An Overview of Scrutiny: A Triumph of Context over Structure

Ashworth, Rachel Elizabeth; Snape, Stephanie

doi:10.1080/0300393042000318987

Cited by 23 publications

(19 citation statements)

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“…Previous studies have only included 3 or more unplanned inpatient hospital admissions within a year as a high use of hospital care [ 11 , 27 , 28 ]. We have also included cumulative LOS (cLOS) within a year to include the patients who had less than 3 hospital admissions but spent a significant amount of time in the hospital [ 29 , 30 ].…”

Section: Methodsmentioning

confidence: 99%

Sequence Analysis of Long-Term Readmissions among High-Impact Users of Cerebrovascular Patients

Rao

Bottle

Darzi

et al. 2017

Stroke Research and Treatment

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Objective Understanding the chronological order of the causes of readmissions may help us assess any repeated chain of events among high-impact users, those with high readmission rate. We aim to perform sequence analysis of administrative data to identify distinct sequences of emergency readmissions among the high-impact users. Methods A retrospective cohort of all cerebrovascular patients identified through national administrative data and followed for 4 years. Results Common discriminating subsequences in chronic high-impact users (n = 2863) of ischaemic stroke (n = 34208) were “urological conditions-chest infection,” “chest infection-urological conditions,” “injury-urological conditions,” “chest infection-ambulatory condition,” and “ambulatory condition-chest infection” (p < 0.01). Among TIA patients (n = 20549), common discriminating (p < 0.01) subsequences among chronic high-impact users were “injury-urological conditions,” “urological conditions-chest infection,” “urological conditions-injury,” “ambulatory condition-urological conditions,” and “ambulatory condition-chest infection.” Among the chronic high-impact group of intracranial haemorrhage (n = 2605) common discriminating subsequences (p < 0.01) were “dementia-injury,” “chest infection-dementia,” “dementia-dementia-injury,” “dementia-urine infection,” and “injury-urine infection.” Conclusion. Although common causes of readmission are the same in different subgroups, the high-impact users had a higher proportion of patients with distinct common sequences of multiple readmissions as identified by the sequence analysis. Most of these causes are potentially preventable and can be avoided in the community. Conclusion Although common causes of readmission are the same in different subgroups, the high-impact users had a higher proportion of patients with distinct common sequences of multiple readmissions as identified by the sequence analysis. Most of these causes are potentially preventable and can be avoided in the community.

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Section: Methodsmentioning

confidence: 99%

Sequence Analysis of Long-Term Readmissions among High-Impact Users of Cerebrovascular Patients

Rao

Bottle

Darzi

et al. 2017

Stroke Research and Treatment

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“…Scholarly work on the UK parliament has long incorporated the functions of such committees within a broad scrutiny framework (Morris, 1970; McKay and Johnson, 2010). Furthermore, in the last decade “scrutiny” has been deployed to address the operation of similar local authority committees (Ashworth and Snape, 2004) and several committees at the National Assembly for Wales (McAllister and Stirbu, 2007).…”

Section: Committee Scrutinymentioning

confidence: 99%

Devolution and the enhancement of scrutiny: A case study of the committees of the National Assembly for Wales

Cole

2013

Public Policy and Administration

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This article addresses committee scrutiny undertaken at the National Assembly for Wales during the third assembly (2007–2011). The analysis is addressed through a scrutiny framework that considers the substantive issues in terms of three overarching elements – selection, access to information and assistance, and evaluation. The framework is developed through scholarship about the UK House of Commons as well as a wide range of other parliaments and assemblies. This analysis is also used to identify features facilitating effectiveness and specify seven hypotheses concerning explanations for scrutiny characteristics. The analysis is then applied to the Welsh case study, which results from a substantive series of interviews with Assembly Members, witnesses and officials, as well as significant documentary analysis.

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“…It is a little premature to draw firm conclusions on the effectiveness of regional scrutiny arrangements as they were still emergent during the time of our research. The difficulties with capturing the outputs and outcomes of scrutiny have been well documented (Ashworth and Snape, 2004). In order to demonstrate their effectiveness, regional assemblies are charged with the extremely difficult, if not impossible, task of identifying the precise impact of`influence' which, as stated previously, is the essence of regional scrutiny (Ashworth et al, 2005).…”

Section: The Effectiveness Of Regional Scrutinymentioning

confidence: 99%

Plugging the Accountability Gap? Evaluating the Effectiveness of Regional Scrutiny

Ashworth

Snape

Aulakh³

2007

Environ Plann C Gov Policy

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Introduction Our aim in this paper is to explore key influences on the effectiveness of regional scrutiny arrangements. The creation of a scrutiny role for the English Regional assemblies in relation to their respective Regional Development Agencies (RDAs) comes after the establishment of overview and scrutiny committees within local government and the introduction of health scrutiny. The Labour government contends that scrutiny assists in plugging the`accountability gap'. However, prior research on scrutiny demonstrates that it has several key limitations as an instrument of accountability. For example, a review of the literature on parliamentary select committees suggests that they have struggled to scrutinise the work of the executive effectively (Ashworth et al, 2001a; Garrett, 1992; Polidano, 2001). In this paper, we identify five variables which currently influence the effectiveness of parliamentary scrutiny and argue that these variables have important implications for the success of regional scrutiny. RDAs were created in order to address an economic deficit. However, the government recognised that creating these regional quangos would further exacerbate the democratic deficit (Morgan, 2002). Consequently, it was proposed that the scrutiny of RDA plans, strategies, and performance would be a key function performed by regional assemblies, which were established``to add a (thin) veneer of regional accountability'' (Jeffery and Mawson, 2002, page 715). The regional scrutiny role originates from the 1988 Regional Development Agencies Act, which states that each RDA must``have regard, in the exercise of its functions, to any views expressed by the chamber, and to consult the chamber in relation to the exercise of such of its functions'' (section 8). However, RDA functions and budgets have continued to expand. Determining that further expansion should be accompanied by enhanced scrutiny, the government outlined a more substantial scrutiny remit in March 2001 in the consultation paper

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An Overview of Scrutiny: A Triumph of Context over Structure

Cited by 23 publications

References 0 publications

Sequence Analysis of Long-Term Readmissions among High-Impact Users of Cerebrovascular Patients

Sequence Analysis of Long-Term Readmissions among High-Impact Users of Cerebrovascular Patients

Devolution and the enhancement of scrutiny: A case study of the committees of the National Assembly for Wales

Plugging the Accountability Gap? Evaluating the Effectiveness of Regional Scrutiny

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