Funding Cuts Research Articles

'Playing the game': Contemporary landscapes of alcohol policy and faith-based service-users everyday lives.

Against a backdrop of faith-based alcohol treatment 'filling the gaps' left by long term restructuring of service provision, funding cuts and marketisation of health and social care this paper makes connections between critical geographies of alcohol policy and service-users everyday lives in England and Wales. Presenting ethnographic research I highlight strategies, practices and performances - 'playing the game'- as service users navigate the multi-scalar impacts of 'austerity' policies, rollback neoliberal governance and 'recovery citizenship' focused on notions of vulnerablity, responsibilisation and 'underclass' behavioural politics. More specifically, the study foregrounds 'fitting in'; 'faking it'; 'conspiracy theories'; and/or 'spiritual journeys' to evidence service-users complex and sophisticated knowledges and experiences of contemporary landscapes of alcohol policy and treatment regimes. The conclusion signposts future directions for research.

It is time to stop blaming the pandemic.

What is known about the topic? Avoidable adverse events are often being attributed to health workforce shortages associated with the coronavirus disease 2019 (COVID-19) pandemic and government funding cuts. What does this paper add? Health workforce shortages were predicted well before the COVID-19 pandemic. What are the implications for practitioners? Senior executives and leaders should unitedly take action to influence change in funding and models of care.

Community pharmacies see £790m real-terms funding cut over five years, government figures reveal

Community pharmacies in England have seen a real-terms funding cut of £790m over the past five years, owing to increases in inflation, government figures have shown. In 2019, the government agreed to spend £2.592bn on the sector in each of the five financial years covered by the the ‘Community Pharmacy Contractual Framework for 2019/20 to […]

Impact of Community of Practice (COPs) on Inter-University Research Partnerships and Socio-Collaborative Culture in Balochistan

Foundations of Higher Education (HE), public and private, are going through a critical state while going through subsidizing or funding cuts, educational cost increments, and layoffs. An all-encompassing methodology is fundamental whereby greatness in instructing and learning just as research examination ought to be a definitive point of the objective. Among the different approaches to accomplish this is the advancement of communities of practices (CoPs) among the scholastic academics. In this manner, CoPs are to be viewed as an extension of any program to accomplish excellence because it is the sharing of the tacit knowledge that impacts any association in its interest for a competitive advantage. This research examination presents that CoPs positively influence creating academic linkages/collisions with different other universities of the region for knowledge-sharing. It explains the overall impact of CoPs on building collisions among universities. The explorative research study follows a mixed-method approach with qualitative and quantitative research design. However, the research examination concludes that CoP impacts the cycle of knowledge sharing by creating and overseeing linkages among universities to advance explorative research culture and innovation. In light of the findings, the research investigation suggests further skylines for comparative exploratory research relating to the transfer of knowledge and barriers in knowledge sharing for CoPs inside institutions and organizations.

Effects of Covid-19 Related Government Budget Shortfall on Funding and Provision of Essential Public Services

This study investigates COVID-19 related budget revenue losses in US local governments, and their effects on funding and provision of essential public services such as EMS, healthcare, firefighters, police, welfare and public housing services. A survey was sent to county and city governments to learn about their revenue losses for fiscal year 2020 and their effects on funding and service provision. Results show budget revenue loss significantly impacts funding cuts for essential services and is most impactful on welfare and public housing services. Additionally, although funding cuts significantly influence levels of services provided, aid from federal government restrains the extent of funding cuts and the influence of cuts on EMS and healthcare. The findings imply intergovernmental transfers play a pivotal role in averting deep cuts that could be detrimental to saving lives during a crisis. Furthermore, funding availability is key to maintaining appropriate levels of services to help care for the sick and protect the vulnerable in society.

Public Purpose in the Evolution of American Higher Education

Public Purpose in the Evolution of American Higher Education

A Disparity in COVID Numbers: Simulation of Trump v. Obama

Previous studies of excess deaths and infections have come out about the coronavirus during President Donald J. Trump’s administration. With President Trump’s inactions, funding cuts, and statements underestimating the impact of COVID, there have been criticisms about how President Trump handled the coronavirus throughout his presidential term. It brings about the question -- What would the case number of COVID deaths and infections be like if President Barack H. Obama, the prior president, was in office? This study uses an open source Python simulation in order to estimate the number of COVID deaths and infections estimated under Trump and Obama’s administration. By doing a case study between the two, these results provide information regarding the number of lives that could potentially have been saved along with potential insight into finding preventative measures to save lives.

'It's not just about the dinner; it's about everything else that we do': A qualitative study exploring how Meals on Wheels meet the needs of self-isolating adults during COVID-19.

Meals on Wheels (MoWs), a service offered by local authorities in England, deliver meals to older, housebound and/or vulnerable adults, who might otherwise not be able to acquire and prepare their own meals. Research suggests that MoWs provide benefits beyond nutrition. Little is known about the actual interactions between service providers and clients, particularly during the COVID‐19 pandemic. The aim of this small‐scale, formative study was to explore MoWs service providers’ experiences and their perceptions around the benefits and challenges faced by the service, and understand how these experiences changed during the first UK national lockdown. Semi‐structured interviews were conducted in September 2020 with 18 service providers of MoWs (drivers who deliver the meals, service coordinators and managers) in two local authorities in England, and analysed thematically. Participants indicated that benefits of the service encompassed those to clients (e.g. welfare checks, encouraging independence and identifying and addressing isolation and loneliness), employees (e.g. sense of pride, rewarding relationships with clients) and the wider community (e.g. reducing pressures on families), and described MoWs as the ‘fourth emergency service’ (e.g. being the first responders to emergency situations). Participants identified several challenges faced by the MoWs service, including organisational challenges (e.g. funding cuts and closures, lack of appropriate publicity to raise awareness of the service) and restrictions on time spent with clients. The pandemic and lockdown resulted in increased demand on resources, concerns about client and staff wellbeing and uncertainty about how the service will cope if lockdowns continue. These findings provide important insights regarding the wide benefits of MoWs and the challenges the service faces, which can be used as the formative research base to guide future interventions and policies to protect vulnerable adults, not only during the COVID‐19 pandemic, but beyond.

Urban Policy in Times of Crisis: The Policy Capacity of European Cities and the Role of Multi-Level Governance

This article investigates how the policy capacity of urban governments in Europe to deal with the social challenges caused by the 2008-2009 financial crisis, has been strongly shaped by the institutional multi-level governance (MLG) settings in which cities were embedded. We consider the financial crisis as an important ‘stress test’ for urban policy. Urban governments faced a highly complex, trilemmatic situation: they faced not only growing social and economic problems at the local level, but also a process of devolution of institutional responsibility from central to local governments, and important cuts in central funding. Our analysis is based on an empirical investigation carried out between 2009 and 2016 in six major European cities: Barcelona, Copenhagen, Lyon, Manchester, Milan, and Munich. What clearly emerges from the research is that European cities may still show a certain capacity to innovate and govern economic changes and social challenges only if supported by an enabling MLG system.

Model organism databases are in jeopardy.

Model organism databases are in jeopardy.

Bright and blind spots of water research in Latin America and the Caribbean

Abstract. Water resources management in Latin America and the Caribbean is particularly threatened by climatic, economic, and political pressures. To assess the region's ability to manage water resources, we conducted an unprecedented literature review of over 20 000 multilingual research articles using machine learning and an understanding of the socio-hydrologic landscape. Results reveal that the region's vulnerability to water-related stresses, and drivers such as climate change, is compounded by research blind spots in niche topics (reservoirs and risk assessment) and subregions (Caribbean nations), as well as by its reliance on an individual country (Brazil). A regional bright spot, Brazil, produces well-rounded water-related research, but its regional dominance suggests that funding cuts there would impede scientifically informed water management in the entire region.

From Government Funding to Crowdfunding: Identifying Approaches and Models for Universities

Malaysian public universities are bracing for funding cuts and moving towards autonomous status causing them to be more innovative in generating income. Crowdfunding has been part of the solutions. Unfortunately, the emerging of university crowdfunding platforms in Malaysia is relatively slow as compared to the universities in the U.K. and U.S. This study aims to explore approaches and crowdfunding models used by the universities. This study highlights different approaches used by the universities in incorporating crowdfunding into their funding strategies, which can be differentiated into two main groups, namely setting up a university-operated crowdfunding platform and using existing third-party platforms. The investigation on the Skolafund crowdfunding shows that it could be an example of which the crowdfunding model fits Malaysian universities. The findings in this paper can help the universities to ease the burden due to the budget cut impact by utilising crowdfunding.

What do senior genitourinary medicine physicians think of the future of the speciality? A national survey.

Genitourinary Medicine (GUM) is a specialty that has undergone significant change over the past decade. Multiple factors have contributed to this including changes in service models and commissioning landscapes, health service leadership, medical education and changes in the spectrum of our clinical work. The Joint Specialist Committee for GUM at the Royal College of Physicians (RCP) conducted a national survey in December 2019 - January 2020 to understand the changing scope of work for GUM consultants. The survey indicated an increase in clinical complexity alongside a decline in registrar recruitment, staff shortages and service fragmentation. Funding cuts have impacted many services and the majority of consultants feel a return to an NHS commissioning model would be preferable. Despite the many challenges, GUM physicians consider the specialty 'unique, dynamic, friendly and open-minded'. It is clear that senior doctors value the wider clinical, academic and educational opportunities within the specialty.

Impact of COVID-19 on Pancreatic Cancer Research and the Path Forward

The severe acute respiratory syndrome coronavirus-2 and related coronavirus disease 2019 (COVID-19) pandemic have deleteriously affected cancer research worldwide, including basic, translational, and clinical fields, because of prolonged shut-down of research laboratories consequent to lockdown restrictions, curtailment of researchers’ laboratory access, decreased availability of patient samples, and clinical trial disruptions.1–5 In addition, cuts in funding are significantly contributing to the impact and are threatening the viability of cancer research as a whole.

Local government funding and life expectancy in England: a longitudinal ecological study

SummaryBackgroundSince 2010, large reductions in funding for local government services have been introduced in England. These reductions in funding have potentially led to reduced provision of health-promoting public services. We aimed to investigate whether areas that showed a greater decline in funding also had more adverse trends in life expectancy and premature mortality.MethodsIn this longitudinal ecological study, we linked annual data from the Ministry of Housing, Communities, and Local Government on local government revenue expenditure and financing to 147 upper-tier local authorities in England between 2013 and 2017 with data from Public Health England, on male and female life expectancy at birth, male and female life expectancy at age 65 years, and premature (younger than 75 years) all-cause mortality rate for male and female individuals. Local authorities were excluded if their populations were too small or if changes in boundaries meant consistent data were not available. Using multivariable fixed-effects panel regression models, and controlling for local socioeconomic conditions, we estimated whether changes in local funding from 2013 were associated with changes in life expectancy and premature mortality. We included a set of alternative model specifications to test the robustness of our findings.FindingsBetween 2013 and 2017, mean per-capita central funding to local governments decreased by 33% or £168 per person (range –£385 to £1). Each £100 reduction in annual per person funding was associated over the study period 2013–17 with an average decrease in life expectancy at birth of 1·3 months (95% CI 0·7–1·9) for male individuals and 1·2 months (0·7–1·7) for female individuals; for life expectancy at age 65 years, the results show a decrease of 0·8 months (0·3–1·3) for male individuals and 1·1 months (0·7–1·5) for female individuals. Funding reductions were greater in more deprived areas and these areas had the worst changes in life expectancy. We estimated that cuts in funding were associated with an increase in the gap in life expectancy between the most and least deprived quintiles by 3% for men and 4% for women. Overall reductions in funding during this period were associated with an additional 9600 deaths in people younger than 75 years in England (3800–15 400), an increase of 1·25%.InterpretationOur findings indicate that cuts in funding for local government might in part explain adverse trends in life expectancy. Given that more deprived areas showed greater reductions in funding, our analysis suggests that inequalities have widened. Since the pandemic, strategies to address these adverse trends in life expectancy and reduce health inequalities could prioritise reinvestment in funding for local government services, particularly within the most deprived areas of England.FundingNational Institute for Health Research (NIHR) School for Public Health Research, NIHR Applied Research Collaboration North East and North Cumbria, NIHR Applied Research Collaboration North West Coast and Medical Research Council.

Cuts to local government funding and stalling life expectancy

Cuts to local government funding and stalling life expectancy

Improving Social-Emotional and Life Skills of Young People with Complex Additional Needs Through ‘Outward Bound’ Residential Trips

ABSTRACT Among the estimated 800,000 children in the United Kingdom with disability, challenges include lack of access to leisureactivities, opportunities for independent development and social contact. Short breaks and residential trips (RTs) provide positive experiences, and help improve mental and physical wellbeing. However, evaluations involving young people (YP) with disabilities are lacking. We aimed to understand the value and outcomes of a RT, from the perspective of YP, their parents, and staff. YP with disabilities (N = 35) aged 12–17 years, attended outdooractivity based RTs in 2019 provided by Sparkle (South Wales) Ltd. A mixed methods approach was used for data collection; YP attended focus groups (N = 13), and parents (N = 21) and staff (N = 5) completed feedback questionnaires. The data was double coded and analysed thematically. In addition to enjoyment, interview data suggests the participants felt that the YP’s emotional and social wellbeing improved. There were reported improvements in confidence, increased incidences of social communication behaviour, resilience and self-care. RTs have the potential to make a significant impact on YP and their families, and their role is an important consideration in the context of local authority funding cuts, and barriers to accessing short breaks.

Tough Choices: New Jersey Schools during the Great Recession and Beyond

This study examines the medium-term effects of the Great Recession on school finances in New Jersey using detailed school district panel data and an interrupted time series analysis. The authors find that the recession led to sharp cuts in school funding and expenditure, in spite of the federal stimulus. These cuts deepened as the stimulus abated. An analysis of variations by metropolitan area reveals that the Camden metro area, the highest poverty area reviewed, experienced considerably larger cuts in expenditures when the stimulus receded compared with other areas. The findings are important for understanding how recessions and fiscal policy affect school finances. They show particular relevance for the current pandemic-driven recession as state and local funding shortages threaten education financing despite a federal relief package. Two key implications are that funding cuts can widen inequalities in school spending and that adverse effects may deepen as the relief dissipates.

Toward a Theory of Institutions: Institutional Betrayal and Dispersions of Accountability at Johns Hopkins University

ABSTRACT To more fully understand how trauma can be inflicted by institutional betrayal, in this article I suggest that we first must ask who or what is the institution. To understand this, I analyze two recent events at Johns Hopkins University (JHU), the establishment of a university private police force and funding cuts to the Women, Gender, and Sexuality Graduate Teaching Fellowships (WGS). Paradoxically, JHU claimed it was necessary to establish a private police force because of a lack of accountability of the Baltimore Police Department; however, simultaneously JHU was unaccountable to direct JHU affiliates by ignoring their explicit disapproval of a private police force. JHU imagined themselves as accountable to an ambiguous ‘us’ beyond direct JHU affiliates and dispersed its accountability, evidenced by advocating for state legislature and making mayoral campaign donations. This lack of accountability was rearticulated in discussions about WGS cuts, when JHU embraced a rhetoric of the market to substantiate their claims and evade the questions of direct JHU affiliates. These cases show how articulations of who the institution imagines itself as accountable to are dynamically mutating, yet build upon precedents that set the conditions of possibility for how trauma is produced and mediated. I conclude by suggesting that it is important to move beyond a monolithic conception of the institution, and to be attuned to how dispersions of institutional accountability create new terrains where institutional contestation take place as well as the institution's strategic rupturing of the concept of the institutional citizen.

The Privatization of the Italian National Health System and its Impact on Health Emergency Preparedness and Response: The COVID-19 Case.

Hospitals play a critical role in providing essential care during emergencies; however, this essential care can overwhelm the functional capacity of health systems. In Italy, substantial cuts in funding have drastically reduced the resources of the National Health Service (NHS) and contributed to the expansion of the private health sector which, unlike the public health system, does not have the capacity to deal with a health emergency such as coronavirus disease 2019 (COVID-19). The purpose of this article is to show how the privatization of the NHS contributed to making Italy more vulnerable and unprepared to tackle the COVID-19 pandemic. The available capacity and resources in the public and private emergency services systems in Italy are compared, including a focus on the numbers of hospital staff, hospitals, and hospital beds. The reduced funding and subsequent shortfalls in services in the NHS are reasons why extreme measures were needed to increase these resources during the COVID-19 pandemic. A public NHS in Italy would be better prepared for future health emergencies. The lessons learned from the COVID-19 pandemic can help to inform future health systems strategies, to halt the current financial decline and performance loss of national health systems, and to enable better preparation for future health emergencies.