Affordability of Household Water and Sewerage Services in Great Britain*

This paper analyses the problem of water affordability in Great Britain. The use and meaning of the term ‘affordability’ are discussed in relation to the domestic or household customers of the British water industry. Using microeconomic data from the Family Resources Survey, affordability is calibrated by income group and household composition for Scotland, England and Wales. Whilst measurement or calibration is the primary focus of the paper, the related question of the way in which an affordability threshold or benchmark might be established is considered. A critique of the various financial support mechanisms currently available to households encountering difficulties in paying water and sewerage charges is followed by a discussion of the policy implications of the research and the way in which it relates to the wider social inclusion agenda of central government.     

Unpacking a crop diversity hotspot: farmer practice and preferences in Northern Malawi

Crop diversity is a key principle of sustainable food production systems. Yet, inter and intra specific diversification is declining in many regions of the world. In Northern Malawi, a participatory action research project (Soils Food and Healthy Communities) has conducted agroecological co-learning with farmers for over a decade, providing an opportunity to explore farmer management, crop choice and variety selection practices. Farmers who participate receive seed for 0.10 ha of on-farm testing for one growing season and then decide whether to continue to grow the crop. Cropping system diversity, management practices and traits associated with crops grown and lost were assessed through interviews with 198 farm households (757 fields). We found an average of 1.3 species per field and 4.0 crops per farm. This is almost twice the level of diversity in other reports from Malawi smallholder farms. Farmers cited a wide range of preferred groundnut variety traits, as well as concerns (namely, high labour requirements). Both modern and local maize varieties are being grown and those retained were often associated with early maturity or preferred grain quality traits such as storability. Overall, farmers at this Northern Malawi agroecology education site are growing diverse crop mixtures that include traditional as well as modern varieties of maize and groundnut.     

Buying into Capitalism? Employee Ownership in a Disconnected Era

This article considers whether employee ownership mitigates the negative workplace outcomes identified by the Disconnected Capitalism Thesis (DCT). Drawing on a programme of in‐depth interviews with workers and managers in employee‐owned businesses (EOBs), the article reveals how they are partially insulated from the vicissitudes endemic within contemporary capitalism. In contrast to the workplace outcomes envisaged within the DCT, these firms are characterized by strong workforce participation, high levels of employment security, active employee engagement and strong levels of employee creativity. Not only are these features beneficial for productivity and firm performance, they generate a form of ‘connected’ capitalism, partially offsetting wider negative systemic forces at play in the economy.     

The Quality of Manufactured Products in Britain and Germany

This paper is concerned with the relation between workforce skills and high-quality production. Detailed investigations of specific products sampled from three industries indicate that the average British-made product embodied fewer quality-features than its German-made counterpart, and that Britain produces little of top-quality grades—in contrast to a strong German presence at that end of the market. These findings were based on factory visits and discussions with trade experts in both countries. Two broad aspects of workforce skills which contribute to higher-quality production were identified: (1) the skills relevant at the design-interface between consumer demand and production realities, and (2) the skills relevant to small and medium-sized batch-production of specialised varieties. Existing comparisons based on official statistics of production and prices do not take adequate account of differences in product-quality. Based on a close matching of quality-grades of ten sampled products, proper adjustment for quality differences across countries would substantially increase estimates of the German real productivity advantage in manufacturing (to around 50% over Britain), and raise estimates of real income per head for Germany to some 40% over Britain.     

Comparison of medical costs and healthcare resource utilization of post-menopausal women with HR+/HER2− metastatic breast cancer receiving everolimus-based therapy or chemotherapy: a retrospective claims database analysis

Objective:

To analyze medical costs and healthcare resource utilization (HRU) associated with everolimus-based therapy or chemotherapy among post-menopausal women with hormone-receptor-positive, human-epidermal-growth-factor-receptor-2-negative (HR+/HER2?) metastatic breast cancer (mBC).

Methods:

Patients with HR+/HER2? mBC who discontinued a non-steroidal aromatase inhibitor and began a new line of treatment with everolimus-based therapy or chemotherapy (index therapy/index date) between July 20, 2012 and April 30, 2014 were identified from two large claims databases. All-cause, BC-related, and adverse event (AE)-related medical costs (in 2014 USD) and all-cause HRU per patient per month (PPPM) were analyzed for both treatment groups across patients’ first four lines of therapies for mBC. Adjusted differences in costs and HRU between the everolimus and chemotherapy treatment group were estimated pooling all lines and using multivariable generalized linear models, accounting for difference in patient characteristics.

Results:

A total of 3298 patients were included: 902 everolimus-treated patients and 2636 chemotherapy-treated patients. Compared to chemotherapy, everolimus was associated with significantly lower all-cause (adjusted mean difference?=?$3455, p?<?0.01) and BC-related ($2510, p?<?0.01) total medical costs, with inpatient ($1344, p?<?0.01) and outpatient costs ($1048, p?<?0.01) as the main drivers for cost differences. Everolimus was also associated with significantly lower AE-related medical costs ($1730, p?<?0.01), as well as significantly lower HRU (emergency room incidence rate ratio [IRR]?=?0.83; inpatient IRR?=?0.74; inpatient days IRR?=?0.65; outpatient IRR?=?0.71; BC-related outpatient IRR?=?0.57; all p?<?0.01).

Conclusions:

This retrospective claims database analysis of commercially-insured patients with HR+/HER2? mBC in the US showed that everolimus was associated with substantial all-cause, BC-related, and AE-related medical cost savings and less utilization of healthcare resources relative to chemotherapy.     

We want to live a better life like other people: Self-assessed development needs of rural women in Ndwedwe,KwaZulu-Natal

This case study was conducted in two tribal wards in the Ndwedwe district of KwaZulu-Natal and was designed to gain a better understanding of how rural women see their role in development, a role which is acknowledged by the new government. Focus group discussions with 40 local women covered their perceptions of community development roles, successful community projects, development needs and feelings of empowerment. Perceived development priorities differed according to standard of living. The women from the better serviced Mavela ward cited piped water and electricity in the home as important development needs. For the women living in the remoter Cibane ward more basic needs such as safe water, housing and access roads were priorities. Women involved in successful gardening projects were bolder in making demands for government assistance in bringing infrastructure development to their area, suggesting gains in empowerment. Generally, the women aspired to levels of service provision similar to those found in the city but stated that they could not afford to pay the installation costs. Their strong commitment to a rural lifestyle prompted the women to call for government support to make their own efforts to develop their rural communities worthwhile.     

Broadcasting discontent—freelancers, trade unions and the Internet

This paper examines the potential of web-based networks for representing the interests of freelance audio-visual workers. It suggests that while such networks provide fora for the expression and mobilisation of interests, their ability to represent workers is limited. Consequently, they provide an opportunity for trade unions to extend organisation.     

Improving product instruction compliance: “If you tell me why,I might comply”

Although prior research into product instructions has been limited to investigating the effect of warnings such that people might avoid possible product dangers by heeding warnings, this research considers methods of improving consumer product instruction compliance when noncompliance with a product instruction does not necessarily lead to a hazardous situation. In particular, this research investigates the impact of providing instructions that specify the process by which compliance with the instructions will lead to the desired end state (e.g., product outcome), called process‐cause information. The results of a first field experiment indicate that intention to comply with product instructions is enhanced when people are told how compliance with the instructions will lead to the desired outcome (i.e., when process‐cause information is included in a product instruction). This finding is substantiated by results of a follow‐up laboratory experiment where subject compliance with an instruction‐based behavior was observed. The importance of the present research is discussed in terms of the potential impacts on customer satisfaction, service recovery, product returns, product liability, and warranties. © 2004 Wiley Periodicals.     

Designing the Best: A Review of Effective Teaching and Learning of Design and Technology

The role of Design and Technology (D &; T) in schools in England is changing. As from September 2002, D &; T will no longer be compulsory from age 14, but students will have a statutory entitlement to opt to study the subject. These proposed changes have renewed policy-makers' interest in a subject, which was first introduced into the National Curriculum in England and Wales in 1990. It provides the immediate context for a review of the literature published in English on Design and Technology commissioned by the Department of Education and Skills. Four databases were searched: the British Education Index (BEI), Educational Resources Information Centre (ERIC), PsychInfo, and Current Educational Research in the UK (CERUK). This article draws from the findings of the review and focuses in particular on two questions: How can D &; T be delivered effectively and what enhances learning and teaching in D &; T? The reviewers conclude that the factors which enhance effective learning and teaching of D &; T include: adequate equipment and accommodation, appropriate curriculum content and teaching methods, up-to-date continuing professional development for teaching and management support to allow teachers to implement innovative practices. In addition, they suggest a research agenda, which could inform future research in D &; T.