Dr Lorelei Jones
Senior Lecturer in Health Sciences (Healthcare Organisation & Governance)
Overview
I am a medical anthropologist interested in organisation, professions and care practices.
My research is on the social organisation of healthcare, including:
- The quality and safety of hospital care
- Medical leadership, innovation and organisational change
- Systems leadership, collaboration and integrated care
- Policy implementation and evaluation
My research is multidisciplinary and translational (theory into practice). I work with the Betsi Cadwaladr University Health Board to develop healthcare professionals and services in North Wales and contribute to international learning.
I am a Fellow of the Royal Anthropological Institute, a Fellow of the Higher Education Academy, an executive member of the Society for Studies in Organising Healthcare, and a member of the Scientific Committee for the international conference on Organisational Behaviour in Health Care. I am on the editorial board of the International Journal of Health Governance, and the Journal of Health Organisation and Management.
Welsh Crucible Future Research Leaders Fellow
Blogs
Anthropology, healthcare, and healthcare improvement
Why social science can help us better understand organisational change in healthcare
Governments want healthcare staff to change patients' behaviour - but that's unlikely to work
Additional Contact Information
lorelei.jones@bangor.ac.uk
Research Interests
Current projects:
(i) The Response Study
Study funded by the NIHR evaluating the implementation of the Patient Safety Incident Response Framework.
Overall Research Aim: To explore the implementation of a new national patient safety policy, the Patient Safety Incident Response Framework (PSIRF), within the English NHS across the multiple layers of the regulatory and health service context, to understand how to support future patient safety policy development and implementation.
Background: Large numbers of patients continue to be harmed as a result of safety incidents, and current approaches to responding to and learning from safety incidents are increasingly questioned for their effectiveness in reducing harm. Many types of incident are frequently repeated across the NHS and organisations struggle to implement policies to improve safety and share learning. As a result, NHS England is launching a new national policy framework (PSIRF) that has far-reaching implications at all levels of healthcare by seeking to create incident response and learning processes that are more proactive, proportionate, flexible, learning-focused, equitable and fair. The launch of PSIRF offers a unique opportunity to explore and learn from the real-time implementation of a new national patient safety policy, including the logics and objectives underlying the policy, how the policy is interpreted and enacted across a range of stakeholder groups, what the policy changes and improves, and what lessons might be learned for future policy design and implementation.
Methods: This multilevel, mixed-methods evaluation will explore PSIRF implementation nationally with a longitudinal survey and documentary analysis, and organisationally through in-depth ethnography at six case study organisations from three NHS regions.
(ii) How do chief medical officers understand, experience and carry out new system leadership roles (ICS CMO) and what impact do they have?
Research funded by the Faculty of Medical Leadership and Management
Read our first publication here:
Role of medical leaders in integrated care systems: What can be learnt from previous research?
(ii) Evaluation of General Dental Services Reform in Wales
Funded by Welsh Government
System reform in NHS general dental services in Wales aims to embed needs-led and value-based healthcare principles in dental care delivery. The key policy objectives are to:
- Improve the oral health of the population
- Address persistent inequalities in health and access to dental services
- Sustain, develop, and value clinical teams
- Make efficient use of available resources by increasing the use of skill mix
The GDS reform programme is based on action-learning. Learning from the evaluation will be used for future policy development and implementation.
The evaluation is based on the principles of public value evaluation. Data collection and analysis, incorporating literature reviews, document analysis, qualitative interviews, visual ethnography, and vignettes, have elicited the views and experiences of multiple stakeholders at different levels in the system:
- national policy teams
- local health board teams
- dental practice teams
- NHS dental patients and members of the public
The aim of the current phase of the evaluation is to (April 2022 – September 2023) is to capture learning in three areas: development and implementation in practice; innovation and improvement; recovery and adaptation.
Postgraduate Project Opportunities
Publications
2024
- PublishedEvaluation of the NHS General Dental Services Contract Reform Programme in Wales
Jones, L., Overs, E., Woods, C., Mostaghim, M. & Jones, A. W., Jan 2024, Prifysgol Bangor University. 90 p.
Research output: Book/Report › Commissioned report › peer-review - E-pub ahead of printPatient-activated escalation in hospital: patients and their families are ready!
Subbe, C. P., Phillips, A. V. & Jones, L., 8 Oct 2024, (E-pub ahead of print) In: BMJ Quality & Safety.
Research output: Contribution to journal › Editorial › peer-review
2023
- E-pub ahead of printGoverning health care: the uses and limits of governmentality in the National Health Service in England
Jones, L., 2 Oct 2023, (E-pub ahead of print) In: Anthropology and Medicine. 18 p.
Research output: Contribution to journal › Article › peer-review - PublishedUsing arts-based research in applied health care: An example from an evaluation of NHS dental contract reform in Wales
Overs, E., Woods, C., Williams, L., Williams, S., Burton, C., Jones, L. & Brocklehurst, P. R., Jul 2023, In: Journal of Health Services Research and Policy. 28, 3, p. 190-196 7 p.
Research output: Contribution to journal › Article › peer-review - Published“Attending to Collaboration” in Major System Change in Healthcare in England: A Response; Comment on “Attending to History” in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration
Fraser, A., Jones, L., Lorne, C. & Stewart, E., Feb 2023, In: International Journal of Health Policy and Management. 12, 1, p. 7661 3 p.
Research output: Contribution to journal › Comment/debate › peer-review
2022
- PublishedA Board Level Intervention to Develop Organisation-Wide Quality Improvement Strategies: Cost-Consequences Analysis in 15 Healthcare Organisations
Capelas Barbosa, E., Jones, L., Pomeroy, L., Robert, G., Burnett, S., Anderson, J. E., Morris, S. & Fulop, N., Feb 2022, In: International Journal of Health Policy and Management. 11, 2, p. 173-182 10 p.
Research output: Contribution to journal › Article › peer-review - PublishedEvaluation of the NHS General Dental Services Contract Reform Programme in Wales. Interim Report - The views and experiences of patients
Jones, L., Woods, C., Overs, E., Williams, L., Williams, S. & Burton, C., 1 Apr 2022, Prifysgol Bangor University. 33 p.
Research output: Book/Report › Commissioned report › peer-review - PublishedIncluding a wider range of values in healthcare policy: how can public value evaluation help?
Jones, L., 30 Nov 2022, In: Future Healthcare Journal. 9, 3, p. 222-225 4 p.
Research output: Contribution to journal › Article › peer-review - PublishedRole of medical leaders in integrated care systems: what can be learnt from previous research
Jones, L., Armit, K., Haynes, A. & Lees, P., 12 Sept 2022, In: BMJ Leader.
Research output: Contribution to journal › Article › peer-review
2021
- PublishedBoundary organising in healthcare: theoretical perspectives, empirical insights and future prospects
Kislov, R., Harvey, G. & Jones, L., 27 Apr 2021, In: Journal of Health Organization and Management. 35, 2, p. 133-140
Research output: Contribution to journal › Article › peer-review - PublishedSepsis knowledge, skills and attitudes among ward-based nurses
Edwards, E. & Jones, L., 12 Aug 2021, In: British Journal of Nursing. 30, 15, p. 920-927 8 p.
Research output: Contribution to journal › Article › peer-review - PublishedThe Impossible Clinic. A critical sociology of Evidence‐Based Medicine.
Jones, L., May 2021, In: Sociology of Health and Illness. 43, 4, p. 1073-1074
Research output: Contribution to journal › Book/Film/Article review › peer-review - PublishedThe role of professional elites in healthcare governance: Exploring the work of the medical director
Jones, L. & Fulop, N., May 2021, In: Social Science and Medicine. 277, 113882.
Research output: Contribution to journal › Article › peer-review
2019
- PublishedEditorial: the importance of sociological approaches to the study of service change in health care
Fraser, A., Jones, L. & Stewart, E., Sept 2019, In: Sociology of Health and Illness. 41, 7, p. 1215-1220 6 p.
Research output: Contribution to journal › Editorial › peer-review - PublishedExplaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service
Jones, L., Pomeroy, L., Robert, G., Burnett, S., Anderson, J. E., Morris, S., Capelas Barbosa, E. & Fulop, N. J., 19 Feb 2019, In: BMJ Quality & Safety. 28, 3, p. 198-204 7 p.
Research output: Contribution to journal › Article › peer-review - PublishedExploring the neglected and hidden dimensions of large-scale healthcare change
Jones, L., Fraser, A. & Stewart, E., Sept 2019, In: Sociology of Health and Illness. 41, 7, p. 1221-1235
Research output: Contribution to journal › Article › peer-review - PublishedInvolving the public in decision-making about large-scale changes to health services: a scoping review
Djellouli, N., Jones, L., Barratt, H., Ramsay, A., Towndrow, S. & Oliver, S., Jul 2019, In: Health Policy. 123, 7, p. 635-645
Research output: Contribution to journal › Review article › peer-review - PublishedWhat should be in hospital doctors' continuing professional development?
Jones, L. & Moss, F., 1 Feb 2019, In: Journal of the Royal Society of Medicine. 112, 2, p. 72-77
Research output: Contribution to journal › Article › peer-review
2018
- PublishedLocal health and social care responses to implementing the national cold weather plan
Heffernan, C., Jones, L., Ritchie, B., Erens, B., Chalabi, Z. & Mays, N., 1 Sept 2018, In: Journal of Public Health. 40, 3, p. 461-466 6 p.
Research output: Contribution to journal › Article › peer-review - PublishedPastoral power and the promotion of self-care
Jones, L., Jul 2018, In: Sociology of Health and Illness. 40, 6, p. 988-1004
Research output: Contribution to journal › Article › peer-review - PublishedThe art and science of non-evaluation evaluation
Jones, L., Oct 2018, In: Journal of Health Services Research and Policy. 23, 4, p. 262-267
Research output: Contribution to journal › Article › peer-review
2017
- PublishedHow do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England
Jones, L., Pomeroy, L., Robert, G., Burnett, S., Anderson, J. E. & Fulop, N. J., Dec 2017, In: BMJ Quality & Safety. 26, 12, p. 978-986
Research output: Contribution to journal › Article › peer-review - PublishedSedimented Governance in the English National Health Service
Jones, L., 27 Jul 2017, Decentring Health Policy: : Learning from British Experiences in Healthcare. Bevir, M. & Waring, J. (eds.). Routledge
Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review
2016
- PublishedEvaluation of the cold weather plan for England: modelling of cost-effectiveness
Chalabi, Z., Hajat, S., Wilkinson, P., Erens, B., Jones, L. & Mays, N., Aug 2016, In: BMC Public Health. 137, p. 13-9 7 p.
Research output: Contribution to journal › Article › peer-review - PublishedMaintaining the link between methodology and method in ethnographic health research
Waring, J. & Jones, L., Jul 2016, In: BMJ Quality & Safety. 25, 7, p. 556-557 2 p.
Research output: Contribution to journal › Article › peer-review - PublishedPublic health vulnerability to wintertime weather: time-series regression and episode analyses of national mortality and morbidity databases to inform the Cold Weather Plan for England
Hajat, S., Chalabi, Z., Wilkinson, P., Erens, B., Jones, L. & Mays, N., Aug 2016, In: BMC Public Health. 137, p. 26-34 9 p.
Research output: Contribution to journal › Article › peer-review - PublishedThe experience of potentially vulnerable people during cold weather: implications for policy and practice
Jones, L. & Mays, N., Aug 2016, In: BMC Public Health. 137, p. 20-25
Research output: Contribution to journal › Article › peer-review
2015
- PublishedEarly evaluation of the Integrated Care and Support Pioneers Programme: Final Report
Erens, B., Wistow, G., Mounter-Jack, S., Douglas, N., Jones, L., Manacorda, T. & Mays, N., Sept 2015, London: London School of Hygiene and Tropical Medicine.
Research output: Book/Report › Commissioned report › peer-review - PublishedEvaluation of the implementation and health-related impacts of the Cold Weather Plan for England 2012
Chalabi, Z., Erens, B., Hajat, S., Heffernan, C., Jones, L., Mays, N., Ritchie, B. & Wilkinson, P., 2015, London: London School of Hygiene and Tropical Medicine.
Research output: Book/Report › Commissioned report - PublishedFraming in policy processes: A case study from hospital planning in the National Health Service in England
Jones, L. & Exworthy, M., Jan 2015, In: Social Science and Medicine. 124, p. 196-204
Research output: Contribution to journal › Article › peer-review - PublishedWhat does a hospital mean?
Jones, L., Oct 2015, In: Journal of Health Services Research and Policy. 20, 4, p. 254-256
Research output: Contribution to journal › Editorial › peer-review
2013
- PublishedAssessment of the implementation of the National Cold Weather Plan for England
Hajat, S., Chalabi, Z., Wilkinson, P., Erens, B., Jones, L., Ritchie, B., Heffernan, C., Elam, G. & Mays, N., 29 Nov 2013, In: The Lancet. 382, S39, p. 39-39
Research output: Contribution to journal › Meeting Abstract › peer-review - PublishedEarly experiences of any qualified provider
Jones, L., 16 Aug 2013, In: British Journal of Health Care Management. 19, 5, p. 218 225 p.
Research output: Contribution to journal › Article › peer-review - PublishedImplementing market-based reforms in the English NHS: Bureaucratic coping strategies and social embeddedness
Jones, L., Exworthy, M. & Frosini, F., Jun 2013, In: Health Policy. 111, 1, p. 52-59
Research output: Contribution to journal › Article › peer-review
2012
- PublishedAutonomy and Improved Performance: lessons from NHS policy reform
Anand, P., Exworthy, M., Frosini, F. & Jones, L., 23 Mar 2012, In: Public Money and Management. 32, 3, p. 209-216
Research output: Contribution to journal › Article › peer-review
2011
- PublishedAre NHS foundation trusts able and willing to exercise autonomy? 'You can take a horse to water ...'
Exworthy, M., Frosini, F. & Jones, L., Oct 2011, In: Journal of Health Services Research and Policy. 16, 4, p. 232-237
Research output: Contribution to journal › Article › peer-review - PublishedDiversity of health care providers
Allen, P. & Jones, L., Sept 2011, Understanding New Labour's market reforms of the English NHS. Mays, N., Dixon, A. & Jones, L. (eds.). Kings Fund
Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review - PublishedLocal implementation of market reforms
Dixon, A. & Jones, L., Sept 2011, Understanding New Labour's market reforms of the English NHS. Mays, N., Dixon, A. & Jones, L. (eds.). Kings Fund
Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review - PublishedObjectives and evolution of the NHS system reforms
Mays, N., Dixon, A. & Jones, L., Sept 2011, Understanding New Labour's market reforms of the English NHS. Mays, N., Dixon, A. & Jones, L. (eds.). London: Kings Fund
Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review - PublishedUnderstanding New Labour's market reforms of the English NHS
Meys, N. (Editor), Dixon, A. (Editor) & Jones, L. (Editor), Sept 2011, London: Kings Fund.
Research output: Book/Report › Book › peer-review
2008
- PublishedManagement of diabetes from preconception to the postnatal period: summary of NICE guidance
Guideline Development Group, Mugglestone, M. & Cooke, L., 29 Mar 2008, In: BMJ. 336, 7646, p. 714-7 4 p.
Research output: Contribution to journal › Review article › peer-review
2006
- PublishedShifting discourses of professionalism: a case study of general practitioners in the United Kingdom
Jones, L. & Green, J., Nov 2006, In: Sociology of Health and Illness. 28, 7, p. 927-950
Research output: Contribution to journal › Article › peer-review - PublishedWorkforce trends in general practice in the UK: results from a longitudinal study of doctors' careers
Jones, L. & Fisher, T., Feb 2006, In: British Journal of General Practice. 56, 523, p. 134-6 3 p.
Research output: Contribution to journal › Article › peer-review
2003
- PublishedRacism in the medical profession: The experience of UK graduates
Jones, L., Halford, S. & Leonard, P., 1 Jun 2003, British Medical Association. 14 p.
Research output: Book/Report › Other report › peer-review
2001
- PublishedDoctors' professional values: results from a cohort study of United Kingdom medical graduates
Cooke, L. & Hutchinson, M., Aug 2001, In: Medical Education. 35, 8, p. 735-42 8 p.
Research output: Contribution to journal › Article › peer-review
1999
- PublishedEducation and training in the senior house officer grade: results from a cohort study of United Kingdom medical graduates
Cooke, L. & Hurlock, S., Jun 1999, In: Medical Education. 33, 6, p. 418-23 6 p.
Research output: Contribution to journal › Article › peer-review
Activities
2024
- Health and Care Research Summer School
Summer school aimed at postgraduate and early career researchers. The delegates are a mix of internal, national and international delegates.
24 Jun 2024 – 26 Jun 2024
Activity: Participation in Academic workshop, seminar, course (Speaker)
2023
- Advanced approaches to creating a learning culture
Free to the public workshop
23 Nov 2023
Activity: Participation in Academic workshop, seminar, course (Speaker)
Projects
-
04/09/2023 – 17/09/2024 (Finished)
-
01/10/2022 – 15/09/2023 (Finished)
-
01/05/2022 – 15/08/2025 (Active)
-
A realist evaluation of NHS dental contract pilots across Wales
01/04/2019 – 31/03/2024 (Finished)
Links: