Browsing by Author "Baggott, Rob"

Now showing 1 - 20 of 33
  • No Thumbnail Available
    ItemMetadata only
    A benchmark too far: findings from a national survey of surgical site infection surveillance
    (Elsevier, 2013) Tanner, Judith; Padley, Wendy; Kiernan, Martin; Leaper, David; Norrie, Peter; Baggott, Rob
    Background The national surgical site infection (SSI) surveillance service in England collates and publishes SSI rates that are used for benchmarking and to identify the prevalence of SSIs. However, research studies using high-quality SSI surveillance report rates that are much higher than those published by the national surveillance service. This variance questions the validity of data collected through the national service. Aim To audit SSI definitions and data collection methods used by hospital trusts in England. Method All 156 hospital trusts in England were sent questionnaires that focused on aspects of SSI definitions and data collection methods. Findings Completed questionnaires were received from 106 hospital trusts. There were considerable differences in data collection methods and data quality that caused wide variation in reported SSI rates. For example, the SSI rate for knee replacement surgery was 4.1% for trusts that used high-quality postdischarge surveillance (PDS) and 1.5% for trusts that used low-quality PDS. Contrary to national protocols and definitions, 10% of trusts did not provide data on superficial infections, 15% of trusts did not use the recommended SSI definition, and 8% of trusts used inpatient data alone. Thirty trusts did not submit a complete set of their data to the national surveillance service. Unsubmitted data included non-mandatory data, PDS data and continuous data. Conclusion The national surveillance service underestimates the prevalence of SSIs and is not appropriate for benchmarking. Hospitals that conduct high-quality SSI surveillance will be penalized within the current surveillance service.
  • No Thumbnail Available
    ItemMetadata only
  • Thumbnail Image
    ItemOpen Access
    Care and the Vote
    (Political Studies Association, 2016-03-21) Thompson, Ed; Kaur, Ramanjeet; Baggott, Rob; Scullion, Jane
    The right to vote is seen as a pillar of modern democracies and a component of a ‘good life’ of social participation. In the UK that right is extended to all adults unless they have been convicted of an offence in perverting democracy or are a prisoner. However it is possible that other barriers exist to prevent people from voting. This pilot research has investigated how democratic rights have been exercised by those in residential and nursing care – homes in Leicester and Leicestershire serve as a population. Citizens in such institutions often suffer from conditions which may affect their mental capacity, as well as making them particularly vulnerable to political decisions and policy changes. Following the 2015 general election each of the homes (n=272) was invited to take part in a telephone survey: 122 (45%) responded. Initial results suggest a significant difference in turnout exists between the population of care and nursing homes in comparison to the population average. Despite mental capacity having no bearing on voting rights, results from the survey indicate that many homes have considered residents’ capacity before allowing them to vote. Other possible barriers are discussed. The findings present significant avenues for future research. Firstly, there is a need for larger studies toward nationally representative figures. Secondly, it raises policy questions about how those in care in the UK are, or can be, enabled to vote. Finally, it has revealed that methods used for capacity testing in care and nursing homes are often improvised with little or no legal or medical foundation.
  • No Thumbnail Available
    ItemMetadata only
  • No Thumbnail Available
    ItemMetadata only
    English hospitals under report SSIs
    (BMJ, 2013) Tanner, Judith; Padley, Wendy; Kiernan, Martin; Leaper, David; Baggott, Rob; Norrie, Peter
    We thank Lamagini and colleagues for their interest in our paper. These authors from the HPA claim that we are misinformed and lacking in understanding. Yet, our criticisms are the same as those expressed by the Public Accounts Committee and the DH Advisory Committee on HCAIs. Even the European Centers for Disease Control says the English SSI surveillance system ‘lags’ behind the rest of Europe. The SSI surveillance data published by the HPA does not include post discharge surveillance (save for readmission data in the mandatory scheme) which account up to 80% of SSIs. This results in the ‘true’ scale of SSIs being hugely under reported. As length of stay after surgery continues to fall this becomes ever more important. An SSI surveillance system which does not include post discharge surveillance is akin to describing the size of iceberg by measuring only the part seen above the water.
  • No Thumbnail Available
    ItemOpen Access
    Enticing case study or celebrated anomaly? Policy learning from the Cuban health system
    (2017-09-06) Baggott, Rob; Lambie, George
    Abstract Cuba is regarded as having achieved very good health outcomes for its level of economic development. It has adopted policies and programmes that focus on prevention, universal access to healthcare, a strong primary care system, the integration of health in all policies, and public participation in health. It has also established a strong and accessible system of medical education and provides substantial medical aid and support to other countries. Why then, it may be asked, has the Cuban experience not had greater influence on health policies and reforms elsewhere? This article, based on a literature review and new primary sources, analyses various factors highlighted in the policy transfer literature in order to explain this. It also notes other factors that have created greater awareness of Cuban health achievements in some countries and which provide a basis for learning lessons from its policies.
  • No Thumbnail Available
    ItemMetadata only
  • No Thumbnail Available
    ItemOpen Access
    Hard currency, solidarity and soft power? The motives, implications and lessons of Cuban Health Internationalism
    (Sage, 2018-10-11) Baggott, Rob; Lambie, George
    This article explores Cuba’s health assistance and support for other countries. It explores the rationale and motivations for Cuba’s internationalism in health. It then details the various aspects of its health interventions, including emergency relief, strengthening of health systems, treatment programs, training of health professionals, engagement in multilateral cooperation, and biotechnology. The article analyzes the benefits of Cuba’s health internationalism for Cuba and for others. It also explores potential adverse consequences and criticisms of Cuba’s approach. The article concludes by noting that Cuba has been ahead of the game in integrating foreign policy and health policy and that its experience may hold lessons for other countries seeking to develop global health strategies.
  • No Thumbnail Available
    ItemMetadata only
    Health and health care in Britain
    (Palgrave Macmillan, 2004) Baggott, Rob
  • No Thumbnail Available
    ItemMetadata only
    Health consumer and patients' organizations in Europe: towards a comparative analysis
    (Blackwell, 2008-03) Baggott, Rob; Forster, Rudolf
  • No Thumbnail Available
    ItemMetadata only
    Health consumer groups and the national policy process
    (Routledge, 2002) Allsop, Judith; Baggott, Rob; Jones, Kathryn L.
  • No Thumbnail Available
    ItemMetadata only
    Health consumer groups in the UK: a new social movement?
    (Blackwell, 2004-09-01) Allsop, Judith; Jones, Kathryn L.; Baggott, Rob
  • No Thumbnail Available
    ItemMetadata only
    Health Consumer Groups in the UK: Progress or Stagnation?
    (Edward Elgar, 2011) Baggott, Rob; Jones, Kathryn L.
  • No Thumbnail Available
    ItemMetadata only
    Health Policy and the Coalition Government
    (Policy Press, 2016-04) Baggott, Rob
    The chapter explores the development of health policy under the Coalition Government in England between 2010-15. It examines the legacy of New Labour's policies. It focuses on the processes of policy development and in particular on conflict and consensus between the Coalition partners. It also examines the record of the Coalition and its key reforms.
  • No Thumbnail Available
    ItemMetadata only
    Health, lifestyle, belief and knowledge differences between two ethnic groups with specific reference to tobacco, diet and physical activity.
    (Blackwell, 2012) Anthony, Denis Martin; Baggott, Rob; Tanner, Judith; Jones, Kathryn L.; Evans, Hala; Perkins, G.; Palmer, H.
  • No Thumbnail Available
    ItemMetadata only
    Healthcare
    (Wiley-Blackwell, 2012) Baggott, Rob
  • No Thumbnail Available
    ItemMetadata only
    Healthcare
    (Blackwell, 2008) Baggott, Rob
  • No Thumbnail Available
    ItemMetadata only
    The impact of overcrowding on health and education
    (Office of the Deputy Prime Minister Publications, 2004-05-01) Baggott, Rob; Brown, Tim J.; Hunt, R.; Jones, Kathryn L.
  • No Thumbnail Available
    ItemMetadata only
    Influencing the national policy process: the role of health consumer groups
    (2004-03-01) Jones, Kathryn L.; Baggott, Rob; Allsop, Judith
  • No Thumbnail Available
    ItemMetadata only
    A modern approach to an old problem? Alcohol policy and New Labour.
    (Policy Press, 2010-01) Baggott, Rob