Monday, January 27, 2020
Issues in Social Work and Mental Health Quality Issues
Issues in Social Work and Mental Health Quality Issues An Analysis of a Range of Issues in Quality Frameworks, Processes and Methods of Measurement in Mental Health Work and Social Work Practice Introduction In equating the various range of issues with respect to quality frameworks, processes as well as methods of measurement in mental health work and social work practice it is important to understand the meaning of these terms as well as their respective applications in the United Kingdom, which represents the subject focus for the aforementioned. Mental health is defined as (Houghton Mifflin, 2006): ââ¬Å" A state of emotional and psychological well-being â⬠¦Ã¢â¬ whereby individuals are able to utilize their respective ââ¬Å"â⬠¦ cognitive and emotional capabilities â⬠¦Ã¢â¬ to function as members of society as well as to ââ¬Å"â⬠¦ meet the ordinary demands â⬠¦Ã¢â¬ which are a process of daily livingâ⬠In the context of mental health services it relates to ââ¬Å"A branch of medicine that deals with â⬠¦ achievement and maintenance â⬠¦Ã¢â¬ (Houghton Mifflin, 2006) of the psychological well-being of individuals. The International Federation of Social Workers (Bouldertherapist.com, 2006) defines social work as a profession that ââ¬Å"â⬠¦ promotes social change, problem solving in human relationships â⬠¦Ã¢â¬ as well as giving individuals the empowerment and liberation ââ¬Å"â⬠¦ to enhance their well-beingâ⬠. The profession, as maintained by the International Federation of Social Workers utilizes ââ¬Å"â⬠¦ theories of human behavior and social systems â⬠¦Ã¢â¬ in a context whereby the profession intervenes and interacts with individuals at the areas where they ââ¬Å"â⬠¦ interact with their environmentsâ⬠and whereby the principles of both human rights as well as social justice are underpinnings in the field of social work (Boulderthe rapist.com, 2006). These two fields have a denominator in common, which is that they exist to serve people and help them to improve, as well as cope with their aliments and to ultimately return to a healthful state. The process of serving individuals in this capacity represents some of the most challenging professions in that the analysis of effectiveness, quality, processes and the methodologies utilized in measuring the aforementioned with respect to the varied issues arising from the active practice can be subjective in most instances. This examination shall look at the mental health and social work professions from the context of a range of issues representing quality frameworks, processes and methods of measurement to determine the progress made in providing better service and quality to patients and carers. Total Quality Management Deming (Aquayo, 1991, pp. 138, 248), Crosby (1980, pp. 212-223) and Juran (1992, pp. 171) are all proponents of ââ¬ËTotal Quality Managementââ¬â¢ which is a strategy dedicated to building into an organization the awareness of thinking in terms of embedding quality in all phases of an organizationââ¬â¢s processes. The International Organization for Standardization (2006) defines ââ¬ËTotal Quality Managementââ¬â¢ as being ââ¬Å"â⬠¦ a management approach â⬠¦ centered on quality â⬠¦ which is â⬠¦ based upon the participation of all its members â⬠¦ that aims at long-term success â⬠¦Ã¢â¬ (Wikipedia, 2006) achieving the foregoing through customer and or client satisfaction that generates ââ¬Å"â⬠¦ benefits to all members â⬠¦Ã¢â¬ (Wikipedia, 2006). The preceding includes the organization itself as well as society. In equating quality, the usual context in which one thinks of this word is in products, rather than services such a those prod ucts which are made with a minimum of problems, of good materials and which work properly and achieve this through consistent operation. However, quality as an end result is an organizational mind set, and as referred to in the International Organization for Standardization (2006) definition as a process ââ¬Å"â⬠¦ that aims at long-term success â⬠¦Ã¢â¬ achieving the foregoing through customer and or client satisfaction that generates ââ¬Å"â⬠¦ benefits to all members â⬠¦Ã¢â¬ (Wikipedia, 2006). Deming (Aquayo, 1991, pp. 6-10) is an American consultant who exposes the importance of implementing a quality oriented organization that permeates every facet of an organizationââ¬â¢s structure and culture, regardless of department or function. Deming (Aquayo, 1991, pp. 8) states that organizations must produce ââ¬Å"â⬠¦ products and services that help people to live betterâ⬠and that the preceding ââ¬Å"â⬠¦ is the raison dââ¬â¢etre â⬠¦Ã¢â¬ (Aquayo, 1991, pp. 8) of the organization. His philosophy is that through the adoption of quality products and services, which is a function of management inculcating its staff in quality and innovation measures, the end product and or service improves as does its relationship with its customers and or clients. Crosby (1980, p. 1-5) indicates that mistakes or poor organizational habits and or policies are costly in terms of corrections and the damage to reputation and morale and that all members of an organization have the responsibility to perform their jobs which enhances the performance of other functions thus becoming a synergistic effect. Crosby (1980, p. 4-8), as does Deming (Aquayo, 1991, pp. 6-10) and Juran (1992, pp. 171) all emphasize the importance of quality in increasing an organizationââ¬â¢s ability to provide services that meet and exceed client expectations through the effect that quality orientation has on internal interpersonal relationships and openness to ideas. The heart of the work level philosophies held by Deming (Aquayo, 1991, pp. 138, 248), Crosby (1980, pp. 212-223) and Juran (1992, pp. 171) is the contribution of ââ¬Ëqualityââ¬â¢ to the equation of improved services and innovation in heightening organizational standards. The term ââ¬Ëqualityââ¬â¢ can thus mean in this context (Wikipedia, 2006): the excellence and or achievement of an object or service, meaning that it is not inferior or sub-standard, a meaning of excellence in its own right ââ¬ËQualityââ¬â¢ is a term in this context that is synonymous with good, which represents the criteria utilized as the standard being applied. Deming (Aquayo, 1991, pp. 138, 248), Crosby (1980, pp. 212-223) and Juran (1992, pp. 171) equate this word in the following manner: Deming (Deming, 1988) states that improved quality helps to reduce operating costs through less error and correction measures. He indicates that to attain the preceding a consistency of purpose needs to be inculcated throughout the organization with an overall plan that is maintained. Deming (Deming, 1988) stresses the need for improved consistency on an ongoing basis and to remove the barriers between various departments to increase and improve communication, feedback and intra-company working processes. Demingââ¬â¢s (Deming, 1988) thirteen point program stresses that it is management that leads and sets the example as well as supports ongoing quality through active participation that involves everyone within the organization as well as suggestions and contributions from working partners and clients. Juran (1992, pp. 154-198) states that quality application in organizations is defined by crafting them to be utilized in context with the organizations purpose to improve performance. Crosby (1980, pp. 189-216) also trumpets the application of quality throughout the organization as a management down function that must be maintained, taught as well as communicated to bring the staff not only on board, but committed to the adoption of quality and improvements as an organizational way of thinking. Moullin (2002, pp. 2-7) advises us that quality in health and social care fits within these fields as it is important to: patients as well as service users, staff, and the application of quality can aid in the reduction of costs as well as provide better service in the context of budgetary and cost constraints. It is interesting to note that Moullinââ¬â¢s (2002, pp. 2-7) points are the same as those emphasized by Deming (Aquayo, 1991, pp. 138, 248), Crosby (1980, pp. 212-223) and Juran (1992, pp. 171) in the general context of total quality management, and that the application in the health and social care fields is the same as for manufacturing, banking, or any other industrial sector. Moullin (2002, pp. 2-7) points out that quality in the health and social care fields is important in that not only do patients as well as service users benefit in that their differing requirements are met in a better, more comprehensive and complete fashion, the benefit of quality also affects both these groups each time they come into contact with the organization(s) and thus their individual confidence levels rise with the expectation that they will receive good service and be well treated. Moullin (2002, pp. 5) advises that patients in need of health and social services are usually stressed, worried, v ulnerable as well as frightened with respect to the outcome of their need(s) and that long waits on the telephone, in lines, for responses, little or insufficient information, poor facilities and insensitivity exacerbate the preceding. He (Moullin, 2002, pp. 6-8) indicates that quality in these fields, health and social care, is important in that: The staff benefits as the vast majority elected for a career in these fields out of a desire to help others, rather than for monetary gains and that poorly organized staffing functions contribute to frustrations for employees reducing their morale as well as effectiveness. Moullin (2002, p. 6) adds that quality is important in the reduction of costs as he advises that the correlation between resources and quality represents a strong relationship. And while the amount and number of staffing is important, quality can be improved irrespective through the application of new innovative techniques, technology, work flow planning, scheduling and other means. Moullin (2002, p 6) indicates that reduction in costs sometimes means increasing services and or staffing in one area whereby the work load flow will thus lessen the impacts on another thus either balancing out or reducing costs through flow adjustment. While it is difficult to place an exact date or year on when quality became an active force in the health and social care sectors, the concern over spiraling health care costs, inefficiencies and deteriorating services began to surface in the late 1970ââ¬â¢s and early 1980ââ¬â¢s in the United States, as well as a result of the increasing costs burdening the governments in Europeââ¬â¢s socialized medicine schemes (Bennett et al, 1999). The era of unlimited access and treatment as the foundation of quality oriented services in the health and social care fields began to give way to the spiraling costs of advancements in diagnostic techniques and therapeutic modalities, with the rising costs of health and social care exceeding the rise in the costs of living in the United States as well as Europe and the expenditures for socialized medicine threatened the economies of many nations in Europe (Lighter, 1999, p. 265). In addition to the foregoing, the aging of the worldââ¬â¢s po pulation as better medical care has increased life spans, and this combined with the fertility transition has increased the proportion of older adults and has contributed to the concern for quality in health and social care (Demeny et al, 2003). Health care spending in most OECD (Organisation for Economic Co-operation and Development) countries, such as (OECD, 2006): Australia Austria Belgium Canada Czech republic Denmark Finland France Germany Greece Hungary Iceland Ireland Italy Japan Korea Luxembourg Mexico Netherlands New Zealand Norway Poland Portugal Slovak Republic Spain Sweden Switzerland Turkey United Kingdom United States, amounts to in excess of eight percent (8%) of their Gross Domestic Product (GDP), with health related spending in the United States projected at fourteen percent (14%) (World Trade Organization, 1998). The publicââ¬â¢s concerns over increased costs for health and social care services prompted the privatization wave on the mid 1980ââ¬â¢s in the expectation that the measure would increase efficiency as well as reduce costs, but those expectations from this initiative have been elusive (Bach, 1989). The preceding created a climate whereby governments in Europe under socialized medicine, as well as the private health care structure and governmental social care system in the United States began to look for measures to control and reduce costs while increasing quality. In 1998 the Department of Health in the United Kingdom issued a ââ¬ËWhite Paperââ¬â¢ titled ââ¬Å"Modernising Social Servicesâ⬠(Department of Health, 1998) which represented the United Kingdom governmental response to public opinion as well as mounting social care costs to introduce quality frameworks into the system. The White Paper set forth a framework at the national level that called for (Department of Health, 1998): the establishment of ââ¬Å"â⬠¦ clear objectives for social servicesâ⬠¦Ã¢â¬ that created a ââ¬Å"â⬠¦ clear expectation of outcomes â⬠¦Ã¢â¬ which social services would be ââ¬Å"â⬠¦ required to deliver.â⬠(Department of Health, 1998), the publication of a ââ¬Å"â⬠¦ National Priorities Guidanceâ⬠¦Ã¢â¬ (Department of Health, 1998) that set up key targets that social services would achieve in the intermediate term, and putting into place ââ¬Å"â⬠¦ effective systems â⬠¦Ã¢â¬ (Department of Health, 1998) via which to monitor as well as to manage performance. The Department of Healthââ¬â¢s White Paper in 1998 clearly set forth that the government of the United Kingdom was putting into place ââ¬Å"â⬠¦ new resources to support â⬠¦Ã¢â¬ (Department of Health, 1998) the programme, and in return for these added resources, pegged at à £1.3 billion over 1999/2000 ââ¬â 2001/2002, and the United Kingdom government made it clear that it expected ââ¬Å"â⬠¦ to see improvements in quality and efficiency â⬠¦Ã¢â¬ (Department of Health, 1998). The Best Value framework represented another name for Total Quality Management in the context of health and social services care in the United Kingdom. Under the ââ¬Å"Best Valueâ⬠framework indicated under this White Paper, the government set forth that (Department of Health, 1998): Local authorities were mandated to establish ââ¬Å"â⬠¦ authority wide objectives for performance measuresâ⬠(Department of Health, 1998) in consort with the national objectives as well as government set standards and or targets. Local authorities were also provided with the responsibility to conduct and ââ¬Å"â⬠¦ carry out fundamental performance reviews â⬠¦Ã¢â¬ (Department of Health, 1998) concerning all their services in a five year framework utilizing these reviews for assessment and the establishment of ââ¬Å"â⬠¦ local performance plansâ⬠¦Ã¢â¬ (Department of Health, 1998). That the local planning process will be underpinned and supported via data obtained ââ¬Å"â⬠¦ from a new statistical performance assessment frameworkâ⬠(Department of Health, 1998). ââ¬Å"â⬠¦ Local Performance Plans â⬠¦Ã¢â¬ will be utilized to identify the targets for improvement compared against performance indicators on a local level and ââ¬Å"â⬠¦. The National Best Value Performance Indicators â⬠¦Ã¢â¬ (Department of Health, 1998). Annual reviews of the aforementioned local performance plans will be conducted by the Department of Health utilizing Social care Regional Offices to assess progress and identify problem areas (Department of Health, 1998). The White Paper put into place an independent inspection system utilizing data from the performance assessment framework (Department of Health, 1998). And lastly, the ââ¬ËModernisationââ¬â¢ programme set forth a system of Joint Reviews reducing the time table to five years from seven (Department of Health, 1998). The new programme set forth a performance assessment framework that specified performance areas defined by (Department of Health, 1998): cost and efficiency, effectiveness of service delivery and outcomes, quality of services for users and carers, and fair access. Analytical Methods of Quality Measurement and Standards Balanced scorecards represent a top-down hierarchical set of management tools that link long-term financial goals with performance targets (Kaplan et al, 1996, pp. 75-84). The United Kingdomââ¬â¢s National Health Service utilizes what is termed a ââ¬ËStar Ratingââ¬â¢ system which is an example of the balanced scorecard (British Library, 2002). Kaplan et al (2001) advise that this methodology, specifically designed for the public as well as voluntary sectors has a link between performance measures and strategy, and thus the method should represent one of benefit in these regards. The caveat is that there are varied difficulties arising from its use by organizations as the financial perspective measurement is not the defining factors of organizational purpose in the public sector (Dickson et al, 2001, pp. 1057-1066). Kaplan et al (2001, pp. 135) agree with the foregoing and add that in utilizing the balanced scorecard governmental agencies should consider the utilization of an overarching objective at the head of their respective scorecards which is reflective of the long-term objectives (Kaplan et al, 2001, pp. 135). The difference in the utilization of the balanced scorecard in a not for profit and governmental agency mode as opposed to business is the way stakeholders are considered. In a business atmosphere stakeholders are involved as it represents the best means to conduct business, however in a not for profit and governmental agency sense, these organizations usually exist for the benefit of the users of the service as well as other stakeholders thus changing the emphasis whereby stakeholder contribution is more fundamental (Moullin, 2002, p. 167). Moullin (2002) adds that user involvement takes place at two levels, one represents helping to develop the service to meet their needs and the second entails the involvement of users and carers in the decisions concerning their health as well as the care given and received. Benchmarking, as a term, has numerous definitions, however at its core it represents a process of ââ¬Å"â⬠¦sharing information, learning and adopting best practices â⬠¦Ã¢â¬ (PSBS, 2006). The European Benchmarking Code of Conduct states that it is a process of making comparisons against other organizations and thus learning from the lessons these comparisons reveal (The European Benchmarking Code of Conduct, 1998). In the context of social care, benchmarking entails the understanding or and utilization of knowledge gained across a range of services and compilations to utilize in formulating standards of measurement as a guide to rating and understanding the performance of services in individual local authorities. The weakness of benchmarking is that it can not stand as a total measurement without revision and modification as newer and more effective techniques and methods prove themselves. Thus as a standard in a state of flux, benchmarking represents a system that is base d upon existing methodologies, that are changing, being modified and or amended. Thus benchmarking represents a useful, yet temporary methodology whereby the practitioners must be mindful that existing standards are subject to change, which in conjunction with other measurement methodologies has contributed to improving quality and performance in the health and social care sectors. Quality Approach The utilization of balanced scorecards, and benchmarking fall under the concept of Total Quality Management which is termed Best Value under the Department of Healthââ¬â¢s Modernization Programme and is illustrated by an example provided by Gillian Crosby (2004, pp. 7-8), the Director of the Centre for Policy on Ageing. She indicates that the problem in the social services arena, is wrongly based in concentrating on the solving of their problems as well as users of services rather than as their being active contributors to society. Crosby (2004, pp. 7-8) indicates that the NHS views social care as well as societyââ¬â¢s older individuals as a ââ¬Å"problemâ⬠which in what Crosby (2004, pp. 7-8) terms a ââ¬Å"â⬠¦ very narrow approach â⬠¦Ã¢â¬ thus creating a focus on delivering intensive services which thus ââ¬Å"â⬠¦ excludes â⬠¦ older people and their careersâ⬠. She further states that in the aspect of quality as it relates to social services the s ystems of initiatives, pilots, and projects that have been created and put into place to audit, evaluate, monitor and investigate service development and provisions have been in place for years. Crosby (2004, pp. 7-8) maintains that the problem is the ââ¬Å"â⬠¦ sustaining and maintaining â⬠¦Ã¢â¬ these areas and ââ¬Å"â⬠¦ building them into effective â⬠¦Ã¢â¬ provisions through utilizing these collective findings and synthesizing that information. Crosby (2004, pp. 7-8) indicates that this void causes good ideas to stagnate rather than permitting them to be explored and utilized where warranted and she cites that quality thus suffers as a result of duplication and what she terms as ââ¬Å"â⬠¦ pilot fatigue â⬠¦Ã¢â¬ , indicating that the system needs to implement as well as create and find more innovative ways in which to service elder citizens in a manner whereby these initiatives are ââ¬Å"â⬠¦ developed and maintained.â⬠Crosby (2004, pp. 7- 8) that there are numerous examples of individual cases whereby instances of good practice have been demonstrated through partnerships that have improved service provisions for elder citizens, citing the ââ¬Å"London Older Peopleââ¬â¢s Service Development Programmeâ⬠as an example. The preceding utilized a collaborative model that promoted optimized care and independence and grew into a tool implemented by the National Service Framework for Older People in London with the hallmark being its ââ¬Å"â⬠¦ single assessment processâ⬠(Crosby, 2004, p. 8). The foregoing example is an instance whereby the practice of Best Value and allied tools need improvement to respond to the specialized needs of a segment of social care services, but this example does not indicate that system wide the measurement has not produced results. The system has shown ââ¬Å"mixed progressâ⬠as reported by the BBC (2005) as the quality of care has improved since the adoption of the Modernization Programme, but as the BBC (2005) reports, ââ¬Å"â⬠¦ there are still worrying gaps â⬠¦Ã¢â¬ with regard to service as reported by inspectors. The BBC (2005) report indicated that three quarters of the council departments received ratings ââ¬Å"â⬠¦ in the top two categories â⬠¦Ã¢â¬ as opposed to slightly ââ¬Å"â⬠¦ over two thirds in 2004â⬠. Thus progress has been made as a result, yet there is still sufficient room for further improvement. The NHS Mental Health sectors foundation for improvement in its quality of services was set forth under the National Service Framework in 1999 which established a blueprint for care throughout the United Kingdom â⬠¦Ã¢â¬ (Department of Health, 1998). The initiatives established for a modern NHS resound with the word ââ¬Ëqualityââ¬â¢ as its foundation (Appleby, 2000, pp. 177-291). The process filters down into every job description utilizing the word ââ¬Å"quality agendaâ⬠(Appleby, 2000, pp. 177-291) which is composed of six elements: treating patients as well as service users with the dignity they deserve, the creation of the proper environments via which patients can recover and utilizing their views to accomplish how services should be developed, recognition of the skills of families in the roles of carers, linking service activities to needs so acutely ill individuals receive urgent care access through a comprehensive range of services, making the best as well as most effective treatments available, and emphasize patient safety The success of the system is contained in the regional rating system which measures the number of ââ¬ËLocal Implementation Plansââ¬â¢ in red, amber and green (Appleby, 2000, pp. 177-291). The National Service Frameworks set measurable goals as follows (Department of Health, 2006): the setting of national standards and the identification of key interventions with respect to defined service and or care groups, placement of strategies that support implementation, establishment of means via which to ensure progress in defined time frames, introduction of the new NHS and A First Class service that re-emphasized the position of NSFââ¬â¢s as the key drivers in the deliverance of the modernized agenda. The success of the NSF is assessed by what are termed interface indicators which are a part of the performance assessment frameworks which has seen demonstrated improvement throughout the system as a result of the Department of Health Modernization Programme and as contained in the Mental health NSF Performance Report of July 2005 rated all ongoing programs as meeting the prescribed targets of achievement (Mental health NSF, 2005). In 2005 26 councils received the three star top rating, which represented an increase of six councils over the prior year (BBC, 2005). The total results indicated (BBC, 2005): 83 councils received two starts as opposed to 78 in the year 2004, 31 received one star, which represented a decrease from 36 the year before, 3 received zero stars, which decreased from eight in 2004. The foregoing indicates that the Modernization Programme has demonstrated progress and as a result of the varied programmes and measurement systems there is in place a means to equate progress. Clinical Governance is a term and process which grew from the commercial arena under standards for financial management for companies in the private sector (Palmer, 2002, pp. 470-476). In the framework of the NHS it represents a methodology and framework whereby organizations are accountable for the continuous improvement in the quality of their services as well as high standards of care through the creation of a climate and environment whereby excellence with regard to clinical care grows (Department of Health, 1998, p. 33). Since the implementation of the Department of Healthââ¬â¢s modernization programme NHS community and acute trusts have been charged with the creation of established structures as well as processes for clinical governance which is monitored by the CHI. It represents a comprehensive approach comprised of four areas (Palmer, 2002, pp. 470-476): definitive and clear lines of responsibility for overall clinical care quality, programme of quality improvement regarding activities that includes a clinical audit, development and utilization of clear policies that manage risks, procedural methodologies for all groups to identify as well as correct poor performance areas The heart of the system is the clinical audit which places accountability on the managers and utilizes performance management as the process of delivering the objectives throughout organizations to filter down to each individual and job description thus providing management with clear roles and set priorities. The programme has been rated as successful in terms of it providing a clear set of measurement data to gauge and compare progress through point in time comparisons under its clinical audit segment which represents a new system that did not exist (Palmer, 2002, pp. 470-476). As such it has aided in the achievement of measurable improvements in the field of patient care, making such an established routine. The Commission for Social Care Inspection utilizes a framework of fifty performance indicators that when assessed as a whole provide an overview of the manner in which local councils are serving the needs of their residents concerning social care service delivery (East Sussex County Council, 2006). Inspections are carried out a minimum of once in a three year period and can be conducted at any time and is comprised of three types of inspections (Commission for Social Care Inspection, 2006): Key Inspections: These are comprehensive and through inspections that are unannounced and are conducted at least once for all adult social care services during a year period. It represents on sire as well as documentation reviews and inspections of all areas of service categories without any prior notice. Random Inspections This type represents targeted specific issue inspections conducted in addition to key inspections in the follow up of complaints and or progress from an earlier inspection calling for specific areas of concern. Thematic Inspections These inspections represent follow up to regional and or national issues concerning medication, nutrition or similar areas and are also in addition to key and random inspections which can be conducted at any time. The preceding inspections provide the formulation for ratings and represent a gauge on progress, standards and adherence to established policies. The performance indicators represent fifty differ areas ranging from (National Statistics, 2005): Childrenââ¬â¢s Pls placement stability employment, education and care leavers education unit cost of residential care unit cost of foster care children reviews core assessments long term stability children in need Adult Pls emergency admissions drug treatment program participation unit costs of residential and nursing care adults at home services for carers client reviews carer assessments waiting times The methodology has been successful in terms of providing a measuring device via which the CSCI can assess progress and improvements as well as backward movements in services. The audit commissionââ¬â¢s role promotes the utilization of performance data to fuel improvements in services provided to the public (Audit Commission, 2006). The Audit Commission works with varied governmental departments, agencies and local authorities to define a broad array of performance indicators applicable to their circumstances. As a department the Audit Commissionââ¬â¢s success is represented by the performance indicators it assists in the development of for the aforementioned and is a success as these varied programs have improved the ability of these agencies, departments and local councils in assessment of the services under their charge. Conclusion The NHS Modernization framework has been devised to oversee and create improvement in the worldââ¬â¢s largest government public sector health and social care programme which stands in excess of à £9 billion and is responsible for delivering a huge variety of services to every corner of the United Kingdom (Department of Health, 2006). Serving individuals in these sectors represents a demanding subjective function whereby the standards of quality and service delivery are defined by consistently improving services and new methodologies which change the standards as innovation introduces newer and improved techniques. Total Quality Management represents a technique that under the NHS Best value programme and Modernization plan of 1999 offers a means via which the system can monitor itself as well as agencies and local authorities with the foregoing fluctuating basis and improve its quality of service delivery in keeping with changes and improvements in care. The preceding is important as a result of the lessons learned in spiraling health and social care costs that surfaced in the late 19
Sunday, January 19, 2020
Voltaires Candide Through My Present Day View Essay -- essays research
The world as I see it is not perfect. In this present day and age there are some people that like to believe that god created a beautiful planet, but I believe the devil should receive some credit for its creation also. One of the worldââ¬â¢s greatest satires, Candide by Voltaire, some characters feel the same way that I do. However others do not. Martin, a skeptic thinks this is not ââ¬Å"the best of all possible worldsâ⬠(ââ¬Å"Candideâ⬠102), as Dr. Pangloss would say. My present worldview is more close to the view of the eighteenth century character Martin, in the book Candide. Martin, an old philosopher who embarked with candide shows strong pessimistic views. Candide is pretty much a follower and is not a very intelligent man. He looks up to Dr. Pangloss, his mentor. I disagree with candideââ¬â¢s point of view on life, because he is a follower of another man and doesnââ¬â¢t know how to live his own life. Through out the book Candide many of the characters die horrible deaths. The entire book is mainly a satire attacking simple human follies and frailties. The vice being ironically attacked here is optomisticism. Most of the characters are killed brutally or hurt fiercely for some of the most stupid reasons. One incident from the book involves Candide reuniting with his old master dr. Pangloss. Early in the book Candide reunites with Dr. Pangloss scabbed, spitting out teeth, and choking. Pangloss is diseased with syphilis. Pangloss obtained this disease from a slave girl named Paquette. This ...
Saturday, January 11, 2020
Cost and Benefit Essay
A cost benefit analysis is done to determine how well, or how poorly, a planned action will turn out. Although a cost benefit analysis can be used for almost anything, it is most commonly done on financial questions. Since the cost benefit analysis relies on the addition of positive factors and the subtraction of negative ones to determine a net result, it is also known as running the numbers. A cost benefit analysis finds, quantifies, and adds all the positive factors. These are the benefits. Then it identifies, quantifies, and subtracts all the negatives, the costs. The difference between the two indicates whether the planned action is advisable. The real trick to doing a cost benefit analysis well is making sure you include all the costs and all the benefits and properly quantify them. Should we hire an additional sales person or assign overtime? Is it a good idea to purchase the new stamping machine? Will we be better off putting our free cash flow into securities rather than investing in additional capital equipment? Each of these questions can be answered by doing a proper cost benefit analysis. http://management.about.com/cs/money/a/CostBenefit.htm Cost-Benefit Analysis Jules Dupuit, a French engineer, first introduced the concept of Cost-Benefit Analysis in the 1930s. It became popular in the 1950s as a simple way of weighing up project costs and benefits, to determine whether to go ahead with a project. As its name suggests, Cost-Benefit Analysis involves adding up the benefits of a course of action, and then comparing these with the costs associated with it. The results of a cost-benefit analysis are often expressed as a payback period ââ¬â this is the time it takes for benefits to repay costs. Many people who use Cost-Benefit Analysis look for payback in less than a specific period ââ¬â for example, three years. You can use Cost-Benefit Analysis in a wide variety of situations. For example, when you are: .Deciding whether to hire new team members. .Evaluating a new project or change initiative. .Determining the feasibility of a capital purchase. However, bear in mind that Cost-Benefit Analysis is best for making quick and simple financial decisions. More robust approaches are commonly used for more complex, business-critical or high cost decisions. http://www.mindtools.com/pages/article/newTED_08.htm BCA attempts to capture all benefits and costs accruing to society from a project or course of action, regardless of which particular party realizes the benefits or costs, or the form these benefits and costs take. Used properly, BCA reveals the economically efficient investment alternative, i.e., the one that maximizes the net benefits to the public from an allocation of resources. BCA is not the same thing as financial analysis. Financial analysis is concerned with how to fund a project over its lifespan and measures the adequacy of current and future funds and revenues to cover the cost of building, operating, and maintaining the project. While financial analysis is an important part of project management, the economic merit of the project as measured by BCA is generally not affected by how the project is financed. Useful Applications of Benefit-Cost Analysis Benefit-cost analysis (BCA) considers the changes in benefits and costs that would be caused by a potential improvement to the status quo facility. In highway decision-making, BCA may be used to help determine the following: * Whether or not a project should be undertaken at all (i.e., whether the projectââ¬â¢s life-cycle benefits will exceed its costs). * When a project should be undertaken. BCA may reveal that the project does not pass economic muster now, but would be worth pursuing 10 years from now due to projected regional traffic growth. If so, it would be prudent to take steps now to preserve the future projectââ¬â¢s right-of-way. Which among many competing alternatives and projects should be funded given a limited budget. BCA can be used to select from among design alternatives that yield different benefits (e.g., reconstruct a roadway with additional lanes versus no additional lanes); unrelated highway projects (a widened road versus an interchange on another road); and unrelated transportation projects in different transportation modes. The Benefit-Cost Analysis Process In BCA, the analyst applies a discount rate to the benefits and costs incurred in each year of the projectââ¬â¢s life cycle. This exercise yields one or more alternative measures of a projectââ¬â¢s economic merit. The BCA process begins with the establishment of objectives for an improvement to a highway facility, such as reducing traffic congestion or improving safety. A clear statement of the objective(s) is essential to reduce the number of alternatives considered. The next step is to identify constraints (policy, legal, natural, or other) on potential agency options and specify assumptions about the future, such as expected regional traffic growth and vehicle mixes over the projected lifespan of the improvement. Having identified objectives and assumptions, the analyst (or analytical team) then develops a full set of reasonable improvement alternatives to meet the objectives. This process begins with the development of a ââ¬Å"do minimalâ⬠option, known as the base case. The base case represents the continued operation of the current facility under good management practices but without major investments. Under these ââ¬Å"do minimalâ⬠conditions, the condition and performance of the base case would be expected to decline over time. Reasonable improvement alternatives to the base case can include a range of options, from major rehabilitation of the existing facility to full-depth reconstruction to replacement by a higher volume facility. Such alternatives will often involve construction, but alternatives that improve highway operations (such as the use of intelligent transportation systems) or manage travel demand (such as incentives for off-peak travel) are suitable for consideration. Major Steps in the Benefit-Cost Analysis Process 1. Establish objectives 2. Identify constraints and specify assumptions 3. Define base case and identify alternatives 4. Set analysis period 5. Define level of effort for screening alternatives 6. Analyze traffic effects 7. Estimate benefits and costs relative to base case 8. Evaluate risk 9. Compare net benefits and rank alternatives 10. Make recommendations http://www.fhwa.dot.gov/infrastructure/asstmgmt/primer05.cfm The Public Spending Code D. Standard Analytical Procedures Guide to economic appraisal: Carrying out a cost benefit analysis http://publicspendingcode.per.gov.ie/wp-content/uploads/2012/08/D03-Guide-to-economic-appraisal-CBA-16-July.pdf
Friday, January 3, 2020
The French And Indian War - 1337 Words
Throughout history there has been many wars, some wars were fought for world domination and others were fought for independence. One war that fought for independence was the American Revolution. The American Revolution was fought between the colonists and the English with the French aiding the colonists. There are many causes for the American Revolution some of the causes are the French and Indian War, The Sugar and Stamp Act, The Boston Massacre, The Boston Tea Party, and the Intolerable Acts. The French and Indian War, also called Seven Years War, was a massive conflict involving Austria, England, France, Great Britain, Prussia, and Sweden. The war took place in Europe, India and North America. The English and French fought for the total control of the colonies in North America, the Caribbean, and in India. While the English ended up winning the war, they were left with a debt so enormous it almost destroyed the British government. One of the ways the British government tried to shrink their debt was by collecting taxes from the colonies in America. One of the first taxes was the Sugar Act, which imposed taxes on sugar. Although resented, the Sugar Act tax was hidden in the cost of import duties, and most colonist accepted it. However, England was just getting started with colonial taxes. By the following year, Parliament imposed the Stamp Act that required Americans to pay duties directly to England, not to local legislatures. The law required Americans to buy stamps forShow MoreRelatedThe French And Indian War1095 Words à |à 5 PagesThe French and India war was a war that took place in todayââ¬â¢s Pittsburgh. The war was both caused by the English and French. The English and the French both felt that they were entitled to land and each was to willing to fight and they were also, willing to go into war so they could prove that they owned the land. (odellreads.com) The French and India war started out as a dispute over land in the Ohio River Valley area, both the French and English settlers moved towards colonization of that areaRead MoreThe French And Indian War1195 Words à |à 5 PagesSince the beginning of history, wars have been fought to gain territories, independence, or to fight against those who take away oneââ¬â¢s rights. The French and Indian War was fought in North America over the Ohio Valley, however, it is much more than just a war to gain territory. This war opened doors to the colonists who decided that fighting for independence was something they were in need of doing. The French and Indian War was the portion of the Seven Yearââ¬â¢s War that was fought in North AmericaRead MoreThe French And Indian War967 Words à |à 4 Pages 2014 During the French and Indian War of 1754-1763, the French and the British were competing for land throughout the Ohio Valley, the Mississippi River, and the St. Lawrence River and for trading rights in North America. Both nations saw this territory as a necessity to increase its own power and wealth while simultaneously limiting the strength of its rival. Although, after the French and Indian War the British gained all of the French land in North America. Following the war the British governmentRead MoreThe French And Indian War877 Words à |à 4 Pageshistory; wars, such as the French and Indian war altered the perception of the American people. These events and people were some of the many that facilitated the colonistsââ¬â¢ defiance against the British. Altercations they encountered turned the people of the newly formed Americas against the British aiding in their quest for independence. During the time of 1763-1775, one of the occurrences that happened to affect the colonistsââ¬â¢ perception of the British was the French and Indian War. The war itselfRead MoreThe French And Indian War895 Words à |à 4 PagesMany wars were fought between the English and the French. The French and Indian War was an important factor in the writing of the Declaration of Independence. The war was very costly for the British. After the war ended the British thought of ways to gain money from the colonists to help replenish funds lost from the war. This usually was in the form of taxes. The colonists were not happy with the British government and made their feelings and opinions known. The colonists wanted their freedom andRead MoreThe French And Indian War938 Words à |à 4 PagesThe French and Indian War was a long and bloody war fought by both colonial and British soldiers. By the end of the war, both Britain and the colonies were changed, and so their relationships were changed a s well - mostly in negative ways. After the war, political, ideological and economic relations between the colonies and Britain would never be the same. Many colonists realizing their lack of representation in Parliament, which created political tension; British taxation of the colonies createdRead MoreThe French And Indian War1556 Words à |à 7 Pages The French and Indian War/Seven Years War began in response to the British unapologetically impinging on the French and the Indian territory. After the seven years of war, the French and British negotiated the Treaty of Paris. The Treaty of Paris effectively ended the French and Indian War/the Seven Years War. It was put into practice in 1763. The immediate results included the French loss of all territory in the Americas except some islands in the Gulf, the Spanish receiving all land west of theRead MoreThe French And Indian War1731 Words à |à 7 PagesAmerican Revolution was fought from 1775-1783, the war happened because of the tension that was building between Great Britain and their thirteen colonies. From 1607 to 1763, Britain gave the thirteen colonies benign and salutary neglect. Even though the colonists lived under the Mercantilist doctrine, they were still allowed to prosper while under Great Britainââ¬â¢s authority. The French and Indian war changed their relationshi p.Great Britain going to war with France caused them to accumulate a lot ofRead MoreThe French And Indian War1310 Words à |à 6 Pagescommencement of the revolution. The discussion below critically exploits and explores various reasons that led to the start of the revolution. The French and Indian War The wars which happened between 1754 and 1763 had a high impact on the colonies that were initially proud to be part and parcel of Great Britain. However, as it was noted later after the war, most colonists got increasingly bothered by various Acts passed by the Britain Parliament such as the Currency Acts that were made between 1751Read MoreThe French And Indian War1183 Words à |à 5 Pages1773 Britain defeated France in the French and Indian war.The colonists had secretly been bringing in tea into the area from dutch, the tea was cheaper and not taxed, this helped many families in America. It caused parliament to be short of money. In effort to replenish. Victory in the french and indian war was costly for the british. At warââ¬â¢s conclusion in 1763, king George 111 and his government looked to taxing the American colonies as a way of recouping their war cost, they thought that people want
Thursday, December 26, 2019
Singapore And Nigeria s Health Care System Essay
In many countries, both poor and wealthy, access to care is crucial to oneââ¬â¢s health. Throughout this paper both Singapore and Nigeria will be compared to each other based their access to care for the entire population and the impact on the society the countries make. Singapore is known to have the most cost effective health care systems, whereas Nigeria is known to have very little to no advancements in their health care system. ââ¬Å"Singapore is one of the most cost effective health care systems due to the fact that ââ¬Å"The government of Singapore planned, built, and continues to develop and maintain the nationââ¬â¢s public health care system.â⬠(Liu and Haseltine), and they spend 4.7 percent of their GDP on health care. In Nigeria, there health care systems have had very little to no advancements due to lack of education and rising cost of health care. It is quit evident that Singapore has the best access to care with the most effective actions as well as making a large impact on the society compared to Nigeria. Singapore is one of the most cost effective health care systems. The government of Singapore takes complete control over the health care system by planning, building, developing, and maintaining the nationââ¬â¢s public health care system (Lui and Hastletine). The government also regulates public and private health insurance. The healthcare system in Singapore is administered by the Ministry of Health. The Ministry of Health is responsible for assessing health needs, planning,Show MoreRelatedThe Effects Of Poor Infrastructures On Nigerian Government Parastatals2148 Words à |à 9 Pagessnail s speed, such that the gap between the information-rich developed countries and Africa continues to increase every day. Africa has 13% of the world population, but only 2% of world telephone lines and 1% of Internet connectivity measured in terms of number of Internet hosts and Internet users. Consequently most African countries including Ni geria have not been able to reap the abundant benefits of the global information society and the information economy in areas such as education, health, commerceRead MoreBody Shop Evolution of Business in Society5167 Words à |à 21 Pagestaken by The Body Shop International as well as The Body Shop Singapore. All information with regards to the local CSR initiatives were given by Grace Chang, public relations manager of The Body Shop Asia Pacific. Next, we will attempt to share our objective analysis of these initiatives and what they entail. This is crucial, as we will further analyse the extent of The Body ShopÃâââ¬â¢s corporate social initiatives taking shape in Singapore, which is culturally, socially and politically different fromRead MoreRural Poverty Alleviation in Nigeria10400 Words à |à 42 PagesRURAL POVERTY ALLEVIATION IN Nigeria In addressing this topic; Rural Poverty Alleviation, it is necessary to define each of the words in this phrase. Efforts will therefore be made to clearly describe/define the following words; Rural, Poverty, and Alleviation. WHAT IS RURAL? To define what is rural is daunting task, because the word rural is an inexact term that can mean different thing to different people. For example, what is considered rural in a place like United States of America and UnitedRead MoreAspects of Economic Reforms in the Nigerian Fourth Republic5141 Words à |à 21 Pagesmayowa2000ng@yahoo.com YUSUF M.0 (MRS) DEPARTMENT OF ECONOMICS MICHAEL OTEDOLA COLLEGE OF PRIMARY EDUCATION, NOFORIJA, P.M.B. 1028, EPE, LAGOS STATE, NIGERIA. ASPECTS OF ECONOMIC REFORMS IN THE NIGERIAN FOURTH REPUBLIC ABSTRACT In Nigeria, the return to democratic rule in 1999 led to a myriad of programmes and strategies that were aimed at refocusing the face of the economy so as to resolve the difficulties which years of military rule hadRead MoreAccount for the growth of TNCs and evaluate their impacts at the global and national scales3274 Words à |à 14 Pagestheir waste. In addition, labour is especially low-cost, and trade unions are either; not permitted, criminalised or displaced if operating in many Asian countries and provinces. And the amount of ââ¬Å"red-tapeâ⬠in countries like Malaysia, China and Nigeria make it even more inexpensive for TNCs to locate there. But the amount of money paid to workers under minimum wage also saves the TNC money. Coca-Cola pay Nigerian day workers $2.60 per day! And although that may seem exceedingly low, it is actuallyRead MoreMultinational Companies and Their Social Responsibilities (Ãâ Case Study of Shell, Nigeria)15078 Words à |à 61 PagesCHAPTER TWO 2.0 AN OVERVIEW OF SHELL DEVELOPMENT COMPANY IN NIGERIA 2.1 Introduction This chapter will provide basic knowledge of Shell Nigeria Oil Company and its operation in Nigeria, in particular regarding its ethics, performance, social involvement, contribution to national income and its contribution to keeping the environment green. Since the Rio Conference of 1992 the code of conduct for all extractive industries including crude oil mining companies has underlined the following principlesRead MoreSoc 727-the Theory of Demographic Transition and Its Applicability to Developing Countries5499 Words à |à 22 PagesTHE THEORY OF DEMOGRAPHIC TRANSITION AND ITS APPLICABILITY TO DEVELOPING COUNTRIES (Part One) A PAPER COMPILED BY S. AKINMAYá »Å'WA LAWAL MATRIC NO: 106584 Department of Sociology University Of Ibadan Ibadan, Nigeria. SUBMITTED TO PROFESSOR UCHE C. ISIUGO-ABANIHE DEPARTMENT OF SOCIOLOGY UNIVERSITY OF IBADAN SOC 727: DEMOGRAPHIC ASPECTS OF SOCIAL AND ECONOMIC DEVELOPMENT THURSDAY, 8 MAY, 2008. Abstract Human population over the past decades, have doubled, tripled and grown rapidlyRead MoreThe Accounting Profession and Nat39077 Words à |à 157 PagesScience of Accountancy EDITORIAL BOARD Prof. Edet Robinson Iwok, Ph.D, FCNA Prof. A. A. Okwoli, Ph.D, FCNA Prof. Abimaje Akpa, Ph.D, FCNA Prof. B. C. Osisioma, Ph.D, FCNA Prof. Edet B. Akpakpan, Ph.D, FCNA, Prof. A. C. Ezejulue, Ph.D, FCNA Prof. A. S. Mikailu, Ph.D, FNIA Chairman, Education, Training, Research and Technical Committee, ANAN Chief V. C. Azie Accountant-General of the Federation Auditor-General of the Federation Registrar, ANAN Chairman, Fed. Inland Revenue Service Director of ResearchRead Moreââ¬ËCountries at Very Low Levels of Economic Development Face Such Huge Challenges That They Cannot Hope to Address Them Without Assistance from the Rest of the World.ââ¬â¢ to What Extent Do You Agree with This View?1909 Words à |à 8 PagesThere are some countries in this world with a GDP less than $750, with populations earning less than $1 a day, life expectancies barely reaching past 40 years old and devastatingly poor levels of health care, school enrolment and adult literacy rates. These are the defining indicators of people living in low developing countries (LDCââ¬â¢s). Populations living in poverty and the majority with an income too small to accommodate their basic needs and the resources in the national economy, even when equallyRead MoreThe War On Drugs A Human Rights Violation?2486 Words à |à 10 Pagesneglects the people involved criminally in the drug war, the corrosion of civil liberties and fair trial standards, denies economic and social rights, demonizes individuals and groups, imposes abusive and inhumane punishments, denies the right to health, privacy, and freedom of belief and practice, and the consequential social impact concentration on young people, certain ethnic groups and other minorities who are socially and economically deprived communities. In the following section I will discuss
Wednesday, December 18, 2019
Oedipus The King Of Oedipus - 868 Words
Cocky and confident are two very distinct traits. Although they are different, they both have one thing in common which is to be successful. The major difference between the two are when one is cocky, one is overconfident and has a big ego. The one with confidence has more of a humble personality and is knowledgeable with every challenge that waits upon one. Confidence overpowers cockiness. The cocky trait is heavily represented in the story ââ¬Å"Oedipus the Kingâ⬠(c. 430 B.C.) by Sophocles. In the story, Oedipus the king of Thebes has the cocky trait and it results in torture for life. Oedipusââ¬â¢s arrogant personality shows throughout the story as he tries to find the killer of the former king of Thebes, his father. Oedipus tends to deem himself as a god throughout the story which plays a big role in interaction with people around him. Sophocles uses characterization to convey that overconfidence tends to lead to failure. Initially, Sophocles uses the tragic flaw of Oed ipus to prove that his over confident and arrogant attitude will lead to nothing but trouble. Oedipusââ¬â¢s attitude from the beginning of the story already displays the big ego he possesses: ââ¬Å"Here I am myselfââ¬â you all know me, the world knows my fame: I am Oedipusâ⬠(7-9). Oedipus here clarifies how everyone around the world knows who he is and how everyone knows what ââ¬Å"powerâ⬠he retains under himself. The reality is that Oedipus deems himself as a god when really he has the king of Thebes label given to him. TheShow MoreRelatedOedipus The King : Oedipus1328 Words à |à 6 PagesOedipus the King Oedipus had a lot of different character traits both good and bad. He had a good conscience; he cared deeply for the people in his life and protected them. He was very empathetic, smart and a dependable man who lived his life with great integrity. He was an honest man with strong moral principles and lived a righteous life. He found it difficult to live anything less than a righteous life; when he realized what had become of his life, his guilty conscience consumed him. He was filledRead MoreOedipus The King Of Oedipus1019 Words à |à 5 Pageswhat makes Oedipus actions in his quarrel with Teiresias and also throughout the play so dramatically compelling, is the fact that the audience knows the outcome of the story. We know Oedipus fate even before he does, and there is no suspense about the outcome itself, instead, the audience anxiously awaits Oedipus to reveal his fate unto himself in his desperate quest to rid his city of the terrible plague, or maybe even more so, to simply d iscover his own unfortunate tale. Oedipus is relentlessRead MoreOedipus The King, Or Oedipus Rex1249 Words à |à 5 Pagesmost famous probably being Sophoclesââ¬â¢ Oedipus the King, or Oedipus Rex. For a play to be considered a tragedy, it must have a tragic hero. According to Aristotleââ¬â¢s definition of a tragic hero, they must be a decent moral person, of high social standing who eventually meets with a tragic downfall, of their own doing, suffering more than deserved, and realizing their error too late. In the play Oedipus the King, Oedipus is the epitome of a tragic hero. Oedipus Rex was generally a ââ¬Å"goodâ⬠person; heRead MoreOedipus The King And Oedipus At Colonus Essay1261 Words à |à 6 Pagesbetween Antigone and Creon, family and politics. However, in Oedipus at Colonus, the play merges all the conflicts happened to former plays and enhances the theme of the story. The later part of this trilogy, especially the ending of Oedipus the King and Oedipus at Colonus, reveals a darker and deeper phenomenon of Thebes and projects it to Oedipus. The prophet plays important role of forming the story line and tragic image of Oedipus, but the root causing the series of tragedy of the charactersRead MoreOedipus Rex By Oedipus The King1206 Words à |à 5 PagesOedipusââ¬â¢ evolution throughout the Theban plays is one with fascinating twists and turns. Oedipusââ¬â¢ characterisation evolves and changes as he experiences the fall from being the great ruler of Thebes into a blind beggar who is tortured by what he did. As the stories progress, so does their protagonist to the point where the Oedipus of the second play is a completely different man. In Oedipus Rex, the main character is portrayed as a strong and clever yet arrogant king whose ignorance leads him toRead MoreAnalysis Of Oedipus Oedipus The King 1152 Words à |à 5 Pagesreading Oedipus the King. The number of times the words ââ¬Å"seeâ⬠or ââ¬Å"blindâ⬠are in the play make it make it undeniably obvious that they are significant. The theme is developed throughout the dialogue, through characters such as Tiresias and Oedipus, and also directly in the irony of the play. It is important in a play about the truth because almost every character was ââ¬Å"blindâ⬠to the truth. All of the characters, except one, can physically see, but mentally cannot see the truth. Oedipus seems toRead MoreOedipus The King, And Oedipus At Colonus1343 Words à |à 6 Pages Oedipus, a play written by Sophocles, has become a staple in the study of a Tragic hero in classic literature. When this was written in the fifth century, theatre was more than a means of entertainment but almost a religious event. Robert Fagles goes even further by saying thatâ⬠theatre was not only a religious festival; it was also an aspect of the cityââ¬â¢s political life.â⬠(Fagles) . Greek dramas were presented only twice a year during religious festivals that honored Dionysus, the god of winesRead MoreOedipus The King And Oedipus At Colonus1567 Words à |à 7 Pagesworks of Sophocles and particularly evident in Oedipus the King and Oedipus at Colonus, not only exalts the Greek nationalism present at the date of composition but dictates the course of the story, evolving as its tragic hero works through his fated anguish. Hubris, defined as exaggerated pride or self-co nfidence, is the earmark character trait of Oedipus and perhaps Creon. However, it is the abandonment of his sanctimonious nature that distinguishes Oedipus as a true hero. The theme of the evolutionRead MoreOedipus The King, Oedipus Rex1329 Words à |à 6 PagesIn Sophoclesââ¬â¢ 5th century Greek tragedy Oedipus the King, Oedipus Rex infamously murders his father and weds his mother in a bout of dramatic irony. This engenders the predicament of whether these crimes are justifiable or not. Those who are procrustean in regards to Oedipusââ¬â¢ crimes may insularly claim that they cannot be rationalized. However, further acknowledgement of this quandary brings forth the idea that Oedipusââ¬â¢ crimes of patricide and incest are clearly justified by how his lack of phronesisRead MoreOedipus Rex, Or Oedipus The King972 Words à |à 4 PagesOedipus Rex, or Oedipus the King, has been translated thousands of times from the original ancient Greek version to English of varying recen cy. Consequently, each work varies incredibly in its meaning and its presentation of Oedipus and the tragedy surrounding him. Two translations of Sophoclesââ¬â¢ ancient play, one translated by Robert Fagles and the other by J.T. Shepherd, are perfect illustrations of this concept. Although these two works share several similarities, they vary greatly in their presentation
Tuesday, December 10, 2019
Corporate Accounting in Australia Fenchs ââ¬Myassignmenthelp.Com
Question: Discuss About The Corporate Accounting In Australia Fenchs? Answer: Introduction Impairment loss refers to the expenditure and depreciation rate a business is likely to experience after investment on an asset(Dagwell et al., 2015). Machinery, vehicles, and equipment are classified as asset which depreciate their physical value over time, thus they are classified as impairments and their impairment loss must be calculated and established. Explain the Need for an Impairment Test Impairment test involves extensive disclosures which I focused towards the identification of factors and losses which may be incurred by investing in an Asset(AASB, 2007). The impairment can be calculated for both assets to be used in future and assets which intend to be sold for a profit after appreciation. Each asset will have an investment and maintenance and depreciation cost which must be identified so that the impairment can be calculated. Impairment tests are critical towards determining appreciation and depreciation rates of assets which is a critical requirement for all businesses so as to estimate the cost they can expect to incur after investment on an asset, equipment or after expanding. In many situations, impairment tests on investments are not calculated in advance leading to the investor incurring unexpected losses which places additional stress on the individual or business which considered redundancy costs incurred during the period after investment till utilization of resale a loss. Explain When an Impairment Test Should Be Undertaken Impairment tests are undertaken on assets which are non-recoverable thus allowing the investor to calcite the cost they can expect to incur after investment towards maintaining and upkeep of the invested asset. This means that the impairment test requires being undertaken before investment on the asset to help determine the after investment cost the business is likely to incur until use of the investment. Impairment tests require to be done before investment on an asset but the impairment test can be revised at a later stage invariants change which may influence the impairment costs(IAS, 2017). It is important for impairment cost to be undertaken before the business invests on any asset so as to help the business determine additional maintained and depreciation costs they will incur after the purchase of manufacturing of the asset. This can help the business focus its attention towards investing on an asset at an appropriate stage which would reduce the cost incurred for the investme nt and maintained till use. Impairment plans also help determine net cost incurred after investment on an asset which helps determine the right time to invest in an asset. Outline the Components of the Impairment Test The asset is classified as impaired when the recovery among exceeds the carry among. This means that the sale price is likely to be lower than the purchase price but the products are labels an asset due to being a key element towards business operations and functionality. Key components of impairment tests include calculation of the carry amount and estimations of the recoverable among. The difference is noted to be the impairment loss a business incurred after investment on the asset(IAS, 2015). Carrying amounts are calculated by taking into consideration internal and external indicator which influences the carrying cost. Describe How to Account For an Impairment Loss for a Single Asset To determine the impairment loss on a single asset it is critical to calculate the total CA and RA the business is likely to incur after investment on an asset. The carry cost includes investment, maintenance, storage and all other costs a business is likely to incur after investment on the asset. Recovery amount is the amount the business is likely to recover for the asset once sold. In most situations the RA I lower than the investment costs despite the products being classified as an asset. Once the amounts have been calculated the business than being able to calcite the impairment loss to help determine the total cost the business is likely to incur while holding the asset and how much can be expected after the sale. Describe How to Account For an Impairment Loss for a Cash-Generating Unit The impairment loss is accounted by determining all expected expenses a business I likely to incur after investment on an asset. This data also includes the depreciation rate on an asset over the projected lifetime. Once calculated the information can be compiled to determine the total costs a business will incur after investment and ownership of an asset and also identify the recoverable amount the business can expect from the asset(AASB, 2007). This data can then be used to help determine the cost the business is likely to incur after investment on the asset on a yearly or monthly basis. The data can then be used to calculate the final asset cot on the business. Impairment loss calculation is critical towards determining cost a business will incur after investment but will also help determine important data related to the right time to purchase an asset taking into consideration all the costs the business is likely to incur thus determining the best time to invest in an asset. Explain When an Impairment Loss Can Be Reversed and How to Account for It An impairment loss cannot be reversed due to the impairment costs being the cots an organization of investor incurred after investment on an asset. The impairment costs durations and the amount recovered can be altered but this also means the asset is losing its value as it continues being utilized for a longer period(IAS, 2004). While its possible to utilize asset for a long period when they recover their investment cost leaving only maintenance and other upkeep costs they cannot be reversed or considered for goodwill re-embossment. Once the asset investment has been covered, only the recoverable amount can be reflected on the businesses list of assets. Identify the Disclosures Required In Relation To Impairment of Assets To undertake an accurate impairment test it is critical for the organization and stakeholders to evaluate and disclose all requirements with relation to the asset management, maintenance, and depreciation. Each asset should have a clearly outlined cost management plan which would allow for the business to determine the exact amount of costs being incurred to manage, maintain and operate the assets(Weil et al., 2013). It is vital all details are clearly outlined so as to ensure the accurate calculation of impairment loss related to each asset. Conclusion An asset refers to an investment which is likely to generate a profit for the business but certain assets also depreciate over time thus are classified as an impairment to a business. Their depreciation and cost must be a calculation to help determine their return and benefit towards the business as a physical asset and not their contributions towards generating income. Reference AASB, 2007. Impairment of Assets. [Online] Available at: https://www.aasb.gov.au/admin/file/content105/c9/AASB136_07-04_COMPapr07_07-07.pdf [Accessed 19 Sept 2017]. AASB, 1., 2007. Impairment of Assets. [Online] Available at: https://www.aasb.gov.au/admin/file/content105/c9/AASB136_07-04_COMPapr07_07-07.pdf [Accessed 19 Sept 2017]. Dagwell, R., Wines, G. Lambert, C., 2015. Corporate Accounting in Australia. Fenchs Forest: Pearson Higher Education AU. IAS, 3., 2004. Impairment of Assets. [Online] Available at: https://www.iasplus.com/en/standards/ias/ias36 [Accessed 19 Sept 2017]. IAS, 3., 2015. IAS 36 IMPAIRMENT OFASSETS Fact Sheet. [Online] Available at: https://www.cpaaustralia.com.au/~/media/corporate/allfiles/document/professional-resources/reporting/reporting-ifrsfactsheet-impairment-of-assets.pdf?la=en [Accessed 19 Sept 2017]. IAS, 2017. Impairment of Assets. [Online] Available at: https://www.iasplus.com/en/standards/ias/ias36 [Accessed 19 Sept 17]. Weil, R.L., Schipper, K. Francis, J., 2013. Financial Accounting: An Introduction to Concepts, Methods and Uses. Cengage Learning
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