ASEDRA Evaluation Final Report.

Abstract

Transforming Urgent and Emergency Care and the Vanguard Initiative For more information on this publication, visit www.rand.org/t/RR2062 Published by the RAND Corporation, Santa Monica, Calif., and Cambridge, UK © Copyright 2017 RAND Corporation R® is a registered trademark. RAND Europe is a not-for-profit organisation whose mission is to help improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors. Limited Print and Electronic Distribution Rights This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions. Support RAND Make a tax-deductible charitable contribution at www.rand.org/giving/contribute www.rand.org www.rand.org/randeurope iii Preface Urgent and Emergency Care (UEC) vanguards were established in August 2015 as part of the new models of care programme that is considered key to delivering NHS England's Five Year Forward View. They aim to improve the quality, efficiency and effectiveness of UEC services so that patients receive the most appropriate care at the right time and in the right place, and so that unnecessary admissions to accident and emergency (A&E) and hospitals are reduced. The Southern Cluster comprises three such UEC vanguards: those led by Barking and Dagenham, Havering and Redbridge System Resilience Group; Cambridgeshire and Peterborough Clinical Commissioning Group (CCG); and South Devon and Torbay CCG. RAND Europe, together with EY and Julian Elston of the University of Plymouth, were commissioned by the Southern Cluster to evaluate these three vanguards. The evaluation aims to examine the impacts of the vanguards, the processes underpinning delivery (and associated enablers and challenges), and implications for future policy and practice. In doing so, it aims to help inform the continued development of UEC services in these areas and to provide learning of relevance for both local and national level decisionmakers. The primary audiences for this report are commissioners and providers of UEC services, and policy stakeholders such as NHS England. The report may also be of interest to a wider audience of UEC stakeholders, those with a more general interest in the integrated provision of services, researchers, and the wider public. In Section 1 of this report we set out the background and context to UEC service improvement efforts and to the UEC vanguards initiative, and the aims, methods and limitations of this evaluation. We then describe our findings from each of the three Southern Cluster vanguar...

Delivery of tobacco control programs by Aboriginal Community Controlled Health Organisations in New South Wales, Australia: A cross‐sectional survey

“…27 For example, the 2018 evaluation of the TIS program suggested it is meeting its short-term goals (including growth in partnerships and community engagement, increased access to culturally appropriate quitting support, and an increase in the use of evidence to inform program design), but the long term impact in relation to a reduction of smoking rates was said to be outside the scope of the evaluation. 10 A more recent national 2018-2020 study used a cohort design to examine smoking-related attitudes and behaviours among Aboriginal and Torres Strait Islander adults. 3 The Mayi Kuwayu Study found no differences in overall smoking prevalence, but some significant differences in smoking behaviours (such as a lower prevalence of smoking inside the home) among respondents living in TIS funded areas, compared to non-TIS funded areas.…”

“…10 The program was revised and replaced in 2015 with the Tackling Indigenous Smoking (TIS) program, which includes grant funding for regional tobacco control activities, a range of national supports for implementation, performance monitoring and evaluation and enhanced Quitlines. 10 The TIS program was evaluated in 2018, with results suggesting it would contribute to a reduction in smoking rates. 3,11 Informed consent was implied by completion of the online survey.…”

“…In 2010, Commonwealth action to address Aboriginal smoking was delivered through the multi‐component Tackling Indigenous Smoking and Healthy Lifestyle (TIS&HL) program, which provided funds for a dedicated workforce of healthy lifestyles workers to reduce smoking rates 10 . The program was revised and replaced in 2015 with the Tackling Indigenous Smoking (TIS) program, which includes grant funding for regional tobacco control activities, a range of national supports for implementation, performance monitoring and evaluation and enhanced Quitlines 10 . The TIS program was evaluated in 2018, with results suggesting it would contribute to a reduction in smoking rates 3,11 .…”

‘I know exactly who they are’: Radio presenters’ conceptions of audience

“…They're going to come on. We get them at 12, 13, 18, 20 years of age… (Mitchell, 2008) Presenters do not experience their audience as a discrete object. Instead they know their audience collectively as a relational subject.…”

Application of the Approximate Bayesian Computation Algorithm to Gamma-Ray Spectroscopy

“…The second goal is to estimate the amount of each isotope thought to be present in the item. One key validation step in any modern RIID is to simulate data assuming that the item contains the chosen isotope subset using a "forward model" that requires an estimate of the gamma detector response function (DRF) [11][12][13][18][19][20][21]. If the simulated data agree reasonably well with the observed data, then there is reasonable confidence that the inferred subset is at least close to correct.…”