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		<title>How to be more innovative</title>
		<link>http://jbsh.co.uk/2011/04/10/how-to-be-more-innovative/</link>
		<comments>http://jbsh.co.uk/2011/04/10/how-to-be-more-innovative/#comments</comments>
		<pubDate>Sun, 10 Apr 2011 10:59:15 +0000</pubDate>
		<dc:creator>JohnB</dc:creator>
				<category><![CDATA[Learning]]></category>
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		<category><![CDATA[Personal]]></category>
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		<category><![CDATA[absorptive capacity]]></category>
		<category><![CDATA[innovation]]></category>

		<guid isPermaLink="false">http://www.jbsh.co.uk/?p=1067</guid>
		<description><![CDATA[Innovation is generally held to be a &#8220;good thing&#8221;. Companies that are innovative or that produce innovative products are lauded with praise, awards, not to mention investment funding. Innovative individuals are highly sought after and richly rewarded. So how can &#8230; <a href="http://jbsh.co.uk/2011/04/10/how-to-be-more-innovative/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<div class="wp-caption alignright" style="width: 250px"><a title="symphony by paul (dex), on Flickr" href="http://www.flickr.com/photos/dexxus/4631871322/"><img src="http://farm5.static.flickr.com/4060/4631871322_2260c256b5_m.jpg" alt="symphony" width="240" height="180" /></a><p class="wp-caption-text">symphony by paul (dex), on Flickr</p></div>
<p>Innovation is generally held to be a &#8220;good thing&#8221;. Companies that are innovative or that produce innovative products are lauded with praise, awards, not to mention investment funding. Innovative individuals are highly sought after and richly rewarded.</p>
<p>So how can we be more innovative, in our personal and corporate lives?</p>
<ul>
<li>Find new ideas</li>
</ul>
<p>Most of the good ideas are already out there, you just need to find them. Some of them are protected &amp; that&#8217;s fine, respect that. But may more aren&#8217;t, so use them.</p>
<p>An important concept here is that of being a &#8220;boundary spanner&#8221;, of having eclectic interests. Research has shown that in looking for innovative solutions, individuals that had weak ties to many different disciplines were more effective than those that were tightly bound to a single one.</p>
<ul>
<li>Assimilate those ideas</li>
</ul>
<p>No not the <a href="http://en.wikipedia.org/wiki/Borg_(Star_Trek)">Borg</a>, but you need to be able integrate any new information with what you already know. There&#8217;s no point reading the latest article in <a href="http://en.wikipedia.org/wiki/Hyperbolic_geometry">hyperbolic geometry</a>, if you failed Maths 101. This is the foundation of constructivist learning models (but that&#8217;s for another post).</p>
<p>The important thing is to be able to relate the new knowledge you&#8217;ve acquired to that which you already know in some way. This may sound like a contradiction to being eclectic, but it&#8217;s not. Remember, you&#8217;re not looking to be a global expert in the new topic but you do need to understand enough to be able to address your challenge.</p>
<ul>
<li>New solutions</li>
</ul>
<p>After all, the name of the game <em><strong>is</strong></em> innovation, so we&#8217;re looking to adapt our newly assimilated knowledge to produce a new product or service. Many of the most innovative products in recent times haven&#8217;t been ground breaking in their fundamental technology, but they have combined and adapted technologies in highly innovative ways.</p>
<p>Think iPhone, Toyta Prius, Facebook, <a href="http://www.forbes.com/2009/02/19/innovation-internet-health-entrepreneurs-technology_wharton.html">etc</a>.</p>
<p>Remember, innovation is different to invention.</p>
<ul>
<li>Show me the money</li>
</ul>
<p>This doesn&#8217;t necessarily mean a Dickensian, Mr Burns kind of exploitation. But you need to translate your new solution into a business proposition, otherwise it&#8217;ll remain an idea.</p>
<p><strong>Note</strong>: While the points above are in a list (because that&#8217;s the easiest way of presenting them in a blog) they are not sequential and linear. It&#8217;s also worth noting that most innovation is a team sport, so make sure that within your team you have people that can find new ideas, bring them within your group, use them to solve problems and then commercialise those solutions.</p>
<h1>Further Reading</h1>
<p>The above ideas are collectively understood as &#8220;<a href="http://en.wikipedia.org/wiki/Absorptive_capacity">Absorptive Capacity</a>&#8221; and have been applied to individuals, teams, divisions, companies and whole regions. A good place to start is wikipedia (as always) and follow the trail from there. The key academic texts are the original article by Cohen &amp; Levinthal (1990) &amp; the expanded theory from Zahra &amp; George (2002).</p>
<ul>
<li>Cohen, Wesley M; Levinthal, Daniel A, (1990), &#8220;Absorptive capacity: A new perspective on learning and innovation&#8221;, Administrative Science Quarterly, Vol 35, Issue 1, pg 128-152</li>
<li>Zahra, Shaker A; George, Gerard, (2002), &#8220;Absorptive Capacity: A Review,Reconceptualization,and Extention&#8221;, Academy of Management Review, Vol 27, Issue 2, pg 185-203</li>
</ul>
<p>The comments about weak network ties come largely from Tushman (1977) and developed by Hansen (1999). The background Wikipedia article on interpersonal ties is <a href="http://en.wikipedia.org/wiki/Interpersonal_ties">here</a>.</p>
<ul>
<li>Morten, Hansen, (1999), &#8220;The Search-Transfer Problem: The Role of Weak Ties in Sharing Knowledge across Organization Subunits&#8221;, Administrative Science Quarterly, Vol 44, Issue 1, pg 82-111</li>
<li>Tushman, Michael L, (1977), &#8220;Special Boundary Roles in the Innovation Process&#8221;, Administrative Science Quarterly, Vol 22, Issue 4, pg 587-605</li>
</ul>
<p>This is a different style of post to previous ones I&#8217;ve written. I&#8217;d be very grateful for comments on areas that need expanding / simplifying or just explained in a different way.  I hope to be writing more articles along similar lines as my current work with the <a href="http://www.inets-sw.co.uk/a_and_ae.aspx">iNETs </a>is bringing all of this into sharp focus (if only from an academic research perspective).</p>
<p>Thanks</p>
<p>John</p>
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		<title>An exploratory study into HNC patients&#8217; perceptions of their appearance</title>
		<link>http://jbsh.co.uk/2010/10/27/an-exploratory-study-into-hnc-patients-perceptions-of-appearance/</link>
		<comments>http://jbsh.co.uk/2010/10/27/an-exploratory-study-into-hnc-patients-perceptions-of-appearance/#comments</comments>
		<pubDate>Wed, 27 Oct 2010 20:58:05 +0000</pubDate>
		<dc:creator>SamH</dc:creator>
				<category><![CDATA[news]]></category>
		<category><![CDATA[Research]]></category>
		<category><![CDATA[cancer]]></category>
		<category><![CDATA[head]]></category>
		<category><![CDATA[HNC]]></category>
		<category><![CDATA[neck]]></category>
		<category><![CDATA[positivity]]></category>
		<category><![CDATA[psychology]]></category>

		<guid isPermaLink="false">http://www.jbsh.co.uk/?p=991</guid>
		<description><![CDATA[Every now and again we are fortunate enough to have an opportunity to under take a piece of research in an area that we are passionate about. For a number of years, I&#8217;ve been interested in how the treatment of &#8230; <a href="http://jbsh.co.uk/2010/10/27/an-exploratory-study-into-hnc-patients-perceptions-of-appearance/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>Every now and again we are fortunate enough to have an opportunity to under take a piece of research in an area that we are passionate about. For a number of years, I&#8217;ve been interested in how the treatment of <a href="http://en.wikipedia.org/wiki/Head_and_neck_cancer">head and neck cancer</a> (HNC) affects a patient&#8217;s perceptions about their appearance. As part of my recent MSc in Health Psychology with the University of West of England, I was required to undertake a small research project and decided to scope an exploratory study into this topic. My supervisor Dr Tim Moss suggested that I include an investigation of the concept of &#8216;positivity&#8217; (also refered to as <a href="http://en.wikipedia.org/wiki/Posttraumatic_growth">posttraumatic growth</a>).  The project has now been completed and written up.  Below is a copy of the abstract and if you are interested a PDF will be available in the near future.</p>
<h2>The extent of Patients’ Positivity, Appearance Adjustment and Quality of Life following treatment for Head and Neck Cancer: An exploratory study</h2>
<p><strong>Background:</strong> Facial disfigurement is considered to be one of the most distressing aspects of head and neck cancer (HNC) and its treatment, but it has been the focus of little systematic study.  However there is a growing body of literature supporting the suggestion that such a stressful event may be a catalyst for positive psychosocial changes.  To date there are no existing studies looking at the relationship between quality of life (QoL), sense of appearance and positivity in this patient group.</p>
<p><strong>Aim: </strong>To investigate how HNC affect patients’ QoL, sense of appearance and positivity.</p>
<p><strong>Meth</strong><a href="../wp-content/uploads/2010/10/HNC_3.jpg"><img class="alignleft size-full wp-image-995" src="../wp-content/uploads/2010/10/HNC_3.jpg" alt="" width="268" height="188" /></a><strong>od:</strong> A Questionnaire battery containing the Medical Outcomes Short Form 12 (SF-12), Derriford Appearance Scale (DAS24) and Silver Lining Questionnaire (SLQ) was sent to 1,571 patients treated by the Maxillofacial Department in 2009.  The same measures with the inclusion of the University of Washington QoL Questionnaire (UoW), were posted to 299 HNC patients.  The study compares the Maxillofacial patients and HNC patients with reference data and explores associations with clinical factors.</p>
<p><strong>Results:</strong> Reasons for non-completion of the questionnaires was given by a 118 patients.  Two hundred and thirty nine (15%) of the Maxillofacial patients and one hundred and thirty two (44%) of the HNC patients returned questionnaires.</p>
<p>The HNC patients had reported less distress and dysfunction related to appearance than age and gender matched norms.  They had similar QoL to other reported HNC patients, but worse than an age matched norm group.  Tumour stage was the only demographic to reveal a difference in relation to appearance.  The HNC patients also reported having a greater sense of positivity than the maxillofacial group and a similar level to previous data collected on lung cancer patients.</p>
<p>The complexity of the patient cohort has introduced many confounding variables, and the number of completed questionnaires was insufficient to identify the significance factors related to the data obtained on the measures.  Although there are indications that age and cancer staging may be particularly important.</p>
<p><strong>Conclusions:</strong> The data collected in this study suggests that appearance issues are of less concern to HNC patients than the general population, and that they appear to be more positive, but further research is needed to investigate individual differences allowing for all the confounding variables.  Allowing for the lack of significant findings, we posit some hypotheses that would merit further investigation.  We also suggests that a follow up study, using the same validated questionnaires, over an extended patient group and longitudinally, may be able to identify significant co-variables. This may in turn inform the provision of support and information for patients to aid them in their difficult time.</p>
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		<title>How do you &#8216;lean&#8217; a business?</title>
		<link>http://jbsh.co.uk/2010/09/16/how-do-you-lean-a-business/</link>
		<comments>http://jbsh.co.uk/2010/09/16/how-do-you-lean-a-business/#comments</comments>
		<pubDate>Thu, 16 Sep 2010 08:13:32 +0000</pubDate>
		<dc:creator>JohnB</dc:creator>
				<category><![CDATA[Bristol]]></category>
		<category><![CDATA[Business]]></category>
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		<category><![CDATA[lean]]></category>
		<category><![CDATA[modelling]]></category>
		<category><![CDATA[ProductBox]]></category>
		<category><![CDATA[systems]]></category>
		<category><![CDATA[theory]]></category>

		<guid isPermaLink="false">http://www.jbsh.co.uk/?p=918</guid>
		<description><![CDATA[In these straightened times, its a great opportunity to review your business processes &#38; establish the foundations for the future. Never let a crisis go to waste. Rahm Emmanuel (via WSJ) Lean means taking a fundamental look at your business &#8230; <a href="http://jbsh.co.uk/2010/09/16/how-do-you-lean-a-business/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.flickr.com/photos/poobar/3966213251/"><img class="alignright" src="http://farm3.static.flickr.com/2435/3966213251_276c9a8481_m.jpg" alt="" width="180" height="240" /></a>In these straightened times, its a great opportunity to review your business processes &amp; establish the foundations for the future.</p>
<blockquote><p>Never let a crisis go to waste. Rahm Emmanuel (via <a href="http://online.wsj.com/article/SB123310466514522309.html">WSJ</a>)</p></blockquote>
<p>Lean means taking a fundamental look at your business &amp; driving out <a href="http://en.wikipedia.org/wiki/Lean_manufacturing">waste</a>. Some of these wastes will be obvious (work in progress, re-work, multiple sign off sheets, etc) some of the waste may be harder to identify. There are experts in &#8220;Lean&#8221; &amp; <a href="http://en.wikipedia.org/wiki/Six_Sigma">6 Sigma</a> Black-Belts, these may work for you, but I would suggest that you begin with a strategic review of your purpose, then consider some systems process modelling that will show how well, or otherwise, you are working towards those strategic proposes. From there you can assign costs and added value to activities to help with cast flow forecasting.</p>
<h2>Strategic Purpose</h2>
<p>You need to have one.</p>
<p>I was lucky to spend some time with Michael Corbett (<a href="http://www.productbox.co.uk/">Product Box</a>, <a href="http://twitter.com/productbox">@productbox</a>) a couple of weeks ago using a fairly new method called the &#8220;<a href="http://en.wikipedia.org/wiki/Business_Model_Canvas">Business Model Canvass</a>&#8220;. We spent a couple of minutes talking about the canvass but it&#8217;s such a simple, visual method that we quickly started drawing ideas on the sheet and making connections. It was quite fun to be the &#8216;client&#8217; and not to have to think too hard about the model but just concentrate on the process.</p>
<p>We looked at a business I was involved with and used the Canvass to work up a representation of the business model. The visual approach quickly distilled the Strategic Purpose (which I can waffle on about for ages) and encapsulated a clear  Value Proposition. The business was a good test of the canvass as it&#8217;s not a simple model of taking orders, fulfilling orders, rinse &amp; repeat.</p>
<p>We spent quite a bit of time discussing the stakeholders (or customer segments), activities and relationships. This actually identified a critical Value Proposition that I was completely unaware of. It had certainly not been articulated before.</p>
<p>We also worked out most of the rest of the business model, though without much detail. By lunch time we&#8217;d 75% of the business model captured, though not in a form that you could have presented to a third party. However, in a dozen or so post-it notes we&#8217;d encapsulated most of a traditional business plan and produced a couple of very clear value propositions that, together with the key partners &amp; customer segments, represented a pretty good Strategic Purpose.</p>
<h3>Fleshing out the sketch</h3>
<p>Michael then pulled out his trump card &#8211; he&#8217;d set up a Google Site specifically designed to capture the output from our Business Canvas session. This contained all our notes, diagrams, together with a whole load of background info on the canvass, process, and associated references.  Basically, all the information necessary to take the insights gained from the business canvas exercise and turn them into an action plan.</p>
<p>Michael explained that, given that it contains all this information in one place, and that it relates to a new product (or service) that he calls it a ProductBox™. Normally we&#8217;d have been working on the Canvass as team of business owners / founders / exec&#8217;s prior to launching a new product or service, and the ProductBox is designed to keep that team-work going on line. I just happened to be working with Michael on my own.</p>
<p>After our meeting I logged in to my new ProductBox and took a look at the draft diagrams &amp; notes. Because we&#8217;d spent the time drafting the original using paper and pens, it was very easy to start using the on-line diagrams. The associated notes helped to expand the short notes with more detail.</p>
<p>After a couple more hours I&#8217;d got quite a detailed business model described. I&#8217;d also explored some of the panes in the canvas in more detail and put in some background information and explanatory notes on how things related to each other. One of the drawbacks with simple visual representations is that you often lose critical details, having the Product Box with all the notes kept all those notes together with the canvass. Although I was working on this alone (with Michael keeping an eye on me) the package is a wiki so naturally collaborative if you&#8217;re in company with others.</p>
<p>After a couple of sessions I had sufficient detail that I would naturally start using something like <a href="http://www.jbsh.co.uk/?p=355">IDEF0</a> to detail the business processes needed to make the canvass work. One feature of IDEF that I really like is the concept of layering processes through parent-child relationships, while the Canvass doesn&#8217;t force on you, I can see it being a great complement to other approaches (and the wiki design of the ProductBox would help here also).</p>
<p>The end result (even after a couple of sessions) was sufficiently detailed that I could use the canvas as a map of the business model to describe to others. It&#8217;s also a live document that can continue to grow as more contributions are posted.</p>
<p>Michael and I discussed the use of the canvass. I think it&#8217;s strength is as a planning tool that very quickly and visually allows people to discuss their business model (without lots of MBA mumbo-jumbo). At first I was a little frustrated at the lack of detail, but I&#8217;ve come round to appreciate the simplicity of the presentation framework. There&#8217;s a lot more detail under the surface and the Product Box that Michael set up allows for almost infinite details if that&#8217;s what floats your boat.</p>
<h2>Should you Canvass your business?</h2>
<p>What I liked was the holistic view of the business model, and the expressed statement about Value Proposition. Anyone thinking of pitching their business should take a look at this approach, and have a chat with Michael.</p>
<p><em>Thanks to Michael for his comments on an earlier draft of this post and for introducing me to the Business Canvass and ProductBox.</em></p>
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		<title>The performance of junior doctors in applying clinical pharmacology knowledge and prescribing skills to standardised clinical cases</title>
		<link>http://jbsh.co.uk/2010/05/11/the-performance-of-junior-doctors-in-applying-clinical-pharmacology-knowledge-and-prescribing-skills-to-standardised-clinical-cases/</link>
		<comments>http://jbsh.co.uk/2010/05/11/the-performance-of-junior-doctors-in-applying-clinical-pharmacology-knowledge-and-prescribing-skills-to-standardised-clinical-cases/#comments</comments>
		<pubDate>Tue, 11 May 2010 16:35:26 +0000</pubDate>
		<dc:creator>SamH</dc:creator>
				<category><![CDATA[news]]></category>
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		<category><![CDATA[pharmacology]]></category>

		<guid isPermaLink="false">http://www.jbsh.co.uk/?p=819</guid>
		<description><![CDATA[I have recently submitted a thesis for a masters of philosphy, entitled: The Design and Validation of assessment tools for use with Junior Doctors in Applying Clinical Pharmacology.  Part of this work has been written up and will be published &#8230; <a href="http://jbsh.co.uk/2010/05/11/the-performance-of-junior-doctors-in-applying-clinical-pharmacology-knowledge-and-prescribing-skills-to-standardised-clinical-cases/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>I have recently submitted a thesis for a masters of philosphy, entitled: The Design and Validation of assessment tools for use with Junior Doctors in Applying Clinical Pharmacology.  Part of this work has been written up and will be published in the next edition (June 2010) of the peer reviewed academic journal British Journal of Clinical Pharmacology.</p>
<p>Entitled: The performance of junior doctors in applying clinical pharmacology knowledge and prescribing skills to standardised clinical cases. This paper builds on the fact that safe prescribing is a core competency in undergraduate medical education. That a large proportion of undergraduate medical students and recently graduated doctors in the UK are not confident in their ability to effectively and safely prescribe and that errors are common in all healthcare settings and prescribing errors are the most common type.</p>
<p>This study produced twelve valid and statistically reliable assessments of Clinical Pharmacology and Therapeutics (CPT) knowledge and prescribing skills in areas that pose a high risk to patient safety. The findings show that a large proportion of Foundation Year 1 (FY1) doctors fail to demonstrate the level of CPT knowledge and prescribing ability judged by a subject matter expert (SME) panel to be required at this stage of their careers. My co-authors (Prof Nicky Britten &amp; Dr David Bristow) suggest strategies and areas where teaching can be focused to improve the safety and effectiveness of FY1 doctors’ prescribing.</p>
<p>If this is an area of interest then below is the abstract related to the article and a link to the <a title="British Journal of Clinical Pharmacology" href="http://www.bjcp-journal.com/" target="_blank">journal</a>.</p>
<p style="text-align: center">*************************************</p>
<p><em><strong>Aims</strong></em></p>
<p><strong> </strong></p>
<p><strong>Recent studies suggest a worryingly high proportion of final year medical students and new doctors feel unprepared for effective and safe prescribing.  Little research has been undertaken on UK junior doctors to see if these perceptions translate into unsafe prescribing practice.  We aimed to measure the performance of foundation year 1 (FY1) doctors in applying clinical pharmacology and therapeutics (CPT) knowledge and prescribing skills using standardised clinical cases.</strong></p>
<p><em><strong>Methods</strong></em></p>
<p><strong>A subject matter expert (SME) panel constructed a blueprint and from this twelve assessments focussing on areas posing high risk to patient safety and deemed as essential for FY1 doctors to know. Assessments comprised six Extended Matching Questions (EMQ) and six Written Unobserved Structured Clinical Examinations (WUSCE) covering seven CPT domains.  Two of each assessment types were administered over three time points to 128 FY1 doctors.</strong></p>
<p><em><strong>Results</strong></em></p>
<p><strong>The twelve assessments were valid and statistically reliable. Across seven CPT areas tested 51-75% of FY1 doctors failed EMQs and 27-70% failed WUSCEs. The WUSCEs showed three performance trends; 30% of FY1 doctors consistently performing poorly, 50% performing around the passing score, and 20% performing consistently well.  Categorical rating of the WUSCEs revealed 5% (8/161) of scripts contained errors deemed as potentially lethal.</strong><strong> </strong></p>
<p><em><strong>Conclusions</strong></em></p>
<p><strong>This study shows that a large proportion of FY1 doctors fail to demonstrate the level of CPT knowledge and prescribing ability required at this stage of their careers. We identify areas of performance weakness that pose high risk to patient safety and suggest ways to improve FY1 doctors’ prescribing.</strong></p>
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		<title>Clinical Assessment Tools need to be user friendly</title>
		<link>http://jbsh.co.uk/2009/11/11/clinical-assessment-tools-need-to-be-user-friendly/</link>
		<comments>http://jbsh.co.uk/2009/11/11/clinical-assessment-tools-need-to-be-user-friendly/#comments</comments>
		<pubDate>Wed, 11 Nov 2009 13:05:49 +0000</pubDate>
		<dc:creator>SamH</dc:creator>
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		<guid isPermaLink="false">http://www.jbsh.co.uk/?p=755</guid>
		<description><![CDATA[Doctor-Patient contact time is vitally important for diagnosis and treatment.  To aid doctors thousands of &#8216;tools&#8217; have been developed for use in various fields of medical practice.  But as new technology (including physical assessment and validated questionnaires) is introduced assessment &#8230; <a href="http://jbsh.co.uk/2009/11/11/clinical-assessment-tools-need-to-be-user-friendly/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>Doctor-Patient contact time is vitally important for diagnosis and treatment.  To aid doctors thousands of &#8216;tools&#8217; have been developed for use in various fields of medical practice.  But as new technology (including physical assessment and validated questionnaires) is introduced assessment tools become redundent and others are introduced. However technological advances tend to be expensive and time consuming to train medical staff to use.  It is also the case that they often require additional physical space, time to administer and a level of health of the patient.</p>
<p><a href="http://www.flickr.com/photos/question_everything/1591106264/"><img class="alignleft size-medium wp-image-772" style="border: 1px solid black;margin: 5px" src="http://www.jbsh.co.uk/wp-content/uploads/2009/09/1591106264_ca22c72ebb_o-300x201.jpg" alt="Cigarettes" width="300" height="201" /></a>The aim of Dr Rupert Jones and collegues (including me) was to derive a multi-component assessment index for use with patients with COPD to gain a measure of severity. The index was intended to include items that are clinically important, applicable to all grades of disease severity and all healthcare settings, and simple and clear to use.</p>
<p>Traditionally, the forced expiratory volume in one second (FEV1) has been the main measure of COPD severity for clinicians and still has a prominent place in international guidelines. While patients are mainly concerned with symptoms, exacerbations and functional capacity, airflow obstruction is important to clinicians in order to measure the lung damage and determine treatment. A composite measure could account for various dimensions of the disease, and take into account both the patient’s and the physician’s perspectives.</p>
<p>One highly regarded composite measure is the BODE index which was originally designed to predict mortality in COPD. However, the BODE index involves a Six Minute Walking Test (6MWT) which limits its use in routine clinical settings as it takes time, supervision, and space. Another validated prognostic index, the COPD Prognostic Index is also cumbersome to use in routine clinical settings as it includes seven items, one of which is a health status questionnaire.</p>
<p>Therefore we have derived and validated a composite index of severity in chronic obstructive pulmonary disease, which has recently been accepted for publication by the American Journal of Respiratory and Critical Care Medicine.  We hope the index will be widley adopted by the medical profession.</p>
<p>If you are unsure of its relevance or usfulness to your practice, below is the abstract associated with the journal article.</p>
<p style="text-align: center">************</p>
<p><em>Rationale: COPD is increasingly recognized as a multi-component disease with systemic consequences and effects on quality of life. Single measures such as lung function provide a limited reflection of how the disease affects patients. Composite measures have the potential to account for many of the facets of COPD.</em></p>
<p><em>Objective: To derive and validate a multi-component assessment tool of COPD severity which is applicable to all patients and healthcare settings.</em></p>
<p><em>Methods/ Measurements: The index was derived using data from 375 COPD patients in primary care. Regression analysis led to a model explaining 48% of the variance in health status as measured by the Clinical COPD questionnaire with four components: dyspnea (D), airflow obstruction (O), smoking status (S) and exacerbation frequency (E). The DOSE index was validated in cross-sectional and longitudinal samples in different healthcare settings in Holland, Japan, and the United Kingdom.</em></p>
<p><em>Main results: The DOSE index correlated with health status in all datasets. A high DOSE index score (&gt; = 4) was associated with a greater risk of hospital admission (odds ratio 8.3 (4.1 &#8211; 17) or respiratory failure 7.8 (3.4 &#8211; 18.3). The index predicted exacerbations in the subsequent year (p ≤ 0.014).</em></p>
<p><em>Conclusions: The DOSE index is a simple valid tool for assessing the severity of COPD. The index is related to a range of clinically important outcomes such as healthcare consumption and predicts future events.</em></p>
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		<title>New Perspectives &#8211; Is the Leaning Tower of Pisa always inclined?</title>
		<link>http://jbsh.co.uk/2009/10/25/new-perspectives-is-the-leaning-tower-of-pisa-always-inclined/</link>
		<comments>http://jbsh.co.uk/2009/10/25/new-perspectives-is-the-leaning-tower-of-pisa-always-inclined/#comments</comments>
		<pubDate>Sun, 25 Oct 2009 15:56:34 +0000</pubDate>
		<dc:creator>SamH</dc:creator>
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		<guid isPermaLink="false">http://www.jbsh.co.uk/?p=782</guid>
		<description><![CDATA[Recently I posted about an area of research I am interested in and mentioned that we were going to Pisa to present the results at the European Health Psychology Society Annual Conference. I jokingly asked if Psychology could help the leaning tower and &#8230; <a href="http://jbsh.co.uk/2009/10/25/new-perspectives-is-the-leaning-tower-of-pisa-always-inclined/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.flickr.com/photos/poobar/3966226857/"><img class="alignright" src="http://farm4.static.flickr.com/3509/3966226857_d2f4ddf321_m.jpg" alt="" width="240" height="180" /></a>Recently I <a href="http://www.jbsh.co.uk/2009/09/06/can-psychology-help-the-leaning-tower-of-pisa/">posted</a> about an area of research I am interested in and mentioned that we were going to Pisa to present the results at the <a href="http://www.ehps.net/">European Health Psychology Society Annual Conference</a>.</p>
<p>I jokingly asked if Psychology could help the leaning tower and we concluded that the research I was offering up for scrutiny probably wouldn&#8217;t.</p>
<p>However the &#8220;<em>Inclined Tower</em>&#8220;, as a Swiss friend calls it, offers up an obvious, and visual, comparison with some of the benefits from attending conferences.</p>
<p>Its actually quite unusual to learn astounding new facts at academic conferences. Most of the formats involved are just too short and the programme too crowded to allow for a long and detailed examination of new research (that&#8217;s what Journal papers are really for). In Pisa there were nearly 1,300 separate pieces of research being presented, either in 15 min oral presentations, posters, symposia, or round table discussions. <a href="http://www.ehps.net/images/stories/Conference-2009/programme.pdf">And all this over 4 days</a> [programme in pdf format].</p>
<p>While you may not spend a lot of of time learning new material, you are forced to look at things from new angles and applying your thoughts and feelings in new ways.  In other words from a &#8216;New Perspective&#8217;!</p>
<p><a href="http://www.flickr.com/photos/poobar/3966209095/"><img class="alignleft" src="http://farm3.static.flickr.com/2581/3966209095_eab4b0db65_m.jpg" alt="" width="180" height="240" /></a>You&#8217;re exposed to the work of people with very different, though equally valid, research philosophies.You can see how they tackled similar questions but from different perspectives (sometimes wildly different).</p>
<p>Studies in psychology provide and require multiple perspectives to be applied in order to understanding people as individuals and as individuals in a community. Research findings and implications about the mind and mental processes as well as studies of the development and behaviour, maintenance and change of socially significant behaviour are all of importance in understand and explaining (at least in part) the world we live in and how we situate ourselves within it.</p>
<p>p.s. John here, I sat in on some of the presentations and there were a couple of very interesting points. Traditionally the shift change in hospitals has been seen as a vulnerability and has resulted in a culture of long shifts. Some research indicated that safety might actually be improved with more shift changes, since they were more often catching problems than causing them. It was the act of explaining what was going on to someone new, a fresh pair of eyes, that caught these oversights. Equally, they sometimes gave people the impetus to make a decision. For a start up company that&#8217;s charging along eyes on the prize, taking time out occasionally to explain that bigger picture to an impartial observer, is a huge benefit.</p>
<p>It was also notable the lack of technology awareness in health care messages and communications. Not just the use of social media but viral gaming, mobile data capture &amp; evaluation, and general webbiness. As I <a href="http://twitter.com/johnbradford/status/4337361380">tweeted</a> from the conference (I was in the minority having a mobile data device with me), online avatars working from fixed scripts do not make for very convincing &#8216;companions&#8217;. There is a lot this community could learn from places like the<a href="http://www.pmstudio.co.uk/"> Pervasive Media Studio</a> here in Bristol and the ecosystem around them.</p>
<p>For a technical civil engineering description of the tower and various attempts to &#8216;straighten&#8217; it check out this <a href="http://www.endex.com/gf/buildings/ltpisa/ltpinfo.htm">page</a>. <img src='http://jbsh.co.uk/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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		<title>Can Psychology help the Leaning Tower of Pisa?</title>
		<link>http://jbsh.co.uk/2009/09/06/can-psychology-help-the-leaning-tower-of-pisa/</link>
		<comments>http://jbsh.co.uk/2009/09/06/can-psychology-help-the-leaning-tower-of-pisa/#comments</comments>
		<pubDate>Sun, 06 Sep 2009 16:54:08 +0000</pubDate>
		<dc:creator>SamH</dc:creator>
				<category><![CDATA[International]]></category>
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		<description><![CDATA[As part of Sam&#8217;s interest and research into the effect of Oral and Maxillofacial Cancer, and its treatment on patients, she has been investigating the knowledge and attitudes of General Dental Practitioners (GDP).  In particular she was interested in GDP&#8217;s expereince &#8230; <a href="http://jbsh.co.uk/2009/09/06/can-psychology-help-the-leaning-tower-of-pisa/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p><img class="alignright size-medium wp-image-602" src="http://www.jbsh.co.uk/wp-content/uploads/2009/05/leaning-tower-of-pisa-300x236.jpg" alt="leaning-tower-of-pisa" width="300" height="236" /></p>
<p>As part of Sam&#8217;s interest and research into the effect of Oral and Maxillofacial Cancer, and its treatment on patients, she has been investigating the knowledge and attitudes of General Dental Practitioners (GDP).  In particular she was interested in GDP&#8217;s expereince of treatment of this patient group following completion of their cancer treatment. So she performed a small postal survey. The results of which have been submitted and accepted for presentation at two conferences (British Assocation of Oral Maxillofacial Surgeon Annual Conference &amp; European Health Psychology Conference Annual Conference).</p>
<p>The abstract accepted for these conferences tell you about the study and the results:</p>
<p>Incidents of Oral Cancer are increasing, coupled with campaigns to raise the awareness of symptoms, diagnosis and treatment. To date, no study has investigated the General Dental Practitioner&#8217;s (GDP) frequency of exposure to this type of patient or their current knowledge and attitudes in relation to the treatment and potential complications of these patients post cancer. This study investigated these areas and the requirements/requests for further training and education. A questionnaire was constructed and posted to 183 GDP in the South West (UK), with a stamped returned addressed envelop. A subsequent posting was sent out a month later to the non-respondents. The analysis of numerical data was limited to descriptive statistics using SPSS V16. Free text was analysed using content analysis with the aid of NUD*IST V5. A total of sixty-one percent (n=114) of potential participants responded. On average they had been qualified and registered as GDP’s for 20.5 years. Seventy-Six percent (n=87) of respondents reported having a patient post treatment for oral cancer. Thirty-five percent were not confident treating these patients (depending on their morbidities). The reasons given could be categorised from free text responses as due to; 1) Lack of Training, 2) Poor Communication with the hospital, 3) Finance. A minority of GDPs reported the need for further education on the treatment of these patients and for better communication between themselves and hospital consultants. The findings suggest the need for a larger study to validate this pilot and indicate future interventions with GDPs.</p>
<p>We hope you find this research as interesting as we do, as it has implications for the training of future GDP, and improving the communication betwen patients, GDP and hospital based dentists and surgeons. The hope is that it will improve the treatment of this patient group, reduce the amount of time they have to wait for treatment, as well as the lenght of time they need to have assisted feeding through things such as Percutaneous Endoscopic Gastronomy (PEG) feeding tubes.</p>
<p>As for Psychology helping the Leaning Tower of Pisa. This research probably won&#8217;t help, but we&#8217;ll keep you informed as to it&#8217;s progress once the conference is over!</p>
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		<title>Supersonic cafe</title>
		<link>http://jbsh.co.uk/2009/07/15/supersonic-cafe/</link>
		<comments>http://jbsh.co.uk/2009/07/15/supersonic-cafe/#comments</comments>
		<pubDate>Wed, 15 Jul 2009 07:22:36 +0000</pubDate>
		<dc:creator>JohnB</dc:creator>
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		<description><![CDATA[[Disclosure: I was attending last night's Science Cafe in my role as Manager of Science City Bristol.] At last night&#8217;s Science Cafe, a broad group of Bristolians heard about CFD, Pitch drips, carbon footprint of cows, and road spray from &#8230; <a href="http://jbsh.co.uk/2009/07/15/supersonic-cafe/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p><em>[Disclosure: I was attending last night's Science Cafe in my role as Manager of <a href="http://www.sciencecitybristol.com/">Science City Bristol</a>.]</em></p>
<p>At last night&#8217;s Science Cafe, a broad group of Bristolians heard about CFD, Pitch drips, carbon footprint of cows, and road spray from lorries; all from a talk about a 1,000mph rocket car!</p>
<div class="wp-caption alignright" style="width: 160px"><a href="http://en.wikipedia.org/wiki/Pitch_drop_experiment"><img src="http://upload.wikimedia.org/wikipedia/commons/thumb/6/62/University_of_Queensland_Pitch_drop_experiment-6-2.jpg/150px-University_of_Queensland_Pitch_drop_experiment-6-2.jpg" alt="Pitch drop experiment on Wikipedia" width="150" height="226" /></a><p class="wp-caption-text">Pitch drop experiment on Wikipedia</p></div>
<p>Computational Fluid Dynamics is the particular research discipline of Dr Clare Wood and Dr Ben Evans from <a href="http://www.cardiff.ac.uk/">Cardiff University</a>. Clare began with a basic introduction to <a href="http://en.wikipedia.org/wiki/Computational_fluid_dynamics">CFD</a>, some of the history of the Navier-Stokes equations and the other uses they get put to. This was where the <a href="http://www.smp.uq.edu.au/pitch/">Pitch Drop</a> came in; an experiment started in 1930 to measure the viscosity of pitch (which looks like a solid), there have been 8 drips of pitch since then as it very slowly flows into the catching beaker. Unfortunately, no one has ever witnessed a pitch-drip, there was a technical hiccup with the video <a href="mms://drop.physics.uq.edu.au/PitchDropLive">feed</a> [requires Windows Media Player] on the last drop (28 November, 2000). Clare also talked about &#8216;proper&#8217; science and using CFD to model blood flow in hearts and the bio-medical applications.</p>
<p>Ben then picked up the topic and began talking about the pressure waves that develop as you move from sub-sonic through to super-sonic. A major challenge is the incredible pressure that will occur around the rear wheels as the third shock wave develops. This is potentially so strong it could physically lift the back-end of the car into the air, obviously a bad thing at 1,000mph!</p>
<p>There&#8217;s a limit to what can be done with the mini-winglets that are being used to trim the car aerodynamically, so Ben and the CFD team are leading the engineering design changes to the rear suspension &amp; underside to try and reduce these pressure waves to make the car safe to drive. There was some more about the research development of new CFD algorithms and the promo-video (embedded at the end of this post).</p>
<p>After a short break, the Q&amp;A began. The first question was about the environmental impact of a 1,000mph rocket car with follow up comments about the 19th Century&#8217;ness of a fast car. Although this wasn&#8217;t Ben&#8217;s area of specific expertise its obviously something that comes up fairly regularly. An environmental economist (or something like that) has looked at the car, the project and worked out their carbon footprint for the whole 4 year project. Apparently it comes to around 4 cows farting for a year; now I&#8217;d never entered the term &#8220;<a href="http://www.google.co.uk/search?q=cow+fart">cow fart</a>&#8221; into Google before this morning (who would) but it seems quite a research topic, even the <a href="http://www.telegraph.co.uk/news/newstopics/howaboutthat/2274995/Cow-farts-collected-in-plastic-tank-for-global-warming-study.html">Telegraph</a> are reporting it!</p>
<p>As to the choice of a rocket car (rather than a green car); this had been intended from the outset to be an engineering adventure. The car &amp; the 1,000mpt target are almost incidental, the primary aim is to get children (and the young at heart) excited about science &amp; engineering and thinking about careers in the sciences. Rockets are still exciting to young kids!</p>
<p>The topics moved around and one that came up was the legacy of the project, what will we have after the final run (other than a very expensive museum exhibit)? Ben explained that much of the research involved in the CFD modelling is directly transferable. The example he used was how spray is formed at the back of lorries in the rain. One of the challenges of Bloodhound is the generation of a dust spray from the wheels and shock wave, and modelling how this mix of air &amp; particles grows and affects the car. The same physics are (they think) involved in road spray from lorries, but no one has developed a good model of how spray forms and moves around the lorry. When you drive into this spray, in overtaking for example, it can be a real safety hazard, by modelling this and proposing different designs for the lorries, they might be able to reduce this spray and improve road safety.</p>
<p>There were tons of other questions (about an hour&#8217;s worth), it was a really great evening. Thanks to John and <a href="http://www.at-bristol.org.uk/">At-Bristol</a> for hosting and to Bob Foster for his <a href="http://www.sciencecafe.co.uk/">Science Cafe</a> website where I found out about the event from <a href="http://www.sciencecafe.co.uk/science%20events%20in%20bristol.htm">Bob&#8217;s Calendar</a>.</p>
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		<title>PEGs are not just for hanging out the laundry!</title>
		<link>http://jbsh.co.uk/2009/05/30/pegs-are-not-just-for-hanging-out-the-laundry/</link>
		<comments>http://jbsh.co.uk/2009/05/30/pegs-are-not-just-for-hanging-out-the-laundry/#comments</comments>
		<pubDate>Sat, 30 May 2009 18:31:47 +0000</pubDate>
		<dc:creator>SamH</dc:creator>
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		<description><![CDATA[The clothes peg is a commonly used (at least in the summer) household object. Most of us have them, though we rarely regard them. They are so basic yet so useful, they have the ability of serving many functions in addition to it&#8217;s original one. &#8230; <a href="http://jbsh.co.uk/2009/05/30/pegs-are-not-just-for-hanging-out-the-laundry/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p><img class="alignright size-medium wp-image-610" src="http://www.jbsh.co.uk/wp-content/uploads/2009/05/peg_3-224x300.jpg" alt="peg_3" width="224" height="300" /></p>
<p>The clothes peg is a commonly used (at least in the summer) household object. Most of us have them, though we rarely regard them. They are so basic yet so useful, they have the ability of serving many functions in addition to it&#8217;s original one. It can be used to hang stuff, to hold, to fasten, endless number of uses.  The peg is a simple object.</p>
<p>However if you talk to many people within the medical profession a PEG is something very different.</p>
<p>The Percutaneous Endoscopic Gastrostomy (PEG) feedback tube is a safe and effective way to provide food, liquids and medications (when appropriate) directly into the stomach. The procedure is carried out for patients who are having difficulty swallowing. Irrespective of the age of the patient or their medical condition, the purpose of PEGs is to provide fluids and nutrition directly into the stomach.</p>
<p>I&#8217;ve been investigating the impact of medical treatment on patients that have had treatment for Oral and Maxillofacial Cancers. Part of this treatment may be the placement of a PEG feeding tube. So how does having a PEG feeding tube effect the Quality of Life (QoL) of this patient group.  I undertook a study to find out, which was presented at conference (<a title="BAOMS 2008 Programme" href="http://baomsmeetings.org.uk/cardiff/BAOMS_08_Prog_2905.pdf" target="_blank">2008 British Assocaition of Oral and Maxillofacial Surgeon Annual Conference</a>, 22nd Annual Conference of the <a title="EHPS" href="http://www.ehps.net/" target="_blank">European Health Psychology Society </a>and<a title="6th Liverpool QoL Conference 2008" href="http://www.headandneckcancer.co.uk/showpage.asp?id=Liverpool-QOL-conference-2008&amp;menu=5" target="_blank"> 6th International Head &amp; Neck Quality of Life Workshop</a>).  An overview of this study is given below.</p>
<p><strong>A Qualitative Investigation into the Impact of PEGs</strong></p>
<p>Research by the Maxillofacial Department at Derriford Hospital in Plymouth has shown an initial reduction in QoL due to the effects and demands of treatment as measured by the questionnaires. But patients want to add detail about specific areas of concern to themselves. One of these issues is the use of PEGs. The aim of this work was to explore the views of patients regarding the impact of having a PEG in-situ.</p>
<p><img class="alignleft size-medium wp-image-614" src="http://www.jbsh.co.uk/wp-content/uploads/2009/05/peg_poster_picture-297x300.jpg" alt="peg_poster_picture" width="297" height="300" />Ten patients were recruited prior to treatment for Head and Neck Cancer. They participated in a semi-structured interview and then completed the University of Washington and EORTC-C30 and HN35 QoL questionnaires to ensure comparability with previous studies. Follow-up data was collected at 1, 3, and 6 months post treatment.</p>
<p>Data revealed that those participants with a PEG in-situ had issues with clothing, activities, and sex, which were not apparent in those non-PEG participants. All rationalised the placement of the PEG, but expressed a desire for the PEG to be removed in order to more freely socialise, not be restricted in activity and start ‘feeling normal’. Communication with clinicians about the expected duration of use was described as poor. Patients needing new dentures prior to removal of the PEG reported feeling ‘abandoned’ by the hospital and ‘not confident in their dentists’.</p>
<p>This research shows the benefit of interview in adding flesh to the bones of questionnaires. It reveals adverse psychological effects of PEGs and need for better communication between patients and professionals. Investigation into oral rehabilitation is required.</p>
<p><strong>So what next?</strong></p>
<p>As noted, there needs to be better communication between patients and professionals. But the professionals need to be aware of the issues their patients may have.  Therefore this work is currently being written up for publication in peer review journals, and other work is ongoing to investigate the knowledge base of professionals such as General Dental Practitioners that work outside of hospital settings, but that can still have a significant impact of the length of time this patient group require PEG feeding tubes.</p>
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		<title>Business Support Simplification &#8211; an analysis</title>
		<link>http://jbsh.co.uk/2009/04/23/business-support-simplification-an-analysis/</link>
		<comments>http://jbsh.co.uk/2009/04/23/business-support-simplification-an-analysis/#comments</comments>
		<pubDate>Thu, 23 Apr 2009 06:03:55 +0000</pubDate>
		<dc:creator>JohnB</dc:creator>
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		<description><![CDATA[Is it possible for a Government to provide simple support to businesses? Well the UK Government thinks it is, but recognises that it hasn&#8217;t been very good at the simple part. A few years ago some wag pointed out that &#8230; <a href="http://jbsh.co.uk/2009/04/23/business-support-simplification-an-analysis/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<div class="wp-caption alignright" style="width: 250px"><a href="http://flickr.com/photos/paulmannix/286817119/"><img src="http://farm1.static.flickr.com/99/286817119_8c7bd513f4_m.jpg" alt="Uploaded on November 2, 2006 by Paul Mannix" width="240" height="180" /></a><p class="wp-caption-text">Uploaded on November 2, 2006 by Paul Mannix</p></div>
<p>Is it possible for a Government to provide simple support to businesses?</p>
<p>Well the UK Government thinks it is, but recognises that it hasn&#8217;t been very good at the <a href="http://www.berr.gov.uk/whatwedo/enterprise/simplifyingbusinesssupport/page44805.html" target="_blank">simple par</a>t. A few years ago some wag pointed out that there were over 3,000 different grants, programmes, schemes, advice networks, etc (nobody really knew the exact number), and that it was something of a mess. In the <a href="http://www.hm-treasury.gov.uk/bud_bud06_index.htm" target="_blank">2006 Budget</a> the Government promised to reduce this to around 100. The latest plan is to get this down to <a href="http://www.berr.gov.uk/whatwedo/enterprise/simplifyingbusinesssupport/page44804.html" target="_blank">30</a>.</p>
<p>As <a href="http://twitter.com/dan_martin">Dan Martin</a> over at businesszone.co.uk more recently <a href="http://www.businesszone.co.uk/cgi-bin/item.cgi?id=196788&amp;d=1107&amp;h=1097&amp;f=1096&amp;dateformat=%25o%20%25B%20%25Y">pointed out</a>, this simple list of 30 has already become less simple.</p>
<p>As part of an application to the recent SWRDA post for Head of Business Innovation, I thought I&#8217;d revisit BSSP from a more strategic perspective. While I have dealt directly with several of the individual &#8216;products&#8217; (as they&#8217;re called) and have been involved in various briefing and discussion around the rest, I&#8217;ve not formally reviewed the whole documentation associated with these changes.</p>
<p>Enter <a href="http://twitter.com/nigellegg" target="_blank">Nigel Leg</a>g at <a href="http://www.katugaslex.co.uk/" target="_blank">Katugas Lex</a>. I emailed over three documents: <a href="http://www.berr.gov.uk/files/file50052.pdf" target="_blank">Solutions for business: supporting success</a>, <a href="http://www.berr.gov.uk/files/file48470.pdf" target="_blank">The economic drivers of Government-funded business support: supporting analysis for &#8216;Solutions for business: supporting success&#8217;</a> and the <a href="http://download.southwestrda.org.uk/file.asp?File=/res/general/RES2006-2015.pdf" target="_blank">South West Regional Development Agency&#8217;s Regional Economic Strategy</a>. I asked Nigel to see what the key themes and constructs that emerged from within these three documents, but didn&#8217;t set any specific boundaries or expectations.</p>
<p>After a couple of days Nigel emailed to say he&#8217;d finished and invited me round for a presentation and discussion.</p>
<p>A note on the analysis method before getting into the findings. Each document was broken down and repeating words found, for each document the top 30 to 40 words were included in the supporting excel report. These words were then grouped to identify key themes with around 13 per document. Because of the way the statistics works, you don&#8217;t receive an absolute measure of thematic importance. For example, with the Economic Drivers the most connected theme was &#8220;business&#8221; with &#8220;market&#8221; being 73% as connected as &#8220;business&#8221; and &#8220;information&#8221; being 50% as connected as &#8220;business&#8221;. So you do get a very good internal feel for the focus and thrust of the document, Nigel also included a combined report of all three documents.</p>
<div id="attachment_449" class="wp-caption alignright" style="width: 310px"><img class="size-medium wp-image-449" src="http://www.jbsh.co.uk/wp-content/uploads/2009/03/economic-drivers-bssp-semantic-network-300x245.png" alt="The economic drivers of Government-funded business support" width="300" height="245" /><p class="wp-caption-text">The economic drivers of Government-funded business support</p></div>
<p>As you&#8217;d expect the dominant themes are around business, support, innovation, economics with a heavier weighting towards regional and south west for the SWRDA document. What was more interesting was what wasn&#8217;t there.</p>
<p>The market was clearly front and centre in the economic justification. Innovation is clearly linked to productivity and there&#8217;s a reasonable focus on benefits (through examples). Unfortunately &#8220;profit&#8221; or &#8220;finance&#8221; didn&#8217;t make the ranking for any of the documents.</p>
<p>Providing information is clearly seen as a benefit and service to inform the businesses understanding of the market and various support available. As I understand it this is a core function of the <a href="http://www.businesslink.gov.uk/">Business Links</a> through their IDB (Infomation, Diagnosis &amp; Brokerage).</p>
<p>Despite having a whole chapter on Skills (Chapter 3), they don&#8217;t show up as a key theme. The two main &#8216;products&#8217; here are Train to Gain and the Manufacturing Advisory Service. Hidden away is a very interesting sounding service &#8220;Coaching for High Growth&#8221;.</p>
<p>The actual semanic map of the BSSP document wasn&#8217;t that surprising on its own. The main focus was around businesses and economic achievement, with a sizable grouping around Government Support, the schemes themselves and eligibility.</p>
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<p><div id="attachment_452" class="wp-caption alignleft" style="width: 310px"><img class="size-medium wp-image-452" src="http://www.jbsh.co.uk/wp-content/uploads/2009/03/swrda-res_2006-2015-semantic-network-300x245.png" alt="SWRDA Regional Economic Strategy" width="300" height="245" /><p class="wp-caption-text">SWRDA Regional Economic Strategy</p></div></td>
<td>Its worth noting at the outset that the SWRDA Regional Economic Strategy goes much wider than business innovation or government support for businesses. There were quite sizable thematic groupings around people and future communities and their connection to the broad economy of the region. There was also consideration on the challenges and changes associated with growth.</p>
<p>The focus in general has moved away from a historical focus on employment toward productivity (at least as far as business is concerned). Interestingly, important and business are closely linked themes.</p>
<p>Possibly the most noticeable shift between the two maps is the disappearances of &#8220;market&#8221;, &#8220;innovation&#8221; and &#8220;enterprise&#8221; as top level themes.</td>
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<h2>Some thoughts</h2>
<ul>
<li>Personally I would have liked to have seen more evidence of developing market understanding and providing solutions to problems in the market.</li>
<li>I&#8217;d also have liked to see more emphasis on developing the higher skills for entrepreneurship and innovation (principally team building).</li>
<li>The emphasis on innovation &amp; enterprise at the national level is excellent, as is the lack government focus on specific sectors (though this has already changed with the various sector bail-outs).</li>
<li>It would have been nice to see more innovation &amp; enterprise focus in the SWRDA RES, but moving from an employment focus to productivity is a start</li>
</ul>
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