Cambridgeshire and Peterborough NHS Foundation Trust asked RAND Europe to evaluate the early stages of its peer worker programme, an initiative in which people with personal experience of mental health challenges are employed to support those currently receiving services. The evaluation indicated that the programme is having a positive impact and also highlighted a number of areas for improvement associated with its implementation.
Despite spending more on health care, the United States continues to lag behind the UK, France and Germany for deaths that could be avoided by timely and effective health interventions, known as amenable mortality. A study by Ellen Nolte shows that between 1999 and 2007 the amenable mortality from childhood infections, treatable cancers, diabetes and circulatory diseases fell at a faster rate in all three European nations than in the U.S.
The Internet has transformed our daily lives and revolutionised the way we do business, and it promises to fuel economies and improve well-being in the future. But Europe has been slower than the US, Korea or Japan to capture the full benefits of the Internet economy. Investing in new technologies and applications has considerable economic potential for Europe, but only if some tough choices are made and barriers to EU international competitiveness can be overcome.
RAND Europe and colleagues from the University of East Anglia estimated the costs of six proposed schemes to expand Natural England's Walking for Health programme. Results provide useful insight into economic costs of running local Walking for Health schemes, and the overarching national support programme.
Europol, the European Police Office, became an entity of the EU on 1 January 2010 as a result of the Europol Council Decision (ECD). RAND Europe and Bluelight Global Solutions examined the implementation of the ECD and its impact on Europol's performance, to inform decisionmaking with regard to a future Europol regulation. The research team's evaluation was wide in scope, covering Europol’s operational activities, administrative and governance issues, as well as stakeholder relationships.
Many cash transfer programmes designate women and mothers as transfer recipients, on the assumption that doing so will lead to better outcomes. RAND undertook a systematic review for the UK Department for International Development to assess whether transferring cash to women rather than men in low- and middle-income countries has a greater impact on household well-being.
Radio Frequency Identification (RFID) tags offer benefits to product lifecycle management and can help indicate how best to recycle products, but they also introduce extraneous metals and materials into the recycling stream. RAND Europe and its two research partners explored the environmental impact and advantages of using RFID tags and provide recommendations based on their findings.
To better understand the factors that affect doctors' behaviour and decision making, the UK General Medical Council (GMC) commissioned RAND Europe to study the factors that encourage or discourage doctors from acting in accordance with good practice. This research sought to enable the GMC, which regulates and licenses medical professionals in the UK, to inform the development of policy and a programme of work aimed at supporting doctors to adhere to good practice in the care and management of patients.
Although concerns about cyber-security are one of the top five global risks identified by the World Economic Forum, it is less clear whether the market for cyber-insurance is sufficiently mature. ENISA asked RAND Europe to explore what might inhibit such a market and investigate incentives to kick-start its development. Recommendations include collecting more empirical evidence, exploring the scope for collective action or redress, develop frameworks to help firms appraise the value of their information, and explore the role of government as an insurer of last resort.
Examining what health and care in two London boroughs might be like in 2030 was the goal of the Exploring our Futures project. Analysis by RAND Europe, in collaboration with The King's Fund and Idenk, informed a series of interactive events where participants, from different sectors across the boroughs, discussed and planned for future challenges. The research team also developed a resource to inform strategy beyond the lifetime of the project.
Open innovation has gained increased attention as a potential paradigm for improving innovation performance, but one under-researched type of innovation is crowdsourcing, where a crowd is tasked with solving problems which solution seekers anticipate to be empirically provable. An exploration of who is using this form of innovation and how, looking at the potential diversity and core features and variables implicated in crowdsourcing models, can help organisations understand the effectiveness, best practices, challenges and implications of crowdsourcing.
Defence and Security program director Matt Bassford says cognitive dissonance appears to be alive and well in European governments when it comes to their thinking on the defence industry. In the summer 2012 issue of Defence Management Journal, he says the remedy appropriately "contains two elements: further liberalisation to reduce over-capacity combined with new interventions to nurture critical technologies and retain competitive systems integration capability in Europe."
RAND Europe explored trends in alcohol pricing policies prevalent in many EU Member States such as price promotions and discounts both off-premise (e.g. supermarkets) and on-premise (e.g. restaurants and pubs), as well as analysing the impact of changes in excise duty on purchase price. Findings suggest that, depending on the price sensitivity of consumers and other strategies employed by suppliers (e.g. advertising), changes in excise duty may be an effective instrument to reduce harmful alcohol consumption.
RAND Europe assessed the risks of dependencies on non-European suppliers in the defence supply chain. Through stakeholder engagement and data analysis, the research team identified critical industrial and technological dependences, designed a methodology for Member States to perform similar assessments, and selected 10 priority actions at European level. Findings informed the European Defence Agency’s roadmap for future investments.
Osteoporosis is the most common clinical disorder of bone metabolism—there are about 1,700 osteoporotic fractures per day across the European Union—yet evidence about the most effective methods to prevent and treat osteoporosis remains mixed. RAND Europe mapped the gaps in the evidence base and management practices across Europe to inform the development of evidence-based quality indicators for the management of postmenopausal osteoporosis.
The World Bank commissioned RAND Europe to examine the interventions used in Romania to tackle error, fraud, and corruption (EFC) in Romanian cash benefits. The research team provided the World Bank with a short assessment on the basis of fieldwork and background research of what the Romanian government is doing in the field of EFC and, subsequently, to formulate suggestions on how the government could improve its EFC approach.
To fulfil its complex weapons requirements, the UK Ministry of Defence must enter into strategic relationships with suppliers to arrange future provision of programmes and weapons. RAND worked to evaluate one of these ‘portfolio arrangements’ in order to evaluate value for money in terms of industrial skills. Researchers spent time with MOD’s supplier, mapped out their plan to sustain skills, conducted interviews and modelling, and looked at both sustainment of key skills and the appropriate size of the company. Findings provided assurance to MOD and recommended interventions that have since been implemented.
EU-OSHA carried out the first Europe-wide establishment survey on health and safety at the workplace, the European Survey of Enterprises on New and Emerging Risks (ESENER), in 2009. RAND Europe conducted two secondary analysis projects to explore management of safety and health at work and examine how practices vary across Europe depending on, for example, establishment size, location and sector.
Illicit drug use continues to be an important public health and safety concern in Europe. The 2005-2012 EU Drugs Strategy was developed to complement and add value to national strategies and approaches while respecting the principles of subsidiarity and proportionality set out in the EU Treaties. RAND Europe's independent evaluation assessed the relevance and influence of the Strategy and its implementation in Member States.
Efforts to improve human development outcomes in Southeast Asia are often hindered by problems with the governance of social assistance programmes. Governance broadly refers to the rules that govern interactions in the public sector, the relationships more widely between the public and private sectors, and the interactions between citizens, communities and state. The World Bank commissioned RAND Europe to develop a toolkit on how to improve governance in ASEAN countries.
The World Bank is interested in the linkages between governance, service delivery and human development outcomes. The Human Development Chief Economist's Office has asked RAND Europe to determine if OECD countries have been effective at using provider incentives in health and social protection policy areas, as their experiences may be able to inform programmes used in developing countries.
As caring for chronic diseases is one of the greatest challenges facing health systems in the 21st century, there is a need to better understand what approaches work for whom and in what circumstances. The final reports of a collaborative research effort to identify and validate evaluation methods and performance measures for chronic disease management in Europe help to strengthen the evidence-base required to select efficient and effective interventions to address the growing burden of chronic disease.
The UK Ministry of Defence (MOD) asked RAND Europe to benchmark a new warship class against comparable international vessels. The study produced concrete comparisons of procurement strategy, cost and capability. Major findings informed value for money discussions and key decisions surrounding the MOD’s Type 26 GCS vessel.
A European Cybercrime Centre (ECC) hosted by Europol would bring together input from several different entities and drive a common approach to tackling cybercrime. To gather background evidence for this initiative, RAND Europe researchers visited a number of EU Member States' high tech crime units to better understand their capabilities, conducted interviews with EU-level stakeholders, and held a scenario-based workshop where organisations could discuss the work and impact of an ECC.
Because improving health and social care interventions through integrated care may be one way of addressing the changing needs of the English population, the Department of Health commissioned an evaluation of 16 integrated care pilots. The evaluation revealed that greater integration of care has led to improved care processes, more satisfied staff and reduced use of hospitals. However, some aspects of patient experience were less positive following the pilots and the intended reduction in emergency admissions was not seen.