The impact of facilities management on patient outcomes

Purpose – The purpose of this paper is to investigate the extent to which practicing National Health Service (NHS) facilities managers thought that the contribution of facilities management (FM) could be measured in terms of health outcomes. Design/methodology/approach – A questionnaire was distributed to NHS facilities or estate managers from the majority of NHS trusts in England and Wales. Findings – In general, there is little or no evidence from pre-existing research to prove the contribution of FM in terms of health outcomes. However, in spite of this, 59 per cent of facilities managers in the NHS believe that the contribution of FM could be measured yet only a relatively small number of Trusts (16 per cent) have attempted to measure the contribution of FM. The analysis of the secondary data does not show any conclusive evidence of a correlation between FM and health outcomes. Research limitations/implications – The scope of the study did not extend to collecting empirical evidence to prove the contribution of FM to health outcomes – it was only focusing on whether facilities managers thought it was possible, and if so how they would measure the contribution. However, as part of the project some secondary data were tested for a relationship between FM services and health outcomes. Originality/value – This is the first time any study has gathered opinion from facilities managers as to whether they believe their contribution can be measured in terms of organisational outcomes, in this case patient care or health outcomes. It provides a useful starting point in order to develop a future study to prove the contribution from FM to health outcomes.</p

Negative intrusive thoughts and dissociation as risk factors for self-harm.

Relationships between self-harm and vulnerability factors were studied in a general population of 432 participants, of whom 30% reported some experience of self-harm. This group scored higher on dissociation and childhood trauma, had lower self-worth, and reported more negative intrusive thoughts. Among the non-harming group, 10% scored similarly to the self-harmers on the dissociation and self-worth scales, and engaged in potentially maladaptive behaviors that are not defined as indicating clinical self-harm, but experienced fewer negative intrusive thoughts. This group may be at risk of future self-harm if they begin to experience negative intrusive thoughts. If negative intrusive thoughts are playing a causal role, then therapeutic approaches tackling them may help those who are currently self-harming

Adsorption of atoms and molecules upon the surface of a single crystal and chemical reactions that take place upon the surface /low energy electron diffraction/ Annual progress report, 1966-1967

Low energy electron diffraction research of chemical interactions of gases with single crystal metal surfaces, and gas adsorption on nickel and tungsten surface

A Presheaf Interpretation of the Generalized Freyd Conjecture

We give a generalized version of the Freyd conjecture and a way to think about a possible proof. The essential point is to describe an elementary formal reduction of the question that holds in any triangulated category. There are no new results, but at least one known example drops out quite trivially.Comment: 8 pages; formerly titled "Thinking about the Freyd conjecture