, roles and tasks, and change within the pr…
Perceptions of the social worker role in adult community mental health teams in England
There is a growing recognition of the importance of the social work contribution within community mental health services. However, although many texts describe what the mental health social work contribution should be, little empirical evidence exists about their role in practice and the difference it might make to service users. This qualitative study sought to articulate this contribution through the voices of social workers and their multidisc…
The challenges of commissioning home care for older people in England
Home care for older people in England is commissioned through local authorities working predominantly with independent providers of care. Commissioners operate in a market model, planning and procuring home care services for local populations. Their role involves ‘managing’ and ‘shaping’ the market to ensure an adequate supply of care providers. Another imperative, emerging from the principles of personalisation, is the drive to achieve user outc…
Three Wheels on My Wagon
The author encourages family members to write about their memories of shared events from the past in an attempt to foster a sense of connection after bereavement. When one impactful shared experience is remembered differently by different family members, the author has to come to terms with a resulting exacerbation of a sense of loss and disconnection
Home‐care providers as collaborators in commissioning arrangements for older people
In England, care to support people living at home is largely commissioned by local authorities (statutory organisations with responsibility for social care in specific localities) from non-statutory home-care providers (for-profit, not-for-profit, voluntary). This paper explores how managers of these services perceive commissioning arrangements and their impact on home-care providers, the care workforce and service users. Little formal research o…
What Do Service Users Want from Mental Health Social Work? A Best–Worst Scaling Analysis
Despite being a profession dedicated to the empowerment of service users, empirical study of mental health social work appears dominated by the perspectives of social workers themselves. What service users value is less often reported. This study, authored by a mix of academics and service users/carers, reports a Best–Worst Scaling analysis of ten social worker ‘qualities’, representing both those highly specialist to social work and those generi…
Care co-ordination for older people in the third sector
The third sector has played a significant role internationally in the delivery of adult social care services for many years. Its contribution to care co-ordination activities for older people, however, in England and elsewhere, is relatively unknown. A scoping review was therefore conducted to ascertain the character of the literature, the nature and extent of third sector care co-ordination activity, and to identify evidence gaps. It was underta…
Supporting People with Dementia at Home
Supporting People with Dementia at Home details a groundbreaking study of an intensive care management scheme designed for older people with dementia that are at risk of entry into residential care. The authors use a quasi-experimental approach to compare how the individuals on the mental health team in one community were matched to a similar community without the service. They analyze the evidence focusing on the eventual placement of the indivi…
Commissioning social care for older people
The delivery of personalised support to vulnerable older people is largely contingent on those staff who provide direct care. These care workers play an invaluable role in supporting vulnerable older people that may have increasingly complex needs either at home or in care homes. Internationally, concern has been raised both about the recruitment and retention of care workers; and their skills and competencies because of their importance in the d…
Exploring the Contribution of Self-Assessment to Preventative Services in Social Care
Prevention, comprising services that seek to delay deterioration of existing conditions and circumstances or prevent their occurrence by early access to support, is recognised as having an important role in adult social care. The gateway to social care services has traditionally been via needs-led assessments undertaken with professionals. In England, self-assessment, promoted as a means of accessing services more independently, has come to the f…
Towards Understanding Variations in Social Care for Older People in England
Indicators of the public provision of old age social care are routinely recorded in England and have been used for diverse purposes including performance monitoring. Despite long‐term policy guidance promoting more homogeneous service provision, large variations can still be observed between local authorities (the providers of state‐funded social care). Our aim is to better understand such variations in a small selection of key aggregate indicato…
The Pursuit of Integration in the Assessment of Older People with Health and Social Care Needs
The provision of timely and effective services for older people with health and social care needs is dependent on the collection of accurate assessment information being shared with relevant agencies and accepted by them. This requires an integrated assessment approach capable of spanning the longstanding institutional separation between health and social care agencies present in England. This article considers the extent to which this has been a…
Case management for long-term conditions
This paper presents a structured literature review that focused on comprehensive case management by nurses for adults with long-term conditions living in the community. The emphases of the review are the implementation of case-management approaches, including its roles, core tasks and components, and the coverage and quality of the reported implementation data. Twenty-nine studies were included: the majority were concerned with case management fo…
Comprehensive assessment of older people with complex care needs
The quality of assessment of older people with health and social care needs has for some time been a concern of policy makers, practitioners, older people and carers in the United Kingdom and internationally. This article seeks to address a key aspect of these concerns, namely whether sufficient expertise is deployed when, as a basis for a care plan and service allocation, an older person's eligibility for local authority adult social-care servic…
Targeting, Care Management and Preventative Services for Older People
As social services councils face a more constrained economic environment and as eligibility criteria tighten, the issue of targeting becomes increasingly relevant. This paper presents findings from a pilot project in one local authority that aimed to target access to assessment for older people with low-level needs who would normally have fallen under eligibility thresholds. Self-assessment was used as a tool whereby these older people could iden…
Patterns of Commissioning, Contracting and Care Management in Social Care Services for Older People in England
A current objective of social care policy in England is to provide more personalised care services. This has implications for the provision of community based care for frail older people. Using data from a national postal survey of local authorities in England, this paper explores whether a typology of commissioning, contracting and care management arrangements, key components in the delivery of social care, can be discerned through the analysis …
Faculty Publications 2009
t was the final gathering of pastors at the Joe R. Engle Institute of Preaching.I look forward to this institute all year, when those who have been in ministry for at least two years come to be better preachers-to better proclaim the gospel in their particular communities.I look forward to this gathering of preachers because they know what they know, and they know what they don't know-and they want my help, though I'm kept humble by the pastor wh…
How Do You Modernize a Health Service? A Realist Evaluation of Whole‐Scale Transformation in London
Context: Large‐scale, whole‐systems interventions in health care require imaginative approaches to evaluation that go beyond assessing progress against predefined goals and milestones. This project evaluated a major change effort in inner London, funded by a charitable donation of approximately $21 million, which spanned four large health care organizations, covered three services (stroke, kidney, and sexual health), and sought to “modernize” the…
Exploring kidney patients’ experiences of receiving individual peer support
Background Peer support schemes of various types are commonly offered to patients as an adjunct to health and social care services provided by professionals. For patients with chronic illness, peer support interventions have recently become associated with more directive attempts to increase self management and improve healthcare outcomes. There is little qualitative research on patients’ experiences of one‐to‐one peer support. Purpose To explore…
Improving the Fit
Demand is growing in developing countries for sexual and reproductive health programs for young people. However, little scientifically based evidence exists about which program approaches are most effective in shaping healthy behaviors. Careful evaluation and research must be increased, but meanwhile, planners need guidance as they expand programming. Research indicates that current programs often do not match the needs and health-seeking behavio…
Care management arrangements for older people in England
Care management has become a key component in the development of community-based care in many countries, and this paper examines the different care management arrangements for older people's services that are now emerging. It has been United Kingdom government policy since 1989 that the providers of social services develop care management systems, as confirmed in the White Paper, Modernising Social Services . The paper opens with the background t…
Emerging Patterns of Care Management
One of the key objectives of the community care legislation, implemented in the UK in 1993, was the development of care management systems. Subsequent studies based on limited samples of local authorities have indicated that there is much variation in the forms and types of arrangements being developed. This paper explores whether typologies of care management arrangements for older people can be discerned through the analysis of a series of key …
The Pursuit of Integration in the Assessment of Older People with Health and Social Care Needs
The provision of timely and effective services for older people with health and social care needs is dependent on the collection of accurate assessment information being shared with relevant agencies and accepted by them. This requires an integrated assessment approach capable of spanning the longstanding institutional separation between health and social care agencies present in England. This article considers the extent to which this has been a…
What Do Service Users Want from Mental Health Social Work? A Best–Worst Scaling Analysis
Despite being a profession dedicated to the empowerment of service users, empirical study of mental health social work appears dominated by the perspectives of social workers themselves. What service users value is less often reported. This study, authored by a mix of academics and service users/carers, reports a Best–Worst Scaling analysis of ten social worker ‘qualities’, representing both those highly specialist to social work and those generi…
Patterns of Commissioning, Contracting and Care Management in Social Care Services for Older People in England
A current objective of social care policy in England is to provide more personalised care services. This has implications for the provision of community based care for frail older people. Using data from a national postal survey of local authorities in England, this paper explores whether a typology of commissioning, contracting and care management arrangements, key components in the delivery of social care, can be discerned through the analysis …
Integrating Health and Social Care at the Micro Level
A common problem in the provision of coordinated long‐term care is the separation of health and social care. The present government has been increasingly concerned with promoting convenient, user‐centred services and improving integration of health and social care. One arrangement that could contribute to this for some older service users is for health care staff to act as care managers, coordinating the provision of both health and social care. …
Care co-ordination for older people in the third sector
The third sector has played a significant role internationally in the delivery of adult social care services for many years. Its contribution to care co-ordination activities for older people, however, in England and elsewhere, is relatively unknown. A scoping review was therefore conducted to ascertain the character of the literature, the nature and extent of third sector care co-ordination activity, and to identify evidence gaps. It was underta…
Towards Understanding Variations in Social Care for Older People in England
Indicators of the public provision of old age social care are routinely recorded in England and have been used for diverse purposes including performance monitoring. Despite long‐term policy guidance promoting more homogeneous service provision, large variations can still be observed between local authorities (the providers of state‐funded social care). Our aim is to better understand such variations in a small selection of key aggregate indicato…
Case management for long-term conditions
This paper presents a structured literature review that focused on comprehensive case management by nurses for adults with long-term conditions living in the community. The emphases of the review are the implementation of case-management approaches, including its roles, core tasks and components, and the coverage and quality of the reported implementation data. Twenty-nine studies were included: the majority were concerned with case management fo…
Comprehensive assessment of older people with complex care needs
The quality of assessment of older people with health and social care needs has for some time been a concern of policy makers, practitioners, older people and carers in the United Kingdom and internationally. This article seeks to address a key aspect of these concerns, namely whether sufficient expertise is deployed when, as a basis for a care plan and service allocation, an older person's eligibility for local authority adult social-care servic…
Targeting, Care Management and Preventative Services for Older People
As social services councils face a more constrained economic environment and as eligibility criteria tighten, the issue of targeting becomes increasingly relevant. This paper presents findings from a pilot project in one local authority that aimed to target access to assessment for older people with low-level needs who would normally have fallen under eligibility thresholds. Self-assessment was used as a tool whereby these older people could iden…
Modernising social care services for older people
In common with other developed countries at the end of the 20th century, modernising public services was a priority of the United Kingdom (UK) Labour administration after its election in 1997. The modernisation reforms in health and social care exemplified their approach to public policy. The authors were commissioned to examine the evidence base for the modernisation of social care services for older people, and for this purpose conducted a syst…
Are different forms of care-management for older people in England associated with variations in case-mix, service use and care-managers' use of time
This paper reports one component of an evaluation of the different forms, types and models of local authority social services' care-management for older people that have emerged in England since 1993. It was undertaken at a time of a growing debate about whether care-management differentiated those with simple from complex needs, and whether for the latter a multi-disciplinary approach was required. A sample representative of different approaches…
The potential impact of changes in public funding for residential and nursing-home care in the United Kingdom
The pursuit of independence and avoidance of unnecessary care-home admissions are key elements of British government policy for the care of older people. The present government's objective to maintain independence has been compromised by the ‘Residential Allowance’ which, as a component of social security payable to residents in independent-sector homes, could be seen as an incentive to place people in care-homes rather than seek care-at-home. In…
University teacher approaches to design and teaching and concepts of learning technologies
Quality in long-term care homes for people with dementia
There has been debate for some years as to whether the best model of care for people with dementia emphasises specialist facilities or integrated service provision. Although the United Kingdom National Service Framework for Older People recommended that local authority social services departments encourage the development of specialist residential care for people with dementia, uncertainty continues as to the benefits of particular care regimes, …
Tubal sterilization in women 15-24 years of age
Between 1970-1980, approximately 942,000 women 15-24 years of age underwent tubal sterilization in the United States. These women represented about 17 per cent of all women ages 15-44 years who underwent tubal sterilization in the United States during this 11-year period. During 1970-1980, sterilization rates rose steadily from three per 1,000 to 11 per 1,000 for women in the 20- to 24-year age group, but remained stable at less than one per 1,00…
Tubal sterilization in women 15-24 years of age
Between 1970-1980, approximately 942,000 women 15-24 years of age underwent tubal sterilization in the United States. These women represented about 17 per cent of all women ages 15-44 years who underwent tubal sterilization in the United States during this 11-year period. During 1970-1980, sterilization rates rose steadily from three per 1,000 to 11 per 1,000 for women in the 20- to 24-year age group, but remained stable at less than one per 1,00…
Stress-induced modulation of the immune response to recombinant hepatitis B vaccine
Each of a series of three hepatitis B (Hep B) inoculations was given to 48 second-year medical students on the 3rd day of a 3-day examination series to study the effect of academic stress on the ability to generate an immune response to a primary antigen. Those students who seroconverted after the first injection (25%) were significantly less stressed and anxious than those who did not seroconvert at that time. In addition, students who reported …
Improving the Fit
Demand is growing in developing countries for sexual and reproductive health programs for young people. However, little scientifically based evidence exists about which program approaches are most effective in shaping healthy behaviors. Careful evaluation and research must be increased, but meanwhile, planners need guidance as they expand programming. Research indicates that current programs often do not match the needs and health-seeking behavio…
Emerging Patterns of Care Management
One of the key objectives of the community care legislation, implemented in the UK in 1993, was the development of care management systems. Subsequent studies based on limited samples of local authorities have indicated that there is much variation in the forms and types of arrangements being developed. This paper explores whether typologies of care management arrangements for older people can be discerned through the analysis of a series of key …
Care management arrangements for older people in England
Care management has become a key component in the development of community-based care in many countries, and this paper examines the different care management arrangements for older people's services that are now emerging. It has been United Kingdom government policy since 1989 that the providers of social services develop care management systems, as confirmed in the White Paper, Modernising Social Services . The paper opens with the background t…
Integrating Health and Social Care at the Micro Level
A common problem in the provision of coordinated long‐term care is the separation of health and social care. The present government has been increasingly concerned with promoting convenient, user‐centred services and improving integration of health and social care. One arrangement that could contribute to this for some older service users is for health care staff to act as care managers, coordinating the provision of both health and social care. …
An investigation into the health-related quality of life of individuals living with HIV who are receiving Haart
The health authorities have recently accepted the routine provision of highly active antiretroviral therapy to persons living with AIDS in South Africa. There is a need to investigate the impact of HAART on the health-related quality of life of people living with HIV/AIDS (PLWHA) in a resource-poor environment, as this will have an influence on compliance and treatment outcome. The aim of this study was to explore whether HAART is efficacious in …
The potential impact of changes in public funding for residential and nursing-home care in the United Kingdom
The pursuit of independence and avoidance of unnecessary care-home admissions are key elements of British government policy for the care of older people. The present government's objective to maintain independence has been compromised by the ‘Residential Allowance’ which, as a component of social security payable to residents in independent-sector homes, could be seen as an incentive to place people in care-homes rather than seek care-at-home. In…
Quality in long-term care homes for people with dementia
There has been debate for some years as to whether the best model of care for people with dementia emphasises specialist facilities or integrated service provision. Although the United Kingdom National Service Framework for Older People recommended that local authority social services departments encourage the development of specialist residential care for people with dementia, uncertainty continues as to the benefits of particular care regimes, …
Specialist clinical assessment of vulnerable older people
‘Caring for carers’ is high on the United Kingdom policy agenda for community care. Although recent policy advocates the provision of services directly to the carer, research suggests that an alternative way of helping carers is through targeting enhanced services towards the cared-for person. This paper reports a randomised controlled trial of the effects on carer distress of an additional specialist clinical assessment for vulnerable older peop…
Are different forms of care-management for older people in England associated with variations in case-mix, service use and care-managers' use of time
This paper reports one component of an evaluation of the different forms, types and models of local authority social services' care-management for older people that have emerged in England since 1993. It was undertaken at a time of a growing debate about whether care-management differentiated those with simple from complex needs, and whether for the latter a multi-disciplinary approach was required. A sample representative of different approaches…
University teacher approaches to design and teaching and concepts of learning technologies
How Do You Modernize a Health Service? A Realist Evaluation of Whole‐Scale Transformation in London
Context: Large‐scale, whole‐systems interventions in health care require imaginative approaches to evaluation that go beyond assessing progress against predefined goals and milestones. This project evaluated a major change effort in inner London, funded by a charitable donation of approximately $21 million, which spanned four large health care organizations, covered three services (stroke, kidney, and sexual health), and sought to “modernize” the…
Exploring kidney patients’ experiences of receiving individual peer support
Background Peer support schemes of various types are commonly offered to patients as an adjunct to health and social care services provided by professionals. For patients with chronic illness, peer support interventions have recently become associated with more directive attempts to increase self management and improve healthcare outcomes. There is little qualitative research on patients’ experiences of one‐to‐one peer support. Purpose To explore…
Modernising social care services for older people
In common with other developed countries at the end of the 20th century, modernising public services was a priority of the United Kingdom (UK) Labour administration after its election in 1997. The modernisation reforms in health and social care exemplified their approach to public policy. The authors were commissioned to examine the evidence base for the modernisation of social care services for older people, and for this purpose conducted a syst…
Case management for long-term conditions
This paper presents a structured literature review that focused on comprehensive case management by nurses for adults with long-term conditions living in the community. The emphases of the review are the implementation of case-management approaches, including its roles, core tasks and components, and the coverage and quality of the reported implementation data. Twenty-nine studies were included: the majority were concerned with case management fo…
Comprehensive assessment of older people with complex care needs
The quality of assessment of older people with health and social care needs has for some time been a concern of policy makers, practitioners, older people and carers in the United Kingdom and internationally. This article seeks to address a key aspect of these concerns, namely whether sufficient expertise is deployed when, as a basis for a care plan and service allocation, an older person's eligibility for local authority adult social-care servic…
Targeting, Care Management and Preventative Services for Older People
As social services councils face a more constrained economic environment and as eligibility criteria tighten, the issue of targeting becomes increasingly relevant. This paper presents findings from a pilot project in one local authority that aimed to target access to assessment for older people with low-level needs who would normally have fallen under eligibility thresholds. Self-assessment was used as a tool whereby these older people could iden…
Patterns of Commissioning, Contracting and Care Management in Social Care Services for Older People in England
A current objective of social care policy in England is to provide more personalised care services. This has implications for the provision of community based care for frail older people. Using data from a national postal survey of local authorities in England, this paper explores whether a typology of commissioning, contracting and care management arrangements, key components in the delivery of social care, can be discerned through the analysis …
Faculty Publications 2009
t was the final gathering of pastors at the Joe R. Engle Institute of Preaching.I look forward to this institute all year, when those who have been in ministry for at least two years come to be better preachers-to better proclaim the gospel in their particular communities.I look forward to this gathering of preachers because they know what they know, and they know what they don't know-and they want my help, though I'm kept humble by the pastor wh…
The Pursuit of Integration in the Assessment of Older People with Health and Social Care Needs
The provision of timely and effective services for older people with health and social care needs is dependent on the collection of accurate assessment information being shared with relevant agencies and accepted by them. This requires an integrated assessment approach capable of spanning the longstanding institutional separation between health and social care agencies present in England. This article considers the extent to which this has been a…
Towards Understanding Variations in Social Care for Older People in England
Indicators of the public provision of old age social care are routinely recorded in England and have been used for diverse purposes including performance monitoring. Despite long‐term policy guidance promoting more homogeneous service provision, large variations can still be observed between local authorities (the providers of state‐funded social care). Our aim is to better understand such variations in a small selection of key aggregate indicato…
Commissioning social care for older people
The delivery of personalised support to vulnerable older people is largely contingent on those staff who provide direct care. These care workers play an invaluable role in supporting vulnerable older people that may have increasingly complex needs either at home or in care homes. Internationally, concern has been raised both about the recruitment and retention of care workers; and their skills and competencies because of their importance in the d…
Exploring the Contribution of Self-Assessment to Preventative Services in Social Care
Prevention, comprising services that seek to delay deterioration of existing conditions and circumstances or prevent their occurrence by early access to support, is recognised as having an important role in adult social care. The gateway to social care services has traditionally been via needs-led assessments undertaken with professionals. In England, self-assessment, promoted as a means of accessing services more independently, has come to the f…
Supporting People with Dementia at Home
Supporting People with Dementia at Home details a groundbreaking study of an intensive care management scheme designed for older people with dementia that are at risk of entry into residential care. The authors use a quasi-experimental approach to compare how the individuals on the mental health team in one community were matched to a similar community without the service. They analyze the evidence focusing on the eventual placement of the indivi…
Medicine (29 obras) · Nursing (24 obras) · Political science (22 obras) · Psychology (22 obras) · Business (20 obras) · Healthcare innovation and challenges (18 obras) · Geriatric Care and Nursing Homes (16 obras) · Public relations (14 obras) · Sociology (14 obras) · Computer Science (11 obras)