Learning from NHS Inquiries: Comparing the Recommendations of the Ely,Bristol and Mid Staffordshire Inquiries

If one of the key reasons for an inquiry is to learn lessons and prevent similar events from reoccurring, recommendations must be implementable and implemented, but it is clear that lessons have not been learned and recommendations not implemented. This paper compares the ‘implementability’ of recommendations from the three inquiries of Ely, Bristol and Mid Staffordshire to stress the importance of learning lessons. It examines two broad issues of ‘who?’ and ‘what?’. First, some 80 per cent of the Ely recommendations were aimed at the institution, while 72 per cent of the Bristol and Mid Staffordshire recommendations were aimed at the system. Moreover, about 7 per cent of Ely's forty‐four recommendations have a clearly identified agent, compared to 15 per cent at Bristol and 41 per cent at Mid Staffordshire. Second, the policy tool of ‘sermons’ accounts for some 89 per cent of Ely recommendations, compared to 66 per cent at Bristol and 63 per cent at Mid Staffordshire. However, the earlier sermons did not appear to prevent the events at Mid Staffordshire occurring. Pulling these issues together, it can be suggested that, given the large number of potentially responsible agencies, recommendations should be ‘active’ with a clearly identified agent and that a clear policy tool or mechanism should be identified rather than rely on a vague tendency to sermonise.     

Combating Coups d’état in Africa, 1950–2014

Recent years have seen African militaries attempt coups in virtually every geographic region, from Egypt to Lesotho and Guinea to Madagascar. They have targeted established democracies, infantile democratic experiments, increasingly authoritarian executives, power vacuums brought on by leader death, and—most recently in Burundi—leaders attempting to circumvent constitutional limitations on their tenure. These continuing acts perpetrated against regimes with such varied backdrops suggests that coups still afflict a wide range of states and remain a continuing threat to leader tenure. This is in contrast to the African Union’s emphasis on curbing the practice. This paper explores the African Union’s effectiveness to combat military coups, primarily focusing on the potential for sanctions to act as a deterrent to would-be coup plotters. The paper also considers potential limitations on the African Union’s (AU’s) ability to project power against certain states. Analyses for the years 1950–2014 indicate Africa has in fact witnessed a meaningful decline in coup activity, an impact even more pronounced than the end of the Cold War. Results also indicate that the AU’s effectiveness in deterring coups is not constrained in cases where they are expected to lack leverage.     

Public choice and the economic analysis of anarchy: a survey

Public choice economists began studying anarchy in the 1970s. Since then, the amount of research on anarchy has burgeoned. This article surveys the important public choice contributions to the economics of anarchy. Following early public choice economists, many economists are researching how individuals interact without government. From non-public-interested explanations of the creation of government to historical studies of internalizing externalities under anarchy, public choice scholars are arriving at a more realistic perspective of human interaction with and without government. Although the economics of politics receives more attention, the economics of anarchy is an important area of research in public choice.     

<Emphasis Type="BoldItalic">Society’s</Emphasis> Books of Note

Society’s Books of Note

Society’s Books of Note November/December 2010     

Pain Management and Work Capacity: Evidence From Workers’ Compensation and Marijuana Legalization

We study whether the work capacity of the older working population responds to improved pain management therapy access. We use the adoption of state recreational marijuana laws (RMLs) as a large policy shock to access to a non-pharmaceutical pain management option. We focus on workers’ compensation cash benefit receipt as a measure of work capacity, finding that receipt declines in response to RML adoption. Workers’ compensation cash benefits are awarded to workers who require time away from work to recover from an injury, which arguably captures a policy-relevant aspect of work capacity. We observe similar shifts in complementary proxies for work capacity, including work-limiting disability rates. After considering a range of alternative mechanisms, the evidence suggests that the primary driver of the reductions in workers’ compensation benefits is improvements in work capacity.     

Seeking Justice and Redress for Victim-Survivors of Image-Based Sexual Abuse

Feminist Legal Studies - Despite apparent political concern and action—often fuelled by high-profile cases and campaigns—legislative and institutional responses to image-based sexual...     

Fracture Characteristics of Entrapped Head Impacts Versus Controlled Head Drops in Infant Porcine Specimens,,

In many forensic cases, the job of forensic pathologists and anthropologists is to determine whether pediatric death is due to an abusive act or an accidental fall. The goal of this study was to compare the cranial fracture patterns generated on the parietal bone of a developing, infant porcine (pig, Sus scrofa) model by a controlled energy head drop onto a plate versus previous data generated by blunt force impact at the same energy onto the head constrained to a plate. The results showed that blunt force impacts on a head constrained to a rigid plate produces more fracture, but the same general pattern, as that for a head dropped onto the plate with the same level of impact energy. The study suggests that head constraint may be an important factor to consider in the evaluation of death causation for blunt force impacts to the pediatric skull.     

The effect of uniform and prior knowledge on children's event reports and disclosure of secrets

The present paper examined the effect of police uniform on the accuracy of 6- to 8-year-old children's reports about an event and it explored the roles that interviewer prior knowledge and social status play in mediating any effects of uniform. Two studies were conducted; in the first study, interviewers wore uniforms that were independent of a forensic context whereas in the second study, the interviews were conducted by police officers who wore either uniform or civilian clothes. Children reported more information (accurate, as well as inaccurate) to a police interviewer in civilian clothes compared to uniform. This finding was found only in the police uniform context. Interviewer's prior knowledge had no impact on the children's reports in either context. The likely impact of police uniform is discussed. Authors' Note: Thanks to many teachers, principals and children who volunteered to partake in this project and to Sarah Agnew, Greg Angenent, Catherine Borg, Sue Connor, Agnes Kalinowski, Joanna Kellis and Vivian Mikhail who assisted in the data collection, coding and analysis. Thanks also to the members of the Victorian Police (Community Policing Squad) who conducted interviews for this project, and to Sergeant Lisa McMeeken, and Senior Constable Jennifer Evans of the VATE project who coordinated the police interviews.     

“She’s Mlungu but she looks like me!”: disrupting insider/outsider dichotomies in ethnographic fieldwork

What happens when the biologically and socially visible (and invisible) boundaries used to maintain differences between the researcher (outsider) and the researched (insiders) are broken down or denied acknowledgment? This article explores one challenge of conducting ethnographic fieldwork in regards to race and the unintentional blurring of the insider–outsider dichotomies within the field. As an English-speaking African American attempting to penetrate Langa, a black South African, predominantly isiXhosa-speaking township, it became apparent that my physical appearance automatically relegated me to an ‘insider,’ awarding me a certain and perhaps undeserved membership in the field. Drawing on ethnographic fieldwork from 2011 to 2012, this article is a reflection of my experience of balancing my role as a black-American researcher – and by default an outsider – in an environment where my “outsider-ness” was visibly non-existent. This both mitigated an exacerbated my ethnographic data collection.