Why are pharmacy technicians leaving? Factors contributing to turnover intention and strategies for retention.

Background: Pharmacy technicians play a crucial role in the healthcare system to enable pharmacists to focus on clinical services. However, a lack of recognition for their role and contribution leads to high turnover rates.

Objective: To identify the reasons behind pharmacy technicians leaving, or intending to leave, pharmacy practice.

Out with the old, in with the new? Institutional experimentation and decent work in the UK.

Drawing on an extended critical case study of the Greater Manchester (GM) city region in the UK, this article contributes to debates around the changing role of social actors within local labour markets, and how they contribute to processes of regulatory experimentation and innovation. While recent literature has drawn attention to new actors and novel strategies in responding to labour market disruptions, in this article the authors argue that there is still room for embedded actors and established practices in defending, and advancing, decent minimum standards. This may be through political lobbying, workplace organising, industrial action, extending collectively agreed standards to outsourced workers, or through hybrid forms of trade union-community campaigning.

Workforce development in community pharmacies in England: Opportunities and tensions for a private sector provider of NHS services.

Background: The intention to more effectively mobilise and integrate the capabilities of the community pharmacy workforce within primary care is clearly stated within National Health Service (NHS) England policy. The Pharmacy Integration Fund (PhIF) was established in 2016 to support the development of clinical pharmacy practice in a range of primary care settings, including community pharmacy.

Objective: This study sought to determine how PhIF funded learning pathways for post-registration pharmacists and accuracy checking pharmacy technicians enabled community pharmacy workforce transformation, in what circumstances, and why.

An investigation of the impact of 'Living with COVID' on workplace COVID-19 transmission risk, response and resilience - lessons learnt and future challenges.

Background: Previous research has highlighted links between occupation and risk of COVID-19 transmission and suggests that occupational risk is influenced by covariates including socio-economic status, and deprivation. This study examined the perspectives of local authority teams of how changes in policy and advice, as set out in the UK government report 'Living with COVID,' affected COVID-19 transmission risk, response and resilience in workplace settings in Greater Manchester, an area that was disproportionately affected by the pandemic.

Methods: The project, which took place between August and November 2022, undertook a mixed methods approach to incorporate wide-ranging reflections of changes following the publication of 'Living with COVID'.

The use of locum doctors in the NHS: understanding and improving the quality and safety of care.

Background: The use of locum doctors in the National Health Service is widely believed to have increased, and there have been widespread and sustained concerns among policy-makers, healthcare providers, professional associations and professional regulators about the quality/safety, cost and effective use of locum doctors.

Objectives: To provide evidence on the extent, quality and safety of medical locum practice and the implications of medical locum working for health service organisation and delivery in primary and secondary care in the English National Health Service, to support policy and practice.

Design: Four interlinked work packages involving surveys of National Health Service trusts and of general practices in England; semistructured interviews and focus groups across 11 healthcare organisations in England; analysis of existing routine data sets on the medical workforce in primary care and in National Health Service trusts in England from National Health Service Digital and National Health Service Improvement; and analysis of data from the Clinical Practice Research Datalink in primary care and of electronic patient record data from two National Health Service hospitals in secondary care.

GP working time and supply, and patient demand in England in 2015-2022: a retrospective study.

Background: English primary care faces a reduction in GP supply and increased demand.

Aim: To explore trends in GP working time and supply, accounting for factors influencing demand for services.

Design And Setting: Retrospective observational study in English primary care between 2015 and 2022.

Public biofoundries as innovation intermediaries: the integration of translation, sustainability, and responsibility.

The emergence and evolution of engineering biology, and its potential to address multiple global challenges is associated with the rise of biofoundries. These innovation intermediaries are facilities that employ advanced automation and computational analytics to accelerate engineering biology applications. Yet, for biofoundries to fully achieve their promise of generating applications that address grand societal challenges, they need to meet three key challenges: translation of research technology and its commercialization, attention to sustainability, and responsible innovation.

Deep learning pipeline reveals key moments in human embryonic development predictive of live birth after in vitro fertilization.

Demand for in vitro fertilization (IVF) treatment is growing; however, success rates remain low partly due to difficulty in selecting the best embryo to be transferred. Current manual assessments are subjective and may not take advantage of the most informative moments in embryo development. Here, we apply convolutional neural networks (CNNs) to identify key windows in pre-implantation human development that can be linked to embryo viability and are therefore suitable for the early grading of IVF embryos.

'None of Them Know Me': A Qualitative Study of the Implications of Locum Doctor Working for Patient Experience.

Introduction: There have been some concerns about the impact of temporary doctors, otherwise known as locums, on patient safety and the quality of care. Despite these concerns, research has paid little attention to the implications of locum working on patient experience.

Methods: A qualitative semi-structured interview study was conducted with 130 participants including locums, people working with locums and patients with experience of being seen or treated by locums.

Beyond profit margins: Orchestrating social, economic, and environmental sustainability within the Norwegian Salmon Food Supply Chain.

Food Supply Chains (FSCs) have become increasingly complex with the average distance between producers and consumers rising considerably in the past two decades. Consequently, FSCs are a major source of carbon emissions and reducing transportation costs a major challenge for businesses. To address this, we present a mathematical model to promote the three core dimensions of sustainability (economic, environmental, and social), based on the Mixed-Integer Linear Programming (MILP) method.

Catalysts of digital excellence: Unraveling the threads of connectivity, embedment, and visibility in enterprise social media for enhanced task and innovative performances.

In an era characterized by rapid digital transformation, this research delves into the intricate dynamics of enterprise social media (ESM) ubiquitous connectivity, drawing on the influential framework of social cognitive theory (SCT), we unravel the complex relationships among compatibility, presenteeism, ESM-enabled embeddedness, and the visibility of digital interactions, shedding light on how these factors collectively shape task performance and innovative contributions in the contemporary hybrid work landscape. By incorporating SCT into our research model, we not only enhance the theoretical underpinning but also respond to the imperative of understanding how individual cognition and observational learning impact behaviors in digital work environments. Data is collected from 467 participants from China.

Towards addressing the awarding gap-Using critical race theory to contextualise the role of intersectionality in Black pharmacy student attainment.

Introduction: The awarding gap between White and Black students in UK health curricula is well established. Critical race theory (CRT) is a lens to deconstruct pedagogic practice and consider the intersectionality of Black student lived experience to provide a realist critique of the phenomenon of Whiteness in higher education and the impact this has on Black attainment. Using one UK pharmacy programme as a case study, this paper aims to explore Black lived experience as a means of problematising and disrupting structural oppressions.

Advancing bone regeneration: Unveiling the potential of 3D cell models in the evaluation of bone regenerative materials.

Bone, a rigid yet regenerative tissue, has garnered extensive attention for its impressive healing abilities. Despite advancements in understanding bone repair and creating treatments for bone injuries, handling nonunions and large defects remains a major challenge in orthopedics. The rise of bone regenerative materials is transforming the approach to bone repair, offering innovative solutions for nonunions and significant defects, and thus reshaping orthopedic care.

Association between regulator inspection and ratings on primary care prescribing: an observational study in England 2014 to 2019.

Background: Healthcare regulators in many countries undertake inspections of healthcare providers and publish inspection outcomes with the intention of improving quality of care. Comprehensive inspections of general practices in England by the Care Quality Commission began for the first time in 2014. It is assumed that inspection and rating will raise standards and improve care, but the presence and extent of any improvements is unknown.

Bridging the gap between research evidence and its implementation in public health practice: case studies of embedded research model.

Aim: To investigate the potential of embedded research in bridging the gap between research evidence and its implementation in public health practice.

Methods: Using a case study methodology, semi-structured interviews were conducted with 4 embedded researchers, 9 public health practitioners, and 4 other stakeholders (2 teachers and 2 students) across four case study sites. Sites and individuals were purposively selected.

Locum doctor working and quality and safety: a qualitative study in English primary and secondary care.

Background: The use of temporary doctors, known as locums, has been common practice for managing staffing shortages and maintaining service delivery internationally. However, there has been little empirical research on the implications of locum working for quality and safety. This study aimed to investigate the implications of locum working for quality and safety.

Comparing the clinical practice and prescribing safety of locum and permanent doctors: observational study of primary care consultations in England.

Background: Temporary doctors, known as locums, are a key component of the medical workforce in the NHS but evidence on differences in quality and safety between locum and permanent doctors is limited. We aimed to examine differences in the clinical practice, and prescribing safety for locum and permanent doctors working in primary care in England.

Methods: We accessed electronic health care records (EHRs) for 3.

Building the bioeconomy: A targeted assessment approach to identifying biobased technologies, challenges and opportunities.

The authors explore opportunities, challenges, and strategies to translate and responsibly scale innovative biobased technologies to build more sustainable bioeconomies. The pandemic and other recent disruptions increased exposure to issues of resilience and regional imbalance, highlighting a need for production and consumption regimes centred more on local biobased resources and dispersed production. The authors review potential biobased technology strategies and identify promising and feasible options for the United Kingdom.

Is Economic Evaluation and Care Commissioning Focused on Achieving the Same Outcomes? Resource-Allocation Considerations and Challenges Using England as a Case Study.

Commissioning describes the process of contracting appropriate care services to address pre-identified needs through pre-agreed payment structures. Outcomes-based commissioning (i.e.

Federated learning for generating synthetic data: a scoping review.

Introduction: Federated Learning (FL) is a decentralised approach to training statistical models, where training is performed across multiple clients, producing one global model. Since the training data remains with each local client and is not shared or exchanged with other clients the use of FL may reduce privacy and security risks (compared to methods where multiple data sources are pooled) and can also address data access and heterogeneity problems. Synthetic data is artificially generated data that has the same structure and statistical properties as the original but that does not contain any of the original data records, therefore minimising disclosure risk.

Time is a terrible thing to waste: optimising use of intraoperative monitoring practitioner time towards maximising in-house IOM service provision and reducing spend on external provision.

Intraoperative monitoring (IOM) during orthopaedic and neurosurgical operations informs surgeons about the integrity of patients' central and peripheral nervous systems. It is provided by IOM practitioners (IOMPs), who are usually neurophysiology healthcare scientists. Increasing awareness of the benefits for patient safety and surgical outcomes, along with post-COVID-19 service recovery, has resulted in a material increase in demand for IOM provision nationally, and particularly at Salford Royal Hospital (SRH), which is a regional specialist neurosciences centre.