Author name: Anna Moran

Balancing KPIs with Purpose in Community Health and Social Care

A while back, I finished reading Atomic Habits by James Clear. One chapter, in particular, left me reflecting deeply—it explored the idea of tracking habits and how metrics shape behaviour. Naturally, it got me thinking about Key Performance Indicators (KPIs) in community-based health and social care organisations. How Do Your KPIs Reflect Your Purpose? We’ve […]

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The Art of Balancing Structure and Individuality: Lessons from Love, Socialism, and Centralised Systems

When I was 23, I fell in love with a Russian.  And in my infinite wisdom (and clearly, undying optimism), I decided to learn Russian and trek across China and Russia to meet up with him. A grand romantic gesture, right? Sadly, or perhaps thankfully (?!), it was a story of unrequited love. But what

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Challenging the Dominant Rural Health Workforce ‘Problem’ in Australia

Rural healthcare in Australia faces persistent inequities due to an inadequate and poorly distributed workforce. This study explored the roles and challenges faced by healthcare professionals in rural settings, particularly highlighting the under-recognised contributions of nurses and allied health professionals. The analysis reviewed existing policies, workforce training programs, and structural barriers impacting rural healthcare delivery.

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Defining and identifying common elements of and contextual influences on the roles of support workers in health and social care

Support workers constitute the largest group of staff involved in delivering health and social care in the UK, yet their roles vary widely and are shaped by various contextual factors. This study aimed to clarify the contributions and context of support workers’ roles in health and social care settings. The study involved a thematic review

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Are we using support workers effectively? The relationship between team characteristics and support worker utilisation in older peoples community-based rehabilitation services in England

This research investigated how support workers’ utilisation in community rehabilitation teams for older people relates to patient and team characteristics. Conducted from January to September 2009, the study involved 462 staff and 1913 patients, collecting data on patient dependency, health status (using tools like Therapy Outcome Measures, EQ-5D, and Levels of Care), and staff activity.

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Assessing patient preferences for the delivery of different community-based models of care using a discrete choice experiment

This study aimed to assess patient preferences for various models of community-based care for older people, focusing on the location of care, frequency, and type of principal carer. Conducted through face-to-face interviews with 77 patients recently discharged from hospital and receiving short-term care at home, we used a discrete choice experiment to evaluate preferences for

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Preparing a 21st century workforce: is it time to consider clinically based, competency-based training of health practitioners?

Health workforce training is still largely rooted in outdated 20th-century paradigms that prioritise professionalisation over patient-focused care. This is evident in the paradox of longer training times coinciding with workforce shortages, limited career paths for paraprofessionals, and inefficient training models that reduce service capacity. The proposed model for 21st-century health workforce training includes: Clinical Setting-Based

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Implementing large-scale workforce reform: learning form 55 pilot sites of allied health workforce redesign in Queensland, Australia

This study examines the large-scale workforce redesign program implemented by Queensland Health across 13 healthcare disciplines over five years. The aim was to identify mechanisms that contribute to successful workforce redesign and to codify these findings to guide future projects. The research used Inductive Logic Reasoning (ILR) to develop and test theories of change. Initial

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Supervision, support and mentoring interventions for health practitioners in rural and remote areas

The objective of this research was to identify mechanisms that lead to the successful implementation of support strategies for healthcare practitioners in rural and remote areas. This study conducted an integrative review and thematic synthesis of 43 empirical studies that evaluated support interventions in these contexts. The majority of the interventions reviewed were training and

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Mechanisms to enhance the effectiveness of allied health and social care assistants in community-based rehabilitation services

This research explores the factors that contribute to the successful employment of allied health and social care assistants in community-based rehabilitation services (CBRS) in England. The study involved thematic analysis of interviews and focus groups with 153 staff members, both professionally qualified and assistants, from 11 interdisciplinary teams focused on older people’s rehabilitation. Assistants were

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