There is currently an unrecognised conflict between the utilitarian nature of the overall NHS and the basic deontology of the doctor-patient interaction. This conflict leads to mistrust and misunderstanding between managers and clinicians. This misunderstanding is bad for both doctors and managers, and also leads to waste of time and resources, and poorer services to patients. The utilitarian thinkers tend to value finite, short term, evidence based technical interventions, delivered according to specifications and contracts. They appear happy to break care (...) up into smaller pieces, which can then be commissioned from multiple providers. The deontological thinkers tend to think about care delivered through a long term continuous relationship, and regard that relationship as therapeutic and salutogenic in itself. To them breaking care up into smaller fragments is a denial of what caring is really about. Very rarely are either or both sides of this debate fully aware of where their powerfully felt and often well argued positions start from. In this paper we offer an appraisal of the strengths and weaknesses of both moral viewpoints as applied in the UK NHS context and we suggest a way in which they can be reconciled, provided neither is pushed too far or too hard against the other. We believe this reconciliation would be good for patients, doctors, managers and improve the service as a whole. (shrink)

_Current Issues in Business Ethics_ analyzes the questions which underlie business activities, arguing that the prime object for a legitimate business must be sustainability. It also looks at the issues between individuals and business and asks whether businesses can support their employees as an alternative to family and church. Finally it assesses the impact of most recent trends in business looking at: * the activities of multinational companies * the changing gender balance * privatization * the loss of power of (...) the trade unions. (shrink)

_Current Issues in Business Ethics_ analyzes the questions which underlie business activities, arguing that the prime object for a legitimate business must be sustainability. It also looks at the issues between individuals and business and asks whether businesses can support their employees as an alternative to family and church. Finally it assesses the impact of most recent trends in business looking at: * the activities of multinational companies * the changing gender balance * privatization * the loss of power of (...) the trade unions. (shrink)

Analyses of market-based reforms of state schooling have occasionally acknowledged positional elements in parental demand, but none has fully examined their nature and implications. Contrary to the normal predictions of orthodox economic analysis, competition in positional markets can result in inefficient outcomes. Predominantly relying upon recent British experience, we examine the extent to which compulsory schooling can be viewed as a positional good and explore its implications for policy. In particular, we consider whether policies targeting increases in parental choice assist (...) a rise in the overall level of educational attainment. (shrink)

The various theories about business ethics need to take much more notice of technology, realising that technology has its own increasing momentum which is driving business, and that, whereas business people think they control technology as a simple neutral means to their ends, in fact the reverse is true: business is the servant of technological development. Jacques Ellul, however, offers some hope for the future to help us ‘reappropriate our humanity’. Dr Davies is a senior lecturer in Strategic Management and (...) Business Ethics at the Buckingham Business School, Buckinghamshire College [a College of Brunel University], Newland Park Campus, Gorelands Lane, Chalfton‐St‐Giles, Buckinghamshire HP8 4PB (Tel 01494‐874441, ext. 2240; fax 01494‐874230; Email [email protected]). His background is in mining and production engineering and he would like to hear from others interested in the new field of engineering ethics. (shrink)

Ethics and Empowerment is aimed atproviding tactical, high-level solutions to today's business and professionalchallenges. Gathering together experts in various fields, this line of titleswill benefit professionals as they face the challenges of the ever-changingbusiness climate. Amid the burgeoning literature on business ethics, this book providesan important lead in taking a well-known everyday management notion such as"empowerment" and using it to make "ethics" more relevantand accessible to the business world. Adding a major contribution to theongoing debate about the role of business (...) in society, the content examines theissues of power, control, and autonomy, addressing such questions asempowerment as a matter of justice, and also provides case studies of theorganizational experiences of empowerment programs. (shrink)

Over the past decade higher education policy in England has gradually switched from a stance of 'government as purchaser' to 'government as informer'. During 2012 this policy stance has been intensified through new requirements for the advice provided by schools and the introduction of 'Key Information Sets' which are intended to 'drive up quality' through informed choice. This paper documents this policy shift and subjects it to critical scrutiny.

The various theories about business ethics need to take much more notice of technology, realising that technology has its own increasing momentum which is driving business, and that, whereas business people think they control technology as a simple neutral means to their ends, in fact the reverse is true: business is the servant of technological development. Jacques Ellul, however, offers some hope for the future to help us ‘reappropriate our humanity’. Dr Davies is a senior lecturer in Strategic Management and (...) Business Ethics at the Buckingham Business School, Buckinghamshire College [a College of Brunel University], Newland Park Campus, Gorelands Lane, Chalfton‐St‐Giles, Buckinghamshire HP8 4PB . His background is in mining and production engineering and he would like to hear from others interested in the new field of engineering ethics. (shrink)

We provide an economic assessment of the operation of schooling quasi-markets, re-interpreting the findings of the mainly sociologically-based empirical research. We find that economic analysis is complementary to that of sociology, providing further explanations for the failure of greater competition to increase the diversity of provision and challenge traditional school hierarchies.

Teachers' approaches to differentiation are described as a relationship between their planning, daily practice and thinking. Differences between the practice and thinking of teachers and implications for improving practice in differentiation are considered.

Physiological concentrations of retinoic acid can induce acute alterations in the expression of the enzyme tissue transglutaminase in cultured macrophages. The induction of this enzyme offers a probe to study the mechanism of retinoid action in both normal and leukemic cells.