Category Archives: Education, Health And Welfare

World Health Day

‘Working together for health’ is this year’s slogan for World Health Day (today).
The World Health Organisation (WHO) quite rightly asks that we take time just for one day in the year to think about what ‘Health’ actually means. So today, 7 April 2006, is World Health Day.
This year’s strapline is ‘working together for health’. Reduction in child mortality, improvements in maternal health and combatting HIV / AIDS, malaria and other diseases are amongst the Millennium Development Goals ** which all Member States are signed up to meet by the year 2015.
[** The other five goals are eradication of extreme poverty and hunger, universal primary education, promotion of gender equality and the empowerment of women, environmental sustainability and a global parnership for development.]
A time to reflect?
But here we are in Britain, one of the half-dozen most wealthy countries in the world, and even we don’t get it right on all counts. There is plenty to worry about in the health of our nation; but it cannot be said, as of some other countries, that anyone ‘has’ to starve or die of cold, lack of clean water or because of any of the other horrendous experiences of people in other parts of the world. In the U.K. we have choices, and we have resources, which really do mean this never has to happen.
I say this neither (I hope) to make inappropriate comparisons – poverty in health or anything else in the U.K. is relative; poverty elsewhere is grimly absolute – nor to offer bland pronouncements about what we ‘ought’ to do to reduce such awful suffering in other areas of the globe.
What I seek to understand more clearly is how we can think in a more joined-up way.
Only connect…
We in Britain, like those in other first world countries, mostly know that how we treat our bodies and what we do to promote sustainability are critical both for ourselves and to what happens to people elsewhere, as well as people here. We know too that responsibility for this lies with us personally and as parents, as well as with ‘the government’, or ‘them’.
There’s a message here. It’s at base very simple. The fundamental question is, how do we deliver action?
If World Health Day does nothing else, perhaps it encourages us to reflect how, across the globe, we are all interconnected and interdependent. The ‘links’ are there, on the internet and, even more importantly, in our hearts and minds.

The Dismal Message Of Some Human Resource Advisers

Human resource specialists seem to spend a lot of time these days developing ways of ‘testing’ potential employees. Technology does have a part to play in assessing candidiates for jobs, not least because it comprises an attempt to move beyond stereoypical and unfair assumptions. But to work to greatest effect technologically-led assessment must be considered carefully, and with due acknowledgement of the difficulties of ‘proving’ it is meaningful. If educators made the same deterministic (and dubious) assumptions as some human resource managers, there would be far less call for educational services.
Like everything else in our brave new technological world, ‘human resourcing’ has been re-branded as a science.
In many ways, this is to be applauded. Anything which moves us on from the old-style way of ‘jobs for the boys’ has to be an improvement. But in at least one respect it’s worrying.
New-style appointment procedures
Many appointment procedures now begin with an application form which asks questions about how the propective employee has tackled a variety of challenges, followed by ‘assessment’ at a ‘centre’. And only after all that does a real human being perhaps deign to conduct a personal conversation or interview with candidates about the post in question.
So, once the standard information has been recorded, the initial application form in these cases often states that in one way or another that ‘past experience is the best indicator of future performance’. This is generally the prelude to a requirement that the applicant gives ‘brief’ accounts of how he or she dealt with a difficult situation, resolved a dilemma or took a fractious group of people to some sort of resolution of their problems.
Real scenarios, or imagined?
Wonderful. Presumably in every case the job the applicant is going for requires a vivid imagination? Because the only sure thing we can learn from such accounts is that people are good – or not – at writing (very) short stories. These may indeed be stories related to the skills and scenarios of the post in question, but they are hardly testable against hard evidence.
Degree certificates may not tell us much, but they do confirm that a job applicant’s claim to be a graduate (or whatever) is genuine. Such genuineness cannot be established for these ‘mini stories’. Of course many people do tell the truth when they give accounts of their past actions; but it’s a certainty that not all of them will be doing so.
Thus we are confronted by a situation in which those who stick firmly to the truth (as they understand it) are likely to be competing against others who are not so fussy about such matters… or who simply have convenient memories. In this context, what useful value can anyone put on the assumption that person’s future actions will follow from their reported history?
Assessing what?
Then there’s the second stage of the selection process. For some posts it is fair enough to ask the candidate to perform tasks like the one s/he aspires to in the job on offer. If you say you can type forty words a minute, then here’s your chance to demonstrate that. If you claim to be able to work with spreadsheets, please go ahead and show you can.
But some tasks, especially at more senior levels, require careful and balanced judgement. They are about bringing experience and human insight to bear on difficult situations. They require a wide grasp of the influencing factors and a steadfastness in terms of dealing with people.
I.Q. tests by another name?
In such tasks there is little reason to suppose, as increasingly is assumed, that non-contextualised ‘verbal reasoning’ tests and the like will take us very far. An untitled poorly written paragraph of general assertions such as often appears as part of these ‘tests’, giving no indication of who wrote it, or for whom, makes little sense to those who know that all real-world interaction takes place in the context of unarticulated as well as formal intentions. This real-life exerience makes it pretty problematic to answer stark multiple choice (i.e. non-discursive, computer-markable) questions about what such paragraphs supposed to ‘mean’.
Perhaps there’s an irony, given the observations above, in the likelihood that only those without much imagination may be comfortable responding to such mechanistic examination.
The validity of I.Q. (Intelligence Quotient) tests has been under challenge for a full half century now; and the British ’11 Plus’ examination – in some respects a precursor of these types of mechanistic tets – is rightly history, discredited and still a cause of great distress to many whom it so cruelly labelled unsuitable for more academic or rigourous secondary education.
The clash between the premises of education and those of candidiate selection
Checking out the general abilitiies of people going for particular jobs is a sensible idea. Myers Briggs tests, for instance, give a useful – though not infallable – indication of how a person might approach given situations, thus helping everyone (including the candidate) to assess whether s/he is ‘right for the job’.
This, however, is a long way from the claim that what’s happened in the past is a good indicator of a perons’s future behaviour and capability. Indeed, those of us who have worked in adult (and perhaps even children’s) education would be out of business entirely if everyone believed this to be so.
Of course past experience helps to mould future behaviour; but much more important, given a general level of aptitude and attitude, is the opportunity which presents, or does not present, to learn and develop.
How do they know?
It’s a question which I’ve asked before, but it still seems reasonable: How do the decision-makers actually know that their way of doing things selects the best applicants? And the answer is, unless they’ve followed up those who weren’t successful, and compared them (using fully valid criteria) with those who were, they cannot know for sure.
The human resource specialists and assessment centre gurus may be covering their backs and keeping some employers happy whilst they’re at it. And no doubt some do a very good job. But it still seems indefensible to claim that they really know what potential employees are ‘like’ on the basis of their new-style forms and some of the tests which have been devised for selection.
Those of us who have more belief in the capacity of people to grow and learn might fear the new ‘science’ of human resourcing sometimes gets dangerously close to the dismally deterministic ways of the discredited ‘educationalists’ of yore.
Frankly, were I a prospective employer, I’d expect more for my human resource investment than that.

Time Is Energy (And ‘Clocks Forward’ Daylight Uses Less)

Dawn (small).jpg‘Daylight saving’ is a strange notion. But ‘daylight energy saving’ is a very different consideration. How we arrange the hours of light and darkness across our working day has many impacts – which makes it all the more curious that so little high profile or current research has been focused on British Summer Time and rationales for why the clocks ‘go back’ in the Winter.
My recent piece on British Summer Time has drawn a lot of comment, both on and off this website.
Highway at night.jpgThere are people who seem simply not to mind whether / when it’s light or dark as they go about their daily business, but there are many others who have responded quite strongly in terms of their need for as much daylight as possible. It must be very helpful in some ways not to mind how dark it is, but it’s quite incomprehensible to others that there are folk who genuinely ‘don’t mind’. Perhaps it’s rather like being ‘colour blind’ – if you don’t perceive the difference between red and green you just accept (and may not even know about) it; or maybe some of us have physiologies which are more photo-sensitive than others.
Daylight saving is energy saving
The most important thing to come out of the discussions so far, however, is not that people may have different personal preferences, but that the terms of engagement in this debate are becoming clearer.
One striking aspect of so-called ‘daylight saving’ which is emerging, alongside the prime safety considerations, is its significance not only potentially for business efficiency, but also, even more crucially, for energy. It does begin to look very much as though more ‘summertime’ would keep energy consumption down.
Where’s the evidence?
A big surprise in all this is the paucity of serious publicly available evidence other than on safety (avoidance of accidents). It seems in some respects that the last substantial governmental research in this area was conducted in 1989.
That was now seventeen years ago. Since then, it need hardy be said, much has changed.
Business and technological practices are much different from those dismal years of two decades ago. Our consciousness of the energy crisis and of ecological issues is far better developed now than it was then. The public (electorate) is now far more aware of the issues of sustainability than they could possibly have been in the 1980s.
What’s the cost-benefit of ‘daylight saving’?
So where is the cost-benefit analysis of the different ways in wihich we might distribute the eternally pre-ordained number of daylight hours we have at our disposal, summer and winter? Common sense suggests that arranging things so there’s as much daylight as possible in the hours when most people can use it is a good start.
If anybody really knows the answer, please just let us know!
The full debate about BST is in the section of this website entitled
BST: British Summer Time & ‘Daylight Saving’ (The Clocks Go Back & Forward)…..

Read the discussion of this article which follows the book E-store…

Read the rest of this entry

Investing In The U.K.’s Big Science And Medical Research

The U.K. Science and Innovation Framework 2004-2014 has taken on new significance with the recent Budget. Scientists, economists and the regeneration arm of government need to make common cause if the proposals to reshape particle physics (PPARC), medical research (MRC) and links between business and innovation are to achieve the promise which they appear in many ways to offer.
The Government, we gather, would like to elaborate its ten year plan for science, the Science and Innovation Investment Framework 2004-2014: Next Steps, by bringing together the Particle Physics and Astronomy Council (PPARC) and the Council for the Central Laboratories of the Research Councils (CCLRC).
The proposal emerging from the Department of Trade and Industry and the Department for Education and Skills is that these two august bodies be merged as a new body, the Large Facilities Council (LFC). The LRC would have a budget of half a billion GBP a year for current CCLRC work and that part of PPARC’s work which concerns large investments. Other, grant awarding, parts of PPARC would merge with the Engineering and Physical Sciences Research Council (EPSRC).
The physicists are not happy
It would be fair to say that this proposal has not been greeted enthusiastically by everyone in the science community. To quote one astronomy blog:
This move would place astronomy and particle physics research in direct competition with the rest of the physical sciences for money. I would expect this to mean that it will be harder to get a particular research project funded, as the competition for the limited funds is greatly increased. It will also mean that the new EPSRC will have to develop a plan / road-map for the whole of engineering, physics and astronomy; a pretty huge field. Can one funding council do this alone while maintaining the breadth and depth of research in the UK?
Nor perhaps are the medics
Another of the Next Steps proposals is that the Department of Health‘s research and development budget should be merged with that of the Medical Research Council to bring together all public research in health and medicine in the U.K, with a budget of some billion GBP. Inevitably, there will be questions asked about whether this size of investment can be feasibly managed. (There are possible parallels, not least in the particle physics world, where Cern‘s much admired Large Hadron Collider (LHC) is funded by 20 European states, using the talents of 6,400 scientists from all corners of the globe.)
The wider contexts
These ideas are not, however, developing in a vacuum. Side by side with the recasting of the budgetary alignments are proposals to set targets for increasing numbers of school students, and to increase business investment and involvement in research and development. These are difficult objectives to challenge, except perhaps in the sense that ‘more not less’ might be the cry.
It’s important to acknowledge all the levels at which these various concerns and considerations apply. There are fears for vulnerable / invisible research, there are fears about the status of academic institutions and research bodies, and there are the natural fears of scientists that their jobs maybe at risk. As we know from other change initiatives, these concerns cannot simply be dismissed.
Benefits of a new kind?
We should however try to factor in a number of newer perspectives as we consider these proposals. I have argued elsewhere that support for large-scale or ‘Big Science’ in the North West of England would have been easier to secure, had there not been a stand-off between those medical scientists funded by the NHS and those funded by other bodies.
The regeneration agenda does not, as of course Gordon Brown and his colleagues would argue, stand apart from the agenda for Big Science. The real challenge, however, is to manage the necessary transitions in a way which values and promotes the knowledge economy and those who work within it, rather than leaving them behind, bewildered and resentful about the proposals which are now emerging.
Never has there been a greater need, if we are all to benefit, for the scientists, the economists, the regeneration specialists and the politicians to talk amongst themselves. This, fundamentally, is what the current consultation period on Next Steps must be about.

The Clocks Go Forward … But Why, Back Again?

Sefton Park 06.6.3 039 Straited sky.(small) jpg.jpg British Summer Time is welcomed by almost all of us – more daylight when we can use it is much appreciated, as Lord Tanlaw’s proposed ‘Lighter Evenings (Experiment) Bill’ acknowledges, for reasons of health, safety, energy savings and business benefit. So why do we need to revert to the darkness next Autumn? The answer appears to be historical drag, a reluctance to be ‘European’, and an obdurate insistence by some of national identity over common well-being.
Like 99% of the rest of the UK population, I’m really looking forward to the extra hour of evening light which will be ours as of this weekend. We may lose an hour of sleep just one Sunday morning, but then we get months of beautiful daylight at hours when we can actually enjoy them. It can’t come too soon.
It was always a huge puzzle to me why the ‘experiment’ to keep British Summer Time all year seemed to go so badly wrong when it was tried in 1968 to 1971. Then I learned that it was nothing to do with sensible allocation of daylight hours for nearly all of us – it was essentially a sop to the Scottish Highlands, where apparently people demanded the right to dark evenings for us all, so that they had a bit more daylight in the morning.
Why Highlanders couldn’t just adjust their working day a bit if they so like first light, is beyond me.
Safety – and Health – take a back seat
Since the missed opportunity of thirty five years ago, things have moved on. We now know about SAD (Seasonal Affective Disorder) and about the net increase in accidentsacknowledged in many countries – which wintry Greenwich Mean Time (GMT) brings in its wake – even for Scotland.
So there really is no excuse for any failure to support Lord Tanlaw’s current private Parliamentary Bill to adopt Single Double Summer Time (SDST) for an experimental three years from 29 October this year. The idea has the support of ROSPA (The Royal Society for the Prevention of Accidents) and of PACTS (the Parliamentary Advisory Council for Transport Safety) – who jointly last tried to effect such a change via Nigel Beard MP’s 10-minute bill in 2004. The previous time the change to all-year so-called ‘daylight saving’ was attempted before that was in 1994, with a Bill promoted by Nigel Waterson MP.
This debate has therefore now emerged as a matter of both safety and, equally importantly, health. The epidemiology of the proposed time shift suggests that it would not only reduce accidents, but also promote health; people would be more active in the winter, with beneficial effect to both physical and mental well-being.
My national identity before my health (and yours)?
The debate seems to boil down to two lines of argument:
Firstly, that it is the inalienable right of Scots people to conduct their morning farming activities in daylight – a ‘right’ which would be preserved in Lord Tanlaw’s bill, because it expressly accedes that the Scottish (and Ulster and Wales) Parliament/s could adopt current ‘winter time’ if they so determined; and
Secondly, that this is some sort of ‘European plot’, against farmers milkman and postal workers (…), foisting ‘non-British time’ on us – despite the additional difficulties which British ‘local’ winter time causes for companies seeking business across both Europe and wider afield. (It’s rather a surprise to learn in Hansard 8 Dec. 2004, Column 584W, that the Department of Trade and Industry has not conducted much research since 1989 (Cm 722) on potential economic and social effects of the ‘biannual time change’.)
Don’t play politics against common sense
Let us put aside the obvious issue that very few indeed of us live on farms (and that for many the sight of a postal worker before 10 a.m. – or a milkman at all – causes astonishment these days) and just focus on the facts.
Health and safety are what make our lives better. Not nationalities. And who wants his or her national identity to be seen as an obstacle to healthier and safer lives anyway?
~ ~ ~
The full debate about BST is in the section of this website entitled
BST: British Summer Time & ‘Daylight Saving’ (The Clocks Go Back & Forward)….. Specific articles include:
Making The Most Of Daylight Saving: Research On British Summer Time
The Clocks Go Forward… And Back… And Forward…
SaveOurDaylight: Victor Keegan’s Pledge-Petition
British Summer Time Draws To A Close
Time Is Energy (And ‘Clocks Forward’ Daylight Uses Less)
Read the discussion of this article which follows the book E-store…

Read the rest of this entry

Big Changes In The NHS – But Where’s The Institutional Memory?

The NHS is experiencing another wave of ‘reconfiguration’, with a focus particularly on NHS Trusts and who runs them. But has there really been a shift from public sector thinking to the modern management of a complex part of the knowledge economy? On present evidence, opportunities to encapsulate hard-won insights into the organisational aspects of the health service are probably being lost.
The wholesale reconfiguration of the National Health Service, and particularly of Strategic Health Authorities and Primary Care Trusts, is now well underway. Public consultation finishes this week, and already some appointments are being progressed actively, albeit on a provisional basis.
This is probably not the place to go into the ins and outs of the basic argument – the bigger debate about the health economy is being conducted across the country and in Whitehall. What engages me more particularly is the essentially non-political issue of how much recognition is being given to the management of knowledge across this vast swathe of our public sector activity.
Is ‘institutional memory’ sufficiently acknowledged?
Whilst nealy all normal NHS employees are guaranteed jobs for a period following the intended reconfigurations, this arrangement does not extend to non-executive board positions. Indeed, the intention is now being taken forward to appoint new non-exec. posts not only through competition between existing post-holders, but with appointments being opened up to all comers – at a time when already many current non-executives will fall by the wayside anyway.
Yet non-executive directorships are the very roles which are intended to hold to account, and support, executive directors in their work. The risk is therefore that experience built up amongst non-execs. over the past few years since NHS Trusts have come into being is about to be lost, almost as soon as it has been developed.
This raises serious questions about how institutional memory and expertise amongst NHS non-executive directors is to be safeguarded. Where’s the knowledge management?
Public sector or significant knowledge economy?
Little visible effort seems so far been made to bring together in recognisable form all the aspects of high-level experience and skill which will take forward this current wave of NHS reconfiguration. Just as at last there is an emerging real understanding by non-executive directors of their crucial role, the chances are that it is to be lost again.
This is a quite separate issue from that of the general merits (or otherwise) of current moves to reshape the NHS. That debate is critical, but it is not the one we are addressing now. What we have here is a public sector health service which still sees itself as run on the basis of aspiration, rather than as a serious element of the knowledge economy, with all that implies for the management of skills, resources and the like. The preservation of institutional memory is a management, not a poltical, issue.
Introduce all the changes in structure that you wish, but alongside these must be a clear and formal recognition and management of the knowledge and skills, of themselves, within the health service. This is what modern management of complex organisations is fundamentally about, and it has to apply as much in the management of the health service as it does in any commercially-led set up.
Trying to bring (appropriate) ‘business’ attitudes into the health service is fine – though there are probably plenty of high-level people already there who have good ideas about this. But for success in the immediate future NHS organisations will need to protect and formalise their institutional knowledge right now; and the arrangements in place at present for moving on don’t make that easy.

Fire, Ice, Frost And Comets – A Lesson In Learning?

Ice & Fire (small) 06.3.2 Snow 010.jpg How we learn is always more complicated than we might imagine. The evocation of ‘fire and ice’ by both poet Robert Frost and, much later, NASA scientist Donald Brownlee, is an example to hand. Science and the arts alike depend for their impact ultimately on imagination and creativity, as well as rigour and formal insights.
Many years ago I was an American Field Service International Scholar, spending my senior high school year in Phoenix Arizona. This was a very ‘different’ experience to any I had had before or since, meeting an enormous range of people not normally encountered in suburban Birmingham England, my family home town at the time.
One of the enormous number of things I learned in Phoenix was the vast variety of interests to be found in a large American high school. And, drilling down from this, I came across a group of enthusiastic young people who Actually Read Poetry – and especially the poetry of Robert Frost, who was born on 26 March 1874 and died in 1963, not that long before I went to the States….. In a way we were perhaps a prototype Dead Poets Society, but with no sting in the tail.
A direct voice
Icy lake Then a student of science, my knowledge of poetry at the time was (and sadly remains) pretty modest, but Robert Frost’s poems fascinated me. They are direct and elemental – qualities I do not enjoy in American classical music – but also somehow quizzical, which made them very challenging in a gentle sort of way; I was never sure quite what, apart from the pastoral or earthy images, they intended to evoke. And this was especially true of Frost’s Fire and Ice, which I learnt off by heart, and can indeed still quote:

Some say the world will end in fire,
Some say in ice.
From what I’ve tasted of desire
I hold with those who favor fire.
But if it had to perish twice,
I think I know enough of hate
To say that for destruction ice
Is also great
And would suffice.
I subsequently discovered that there has been a huge amount of academic and also – engagingly – popular commentary on this poem, but at that time it simply drew me into a world away from the everyday, somewhere unknown and mysterious.
Where science meets art
Fire! (SP)16.9.05 010.jpg Given the impression Fire and Ice had on me all those years ago, I was rather startled to read the BBC News online a few days ago, reporting Dr. Donald Brownlee, as chief scientist of the Nasa Stardust mission, on evidence that comets are ‘born of fire as well as ice’.
Immediately I was transported from a murky March day in Liverpool, back some decades past to the excitement of a group of young people in a sunny classroom in Phoenix Arizona, all seeking to understand the meanings, metaphorical and material, of the complex new world into which we were about to emerge as adults.
Frost had written of fire and ice as the future destruction of world; Brownlee spoke of the birth millennia ago of physical pieces of the universe; but the elements they referred to were the same. It seems fleetingly that we are back to the phlogiston philosophers, those earlier seekers after truth, but with an up-to-the-minute twist.
All ideas are creative
Here are modern observers interpreting their experience according to their different professional disciplines, each of them evoking, for me at any rate, striking and thought-provoking images. We all carry our own paradigms as the backdrop to our understandings, but explanations are worth little without imagination to bring them alive.
I may well have been studying science when I was in the States, but Robert Frost’s poems stayed with me at least as strongly as any of the factual lessons I learned.
It would be untrue to say the science left me icy, and the poetry set my imagination on fire. But without doubt in both instances the elemental images have been retained far more strongly than the formal educational input.

Read the rest of this entry

Let’s Celebrate International Women’s Day, Today (8th March 2006)

Aix dancers (small) 80x74.jpg International Women’s Day is not a huge occasion for most people; but maybe it could be if we all grasped this annual opportunity to examine and where possible to celebrate, on a year-on-year basis, what progress has been made in gender equality. A start could be made, Monday Women decided, by ensuring we learn Herstory alongside His.
How does one ‘celebrate’ International Women’s Day? And, indeed, should one? This was one of the topics discussed by Monday Women in Liverpool, today.
Given that women make up over 50% of the population of the UK, I suppose I shall be impressed when we are also invited to celebrate International Men’s Day… but I do know, really, that this misses the point at least for now.
Anyway, we all do what we can. One year we even managed to produce a chamber concert including previously unheard music by the composer, Dame Ethel Smyth (who probably wrote the music around the very time when first glimmers of the idea of IWD came into being, not that far from where she was studying in central Europe). And on many occasions there have been conferences, readings and much else to recognise the parts women play in contemporary society.
Not a big issue for women or men?
But generally people don’t get very excited about International Women’s Day, as far as I can see. I wish they would. It would be excellent if, on this day, we not only celebrated the contributions of many thousands of unseen, unheard women in our local communities, but also began to ask, really seriously, just why are they so unacknowledged?
There’s a lead story in The Independent today about how campaigners say that unless urgent action is taken on the status of women, the Millennium Development Goals on reducing poverty, infant deaths and standards of education will not be met… but The Indy also reports that only one in four British women counts herself a feminist.
For those of us who have worked over many years to seek empowerment of women alongside men this is in some respects a truly puzzling and disappointing figure; but against it we need to ask what proportion of women in previous generations would taken this label. My guess, overall, is fewer than we imagine, despite Rosie the Riveter and all she taught us.
Herstory…
So let’s make a start by being a bit more realistic. If young people don’t know much about how things were (and how many young people actually want to look backwards at that point in their lives?) they will also not know about how things have changed. We more experienced feminists need to work from what is – i.e. an ahistoric perspective in which all that is wrong now actually seems to younger people to be ‘worse’ than what was before – and to find ways of challenging that strategically, not personally.
Rather than feeling upset that what we have worked for is not understood – upsetting though in my heart I must admit this is – those of us who champion gender equality need to find ways of ensuring that HERstory is told, to everyone, alongside HIStory. Then we shall be able to demonstrate what has already been achieved and, critically, to see more clearly where the obstacles to further progress lie.
Whose responsibility?
In curriculum terms, responsibility for herstory obviously lies with the schools and the government. But in other ways it lies with us all. I would like to see a focus on International Women’s Day 2007 on what each aspect of our daily lives has offered over the past year in terms of opportunities and life experience for women and men. Could this be a challenge for the media, and for us all? An agenda we could start to set now, for next year and all the years which follow?
In the meantime, Monday Women have said it already today on our e-group – have a great day!

Whatever Is The ‘Health Economy’?

The ‘health economy’ is much discussed but little defined idea. Within local health-care provision it carries an assumed status which it is perhaps now time to challenge. We don’t in everyday parlance between managers talk of an ‘education economy’; so why a ‘health economy’? Many of us would defend very strongly the concept of essential health care free at the point of delivery, but the idea of a closed specialist health economy may not be the best strategic vehicle to ensure delivery of such modern, responsive and effective health care.
There’s a fair amount of excitement around the changes in the National Health Service these days. Big shifts are about to occur in the shape, goegraphical and structural, of Primary Care Trusts, Stratgeic Health Authorities and much else. And in amongst all the other deliberations there is much reference to the ‘health economy’.
What is the ‘health economy’?
Now is probably not the best time to go into the pluses and minuses of the strategic plans for the various strands of the NHS; feelings are running high and there’s a lot to sort out yet. But it may well be a good time to ask, just what is the ‘health economy’?
This is a very particular notion, and possibly not a very helpful one. In the U.K. at least it seems mostly to refer the range of business and economic activities which fall within the scope of government-led medical attention. Nonetheless, it is by no means as easy as one might imagine to find a definition of what the health economy actually is, as opposed to simply references to it in the contexts of other health-related activity. ‘Health professions’, ‘health care’ or ‘health economics’, yes, there are many formal references and links; but ‘health economy’…. if you know of a good weblink or text book, please tell us!
A constraining concept
Perhaps it’s time to stop using this term at all. With the newer ways of delivering health care (even though this is still more likely to be ‘illness and medical care’, rather than ‘well-being and health promotion care’) the interface between different types of providers is becoming more blurred. The intention of the NHS to provide essential care free at the point of delivery remains, whoever is giving it, but the economic links are of necessity becoming far more complex.
New opportunities
There are many ways in which a more fluid concept of health-related activity might widen the scope for responsive delivery. We don’t hear about the ‘education economy’, ‘arts economy’ or ‘science economy’ as every day notions; they’re all part of, for instance, a much bigger knowledge economy. Perhaps less talk of the ‘health economy’ will open up more visible opportunities for local social enterprise and business engagement in flexible and client-responsive health care provision; and that in turn may perhaps also help local investment and regeneration in a much broader way.

What To Do At Any Age ~ Be Happy

Life is not a rehearsal. We all want to get it right, though that’s much harder to do than say. Future postings on this website will look at some life-stage-specific ideas for ‘what to do’. But this is a list of ideas about how to be as happy as you can, whatever your age and situation. I hope they’re useful.
Here are the ideas so far, to be tried every day. I’d like to think they apply just as much whether you’re just beginning life’s journey, or are well into that adventure…….
Start the day positively: smile!
No-one can feel good all the time, but most of us, most of the time, could try harder than we do to achieve this. Would it do any harm to think, as we awake, ‘Today I will smile and be pleasant whenever I can’?
Who knows? Those sentiments might even be reciprocated – a win-win if ever there was one.
Perform random acts of kindness
There’s a whole movement, started by Danny Wallace, dedicated to the performance of Random Acts of Kindness – and it’s a great idea. Whoever and wherever you are, there’s almost sure to be an opportunity at some point in the day to perform a random quiet act of kindness, however small, just to help someone along – even if they’ll never know who did it.
Being kind to others is also being kind to yourself. And kindness might become contagious.
Be eco-friendly
The planet isn’t ours to waste, however old, young, wealthy or not we may be. We all need to do what we can to achieve a sustainable environment. Our daily routines, what we eat, how we travel, and many other things; all are part of the equation.
An eco-‘can-do’ approach is a necessary part of everyone’s life. No ifs or buts, we need to be eco-conscious, every day. It goes with actively noticing what’s around us. How carbon-neutral, in friendly co-operation with others, can you become?
Try ‘No-TV’ days
This is a little time-luxury just for you as a person.
Do you really need to ‘watch the box’ every day? Are there occasions when talking and sharing with others are more important? Or how about some quality time on your own – a good book, music, indulging in an interest or hobby, even just sitting in the garden or park?
Maybe you could rotate ‘No TV Day’ across the week, or perhaps just make it a daily hour or two? You might be surprised by all the other positive and pleasant things you could do or experience instead.
Stay off the cynicism
Cynicism is very easy. We sometimes assume that people are only in things for their own good; perhaps we ascribe motives which may or may not be fair. And maybe we criticise when silence or support might be a better way forward.
In taking the cynic’s view, we seemingly protect ourselves from the responsibility to have a personal opinion. Is this helpful?
By all means be cautious; but please don’t be cynical. It’s corrosive and it gets us nowhere.
Use that pedometer
Nine or ninety, we need exercise to keep mind and body functioning well.
So, if you possibly can, get a pedometer and use it. The idea is to see, from whatever starting point, how much more you can clock up each day on your ‘pedometer count’.
Enjoy the fresh air as you walk wherever you can. Appreciate the changing views and the people around you. Let your walking be an adventure for body and soul.
Make a daily ‘went-right’ list
And finally… you aimed to start the day positively, now try to finish it in similar style.
Of course everyone needs to learn intelligently from mistakes (who doesn’t make some?), but as you get to the end of each day, ask what actually went right that day.
This used to be called ‘counting your blessings’. Maybe that sounds quaint to modern ears, but there is always good reason to remind ourselves how much is positive in our lives. Not everyone can be wealthy or fantastically fit; nonetheless very few of us, in the modern western world at least, have nothing to appreciate or be thankful for.

But your daily ‘what went-right’ list is more actively positive than simply counting blessings, important though this is. It’s about the things you and yours accomplished and achieved in that twenty four hours, and how you contributed to your own and others’ well-being – which is a good note on which to finish any day.
And devise your own ‘happy list’
These ideas are just a start. You know what would add most to your personal day, and you’d really like to do. So make your own list of daily positives.
There’s only one ‘rule’ – your list should be constructive, happy, do-able and, at no point, include the word ‘not’. Discover for yourself the power of being gently positive. Do make it a habit.

Read the discussion of this article which follows the book E-store…

Read the rest of this entry