BACKGROUND It is commony claimed that changing the culture of health organisations is a fundamental prerequisite for improving the National Health Service (NHS). Little is currently known about the nature or importance of culture and cultural change in primary care groups and trusts (PCG/Ts) or their constituent general practices. AIMS To investigate the importance of culture and cultural cha...

INTRODUCTION Why is recording ethnicity important? The Race Relations Act of 1968 required all public bodies to consider the race equality implications in all policies. Since then, the official collection of ethnic group statistics has been mandated as an essential first step towards identifying and addressing ethnic inequalities. Capturing ethnic group information in routine health records is ...

This paper analyses academic change in higher education internationally but mainly in Europe. It examines one College in Ireland as it faces major change and examines whether best practice change that has been successful elsewhere might be appropriate in this particular setting, with it’s own culture and history. Research is ongoing, using qualitative inquiry and fourth generation evaluation wh...

OBJECTIVES To explore the potential tension between the need for managers to produce measurable change and the skills required to produce cultural change, and to investigate how managers of primary care trusts are attempting to deal with this tension. DESIGN Qualitative case studies using data derived from semistructured interviews and a review of published documents. An established cultural ...

While Bhui/Sashidharan (2003) raise important questions in the debate on whether there should be separate psychiatric services for ethnic minorities in the UK, a cross-national comparative perspective can shed light on alternative models, which could valuably inform British debate (Kirmayer & Minas, 2000). For example, a substantial research literature has arisen in Australia regarding the impo...

While Bhui/Sashidharan (2003) raise important questions in the debate on whether there should be separate psychiatric services for ethnic minorities in the UK, a cross-national comparative perspective can shed light on alternative models, which could valuably inform British debate (Kirmayer & Minas, 2000). For example, a substantial research literature has arisen in Australia regarding the impo...