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Battery energy storage systems (BESSs) offer many desirable services from peak demand lopping/valley filling too fast power response services. These services can be scheduled so they enhance each other; in this manner, the inverter size is effectively leveraged with battery capacity. A variable cost for under‐frequency service provision will be required to incentivise this type of operation, and various options are explored in this study. It is demonstrated that BESSs may struggle for profitability under certain service payments; however, returns can be maximised through revenue stacking. In this study, enhanced service provision results in increased power system service provision and returns from energy arbitrage. A 10 and 2 years datasets, containing information on the Irish power system, are used to investigate potential per MW revenue from a BESS with a 1.5 and 2.5 h batteries. Three statistically derived, engineering‐based, power system service scalar multipliers are investigated and compared with the scalar being introduced on the Irish system. It is demonstrated that flexible service payments can be increased by more than 10% while receiving arbitrage payments. The seasonal variation in BESS revenue is investigated and observed to be mitigated or exacerbated by service scalars.

IntroductionSex work decriminalisation is widely supported by public health research and sex worker advocates as the best model to protect the health and rights of sex workers. In order to understand the actual implications of sex work decriminalisation on sex workers’ health, this article reviews and summarises existing research from two sites where sex work has been decriminalised for several years: the Australian state of New South Wales and New Zealand.MethodsIn July 2021, the authors conducted database and directed searches for academic and grey literature reporting on research with diverse sex workers in NSW and New Zealand since, respectively, 1995 and 2003. The searches were updated in July 2022. Fifty-two different papers, including 33 peer-reviewed articles, were identified and reviewed using a scoping methodology.ResultsThe review describes improvements in the health and well-being, as well as in access to and engagement with health services among diverse sex workers in terms of gender, migration history, cultural backgrounds and type of sex work, in the two jurisdictions. These improvements are linked to the development of peer-based outreach and service provision by and to diverse sex workers in both sites. The review also highlights a number of existing regulatory concerns, including the persisting illegalisation of locational aspects of street-based sex work (NSW) and of non-resident, migrant sex work (New Zealand).ConclusionsThe authors conclude that evidence from the two countries supports full sex work decriminalisation as a necessary first step in order to start addressing health and social inequalities among this highly diverse and stigmatised population.Policy ImplicationsThe evidence reviewed presents overwhelming support for the full decriminalisation of all forms of sex work, including street-based and migrant sex work. Peer-based service provision by and to diverse sex workers should be promoted and funded.

Purpose The purpose of this paper is twofold: to explore the existing evidence around dementia services and interrogate the overarching UK policy development relating to service inclusion of black and minoritised groups. The paper will go on to identify the implications for the dementia wellness pathway and make recommendations regarding how services can be more inclusive. Design/methodology/approach This paper examines the policy/practice landscape around dementia care provision and observes if lessons can be learnt to improve health outcomes for people living with dementia from black and minoritised communities. Findings A review of dementia policy demonstrates how opportunities to improve the awareness, diagnosis and post-diagnostic support for minoritised communities are being missed. The outcomes of this mean that individuals are denied vital treatment and support, which could enhance quality of life and delay the progression of dementia. Practical implications The authors’ premise is that not meeting the dementia support needs of less-heard communities has negative financial as well as social and health-related outcomes and has wider resonance and implications for all stages of the dementia wellness pathway. Moreover, there is a legal responsibility for public services to provide culturally sensitive, responsive, appropriate and available care, to all people, without discrimination. Originality/value This paper offers a valuable review of policy and practice around dementia care in the UK and makes recommendations to improve health outcomes for people living with dementia from black and minoritised communities.

The Africa Infrastructure Country Diagnostic (AICD) has produced continent-wide analysis of many aspects of Africa's infrastructure challenge. The main findings were synthesized in a flagship report titled Africa's Infrastructure: a time for transformation, published in November 2009. Meant for policy makers, that report necessarily focused on the high-level conclusions. It attracted widespread media coverage feeding directly into discussions at the 2009 African Union Commission Heads of State Summit on Infrastructure. Although the flagship report served a valuable role in highlighting the main findings of the project, it could not do full justice to the richness of the data collected and technical analysis undertaken. There was clearly a need to make this more detailed material available to a wider audience of infrastructure practitioners. Hence the idea of producing four technical monographs, such as this one, to provide detailed results on each of the major infrastructure sectors, information and communication technologies (ICT), power, transport, and water, as companions to the flagship report. These technical volumes are intended as reference books on each of the infrastructure sectors. They cover all aspects of the AICD project relevant to each sector, including sector performance, gaps in financing and efficiency, and estimates of the need for additional spending on investment, operations, and maintenance. Each volume also comes with a detailed data appendix, providing easy access to all the relevant infrastructure indicators at the country level, which is a resource in and of itself.

Background Service Provision Assessment (SPA) surveys have been conducted to gauge primary health care and family planning clinical readiness throughout East and South Asia as well as sub-Saharan Africa. Intended to provide useful descriptive information on health system functioning to supplement the Demographic and Health Survey data, each SPA produces a plethora of discrete indicators that are so numerous as to be impossible to analyze in conjunction with population and health survey data or to rate the relative readiness of individual health facilities. Moreover, sequential SPA surveys have yet to be analyzed in ways that provide systematic evidence that service readiness is improving or deteriorating over time. Methods This paper presents an illustrative analysis of the 2006 Tanzania SPA with the goal of demonstrating a practical solution to SPA data utilization challenges using a subset of variables selected to represent the six building blocks of health system strength identified by the World Health Organization (WHO) with a focus on system readiness to provide service. Principal Components Analytical (PCA) models extract indices representing common variance of readiness indicators. Possible uses of results include the application of PCA loadings to checklist data, either for the comparison of current circumstances in a locality with a national standard, for the ranking of the relative strength of operation of clinics, or for the estimation of trends in clinic service quality improvement or deterioration over time. Results Among hospitals and health centers in Tanzania, indices representing two components explain 32 % of the common variance of 141 SPA indicators. For dispensaries, a single principal component explains 26 % of the common variance of 86 SPA indicators. For hospitals/HCs, the principal component is characterized by preventive measures and indicators of basic primary health care capabilities. For dispensaries, the principal component is characterized by very basic newborn care as well as preparedness for delivery. Conclusions PCA of complex facility survey data generates composite scale coefficients that can be used to reduce indicators to indices for application in comparative analyses of clinical readiness, or for multi-level analysis of the impact of clinical capability on health outcomes or on survival.

In Africa, research and studies have adversely relegated the effects of inadequate service provision on the poor to the background. Yet, quagmires resulting from severe strike actions, agitations and revolutions are grasped throughout the continent. This paper tends to ponder on the effect of inadequate service delivery on the quality of life of the poor with a focus on education and health in Nigeria. A mixed method was used for data collective; (quasi) quantitative and qualitative medium were exploited to gather data for this paper. A descriptive method based on empirical data and narrative literature analysis was used to demarcate the paper into themes. It found among others that over 70% of inmates in Nigerian prisons are on awaiting trial. It also demonstrated that the tripartite alliance of institutional failure, corruption and poor leadership (self-serving leaders) inhibits the provision of basic services in the country. In conclusion, cronyism, cabalism, nepotism and sycophancy, including inadequate interaction of systems, institutions and structures are decried as the bane of Nigeria's underdevelopment, which have had adverse negative effects on the educational and judicial sectors thereby undermining the well-being of the poor.

Context: Co-creation—collaborative knowledge generation by academics working alongside other stakeholders—reflects a \"Mode 2\" relationship (knowledge production rather than knowledge translation) between universities and society. Co-creation is widely believed to increase research impact. Methods: We undertook a narrative review of different models of co-creation relevant to community-based health services. We contrasted their diverse disciplinary roots and highlighted their common philosophical assumptions, principles of success, and explanations for failures. We applied these to an empirical case study of a community-based research-service partnership led by the Centre of Research Excellence in Quality and Safety in Integrated Primary-Secondary Care at the University of Queensland, Australia. Findings: Co-creation emerged independently in several fields, including business studies (\"value co-creation\"), design science (\"experience-based co-design\"), computer science (\"technology co-design\"), and community development (\"participatory research\"). These diverse models share some common features, which were also evident in the case study. Key success principles included (1) a systems perspective (assuming emergence, local adaptation, and nonlinearity); (2) the framing of research as a creative enterprise with human experience at its core; and (3) an emphasis on process (the framing of the program, the nature of relationships, and governance and facilitation arrangements, especially the style of leadership and how conflict is managed). In both the literature review and the case study, co-creation \"failures\" could often be tracked back to abandoning (or never adopting) these principles. All co-creation models made strong claims for significant and sustainable societal impacts as a result of the adaptive and developmental research process; these were illustrated in the case study. Conclusions: Co-creation models have high potential for societal impact but depend critically on key success principles. To capture the nonlinear chains of causation in the co-creation pathway, impact metrics must reflect the dynamic nature and complex interdependencies of health research systems and address processes as well as outcomes.

The development of patient rights and increasing number of lawsuits based on medical malpractice make medical doctors constantly improve knowledge regarding the acceptability of changing the scope of operation. This is particularly important when patients have expressed their refusal to changing the scope and type of procedure (ESTP) or no informed consent (IC) has been obtained from the patient prior to the procedure. The method of study comprised content analysis of existing legislation. The current jurisprudence and doctrine were confronted with existing regulations. An algorithm of correct formal procedures was elaborated. The doctor has right to realize ESTP when the patient has not given the consent to it or the refusal expressed by him was not fully conscious. Healthcare providers are absolutely prohibited from realizing ESTP when patient objected to any changes being thoroughly informed by the physician prior to the operation. When patient refuses possible ESTP, the doctor has the right to withdraw from performing surgery but should inform the patient about other places, where a similar procedure can be provided.

Purpose – The purpose of this paper is to explore the relationship between trust and contract in the context of externalized local public services provision. Design/methodology/approach – A multi-theoretical framework is used to analyse different combinations of control mechanisms (i.e. trust and contract) with reference to three cases of externalized water service provision in Estonia consisting of inter-organizational relationships between local governments and water companies with different ownership structures (public, private and mixed public-private). Findings – The relationship between trust and contract, which can either be substitutes or complements, or eventually erode each other, is contingent upon the capacity of interacting individuals (and related organizations) to keep interests aligned in water services provision. Originality/value – The relationship between trust and contract is analysed by considering the interactions between key actors within the underlying governance setting.

This article discusses the provision of mental health services in low- and middle-income countries (LMICs) with a view to understanding the cultural dynamics–how the challenges they pose can be addressed and the opportunities harnessed in specific cultural contexts. The article highlights the need for prioritisation of mental health services by incorporating local population and cultural needs. This can be achieved only through political will and strengthened legislation, improved resource allocation and strategic organisation, integrated packages of care underpinned by professional communication and training, and involvement of patients, informal carers, and the wider community in a therapeutic capacity.