UK Policy Makers Research Articles

The (mis)use of the Finnish teacher education model: ‘policy-based evidence-making’?

Background: International achievement studies such as the Programme for International Student Assessment (PISA) have an increasing influence on education policy worldwide. The use of such data can provide a basis for evidence-based policy-making to initiate educational reform. Finland, a high performer in PISA, is often cited as an example of both efficient and equitable education. Finland’s teachers and teacher education have not only garnered much attention for their role in the country’s PISA successes, but have also influenced education policy change in England.Main argument: This article argues that the Finnish model of teacher education has been borrowed uncritically by UK policy-makers. Finnish and English philosophies of teacher preparation differ greatly, and the borrowing of the Finnish teacher education model does not fit within the teacher training viewpoint of England. The borrowed policies, thus, were decontextualised from the wider values and underpinnings of Finnish education. This piecemeal, ‘pick “n” mix’ approach to education policy reform ignores the fact that educational policies and ‘practices exist in ecological relationships with one another and in whole ecosystems of interrelated practices’. Thus, these borrowed teacher preparation policies will not necessarily lead to the outcomes outlined by policy-makers in the reforms.Sources of evidence: Two teacher preparation reforms in England, the University Training Schools (outlined in the UK Government’s 2010 Schools White Paper, The Importance of Teaching) and the Master’s in Teaching and Learning (MTL), are used to illustrate the problematic nature of uncritical policy borrowing. This article juxtaposes these policies with the Finnish model of teacher education, a research-based programme where all candidates are required to complete a Master’s degree. The contradictions exposed from this analysis further highlight the divergent practices of teacher preparation in England and Finland, or the disparate ‘ecosystems’. Evidence of educational policy borrowing in other settings is also considered.Conclusions: Both the MTL and the White Paper reforms overlook the ‘ecosystem’ surrounding Finnish teacher education. The school-based MTL contrasts with the research-based Finnish teachers’ MA. Similarly, the University Training Schools scheme, based on Finnish university-affiliated, teaching practice schools, contrasts heavily with the rest of the White Paper reforms, which contradict the philosophies and ethos behind Finnish teacher education by proposing the move of English teacher preparation away from the universities. The analysis highlights the uncritical eye through which politicians may view international survey results, looking for ‘quick fix’ options instead of utilising academic evidence for investigation on education and education reform.

A Channel Apart: Why the United Kingdom has Departed from the European Commission’s Recommendation on Class Actions

AbstractOver the course of 2013–15, there have been significant developments in the reform of class actions in Europe. The European Commission published its Recommendation of common principles concerning collective redress in June 2013, whilst the Consumer Rights Act 2015 – which was introduced into the United Kingdom Parliament in January 2014 and obtained Royal Assent on 26 March 2015 – contains a class action for competition law infringements. Although there is some ‘common ground’ between these legislative instruments, their divergences are far more legally significant, and comprise the focus of analysis in this article. Regarding the two topics of standing to sue, and the opt-in versus opt-out approach to forming the class, the approaches of the European Commission and the UK Parliament differ markedly, reflecting the deep policy, political and judicial divisions which have manifested in this area of reform for over a decade. The legislators have also ultimately chosen different scopes of application, with the European Commission preferring a ‘horizontal’ approach to reform, whilst the UK Parliament has pursued a sector-specific reform agenda. In respect of standing to sue and the opt-in versus opt-out debate, there are numerous sound legal and political reasons that manifestly support the UK law-makers’ decision to depart from the 2013 Recommendation. However, in respect of the horizontal-versus-sectoral debate, the topsy-turvy history of reform at both European and domestic levels has resulted, ironically, in both the Commission and UK policy-makers reversing the views which each had initially adopted within the past decade. Undoubtedly, as these reform measures demonstrate, the collective redress landscape is both evolving and controversial.

Improving housing outcomes: the value of advice and support for vulnerable older people

Theories of household decision making stress the importance of access to information in informing residential choice. The difficulties in gathering and processing information on housing options, however, are compounded in later stages of life, with push factors to expensive forms of residential care assuming greater significance as individuals reach a crisis through deteriorating health and restricted physical ability. The purpose of this paper is to examine the ways in which the provision of a UK government-backed advice and support service, named FirstStop, altered the housing outcomes of a sample of vulnerable elderly individuals on the verge of a crisis and living in inappropriate housing for their needs. The paper concludes that not only can such a publicly-funded service facilitate independent living for longer; it may also delay or prevent the need for more expensive institutional care which is costly to both individuals and public finances. As this initiative is the first of its kind internationally, evaluating its benefits not only informs UK policy makers but also those in other countries considering replicating such a service.

Building a green economy? Sustainability transitions in the UK building sector

This paper explores the interest by policy makers to encourage and develop a green economy, with a particular focus on UK government attempts to engender a shift in the mainstream building and construction sector towards adopting green building methods and techniques. The building sector has been the focus of endeavours to engender a shift towards greener ways of working and building, due to its high contribution to greenhouse gas emissions and associated concerns over enhanced global warming and climate change. The paper outlines the recent development of national UK policy on green building as exemplified in legislation for the Code for Sustainable Homes and in Building Regulations. These have given rise to a particular set of responses to green building requirements that favour technological solutions that can readily be accommodated by the existing system. In critiquing these developments we draw upon socio-technical sustainability transitions research, one strand of which has focused on the ways in which niche developments can challenge and disrupt existing regimes of practice. We do this empirically through our research into the green building sector which has involved in-depth interviews with a range of actors from the UK green building sector, including architects, building companies, materials suppliers and policy makers. Respondents from within the green building niche are critical of current UK legislation, and argue that its narrow conceptualisation fails to adequately encourage, or recognise, what they would consider to be green building forms that will contribute to substantial reductions in carbon emissions, nor does it respect locally appropriate building methods.

Uncertainties in future energy demand in UK residential heating

Fossil fuels are the main source of space heating in the UK, and therefore climate mitigation implies a systemic change in space heating systems. The challenge is difficult because of an inefficient building stock and high penetration of natural gas. We present new quantified scenarios for residential energy use in the UK to 2050. With minimal policy intervention the UK will remain locked into a gas based heating system, which would conflict with the policy goal of decarbonisation. However, there is a range of scenarios in which this is avoided. A system heavily reliant on heat pumps powered by low carbon electricity is UK policy makers' currently preferred alternative. We conclude that some shift in this direction is likely to be required, but complete reliance on this solution raises a number of problems. Greater use of energy efficiency and biomass can also play a significant role. These options have different risks, but a more diversified strategy would be more prudent. We conclude that the future of UK residential space heating is very uncertain, but meeting low carbon heating goals is better conceptualised as reducing reliance on gas rather than necessarily mass electrification. Our analysis has implications for any country with high use of fossil fuels in space heating and ambitious decarbonisation goals.

Prescription opioid misuse in the United States and the United Kingdom: Cautionary lessons

In the United States, opioid analgesics have increasingly been prescribed in the treatment of chronic pain, and this trend has accompanied increasing rates of misuse and overdose. Lawmakers have responded with myriad policies to curb the growing epidemic of opioid misuse, and a global alarm has been sounded among countries wishing to avoid this path. In the United Kingdom, a similar trend of increasing opioid consumption, albeit at lower levels, has been observed without an increase in reported misuse or drug-related deaths. The comparison between these two countries in opioid prescribing and opioid overdose mortality underscores important features of prescribing, culture, and health systems that may be permissive or protective in the development of a public health crisis. As access to opioid medications increases around the world, it becomes vitally important to understand the forces impacting opioid use and misuse. Trends in benzodiazepine and methadone use in the UK as well as structural elements of the National Health Service may serve to buffer opioid-related harms in the face of increasing prescriptions. In addition, the availability and price of heroin, as well as the ease of access to opioid agonist treatment in the UK may limit the growth of the illicit market for prescription opioids. The comparison between the US and the UK in opioid consumption and overdose rates should serve as a call to action for UK physicians and policymakers. Basic, proactive steps in the form of surveillance – of overdoses, marketing practices, prescribers, and patients – and education programs may help avert a public health crisis as opioid prescriptions increase.

A qualitative study identifying the cost categories associated with electronic health record implementation in the UK

We conducted a prospective evaluation of different forms of electronic health record (EHR) systems to better understand the costs incurred during implementation and the factors that can influence these costs. We selected a range of diverse organizations across three different geographical areas in England that were at different stages of implementing three centrally procured applications, that is, iSOFT's Lorenzo Regional Care, Cerner's Millennium, and CSE's RiO. 41 semi-structured interviews were conducted with hospital staff, members of the implementation team, and those involved in the implementation at a national level. Four main overarching cost categories were identified: infrastructure (eg, hardware and software), personnel (eg, training team), estates/facilities (eg, space), and other (eg, training materials). Many factors were felt to impact on these costs, with different hospitals choosing varying amounts and types of infrastructure, diverse training approaches for staff, and different software applications to integrate with the new system. Improving the quality and safety of patient care through EHR adoption is a priority area for UK and US governments and policy makers worldwide. With cost considered one of the most significant barriers, it is important for hospitals and governments to be clear from the outset of the major cost categories involved and the factors that may impact on these costs. Failure to adequately train staff or to follow key steps in implementation has preceded many of the failures in this domain, which can create new safety hazards.

Justice Reinvestment in an “Age of Austerity”: Developments in the United Kingdom

In the UK, national and local governments are struggling to cope with the economic crisis which ensued in 2008. The effects of that crisis are still being felt in the United Kingdom, with significant reductions in public sector expenditure leading to budget cuts in the criminal justice system and public services more generally. In June 2013, the UK Chancellor projected further expenditure cuts from 2015 onward. Justice reinvestment (JR) has been proposed by UK policy makers and campaign groups as one way of responding to these economic problems. Proponents argue that, at a modest level, it has the potential to deliver efficiency gains in how the criminal justice system is operated. On a more ambitious scale, JR may fundamentally transform the way in which criminal justice services are delivered. Drawing on evidence from JR experiments in the United Kingdom—including Payment by Results (PbR) pilots in England and Wales—this paper examines the nature and extent to which models of JR can be implemented in an “age of austerity” against the backdrop of the wider application of PbR commissioning for criminal justice and related services.

Lessons from abroad: whatever happened to pedagogy?

This paper considers attempts to import pedagogic practices from other educational systems. In so doing, it focuses upon policymakers’ attempts to: (a) import interactive whole class teaching approaches to the UK (and, to a lesser extent, the US); and (b) export learner-centred pedagogies, largely derived from Anglo-American theorising and practice, to industrialised and developing countries that often vary greatly in educational performance. The paper explains why such initiatives have largely proven ineffective, yet notes that while UK policymakers have largely moved away from pedagogic concerns to issues of teacher quality and expectation, learner-centred approaches continue to be proffered as a solution to the educational problems of many traditional societies. Finally, the paper concludes by emphasising student academic motivation and engagement, rather than specific pedagogic practices, as key to the differential performance of industrialised countries in international comparisons.

Careful Use of Science to Advance the Debate on the UK Cancer Drugs Fund

Careful Use of Science to Advance the Debate on the UK Cancer Drugs Fund

The aftermath of foot and mouth in the UK: Post-crisis change and Europeanisation

This article assesses the aftermath of the 2001 UK foot and mouth crisis in the context of Europeanisation. Informed by significant elite interviews with British politicians and senior officials in the UK Department for Environment, Food and Rural Affairs, Cabinet Office, and the European Commission, the article shows that the 2001 foot and mouth crisis led to an enthused approach by UK policy-makers to reforming the EU legislative framework governing future outbreaks but that this was unmatched by a problematic policy implementation process – despite the impact of a crisis. The article concludes that the twin conceptual bases of Boin et al.’s categorisations of change and Europeanisation are important lenses for studying the aftermath of the foot and mouth crisis.

Vested Interests in Addiction Research and Policy. The challenge corporate lobbying poses to reducing society's alcohol problems: insights from UK evidence on minimum unit pricing

BackgroundThere has been insufficient research attention to alcohol industry methods of influencing public policies. With the exception of the tobacco industry, there have been few studies of the impact of corporate lobbying on public health policymaking more broadly.MethodsWe summarize here findings from documentary analyses and interview studies in an integrative review of corporate efforts to influence UK policy on minimum unit pricing (MUP) of alcohol 2007–10.ResultsAlcohol producers and retailers adopted a long-term, relationship-building approach to policy influence, in which personal contacts with key policymakers were established and nurtured, including when they were not in government. The alcohol industry was successful in achieving access to UK policymakers at the highest levels of government and at all stages of the policy process. Within the United Kingdom, political devolution and the formation for the first time of a Scottish National Party (SNP) government disrupted the existing long-term strategy of alcohol industry actors and created the conditions for evidence-based policy innovations such as MUP.ConclusionsComparisons between policy communities within the United Kingdom and elsewhere are useful to the understanding of how different policy environments are amenable to influence through lobbying. Greater transparency in how policy is made is likely to lead to more effective alcohol and other public policies globally by constraining the influence of vested interests.

Which Types of Institutional Investors Constrain Abnormal Accruals?

AbstractManuscript TypeEmpiricalResearch Question/IssueThis study analyses which type of institutional investors constrains accruals management using a sample ofUKlisted firms in the period of 1997–2010.Research Findings/ResultsEmpirical results show that block‐holding levels, investment strategies, and investment durations influence institutional investors' role in constraining accruals management of the investee firms. Institutional investors with 10–20 percent ownership, adopting an active investment strategy, and having moderate investment duration significantly decrease the probability of income‐inflating abnormal accruals but increase the probability of income‐deflating abnormal accruals. In addition, these three aspects have a significant joint impact on accruals management. Even after considering the interaction among the three aspects of institutional investors, 10–20 percent block‐holding and moderate investment duration remain as significant driving forces on the constraint of accruals management by institutional investors. Further tests are conducted for sub‐sample periods of 2001–2005 and 2007–2009. Institutional investors with an active investment strategy and moderate investment duration are better motivated to constrain accruals management ofUKfirms during 2001–2005 when there were vigorous regulatory changes in corporate governance. Institutional investors with a passive investment strategy and short investment duration encouraged accruals management during the recent financial crisis (2007–2009).Theoretic/Academic ImplicationsThe findings of the paper provide some much needed clarity to the mixed evidence in the extant literature on the role of institutional investors in constraining accruals management. Block‐shareholding level, investment strategies, and the actual investment duration are valid dimensions to reflect their heterogeneous incentives in monitoring managerial discretions in accruals management. Institutional investors are a complex group of diverse types of financial institutions and would be more appropriately analyzed with multiple dimensions in future research on their monitoring of managerial discretion.Practitioner/Policy ImplicationsThis study underpins the concern ofUKpolicymakers over the short‐term investment orientation of institutional investment by showing that institutional investors with less than one year investment duration significantly encourage accruals manipulations. Policymakers may pay attention to the three aspects, as identified in the present paper, of institutional investors in terms of enhancing shareholder engagement with their investee firms.

Developing policy analytics for public health strategy and decisions-the Sheffield alcohol policy model framework.

This paper sets out the development of a methodological framework for detailed evaluation of public health strategies for alcohol harm reduction to meet UK policy-makers needs. Alcohol is known to cause substantial harms, and controlling its affordability and availability are effective policy options. Analysis and synthesis of a variety of public and commercial data sources is needed to evaluate impact on consumers, health services, crime, employers and industry, so a sound evaluation of impact is important. We discuss the iterative process to engage with stakeholders, identify evidence/data and develop analytic approaches and produce a final model structure. We set out a series of steps in modelling impact including: classification and definition of population subgroups of interest, identification and definition of harms and outcomes for inclusion, classification of modifiable components of risk and their baseline values, specification of the baseline position on policy variables especially prices, estimating effects of changing policy variables on risk factors including price elasticities, quantifying risk functions relating risk factors to harms including 47 health conditions, crimes, absenteeism and unemployment, and monetary valuation. The most difficult model structuring decisions are described, as well as the final results framework used to provide decision support to national level policymakers in the UK. In the discussion we explore issues around the relationship between modelling and policy debates, valuation and scope, limitations of evidence/data, how the framework can be adapted to other countries and decisions. We reflect on the approach taken and outline ongoing plans for further development.

The importance of health co-benefits in macroeconomic assessments of UK Greenhouse Gas emission reduction strategies.

We employ a single-country dynamically-recursive Computable General Equilibrium model to make health-focussed macroeconomic assessments of three contingent UK Greenhouse Gas (GHG) mitigation strategies, designed to achieve 2030 emission targets as suggested by the UK Committee on Climate Change. In contrast to previous assessment studies, our main focus is on health co-benefits additional to those from reduced local air pollution. We employ a conservative cost-effectiveness methodology with a zero net cost threshold. Our urban transport strategy (with cleaner vehicles and increased active travel) brings important health co-benefits and is likely to be strongly cost-effective; our food and agriculture strategy (based on abatement technologies and reduction in livestock production) brings worthwhile health co-benefits, but is unlikely to eliminate net costs unless new technological measures are included; our household energy efficiency strategy is likely to breakeven only over the long term after the investment programme has ceased (beyond our 20 year time horizon). We conclude that UK policy makers will, most likely, have to adopt elements which involve initial net societal costs in order to achieve future emission targets and longer-term benefits from GHG reduction. Cost-effectiveness of GHG strategies is likely to require technological mitigation interventions and/or demand-constraining interventions with important health co-benefits and other efficiency-enhancing policies that promote internalization of externalities. Health co-benefits can play a crucial role in bringing down net costs, but our results also suggest the need for adopting holistic assessment methodologies which give proper consideration to welfare-improving health co-benefits with potentially negative economic repercussions (such as increased longevity).Electronic supplementary materialThe online version of this article (doi:10.1007/s10584-013-0881-6) contains supplementary material, which is available to authorized users.

OP13 An Economic Evaluation of Salt Reduction Policies to Reduce Cardiovascular Disease in England: A Policy Modelling Study

BackgroundDietary salt intake has been causally linked to high blood pressure and increased risk of cardiovascular events. Cardiovascular disease (CVD) causes approximately 35% of total UK deaths, at an estimated...

The impact of a new emergency admission avoidance system for older people on length of stay and same-day discharges

unplanned hospital admissions of older patients continue to attract the attention of UK policymakers, advisors and media. Reducing the number and length of stay (LOS) of these admissions has the potential to save NHS substantial costs while reducing iatrogenic risks. Some NHS trusts have introduced geriatric admission-avoidance systems, but evidence of their effectiveness is lacking. In September 2010, The Royal Free Hospital and Haverstock Healthcare Ltd, a GP provider organisation, introduced an admission-avoidance system for patients aged 70 or over: the Triage and Rapid Elderly Assessment Team (TREAT). to measure the effect of TREAT on LOS and the rate of same-day discharges (an inverse measure of admission rate). TREAT was based in the Accident and Emergency (A&E) department of the Royal Free Hospital, London. a pre- and post-retrospective cohort study comparing the 5,416 emergency geriatric admissions in the 12 months preceding the introduction of TREAT with the 5,370 emergency geriatric admissions in the 12 months following. Emergency geriatric admissions were divided into TREAT-matching and residual (non-matching) cohorts from hospital provider spell records, using the Healthcare Resource Group (HRG), treatment function and patient classification of the TREAT admissions. LOS and same-day discharge rates were measured over the pre- and post-TREAT periods: for the TREAT-matching cohort; for the residual cohort of emergency geriatric admissions; and for all emergency geriatric admissions. TREAT is a system of care combining early Accident and Emergency (A&E)-based senior doctor review, Comprehensive Geriatric Assessment (CGA), therapist assessment and supported discharge; post-discharge supported recovery; and a rapid access geriatric 'hot-clinic'. TREAT was supported by a post-acute care enablement (PACE) team, providing short-term nursing support immediately following discharge. TREAT accepted 593 geriatric admissions over a 12-month period, of which 32.04% were discharged on the day of admission. The mean LOS was 4.41 days, and the median LOS was 1 day. After the introduction of TREAT, mean LOS reduced by 18.16% (1.78 days, P < 0.001) for TREAT-matching admissions; by 11.65% (1.13 days, P < 0.001) for all emergency geriatric admissions; and by 1.08% (0.11 days, P = 0.065) for the residual population. Over the same period, the percentage of admissions resulting in same-day discharges increased from 12.26 to 16.23% (OR: 1.386, 95% CI: 1.203-1.597, P < 0.001) for TREAT-matching admissions, but for the residual population fell from 15.01 to 9.77% (OR: 0.613, P < 0.001, 95% CI: 0.737-0.509). TREAT appears to have reduced avoidable emergency geriatric admissions, and to have shortened LOS for all emergency geriatric admissions. It aims to address the King's Fund's call for an 'overall system of care rather than lots of discrete processes' through 'better design and co-ordination of services following the needs of older people'. The ease of set-up lends itself to replication and testing in clinical and cost-effectiveness studies. Further studies are needed to measure the impact of TREAT on re-admission rates, patient outcomes and satisfaction.

Moving up the waste hierarchy: Car boot sales, reuse exchange and the challenges of consumer culture to waste prevention

Moving up the waste hierarchy is a key priority for UK waste policy. Waste prevention requires policy interventions to promote reuse. The term ‘reuse exchange’ has been adopted by UK policy makers to describe a variety of second-hand trading outlets including car boot sales, charity shops and online exchange sites. As waste policy is based on tonnage diverted from disposal (or landfill), policy interventions to promote reuse exchange will be based on the weight of goods estimated to be flowing through these sites. This paper uses a combination of field survey data and scale-up estimation to quantify and characterise the weight of goods exchanged at car boot sales in England in 2012. This is estimated at 50–60000tonnes per annum. The paper emphasises that movement up the waste hierarchy brings waste policy into closer contact with household consumption practices. It draws on qualitative research to show that, for participants, car boot sales are not associated with waste prevention. Instead, car boot sales rely on stocks of surplus household goods and exemplify the culture of thrift, which enables more, not less, consumption. The paper shows the collision between the social values that inform thrift and the environmental values that underpin reuse; and it argues that the policy goal of enhanced recovery for reuse might best be achieved by working with consumer culture. Two ways of achieving this are suggested: interventions that make it easier for consumers to do the right thing, through promoting opportunities for the circulation of stocks of surplus goods, for example, through increasing the frequency of car boot sales; and interventions which recognise that car boot sales also generate waste, which could be recovered for reuse.

Has the Expansion of Higher Education Led to Greater Economic Growth?

There is an enduring belief by UK policymakers that a large higher education sector is an important driver of long-run economic growth, which has been part of the narrative since the Robbins Report. Back then, there was plenty of conjecture and assumption, but strikingly little concrete evidence to support such a belief. This paper asks whether the evidence base has strengthened in the 50 years since it was published. It looks at a number of different growth equation specifications and, using international education data, attempts to draw out the contribution of both the number of, and the growth in, graduates since the 1960s. There are three main findings. Firstly, many growth relationships, including those estimated elsewhere in the literature, are quite sensitive to the countries included – which often depends on the variables used – and time period of analysis. I argue that, given these issues, growth equations should always be treated with caution. Secondly, and remembering this caveat, neither the increase nor the initial level of higher education is found to have a statistically significant relationship with growth rates both in the OECD and worldwide. This result is robust to numerous different specifications. Thirdly, there is some evidence, consistent with the existing literature, that levels of technical skills at the end of compulsory education matter. The employment of higher level technical skills (proxied by the number of employed researchers in an economy) is also a strong predictor of growth. This gives a possible mechanism linking the output of (some) of the higher education sector with economic growth. However, it does not imply that mass higher education necessarily leads to higher growth. This depends on the skills produced by an expanding tertiary sector and their utilisation (or underutilisation) in the jobs available to increasing numbers of graduates.

Through the back door: nurse migration to the UK from Malawi and Nepal, a policy critique

The UK National Health Service has a long history of recruiting overseas nurses to meet nursing shortages in the UK. However, recruitment patterns regularly fluctuate in response to political and economic changes. Typically, the UK government gives little consideration of how these unstable recruitment practices affect overseas nurses. In this article, we present findings from two independent research studies from Malawi and Nepal, which aimed to examine how overseas nurses encountered and overcame the challenges linked to recent recruitment and migration restrictions. We show how current UK immigration policy has had a negative impact on overseas nurses' lives. It has led them to explore alternative entry routes into the UK, affecting both the quality of their working lives and their future decisions about whether to stay or return to their home country. We conclude that the shifting forces of nursing workforce demand and supply, leading to abrupt policy changes, have significant implications on overseas nurses' lives, and can leave nurses 'trapped' in the UK. We make recommendations for UK policy-makers to work with key stakeholders in nurse-sending countries to minimize the negative consequences of unstable nurse recruitment, and we highlight the benefits of promoting circular migration.