Barriers to Accessing Pediatric Health Care: A Focus on Health Equity in the UK.

Introduction: To achieve health equity, we must first understand health inequities. This article focuses on socioeconomic deprivation and associated barriers to accessing health care for children and their families in the UK, where, despite care being free at the point of delivery, economic barriers to health care access remain.

Methods: Thematic analysis of findings from a large qualitative study with providers of secondary and tertiary pediatric care in the UK.

Retaining doctors in organisations in socioeconomically deprived areas in England: a qualitative study.

Objectives: To identify factors that improve retention in under-doctored areas that experience difficulties in maintaining sufficient medical workforce.

Design: Qualitative study based on semi-structured interviews, collected as part of a larger study.

Setting: Four purposely sampled geographic case study sites in England.

Burnout and staff experiences of health inequalities in children's hospitals: a qualitative analysis.

Objectives: To identify burnout constructs from descriptions of staff experiences of health inequalities operating across paediatric specialist hospitals and to categorise the constructs according to Leiter and Maslach's six Areas of Worklife (AWL) model of burnout.

Design: A secondary data analysis of a qualitative study using semi-structured interviews and focus groups.

Setting: The interviews and focus groups were conducted within nine children's hospitals in England.

Impact of the SARS-CoV-2/COVID-19 pandemic on the patient journeys of those with a newly diagnosed paediatric brain tumour in the UK: a qualitative study.

Objectives: To explore the impact of the SARS-CoV-2/COVID-19 pandemic on the diagnosis, management and patient journey for children and young people with a newly diagnosed brain tumour in the UK.

Design: Exploratory qualitative study focused on patient journeys from multiple perspectives, conducted as part of a wider mixed-methods study.

Setting: Three paediatric oncology tertiary centres in the UK.

Understanding responsibility for health inequalities in children's hospitals in England: a qualitative study with hospital staff.

Objectives: This study aimed to understand how staff in children's hospitals view their responsibility to reduce health inequalities for the children and young people who access their services.

Design: We conducted an exploratory qualitative study.

Setting: The study took place at nine children's hospitals in England.

Gender, flexibility and workforce in the NHS: A qualitative study.

Data from the General Medical Council show that the number of female doctors registered to practise in the UK continues to grow at a faster rate than the number of male doctors. Our research critically discusses the impact of this gender-based shift, considering how models of medical training are still ill-suited to supporting equity and inclusivity within the workforce, with particular impacts for women despite this gender shift. Drawing on data from our research project Mapping underdoctored areas: the impact of medical training pathways on NHS workforce distribution and health inequalities, this paper explores the experiences of doctors working in the NHS, considering how policies around workforce and beyond have impacted people's willingness and ability to continue in their chosen career path.

Assessing the health needs of children and young people accessing paediatric hospital services: a scoping review protocol.

Introduction: Health needs are issues that face a population or specific groups, which can benefit from healthcare and wider social and environmental changes. They are inextricably linked to health inequalities, which are largely determined by non-health-related factors such as socioeconomic deprivation or belonging to ethnic minority groups. The hospital-accessing paediatric population, with higher rates of morbidity and mortality, are likely to have higher levels of met and unmet health needs related to social determinants, compared with their peers.

How do children's hospitals address health inequalities: a grey literature scoping review.

Objectives: Health inequalities are systematic differences in health between people, which are avoidable and unfair. Globally, more political strategies are required to address health inequalities, which have increased since the global SARS-CoV-2/COVID-19 pandemic, with a disproportionate impact on children. This scoping review aimed to identify and collate information on how hospitals around the world that deliver care to children have addressed health inequalities.

The wider health and wellbeing needs of those accessing paediatric care in England: engaging with the hidden voices of children and young people.

Background: Health need is inextricably linked with inequalities. Health outcomes are worse for those in lower socio-economic groups, ethnic minority groups, and those with protected characteristics. In the UK, this has been compounded by the COVID-19 pandemic and the cost-of-living crisis.

How do hospitals address health inequalities experienced by children and young people: a grey literature scoping review protocol.

Introduction: Health inequalities are unfair, systematic differences in health between people. In the UK, the Health and Social Care Act 2012 recognised health inequalities as a responsibility of the National Health Service (NHS). Health inequalities were foregrounded in the publication of 2019 NHS Long Term Plan and during the SARS-CoV-2/COVID-19 pandemic.

Who cares where the doctors are? The expectation of mobility and its effect on health outcomes.

Doctors are typically portrayed as active agents in their work lives. However, this paper argues that this construction of agency ignores the effects of the healthcare structures that constrain choice, which in turn affects population health outcomes. Medical training pathways, regional boundaries, and rationalisation all have a long-lasting impact on the provision of healthcare.

Does simulation training in final year make new graduates feel more prepared for the realities of professional practice?

Introduction: The transition from medical student to doctor has long been a source of concern, with widespread reporting of new graduates' lack of preparedness for medical practice. Simulation has been suggested as a way to improve preparedness, particularly due to the difficulties in allowing full autonomy for patient care for undergraduate medical students. Few studies look at simulation alone for this purpose, and no studies have compared different simulation formats to assess their impact on preparedness.

Library support for student mental health and well-being in the UK: Before and during the COVID-19 pandemic.

Libraries increasingly seek to support the mental health and well-being of students. This study reports on the results of a survey examining the range of such support activities offered by UK academic libraries prior to and during the COVID-19 pandemic. Prior to the pandemic libraries' emphasis was on new library specific services such as a fiction collection, a type of initiative taken to proactively align with institutional policy.

Retention of doctors in emergency medicine: a scoping review of the academic literature.

Introduction: Workforce issues prevail across healthcare; in emergency medicine (EM), previous work improved retention, but the staffing problem changed rather than improved. More experienced doctors provide higher quality and more cost-effective care, and turnover of these physicians is expensive. Research focusing on staff retention is an urgent priority.

'Where have all the doctors gone?' A protocol for an ethnographic study of the retention problem in emergency medicine in the UK.

Introduction: 'Emergency medicine (EM) in the UK has a medical staffing crisis.' Inadequate staffing, in EM and across healthcare, is a problem that affects the quality of patient care globally. Retention of doctors in EM is a particularly acute problem in the UK's National Health Service.

Bibliotherapy in practice: a person-centred approach to using books for mental health and dementia in the community.

Bibliotherapy is the use of texts to provide support for people with mental and physical health problems. It is widely seen to have beneficial outcomes but there is still disagreement about how best to deliver bibliotherapy in practice. This article explores one method of delivering bibliotherapy which has evolved over the past 20 years in the North of England, the Kirklees approach.

The 'present-tense' experience of failure in the university: Reflections from an action research project.

This article reflects on insights from an action research project where we worked with students whose university experience was inhibited by the fear of failure. In contrast to the popular concept of 'learning from failure', which involves intellectualizing the experience and distancing ourselves from it, our findings demonstrate the importance of a 'present tense' focus on emotions and affects in order to understand the experience of failure for students. Doing so brings us face-to-face with the often painful experience of failure in the present moment which, we argue, is an important and valid part of the university experience.

Design for mobile mental health: Exploring the informed participation approach.

Mobile applications (apps) have the potential to improve mental health services. However, there is limited evidence of efficacy or responsiveness to user needs for existing apps. A lack of design methods has contributed to this issue.

Retention of doctors in emergency medicine: a scoping review protocol.

Objective: The primary question of the review is: What is known about retention of doctors in emergency medicine?

Introduction: There is a staffing crisis in emergency medicine and retention problems across healthcare. The evidence is disparate and includes healthcare research, management studies and policy documents from government and other agencies. Therefore there is a need to map the evidence on retention of emergency medicine doctors.

Making infection prevention and control everyone's business? Hospital staff views on patient involvement.

Context: Ensuring an infection-free environment is increasingly seen as requiring the contribution of staff, patients and visitors. There is limited evidence, however, about how staff feel about collaborating with patients and relatives to co-produce that environment.

Aims: This study aims to understand how hospital staff perceive the involvement of patients and relatives in infection prevention and control (IPC) and the main challenges for staff in working together with patients and relatives to reduce the threat of infection.

The daily digital practice as a form of self-care: Using photography for everyday well-being.

Interest in the connection between involvement in digital communities and well-being has increased as these communities become more commonplace. Specific models of interaction that affect well-being have emerged; here, we examine one of those models, termed 'digital daily practice'. Digital daily practices involve a commitment to doing one thing - exercise, photography and writing - every day and sharing it online.