Wednesday, December 22, 2010


In this update:

  • public/private
  • probity
  • grantmaking
  • digital business
  • public value
  • fire & rescue services
  • rural aged
  • temporary staff
  • workforce stability
  • joined up care
  • OECD AsiaPacific health
  • workplace clinics
  • health outcomes
  • hospital productivity
  • NSW health
  • surgical mortality
  • A&E quality
  • avoidable admissions
  • emergency dept staffing
  • health IT
  • paediatric surgery
  • public health outcomes
  • infant mortality
  • NSW youth health
  • alcohol workforce
  • mental health workforce
  • abortion & mental health
  • disease outbreaks
  • foodborne illness
  • flu in prison
  • Community Services & disability
  • Tas disability act
  • autism strategy
  • child protection
  • indigenous homelessness
  • personalisation & housing














Public policy and private agreements A recent High Court judgment clarifies the implementation of privatisations and public-private partnerships...private purchasers can demand compensation from the government for failing to bring about changes in policy.
APO (Dec 2010)

Improving probity standards for funded organisations focuses on the inconsistency of requirements relating to probity checking of prospective employees, board members and others involved in the planning or delivery of funded services to vulnerable people.
NSW Ombudsman (Dec 2010)

An Introductory Guide to Grantmaking for people who are new to grantmaking and will be involved directly with the process of assessing applications and making grants.
Philanthropy Aus (Dec 2010)

Digital business a new website the Department of Broadband, Communications and the Digital Economy to assist businesses and community organisations to establish an online presence
Aus DBCD (Dec 2010)

Tackling Tough Choices: Creating Public Value Toolkit: Public Value is created at the frontline ... places focuses on the responsibility of the public themselves to contribute to what is considered ‘valuable’ so that citizens are not just recipients and beneficiaries of public interventions but also co-designers of the public policy and enterprise.
UK NHS (Dec 2010)

Fire Futures, an independent review of the fire and rescue service in England review into the fire and rescue service in England that looks into its role, efficiency, accountability and work with other emergency services
UK Communities (Dec 2010)

Getting Involved in the Country: Productive ageing in different types of rural communities older people living in rural areas feel safer, have a high level of social connectedness, enjoy more social interaction and have a high sense of trust toward others.
National Seniors Australia (Dec 2010)

Flexible workforce: strategic planning to reduce costs and improve quality  high levels of poorly managed temporary staff can be costly and may adversely affect patient safety.
UK NHS (Nov 2010)

Reviewing the benefits of health workforce stability the very action of setting up a local working group to assess the costs of turnover can in itself give managers and staff a greater insight into the negative impacts of turnover, and can encourage them to work together to identify and implement stability measures.
Hum Resource Health (Dec 2010)

Guide to joined-up care Patients view the NHS as one service, they hope that services will work in a joined up way to meet their individual needs.  Healthcare professionals and patients know that the reality is often very different. includes a rapid review of the literature on joined up care
UK NHS (Dec 2010)

Health at a Glance: Asia/Pacific 2010 a set of key indicators of health status, the determinants of health, health care resources and utilisation, and health care expenditure and financing across 27 Asia/Pacific countries including Australia
OECD (Dec 2010)

Workplace Clinics: A Sign of Growing Employer Interest in Wellness while well-designed, well-implemented workplace clinics are likely to achieve positive, long-term returns for employers, it may be unrealistic to expect them to be an immediate game-changer in bending the overall health care cost curve.
US RWJF (Dec 2010)


NHS outcomes framework  sets out the outcomes and corresponding indicators for 1: Preventing people from dying prematurely 2: Enhancing quality of life for people with long-term conditions 3: Helping people to recover from episodes of ill health or following injury 4: Ensuring that people have a positive experience of care 5: Treating and caring for people in a safe environment and protecting them from avoidable harm
UK Health (Dec 2010)

Management of NHS hospital productivity Over the last ten years, there has been significant real growth in the resources going into the NHS, most of it funding higher staff pay and increases in headcount. The evidence shows that productivity in the same period has gone down, particularly in hospitals... If all hospitals performed at the level of the top 25 per cent in respect of staff costs, use of estate, control of emergency admissions and bed management, the NAO estimates that the NHS could save around £1.6 billion a year more
UK Audit (Dec 2010)

Healthcare in Focus: how NSW compares internationally  how the NSW health system compares to the rest of Australia and 10 other countries, using some 90 performance measures...Considering the health of NSW people ranks highly compared to other countries and that state health spending is mid-range compared to other nations’ spending, NSW does well in achieving health per dollar spent.
NSW BHI (Dec 2010)

Australia and New Zealand Audit of Surgical Mortality's first national report designed to highlight system and process errors and trends associated with surgical mortality
RACS (Dec 2010)

A&E clinical quality indicators: Implementation guidance and data definitions the new UK accident and emergency clinical quality indicators, which will be introduced in April 2011, replacing the four-hour standard. The measures will provide a comprehensive view of the quality of care across accident and emergency departments, including outcomes, clinical effectiveness, safety, experience and timeliness.
UK Health (Dec 2010)

Avoiding hospital admissions: what does the research evidence say? Which interventions work in:  – primary care  – social care  – emergency care – discharge from hospital.
UK Kings Fund (Dec 2010)

NSW Health (Dec 2010)

Realizing the Full Potential of Health Information Technology to Improve Healthcare for Americans: The Path Forward achieving the full potential of health information technology will require the development and adoption of a robust information-sharing infrastructure to facilitate the exchange of data among institutions...calls upon the Federal government to facilitate the widespread adoption of a “universal exchange language” that allows for the transfer of relevant pieces of health data while maximizing privacy. also: Efficiency and Technological Change in Health Care Services in Ontario finds that productivity growth occurred mostly through improvement in technology and in spite of declining efficiency.(Aus Uni Qld Nov 2010)
US President's Council of Advisors (Dec 2010)

General Paediatric Surgery: survey of service provision in district general hospitals in England Children who need common, general or urological operations face delays or long journeys to specialist centres for routine elective and emergency surgical care.
UK RCS (Dec 2010)

Healthy Lives, Healthy People: transparency in outcomes, proposals for a public health outcomes framework There are five domains: health protection and resilience, tackling the wider determinants of ill health, promoting healthy choices and healthy lifestyles, preventing ill health, and focusing on premature mortality and the health of the most vulnerable.
UK Health (Dec 2010)

Tackling health inequalities in infant and maternal health outcomes: report of the Infant Mortality National Support Team...closer working between health and housing agencies was crucial to reducing health inequalities in infant mortality;
UK Health (Dec 2010)

NSW Health (Dec 2010)
The role of VET in alcohol and other drugs workforce development (free registration required) uncovers concerns managers have around the training content, delivery and assessment of VET qualifications and finds an overall preference for higher education qualifications. NCVER (Dec 2010)

Mental Health Workforce-  NSW Health Performance audit - the Auditor was concerned that NSW Health could not tell him precisely how much the mental health workforce grew.
NSW Audit (Dec 2010)

Examining the association of abortion history and current mental health tested two competing frameworks: the abortion-as-trauma versus the common-risk-factors approach. .... When prior mental health and violence experience were controlled in our models, no significant relation was found between abortion history and anxiety disorders...Policy, practice, and research should focus on assisting women at greatest risk of having unintended pregnancies and having poor mental health—those with violence in their lives and prior mental health problems.
US Guttmacher (Dec 2010)

A high-resolution human contact network for infectious disease transmission results support the notion that graph-based immunization strategies could, in principle, help to mitigate disease outbreaks
US NAS (Dec 2010)

Foodborne Illness Acquired in the United States 1 in 6 Get Sick from Foodborne Illnesses Each Year...About 48 million Americans get sick, 128,000 are hospitalized, and 3,000 die each year from foodborne diseases...
US CDC (Dec 2010)

UK Health (Dec 2010)

Community and Disability Services Ministers’ Conference Melbourne 16 December 2010 communique key national reforms in community services, child protection and services for people with disability and their carers.
CDSM (Dec 2010)

Tasmania Disability Services Act: consultation on draft Bill
Tas DHHS (Dec 2010)

Implementing Fulfilling and Rewarding Lives: Statutory guidance for local authorities and NHS organisations to support implementation of the autism strategy
UK Health (Dec 2010)

Children In Need in England, including their characteristics and further information on children who were the subject of a child protection plan (2009-10) •In the year ending 31 March 2010, 44,300 children became the subject of a child protection plan. Of these 6,000 (13.4%) became the subject of a plan for the second or subsequent time. also Child Maltreatment 2009 (USA) (80.9% of duplicate perpetrators of child maltreatment were parents, and another 6.3 percent were other relatives of the victim and Adverse Childhood Experiences Reported by Adults --- Five States, 2009 59.4% of respondents reported having at least one ACE, and 8.7% reported five or more ACEs.
UK Education (Dec 2010)

Indigenous homelessness Those without housing will approach kinfolk for shelter first, and will usually be given a place to stay. This can conceal the rate of secondary homelessness among Indigenous people and result in permanent overcrowding.
AHURI (Dec 2010)

Viewpoint on Co-Production, Personalisation and Housing: Improving Outcomes for Individuals and Communities The traditional model for public services, in which professionals ‘deliver’ services to people who consume them, is coming to the end of its useful life...Changes currently taking place in the name of localism provide greater opportunity by removing some barriers, and co-production offers the possibility of better designed services – including housing and related health, care and support services.
UK Health (Dec 2010)

Thursday, December 16, 2010


In this update:

  • social trends
  • health expenditure
  • social policy
  • NGOs
  • early ears
  • energy management
  • back office benchmarks
  • health resource allocation
  • safe nursing levels
  • infection control
  • home care
  • causes of death
  • chronic conditions strategy
  • chronic disease deaths
  • cancer
  • local government & health
  • population mental health
  • diabetes
  • infant mortality
  • indigenous ear health
  • alcohol drinking
  • tobacco smoke
  • pesticides
  • social worker reform
  • voice analysis of claimants
  • family services
  • out of home care
  • fostering inspections
  • adoptions Australia
  • physical punishment
  • complex clients
  • child abuse & domestic violence
  • child deaths
  • carers
  • disability & carers
  • disability inclusion
  • short breaks
  • elder care
  • youth detention & health
  • juveniles in detention
  • youth in residential care
  • rough living
  • homeless end of life care
  • rural housing & elderly
  • tenancy fraud
  • youth homelessness
  • private rental & environmental sustainability













Australian Social Trends December 2010 recent increase in fertility and how socioeconomic and geographic factors might be related to fertility patterns; the rates and reasons behind housing mobility across the life course, as well as barriers to moving house; possible future living arrangements for Australian households.
ABS (Dec 2010)

Health expenditure Australia 2008-09 Expenditure on health in Australia reached $112.8 billion, or $5,190 per person, in 2008–09
AIHW (Dec 2010)

Paternalism in social policy—when is it justifiable? Governments are increasingly called upon to introduce policies designed to change the behaviour of individuals... such as gambling, consumption of unhealthy food, alcohol abuse and smoking of tobacco. In Australia, this has led to an increased policy focus on areas such as preventive health, gambling regulation and behaviourally based welfare reform.   ....this paper argues that paternalist policies may be considered justifiable under circumstances where high stakes decisions are involved, the decisions being made by individuals are irreversible and it is possible to identify failures in people’s reasoning.
Aus Parliamentary Library (Dec 2010)

UK Government, Voluntary and Community sector agree new Compact for working in partnership an agreement between the Coalition Government, and  civil society organisations (CSOs) in England... a shorter and more focused agreement between the government and the voluntary sector
UK Cabinet Office (Dec 2010)

The Foundation Years: Preventing Poor Children Becoming Poor Adults sets out for the UK Government a new strategy for abolishing child poverty..  proposes, in response to young people’s demands, that schools should teach parenting and life skills throughout the whole of their school life.
UK Independent Review on Poverty and Life Chances (Dec 2010)

Energise your Estate the Low Carbon Way: Meeting public sector estate cost efficiency challenges through effective energy and carbon management...UK primary care trusts could save more than £47 million over the next five years through the adoption of better energy efficiency.
UK LIFT (Dec 29010)

Back Office Benchmark Information 2009/10 All Central Government organisations with over 250 staff were asked to provide data against standard metrics on their key back office functions: HR, Finance, Procurement, ICT, Property, and for the first time, Communications, Legal and Knowledge & Information Management.
UK Cabinet Office (Dec 2010)

Health Resource Allocation. A briefing for the House of Commons Health Select Committee  focuses on health resource allocation under the current system...There will be a significant challenge in bringing about major structural change whilst achieving reductions in administration costs of 30 per cent and wider savings of £14 billion to £20 billion from NHS services...Reorganisation costs tend to be significant.
UK Audit (Dec 2010)

Guidance on safe nurse staffing levels in the UK sets out the range of different factors that influence the total demand for staff and highlights the variety of methods for planning or reviewing staffing levels. also: RCN policy position: evidence-based nurse staffing levels
UK RCN (Dec 2010)

UK Health (Dec 2010)

Health and Well-Being in the Home: A Global Analysis of Needs, Expectations, and Priorities for Home Health Care Technology Home health care technology may provide one important solution to global concerns about how to sustain health care systems threatened by rising costs and manpower shortages
US Rand (Dec 2010)

Causes of Death, Australia: Doctor Certified Deaths, Summary Tables, 2009 There were 140,760 doctor and coroner certified deaths registered in Australia in 2009. This was 3,186 (2.2%) less than the number registered in 2008 (143,946).
ABS (Dec 2010)

Strategic Framework on Multiple Chronic Conditions  The health care system is largely designed to treat one disease or condition at a time, but many Americans have more than one ― and often several ― chronic conditions...an innovative, private-public sector collaboration to coordinate responses
US HHS (Dec 2010)

Premature mortality from chronic disease In 2007, 83% of all premature deaths (that is, deaths among people a
AIHW (Dec 2010)

Cancer in Australia 2010: an overview Cancer incidence rates have increased over the past 26 years, while cancer death rates have fallen...cancer still accounted for 3 in every 10 deaths in Australia in 2007.  There were nearly 40,000 deaths due to cancer in 2007, or 109 deaths every day.
AIHW (Dec 2010)

The health of the public: Local Government Group discussion paper snapshot of how UK councils already work to integrate health improvement into mainstream service delivery – from transport, planning and leisure, to housing, environmental health, education and social care
UK IDEA (Dec 2010)

Commissioning for wellbeing and population mental health There is a good economic case for investing in improving mental wellbeing.
UK NMHDU (Dec 2010)

Diabetes in pregnancy: its impact on Australian women and their babies Diabetes affects about 1 in 20 pregnancies in Australia and is associated with poorer pregnancy and birth outcomes
AIHW (Dec 2010)

UK Health (Dec 2010)

Developmental Market Research to Inform Indigenous Ear Health Social Marketing Initiatives a detailed understanding of people’s current awareness, knowledge and attitudes in relation to ear and hearing health. Key barriers and motivators associated with reducing ear disease were also identified, together with people’s communication preferences.
Aus health (Dec 2010)

Drinking patterns in Australia, 2001-2007 Proportionately more drinkers were found among the employed, people from socioeconomically advantaged areas, and people from Remote and Very remote areas.
AIHW (Dec 2010)

How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease Exposure to tobacco smoke – even occasional smoking or secondhand smoke – causes immediate damage to your body that can lead to serious illness or death
US Surgeon general (Dec 2010)

Acute Human Lethal Toxicity of Agricultural Pesticides Basing regulation on human toxicity will make pesticide poisoning less hazardous, preventing hundreds of thousands of deaths globally without compromising agricultural needs. Ongoing monitoring of patterns of use and clinical toxicity for new pesticides is needed to identify highly toxic pesticides in a timely manner.
PLoS (Dec 2010)


Building a safe and confident future: One year on Progress report from the Social Work Reform Board The standards of supervision and support social workers should expect from their employers include •making sure the right number of social workers with the right level of skills and experience are available to meet the level of demand •managing workloads and caseloads so that social workers are not overworked •giving social workers the practical resources they need to do their jobs •creating development opportunities for social workers to give them greater experience and skills.
UK Education (Dec 2010)

Voice Risk Analysis Pilots: Perspectives from staff, claimants and potential claimants VRA technology works by assessing changes in the stress of the voice of the person being interviewed and, combining this with behavioural analysis, the operative is given an indication of whether the statement made is truthful.
UK DWP (Dec 2010)

The Strengths and Assets Summit - 2010 presentations from Australian Family and Community Strengths Conference: evaluation ; child and family services also Oslo conference Developing Strength and Resilience in Children presentations include "children of the mentally ill"
NSW FAC (Nov 2010)

National Standards for out-of-home care The National Standards for out-of-home care were agreed by Community and Disability Services Ministers on 16 December 2010, and will be implemented commencing from 1 July 2011.
Aus FaSCHIA (Dec 2010)

UK Ofsted (Dec 2010)

Adoptions Australia 2009-10 In 2009–10, Australia recorded the lowest number of adoptions since the early 1970s
AIHW (Dec 2010)

Physical Punishment: policy brief Children who are physically punished are at increased risk of health and behaviour problems...Both state and federal governments should commit to banning physical punishment of children
Vic RCH (Dec 2010)


Issues for the safety and wellbeing of children in families with multiple and complex problems: the co-occurrence of domestic violence, parental substance misuse, and mental health problems
AIFS (Dec 2010)

When Child Abuse or Neglect and Domestic Violence Co-Occur resources on supporting children exposed to domestic violence
US Court Appointed Special Advocates for Children (Oct 2010)

AIFS (Dec 2010)

Working with and supporting informal carers identifies how community care workers can provide better support for Australia’s 2.5 million carers.
Aus benevolent Society (Dec 2010)

Disability, Ageing and Carers, Australia: Summary of Findings, 2009 Four million people in Australia (18.5%) reported having a disability in 2009
ABS (Nov 2010)

The Blue Skies collaboration promoting a new model of inclusive communities for people with disability in Queensland.
ARACY (Dec 2010)

Short breaks Pathfinder evaluation including the need to sustain financial investment in family involvement including the development of a robust, independent family ‘voice’,... recruit leadership and front line staff who genuinely believe in and are committed to family empowerment ... recognise the time it takes for strong family voices to emerge ...invest in person centred communication with the large body of families who will choose not to engage in formal participation mechanisms.
UK Education (Dec 2010)

The Elder Care Study: Everyday Realities and Wishes for Change Almost one in two individuals in the US workforce (42% or nearly 54.6 million employees) have provided elder care over the past five years.
US Families and Work (Dec 2010)

Clinical Assessment of Ashley Youth Detention Centre's current Policy and Protocols for Health Issues The provision of health services at the Ashley Youth Detention Centre will be strengthened as a result of an investigation into health policies and procedures at the Centre.
Tas DHHS (Dec 2010)

Juveniles in detention in Australia, 1981–2008 Although there has been an overall decrease since 1981 in both the number and rate of juveniles being placed in detention, in recent years, numbers and rates have begun to increase
AIC (Dec 2010)

Youth's Characteristics and Backgrounds: Findings from the Survey of Youth in Residential Placement presents key findings from the Survey of Youth in Residential Place-ment that describe the characteristics of youth in placement. Specifically, this bul-letin focuses on the youth’s demographic characteristics, current and prior offenses, current disposition, family and educational backgrounds, and expectations for the future.
US OJJDP (Dec 2010)

Rough living : surviving violence and homelessness draws on the life stories of six men and six women experiencing homelessness in Sydney. These ‘biographies of violence’ reveal the long-term impacts of childhood sexual, physical and emotional abuse...11 participants reported childhood sexual and physical abuse perpetrated mostly by parents and step-parents but also by siblings more

End of life care: achieving quality in hostels and for homeless people a practical guide to support hostel staff in ensuring that people nearing the end of their life receive high quality end of life care
UK NHS (Dec 2010)

Rural Housing, Older People and The Big Society provides a resume of the recent and emerging scope of UK government and independent sector activity in the planning and delivery of housing for older people in rural areas; more
UK NHS (Dec 2010)

The Guide to tackling housing tenancy fraud a UK blueprint for tackling social housing tenancy fraud, which takes up to 50,000 homes away from low income households and costs the public purse nearly £1 billion per year press release
YK CIH (Dec 2010)

Youth Homelessness Services in the ACT a discussion paper on modernising the youth homelessness services in the ACT  includes a Literature and best practice review
ACT DHCS (Dec 2010)

The environmental sustainability of Australia's private rental housing stock improving the environmental sustainability of private rental housing poses unique policy challenges. Of central concern is the 'principal-agent' or 'split incentive' problem. While the landlord (or the principal) is generally responsible for purchasing the energy-using facilities in the home, the tenant (or the agent) is generally responsible for the payment of recurrent energy bills
AHURI (Dec 2010)