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steroid And dissemination: Approval for the study has been obtained from the Institutional Review Board at the International Centre for Diarrhoeal Disease Research, Bangladesh following review by the Research and Ethics Committees (PR 16100) and from Loughborough University (R17 P081). Information about the study will be provided in a participant information letter in Bangla (to be read verbally and given in writing to participants). A written informed consent form in Bangla will be obtained and participants will be informed of their right to withdraw from the study. steroid
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steriods Purpose: The organisational and service delivery landscape of the emergency services in the UK has been rapidly changing and is facing further change in the foreseeable future. This paper examines recent and ongoing organisational changes in the policy development, service delivery and regulatory landscape of the emergency services, in order to capture the overall picture and potential opportunities for improvement or further investigation.Design/methodology/approach: This general review utilises the characteristics of the three domains of a national framework, namely policy development, service delivery, and public assurance and uses these characteristics as lenses through which to examine the three main blue light emergency services of police, fire and ambulances.Findings: What emerges in the organisational landscape and conceptual maps for the police and even more so for Fire and Rescue Services, is the immaturity of many of the organisations in the policy and the public assurance domains while the service delivery organisations have remained relatively stable. In the relatively neglected ambulance services, we find the NHS’s recent Ambulance Response Programme has considerable potential to improve parts of all three domains.Research limitations/implications: The review is clearly limited to the UK and primarily focused on England.Practical implications: The review clearly identifies opportunities for improvement, potential improvement, and further research.Originality/value: Although the National Audit Office has attempted in the past to provide organisational landscape reviews of individual emergency services, this contemporary comparative review of all three services using a common model is unique steriods.