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By Geoffrey Wolff

With those interwoven autobiographical essays, Geoffrey Wolff, writer of the acclaimed The Duke of Deception, recounts the ethical (and immoral) schooling of a author, good friend, husband, and father, as he deals his lively, based, and deeply felt observations on a unprecedented lifestyles: from wildly dysfunctional early life Christmases to a concupiscent profession instructing literature in Istanbul; from a victory over the chaos of drink to a life-affirming hand over to the majesty of the Matterhorn; and from a foundering friendship to the transcending love of family.

He stocks with us, then, the knowledge of an alert guy studying during the unsettling collisions of time, position, and native customized, and during the strength of worry and risk, to carry his many disparate selves jointly -- with superb high-stakes candor and surprising literary agility.

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Extra resources for A Day at the Beach: Recollections

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Strategies for tackling ‘soft’ human resources (HR) issues included: • holding workshops to develop common visions and objectives • establishing common processes and protocols across partner organisations • integrating health and social care staff under a single management structure, while retaining existing employment arrangements; this meant devising appropriate professional accountability and supervision arrangements, for example by identifying professional leads within integrated teams • ensuring that new staff appointments were not constrained by traditional organisational or professional boundaries • seconding staff to a new, integrated employer before formally transferring their employment.

Finally, pooled budgets effectively ring-fenced resources and reduced the overall financial flexibility in partners’ mainstream budgets; any underspends in a pooled budget could not be used on other service areas outside the pool. This was most problematic in areas where one or other of the statutory partners had wider financial difficulties to contend with. Human resources issues In all the partnerships, closer collaboration immediately highlighted areas of duplication in the activities of health and social care staff that would lead sooner or later to changes in their roles.

PCGs and PCTs were considered by many of the senior managers and members of the JCB to have the potential to have a significant impact on the decisionmaking process in the JCB. However, there was also an acknowledgement that there was a lack of preparation for the involvement of primary care. As a result, there was uncertainty expressed by the primary care representatives about their role in the JCB. • Questions were raised about the contribution and accountability of the Trust in the delivery of the aspirations for integrated provision, in particular the creation of a sense of identity for the new organisation.

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