Hc 669 Leadership For The Long Term Whitehalls Capacity To Address Future Challenges

There are some policies which represent genuine efforts to confront long-term challenges on a cross-government basis, such as the Better Care Fund, which aims to improve the integration of health and social care services for older and disabled people. Whitehall is developing useful tools. The National Risk Register assesses probabilities like natural disasters and terrorist attacks. Whole of Government Accounts provide deeper understanding of matters such as the £2,893 billion long-term liabilities of Government. However, there is no comprehensive understanding across Government as a whole of the future risks and challenges facing the UK. The most surprising and urgent gap found was in HM Treasury. There is not sufficient evidence that it has absorbed a key lesson of the 2007-08 financial crash. The Treasury does contingency planning, and the Bank of England's role and structures have been strengthened. Yet financial and economic risks are not included in the Government's National Risk Register, so the Government does not consider these systemic risks alongside other, non-financial risks, such as pandemic flu and antimicrobial resistance. Furthermore, different responsibilities and functions are divided between the Bank of England, Financial Conduct Authority and the Treasury. The Treasury should undertake planning for a range of crisis scenarios, based on a broad range of forecasts, data sources and assumptions, and which may be triggered by non-financial as well as financial events. It should conduct desk-top exercises to test institutional responses and systemic resilience. This should inform a wider programme of cross-government exercises to test policy resilience.

As one of a small number of cross-government select committees, this Committee has gained a perspective on the state of Whitehall and its agencies which is not available to departmental select committees. Throughout the past five years, the recurring theme of their findings and recommendations reflects the importance of effective leadership in creating effective organisations. It is the positive or negative attitudes and behaviour in the people and the culture of an organisation which determines success or failure. Structures, processes and systems are important too, but preoccupation with these so often becomes a distraction from the real problems, which are about why people do not share information for the common good, collaborate effectively and trust one another. PASC took control of the process of selection of the Parliamentary and Health Service Ombudsman (PHSO) away from the Government altogether, so that for the first time Parliament has appointed its Ombudsman. They have also held many pre-appointment hearings for the Chairs of public bodies and were the first Select Committee to refuse to accept a government nomination for the chair of a public body. The Government was forced to re-run the selection for the post of Chair of the UK Statistics Authority under a new selection panel, and to propose a different candidate. They also hold hearings on PHSO's thematic reports, to interrogate and hold to account those who must respond to its recommendations. PASC has worked together effectively as a team despite political differences and the often controversial issues tackled

This Report has been compiled so that lessons may be drawn for future referendums. On 18 September 2014, the Scottish public voted for Scotland to remain part of the United Kingdom. The roles played by civil servants in both Scotland and London in the Scottish referendum last summer were subject to criticism and controversy. The referendum campaign exposed two major issues: first, the question of how a unified Civil Service can serve both HM Government and the Scottish Government; and second, the challenges to Civil Service impartiality generated by the Scottish independence referendum. Particular concerns were raised about the Scottish Government's White Paper, Scotland's Future, which included a description of the SNP's proposed programme for government that was contingent upon their winning the 2016 Scottish Parliament elections. This did not uphold the factual standards expected of a UK Government White Paper and raised questions about the use of public money for partisan purposes. There was also concern that the publication of normally confidential advice by the Permanent Secretary to the Treasury called into question the impartiality of the Civil Service. The Committee concludes that parts of the White Paper should not have been included in a government publication. Civil servants should not be required to carry out ministers' wishes, if they are being asked to use public funds to promote the agenda of a political party, as was evident in this case.

Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.

1. Introduction and methods of work.-- 2. Alcohol: equity and social determinants.-- 3. Cardiovascular disease: equity and social determinants.-- 4. Health and nutrition of children: equity and social determinants.-- 5. Diabetes: equity and social determinants.-- 6. Food safety: equity and social determinants.-- 7. Mental disorders: equity and social determinants.-- 8. Neglected tropical diseases: equity and social determinants.-- 9. Oral health: equity and social determinants.-- 10. Unintended pregnancy and pregnancy outcome: equity and social determinants.-- 11. Tobacco use: equity and social determinants.-- 12. Tuberculosis: the role of risk factors and social determinants.-- 13. Violence and unintentional injury: equity and social determinants.-- 14. Synergy for equity.

Theories of the Policy Process provides a forum for the experts in policy process research to present the basic propositions, empirical evidence, latest updates, and the promising future research opportunities of each policy process theory. In this thoroughly revised fifth edition, each chapter has been updated to reflect recent empirical work, innovative theorizing, and a world facing challenges of historic proportions with climate change, social and political inequities, and pandemics, among recent events. Updated and revised chapters include Punctuated Equilibrium Theory, Multiple Streams Framework, Policy Feedback Theory, Advocacy Coalition Framework, Narrative Policy Framework, Institutional and Analysis and Development Framework, and Diffusion and Innovation. This fifth edition includes an entirely new chapter on the Ecology of Games Framework. New authors have been added to most chapters to diversify perspectives and make this latest edition the most internationalized yet. Across the chapters, revisions have clarified concepts and theoretical arguments, expanded and extended the theories’ scope, summarized lessons learned and knowledge gained, and addressed the relevancy of policy process theories. Theories of the Policy Process has been, and remains, the quintessential gateway to the field of policy process research for students, scholars, and practitioners. It’s ideal for those enrolled in policy process courses at the undergraduate and graduate levels, and those conducting research or undertaking practice in the subject.

The Shriver Report: A Woman’s Nation Takes on Alzheimer’s will be the first comprehensive multi-disciplinary look at these questions at this transformational moment. The Report will digest the current trends in thinking about Alzheimer’s, examine cutting-edge medical research, look at societal impacts, and include a groundbreaking and comprehensive national poll. It will feature original photography and personal essays by men and women – some from the public arena with names you know, some from everyday America – sharing their personal struggles with the disease as patients, caregivers and family members.

Today's electricity industry - large power stations feeding a nationwide grid - will soon be a thing of the past. This book explains why and what will replace it - decentralized and distributed electrical resources which can be up to 10 times as economically valuable. The authors - all leading experts in the field - explain very clearly and thoroughly all the benefits, so the engineers will understand the economic advantages and the investors will understand the engineering efficiencies. Here's what industry experts are saying about Small is Profitable... 'A tour-de-force and a goldmine of good ideas. It is going to have a stunning impact on thinking about electricity.' Walter C. Patterson, Senior Research Fellow, Royal Institute of International Affairs, London. 'An amazing undertaking - incredibly ambitious yet magnificently researched and executed.' Dr. Shimon Awerbuch, Senior Advisor, International Energy Agency, Paris. 'Outstanding...You have thought of some [benefits] I never considered...A great resource for the innovation in energy services that will have to take place for us to have a sustainable future.' Dr. Carl Weinberg, Weinberg Associates, former Research Director, PG&E. 'This is a brilliant synthesis and overview with a lot of original analytics and insights and a very important overall theme. I think it is going to have a big impact.' Greg Kats, Principal, Capital E LLC, former Finance Director for Efficiency and Renewable Energy, U.S. Department of Energy. 'E. F. Schumacher would be proud of this rigorous extension of his thesis in Small is Beautiful. It shows how making systems the right size can make them work better and cost less. Here are critical lessons for the new century: technologies tailored to the needs of people, not the reverse, can improve the economy and the environment.' Dr. Daniel Kammen, Professor of Energy and Society and of Public Policy, University of California, Berkeley. 'Small is Profitable creates an unconventional but impeccably reasoned foundation to correctly assign the costs and true benefits of distributed energy systems. It has become an indispensable tool for modelling distributed energy systems benefits for us.' Tom Dinwoodie, CEO and Chairman, PowerLight Corporation. 'A Unique and valuable contribution to the distributed energy industry...Small Is Profitable highlights the societal benefits of distributed resources, and will be a helpful guide to policymakers who wish to properly account for these benefits in the marketplace.' Nicholas Lenssen, Senior Director, Primen. 'This book will shift the electric industry from the hazards of overcentralization toward the new era where distributed generation will rule.' Steven J. Strong, President, Solar Design Associates, Inc. 'Readers will understand why distributed resources are poised to fundamentally alter the electric power system. Its comprehensive review of the benefits of distributed resources [is] an important part of my library.' Dr. Thomas E. Hoff, President, Clean Power Research. 'The most comprehensive treatise on distributed generation.... Great job and congratulations.' Howard Wenger, Principal, Pacific Energy Group '..[D]ensely packed with information and insights...goes a long way to demonstrate that the former paradigm of electric power supply no longer makes sense.' Prof. Richard Hirsh, University of Vermont, Leading historian of the electric power sector. 'Amory Lovins was already the world's most original and influential thinker on the future of energy services in general and electricity systems in particular. This remarkable book is a very worthy addition to an extraordinary legacy.' Ralph Cavanagh, Energy Co-Director, Natural Resources Defense Council. 'This is a book every utility professional should have on the bookshelf.' Dr Peter S. Fox-Penner, Principal and Chairman of the Board, the Brattle Group, former Principal Deputy Assistant Secretary of Energy.

Bringing together a variety of experts in business, government and international organizations, this is a major new evaluation of the growing interdependence of the private and public sectors in tackling present-day security challenges.

The best-selling introduction to evidence-based medicine In a clear and engaging style, How to Read a Paper demystifies evidence-based medicine and explains how to critically appraise published research and also put the findings into practice. An ideal introduction to evidence-based medicine, How to Read a Paper explains what to look for in different types of papers and how best to evaluate the literature and then implement the findings in an evidence-based, patient-centred way. Helpful checklist summaries of the key points in each chapter provide a useful framework for applying the principles of evidence-based medicine in everyday practice. This fifth edition has been fully updated with new examples and references to reflect recent developments and current practice. It also includes two new chapters on applying evidence-based medicine with patients and on the common criticisms of evidence-based medicine and responses. How to Read a Paper is a standard text for medical and nursing schools as well as a friendly guide for everyone wanting to teach or learn the basics of evidence-based medicine.