Brian Lamb - Academia.edu (original) (raw)
Published researcher and policy expert working across special needs education and disability rights with a background in advocacy and social innovation.
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Papers by Brian Lamb
International Journal of Audiology, Aug 10, 2023
Cochlear implants international, 2016
This paper reports on a survey and interviews carried out with adults who have gone through the c... more This paper reports on a survey and interviews carried out with adults who have gone through the cochlear implantation pathway. It explores their experiences of current services, the assessment process for implantation, and the impact on their daily lives, including views and experiences on communication, independence and confidence. It also explores, in today's financially challenging climate, their awareness of current funding issues and the value of their implant to them.
BJOG: An International Journal of Obstetrics and Gynaecology, 1992
sailing, starting is the hardest part. With the help of the regional and district audit committee... more sailing, starting is the hardest part. With the help of the regional and district audit committee and the RCOG Audit Unit, gynaecological departments should aim to develop an audit system that matches that used for obstetrics.
Cochlear Implants International, 2016
Cochlear Implants International, 2016
Journal of Research in Special Educational Needs, 2013
Voluntary Sector Review, 2014
Journal of Research in Special Educational Needs, 2012
Journal of Research in Special Educational Needs, 2009
Social Enterprise Journal, 2009
Cochlear Implants International, 2016
This paper reports on a survey and interviews carried out with adults who have gone through the c... more This paper reports on a survey and interviews carried out with adults who have gone through the cochlear implantation pathway. It explores their experiences of current services, the assessment process for implantation, and the impact on their daily lives, including views and experiences on communication, independence and confidence. It also explores, in today's financially challenging climate, their awareness of current funding issues and the value of their implant to them.
Since the National Institute of Health and Care Excellence (NICE) review of cochlear implantation... more Since the National Institute of Health and Care Excellence (NICE) review of cochlear implantation in 2009, (NICE, 2009) there have been a number of significant changes to our understanding of the impact of severe-to-profound hearing loss on quality of life and comorbidity with life limiting illness. There have been questions about the validity of current methods of assessing candidacy for cochlear implants. There have also been significant improvements in the effectiveness of implants, the age of successful implantation and a reduction in costs. Additionally, the costs to the health and welfare system of not addressing severe-to-profound hearing loss are often not considered when assessing costs and benefits of this technology and when assessing candidacy criteria. Consideration of these changes since the NICE review suggests the need for an urgent review of the current guidance.
Introduction: Undue attention in the allocation of healthcare resources can be given to expenditu... more Introduction: Undue attention in the allocation of healthcare resources can be given to expenditures as opposed to expenditures avoided. This can be particularly apparent when expenditures avoided fall across different budget holders and budgetary pressures are strained. Methods: The paper presents estimates of the potential savings attributable to the adoption of new hearing assistive technologies in Britain between 1992 and 2014 based on multivariate analyses of survey data. Results: The reduction in service use among the hearing impaired between 1992 and 2014 is estimated to amount to between £53 and £92 million per annum. Conclusion: Issues in estimating the impact of widening candidature for cochlear implants on costs exist related to potential savings. This research begins to lay a firmer evidence base for such work as well as identifying some of the challenges.
International Journal of Audiology, Aug 10, 2023
Cochlear implants international, 2016
This paper reports on a survey and interviews carried out with adults who have gone through the c... more This paper reports on a survey and interviews carried out with adults who have gone through the cochlear implantation pathway. It explores their experiences of current services, the assessment process for implantation, and the impact on their daily lives, including views and experiences on communication, independence and confidence. It also explores, in today's financially challenging climate, their awareness of current funding issues and the value of their implant to them.
BJOG: An International Journal of Obstetrics and Gynaecology, 1992
sailing, starting is the hardest part. With the help of the regional and district audit committee... more sailing, starting is the hardest part. With the help of the regional and district audit committee and the RCOG Audit Unit, gynaecological departments should aim to develop an audit system that matches that used for obstetrics.
Cochlear Implants International, 2016
Cochlear Implants International, 2016
Journal of Research in Special Educational Needs, 2013
Voluntary Sector Review, 2014
Journal of Research in Special Educational Needs, 2012
Journal of Research in Special Educational Needs, 2009
Social Enterprise Journal, 2009
Cochlear Implants International, 2016
This paper reports on a survey and interviews carried out with adults who have gone through the c... more This paper reports on a survey and interviews carried out with adults who have gone through the cochlear implantation pathway. It explores their experiences of current services, the assessment process for implantation, and the impact on their daily lives, including views and experiences on communication, independence and confidence. It also explores, in today's financially challenging climate, their awareness of current funding issues and the value of their implant to them.
Since the National Institute of Health and Care Excellence (NICE) review of cochlear implantation... more Since the National Institute of Health and Care Excellence (NICE) review of cochlear implantation in 2009, (NICE, 2009) there have been a number of significant changes to our understanding of the impact of severe-to-profound hearing loss on quality of life and comorbidity with life limiting illness. There have been questions about the validity of current methods of assessing candidacy for cochlear implants. There have also been significant improvements in the effectiveness of implants, the age of successful implantation and a reduction in costs. Additionally, the costs to the health and welfare system of not addressing severe-to-profound hearing loss are often not considered when assessing costs and benefits of this technology and when assessing candidacy criteria. Consideration of these changes since the NICE review suggests the need for an urgent review of the current guidance.
Introduction: Undue attention in the allocation of healthcare resources can be given to expenditu... more Introduction: Undue attention in the allocation of healthcare resources can be given to expenditures as opposed to expenditures avoided. This can be particularly apparent when expenditures avoided fall across different budget holders and budgetary pressures are strained. Methods: The paper presents estimates of the potential savings attributable to the adoption of new hearing assistive technologies in Britain between 1992 and 2014 based on multivariate analyses of survey data. Results: The reduction in service use among the hearing impaired between 1992 and 2014 is estimated to amount to between £53 and £92 million per annum. Conclusion: Issues in estimating the impact of widening candidature for cochlear implants on costs exist related to potential savings. This research begins to lay a firmer evidence base for such work as well as identifying some of the challenges.