Does accountability for reasonableness work? A protocol for a mixed methods study using an audit tool to evaluate the decision-making of clinical commissioning groups in England by Sarah Clark, Katharina Kieslich, Peter Littlejohns, Albert Weale

“…Introduction Clinical commissioning groups (CCGs) in England are tasked with making difficult decisions on which healthcare services to provide against the background of limited budgets. …”
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Mixed methods evaluation of the Getting it Right First Time programme in elective orthopaedic surgery in England: an analysis from the National Joint Registry and Hospital Episode Statistics by Stephen Morris, James Mason, Rosalind Raine, Peter Martin, Naomi J Fulop, Elena Pizzo, Andrew Hutchings, Helen Barratt, Jean Ledger, Raj Mehta, Sarah Jasim, Fiona Aspinal, Rafael Gafoor

“…Objective To evaluate the impact of the ‘Getting it Right First Time’ (GIRFT) national improvement programme in orthopaedics, which started in 2012.Design Mixed-methods study comprising statistical analysis of linked national datasets (National Joint Registry; Hospital Episode Statistics; Patient-Reported Outcomes); economic analysis and qualitative case studies in six National Health Service (NHS) Trusts.Setting NHS elective orthopaedic surgery in England.Participants 736 088 patients who underwent primary hip or knee replacement at 126 NHS Trusts between 1 April 2009 and 31 March 2018, plus 50 NHS staff.Intervention Improvement bundle including ‘deep dive’ visits by senior clinician to NHS Trusts, informed by bespoke set of routine performance data, to discuss how improvements could be made locally.Main outcome measures Number of procedures conducted by low volume surgeons; use of uncemented hip implants in patients >65; arthroscopy in year prior to knee replacement; hospital length of stay; emergency readmissions within 30 days; revision surgery within 1 year; health-related quality of life and functional status.Results National trends demonstrated substantial improvements beginning prior to GIRFT. …”
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Heterogeneous association of health with patient and general practice characteristics by region, age and chronic condition: pooled cross-sectional study of patient-level data from England by Hugh Gravelle, Yan Feng, Vladimir Sergeevich Gordeev

“…Three concentration indices embodying different value judgements summarise income-related health inequality in the full sample and subsamples.Setting Primary care in England.Participants Over 1 million adult patients in 6426 general practices in 2015/2016 and 2016/2017.Primary outcome measures Patient-reported health (the 5-level EQ-5D version or EQ-5D-5L).Results Patients who are younger, male, more satisfied with their practice, have fewer chronic conditions and live in less-income or education-deprived areas report better health. …”
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Derived datasets of daily weather, near surface soil status, flow rates and concentrations of nitrogen species from the North Wyke farm platform, EnglandZenodo by Yusheng Zhang, Jane Hawkins, Hadewij Sint, Adrian L. Collins

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Antenatal pelvic floor muscle exercise intervention led by midwives in England to reduce postnatal urinary incontinence: APPEAL feasibility and pilot randomised controlled cluster trial by Karla Hemming, Jonathan Bishop, Sarah Dean, Jean Hay-Smith, Tim Coleman, Elizabeth Edwards, Christine MacArthur, Debra Bick, Mark Pearson, Rohini Terry, Eivor Oborn, Sara Webb, Eleni Gkini, Victoria Salmon, Ellie Jones, Helena Frawley

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MIHI QUAESTIO FACTUS SUM (“I HAVE BECOME A QUESTION TO MYSELF”, AUGUSTINE: CONFESSIONS X. XXXIII): by F. England

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Music, theology, and space: listening as a way of seeking God by F. England

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CHRISTIAN SELF-FORMATION: AN AUGUSTINIAN CONTRIBUTION by F. England

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An architectonics of desire: the person on the path to Nada in John of the Cross by F. England

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Sacred texts and mystic meaning: an inquiry into Christian spirituality and the interpretive use of the Bible by F. England

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Jeremy Belknap and the Origins of American Exceptionalism by Agnès Delahaye

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Avant-propos : Représenter l’histoire immédiate sur les scènes britanniques modernes et post-modernes by Élisabeth Angel-Perez, Line Cottegnies, Virginie Yvernault

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What impact has the NIHR Academic Clinical Fellowship (ACF) scheme had on clinical academic careers in England over the last 10 years? A retrospective study by James Neilson, David Jones, Sally Clough, James Fenton, Helen Harris-Joseph, Leesa Rayton, Caroline Magee, Lisa Ann Cotterill

“…Objectives The Academic Clinical Fellowship (ACF) was introduced to support the early career clinical and research training of potential future clinical academics in England. The driver for the model was concern about falling numbers of clinical academic trainees. …”
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“I think people have been in survival mode”: a qualitative study of community connectivity in a neighbourhood of North East England before and during COVID-19 by Mandy Cheetham, Alice Wiseman, Stephen Ward, Sarah Gorman, Fiona Pollard

“…Objectives The aim of the study was to examine whether and how community-centred approaches facilitate community connectivity by exploring changes that matter to communities.Design Qualitative study comprising ethnographic methods, participant observation and interviews.Setting Economically deprived neighbourhood of North East England.Participants Interviews with community members (n=14) and staff and stakeholders (n=14) involved in a National Lottery Community-funded initiative and 567 hours of participatory observation were undertaken between September 2019 and July 2020. …”
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Evaluation of variation in special educational needs provision and its impact on health and education using administrative records for England: umbrella protocol for a mixed-methods research programme by Stuart Logan, Ruth Gilbert, Tamsin Ford, Johnny Downs, Jugnoo Rahi, Ania Zylbersztejn, Katie Harron, Kate Boddy, Bianca De Stavola, Vincent Nguyen, Isaac Winterburn, Kate Lewis, Lucy Karwatowska, Lorraine Dearden, Sarah Barnes, Jacob Matthews, Matthew Lilliman, Jennifer Saxton, Antony Stone, Kristine Black-Hawkins

“…Introduction One-third of children in England have special educational needs (SEN) provision recorded during their school career. …”
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Estimated cumulative incidence of intervention by children's social care services to age 18: a whole-of-England administrative data cohort study using the child in need census by Matthew A Jay, Patricio Troncoso, Andy Bilson, Dave Thomson, Richard Dorsett, Rachel Pearson, Bianca De Stavola, Ruth Gilbert

“…Objectives We aimed to estimate the cumulative incidence of referrals, social work assessments, being recognised as a CiN or made subject to a child protection plan (CPP) before age 18 in England. Methods The annual CiN census contains all-of-England longitudinal records of CSC referrals. …”
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Driving Innovation to Support Pupils with SEND Through Co-Production in Education and Research: Participatory Action Research with 22q11.2 Deletion Syndrome Families in England by Michelle Jayman, Sophie Edmonds, Maria Gudbrandsen

“…Children and young people (CYP) with special educational needs and disabilities (SEND) comprise over 1.6 million pupils in classrooms in England. However, evidence suggests pupils’ learning and wellbeing needs are often missed or unmet and legislation designed to increase families’ decision-making in education provision has not been translated into practice. …”
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Reseña de "Alles ist gut. Untersuchungen zur Geschichte einer Theodizee-Formel im 18. Jahrhundert in Deutschland, England und Frankreich" de Marion Hellwig by Hernán D. Caro A.

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Tailoring lipid management interventions to reduce inequalities in cardiovascular disease risk management in primary care for deprived communities in Northern England: a mixed-methods intervention development protocol by Julia L Newton, Yu Fu, Sarah Sowden, Paula Whitty, Eugene YH Tang

“…This study describes the protocol for the development of a tailored intervention aiming to optimise lipid management in primary care settings to help reduce inequalities in CVD risks and improve outcomes in deprived communities.Methods and analysis A mixed-methods approach will be employed consisting of four work packages: (1) rapid review and logic model; (2) assessment and comparison of CVD risk management for deprived with non-deprived populations in Northern England to England overall; (3) interviews with health professionals; and (4) intervention development. …”
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