Summary: This study examines the early impact on care coordinators&... more Summary: This study examines the early impact on care coordinators'(care managers') work activity patterns of implementing the current personalization agenda within English local authorities. The Individual Budget (IB) pilots operated between 2005 and 2007 and ...
ABSTRACT Social workers in adult social care are at particular risk of job-related stress, althou... more ABSTRACT Social workers in adult social care are at particular risk of job-related stress, although the contribution of different organisational and policy changes to this phenomenon is subject to debate. This paper explores a theoretical framework from the occupational psychology literature (the Job Demand/Control Model) to identify the characteristics of those most at risk of stress, in a sample of 249 social workers and other care managers working in English adult social services from the Individual Budget (IB) pilots. It finds that it is the particular combination of high work pressures, with a lack of control over decision making and resources needed to do the work, that are detrimental to job satisfaction. The study also finds that staff involved in delivering IBs were over twice as likely to be at risk of stress compared to those without any IB holders on their caseload. In-depth interviews with forty-eight care managers identified widespread complaints of additional pressures relating to IBs, but also the possibility that these may lessen as the policy evolves. The paper concludes that the Job Demand/Control Model is a helpful framework for evaluating the job-related impact of social work changes, particularly when part of a multi-methods approach.
... Manthorpe, Jill and Stevens, Martin and Challis, David and Netten, Ann and Glendinning, Carol... more ... Manthorpe, Jill and Stevens, Martin and Challis, David and Netten, Ann and Glendinning, Caroline and Knapp, Martin and Wilberforce, Mark and Jacobs, Sally and Jones, Karen and Moran, Nicola and Fernandez, Jose-Luis (2008) Individual budget projects come under the ...
ABSTRACT Individual or personal budgets are part of a growing international trend to encourage gr... more ABSTRACT Individual or personal budgets are part of a growing international trend to encourage greater choice and control over social care services at a time of financial austerity. The authors' evaluation of individual budgets found that levels of allocated resources reflected a range of factors, including informal or carer support and disability levels. Furthermore, individual budgets were found to be cost-neutral compared with conventional social care delivery.
Journal of Health Organization and Management, 2011
The aim of this paper is to report on the findings of a systematic literature review-seeking to e... more The aim of this paper is to report on the findings of a systematic literature review-seeking to elicit existing evidence of the nature of organisational culture in community pharmacy organisations. This review takes a novel approach to systematically identifying and synthesising the peer-reviewed research literature pertaining to organisational culture in this setting, its antecedents and outcomes. The review provides an overview of the scope of and research methods used in the identified literature, together with a narrative synthesis of its findings, framed within five dimensions of organisational culture: the professional-business role dichotomy; workload, management style, social support and autonomy; professional culture; attitudes to change and innovation; and entrepreneurial orientation. There is a need for more detailed and holistic exploration of organisational culture in community pharmacy, using a greater diversity of research methods and a greater focus on patient-related outcomes. This paper demonstrates that, whilst little research has explicitly investigated organisational culture in this context, there exists a range of evidence describing aspects of that culture, some of the environmental and organisational factors helping to shape it, and its impact on the pharmacy workforce, services delivered and business outcomes. It highlights the importance of the business-professional role dichotomy in community pharmacy; the influence of individual pharmacists' characteristics and organisational setting; and the impact on pharmacists' wellbeing and job satisfaction and the services delivered. It provides less evidence of the impact of organisational culture on the quality and safety of service provision.
The impact of personal budgets on social care providers: perspectives from the Individual Budget ... more The impact of personal budgets on social care providers: perspectives from the Individual Budget pilots. ... Mark Wilberforce* (1) Caroline Glendinning (2) David Challis (1) Jose-Luis Fernandez (3) Sally Jacobs (1) Karen Jones (4) Martin Knapp (3) Jill Manthorpe (5) Nicola Moran (2) ...
Background Changes in the UK community pharmacy profession including new contractual frameworks, ... more Background Changes in the UK community pharmacy profession including new contractual frameworks, expansion of services, and increasing levels of workload have prompted concerns about rising levels of workplace stress and overload. This has implications for pharmacist health and well-being and the occurrence of errors that pose a risk to patient safety. Despite these concerns being voiced in the profession, few studies have explored work stress in the community pharmacy context. Objectives To investigate work-related stress among UK community pharmacists and to explore its relationships with pharmacists’ psychological and physical well-being, and the occurrence of self-reported dispensing errors and detection of prescribing errors. Method A cross-sectional postal survey of a random sample of practising community pharmacists (n=903) used ASSET (A Shortened Stress Evaluation Tool) and questions relating to self-reported involvement in errors. Stress data were compared to general workin...
OBJECTIVES: To explore current arrangements for identifying and managing performance concerns in ... more OBJECTIVES: To explore current arrangements for identifying and managing performance concerns in community pharmacists in the UK. METHODS: Semi-structured qualitative telephone interviews were conducted with 20 senior managers from community pharmacies and locum agencies. RESULTS: A strong emphasis was placed on business performance alongside other aspects of professional performance in the identification of performance concerns in pharmacists. The majority of concerns were identified reactively, through customer complaints, peer- or self-referral, or following a dispensing error. Community pharmacies sought to manage performance concerns internally where possible, but only the larger organizations had the infrastructure to provide their own training or other remedial support. Several challenges to identifying and managing performance concerns were identified. There were few mechanisms for identifying and supporting locum pharmacists with performance issues. CONCLUSIONS: Being '...
Summary: This study examines the early impact on care coordinators&... more Summary: This study examines the early impact on care coordinators'(care managers') work activity patterns of implementing the current personalization agenda within English local authorities. The Individual Budget (IB) pilots operated between 2005 and 2007 and ...
ABSTRACT Social workers in adult social care are at particular risk of job-related stress, althou... more ABSTRACT Social workers in adult social care are at particular risk of job-related stress, although the contribution of different organisational and policy changes to this phenomenon is subject to debate. This paper explores a theoretical framework from the occupational psychology literature (the Job Demand/Control Model) to identify the characteristics of those most at risk of stress, in a sample of 249 social workers and other care managers working in English adult social services from the Individual Budget (IB) pilots. It finds that it is the particular combination of high work pressures, with a lack of control over decision making and resources needed to do the work, that are detrimental to job satisfaction. The study also finds that staff involved in delivering IBs were over twice as likely to be at risk of stress compared to those without any IB holders on their caseload. In-depth interviews with forty-eight care managers identified widespread complaints of additional pressures relating to IBs, but also the possibility that these may lessen as the policy evolves. The paper concludes that the Job Demand/Control Model is a helpful framework for evaluating the job-related impact of social work changes, particularly when part of a multi-methods approach.
... Manthorpe, Jill and Stevens, Martin and Challis, David and Netten, Ann and Glendinning, Carol... more ... Manthorpe, Jill and Stevens, Martin and Challis, David and Netten, Ann and Glendinning, Caroline and Knapp, Martin and Wilberforce, Mark and Jacobs, Sally and Jones, Karen and Moran, Nicola and Fernandez, Jose-Luis (2008) Individual budget projects come under the ...
ABSTRACT Individual or personal budgets are part of a growing international trend to encourage gr... more ABSTRACT Individual or personal budgets are part of a growing international trend to encourage greater choice and control over social care services at a time of financial austerity. The authors' evaluation of individual budgets found that levels of allocated resources reflected a range of factors, including informal or carer support and disability levels. Furthermore, individual budgets were found to be cost-neutral compared with conventional social care delivery.
Journal of Health Organization and Management, 2011
The aim of this paper is to report on the findings of a systematic literature review-seeking to e... more The aim of this paper is to report on the findings of a systematic literature review-seeking to elicit existing evidence of the nature of organisational culture in community pharmacy organisations. This review takes a novel approach to systematically identifying and synthesising the peer-reviewed research literature pertaining to organisational culture in this setting, its antecedents and outcomes. The review provides an overview of the scope of and research methods used in the identified literature, together with a narrative synthesis of its findings, framed within five dimensions of organisational culture: the professional-business role dichotomy; workload, management style, social support and autonomy; professional culture; attitudes to change and innovation; and entrepreneurial orientation. There is a need for more detailed and holistic exploration of organisational culture in community pharmacy, using a greater diversity of research methods and a greater focus on patient-related outcomes. This paper demonstrates that, whilst little research has explicitly investigated organisational culture in this context, there exists a range of evidence describing aspects of that culture, some of the environmental and organisational factors helping to shape it, and its impact on the pharmacy workforce, services delivered and business outcomes. It highlights the importance of the business-professional role dichotomy in community pharmacy; the influence of individual pharmacists' characteristics and organisational setting; and the impact on pharmacists' wellbeing and job satisfaction and the services delivered. It provides less evidence of the impact of organisational culture on the quality and safety of service provision.
The impact of personal budgets on social care providers: perspectives from the Individual Budget ... more The impact of personal budgets on social care providers: perspectives from the Individual Budget pilots. ... Mark Wilberforce* (1) Caroline Glendinning (2) David Challis (1) Jose-Luis Fernandez (3) Sally Jacobs (1) Karen Jones (4) Martin Knapp (3) Jill Manthorpe (5) Nicola Moran (2) ...
Background Changes in the UK community pharmacy profession including new contractual frameworks, ... more Background Changes in the UK community pharmacy profession including new contractual frameworks, expansion of services, and increasing levels of workload have prompted concerns about rising levels of workplace stress and overload. This has implications for pharmacist health and well-being and the occurrence of errors that pose a risk to patient safety. Despite these concerns being voiced in the profession, few studies have explored work stress in the community pharmacy context. Objectives To investigate work-related stress among UK community pharmacists and to explore its relationships with pharmacists’ psychological and physical well-being, and the occurrence of self-reported dispensing errors and detection of prescribing errors. Method A cross-sectional postal survey of a random sample of practising community pharmacists (n=903) used ASSET (A Shortened Stress Evaluation Tool) and questions relating to self-reported involvement in errors. Stress data were compared to general workin...
OBJECTIVES: To explore current arrangements for identifying and managing performance concerns in ... more OBJECTIVES: To explore current arrangements for identifying and managing performance concerns in community pharmacists in the UK. METHODS: Semi-structured qualitative telephone interviews were conducted with 20 senior managers from community pharmacies and locum agencies. RESULTS: A strong emphasis was placed on business performance alongside other aspects of professional performance in the identification of performance concerns in pharmacists. The majority of concerns were identified reactively, through customer complaints, peer- or self-referral, or following a dispensing error. Community pharmacies sought to manage performance concerns internally where possible, but only the larger organizations had the infrastructure to provide their own training or other remedial support. Several challenges to identifying and managing performance concerns were identified. There were few mechanisms for identifying and supporting locum pharmacists with performance issues. CONCLUSIONS: Being '...
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Papers by Sally Jacobs