Problem-solving teams, involving front-line staff, are widely used to achieve continuous process improvement. Approaches such as "plan-do-study-act" (PDSA) cycles, are now a core element of many health-care improvement initiatives. This paper evaluates the use of PDSA improvement cycles within the UK National Health Service, using emergency care improvement activity as a source of research evidence. It was found that, despite an abundance of information on how to implement this type of change, many senior professionals still misinterpret how this should work. This has implications for how such methodologies are implemented. There is a long way to go in allowing greater employee involvement, moving much further away from the "management committee" style of change. Care has to be taken to ensure that empowered employees are working to consistent and appropriate objectives. It is important that senior personnel develop process understanding alongside the workforce, rather than simply providing distant support.

In this paper, I examine the spatial politics of the Bermudian Black Power movement and its connections to Black Power political formations in the wider Caribbean and North America. This spatial politics is examined in detail through an engagement with the First Regional International Black Power Conference (BPC) held in Bermuda on 10-13 July 1969 and the subsequent Black Power political activity on the island that the conference inspired. Through this engagement An internal Foreign & Commonwealth Office (FCO) paper from February 1970 entitled "Black Power in the Eastern Caribbean" (FCO 141/150) details British intelligence on the development of Black Power politics in these islands. It is noted with concern that Black Power formations had emerged in Antigua,

This article details the extensive security regimes deployed against Black Power in the Caribbean that were operated by regional governments and the (neo)colonial British state. These regimes of securitisation targeted radical Black political groups and actors whose Black Power ideology placed them in an antagonistic relation to independent West Indian states and Britain. The author argues that the British state’s involvement in the suppression of Black Power in the Caribbean is inseparable from the domestic repression of the British Black Power movement. But also, shared opposition to British (neo)imperialism and the personal ties of West Indian migrants to Britain connected Black Power resistance on both sides of the Atlantic. By drawing on British Foreign & Commonwealth Office, Ministry of Defence and Cabinet Office files, as well as political newspapers and publications produced at the time, the author traces the British state’s involvement in the transnational repression of Black Power in the late 1960s and early 1970s.

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This article engages with Jamaican anthropologist David Scott's conceptual analytic of problem-space and maps out the potential contributions problem-space thinking can make to geographical studies of revolt and protest as well as archival methods. Scott's theory is broadened spatially through the introduction of space-time geographies scholarship and in particular the spatial ontology of Massey. I suggest Scott's theory can compliment and advance the work of political and historical geographers seeking to produce more broadly spatialised and temporalised accounts of insurrections and political protests. Problem-space thinking also develops efforts to recover subaltern voices and political motivations in such studies both empirically and methodologically.