Most emergency physicians (EPs) encounter patients with psychiatric chief complaints on a daily basis, and not infrequently, such patients are a source undue frustration. The busy emergency physician, pressured by time constraints and a full waiting room, may be tempted to limit laboratory and other ancillary testing when a patient with a psychiatric chief complaint appears clinically well in all other aspects. Numerous medical conditions frequently encountered in the ED can mimic psychiatric disorders, including acute cardiopulmonary and cerebrovascular diseases; medication and illicit drug effects; metabolic and electrolyte derangements; infectious diseases causing sepsis; and environmental exposure.
vernment promoting academisation and increased autonomy from Local Authority (LA) schools are having to make the decisions on how to use their funds. Current government is keen to see improved performance in the country’s schools, according to Schools White Paper 2016 “We want to put more power into the hands of the best school and system leaders, and to extend their reach. A more autonomous school system is even more dependent on outstanding educational leaders “ (Gov.UK, 2016:13) clearly the governments aim is to create a school system that is self improving, embedding better training systems to develop more high quality leaders also making schools more autonomous.
An SBM works with Headteachers ensuring schools manage resources effectively and efficiently to achieve better outcomes for pupils, allowing Headteachers to focus on leading, teaching and learning. My school doesn’t have an SBM, if we did the school would be better prepared for any changes, taking pressure off the Heads by not only making significant savings, but also identifying new sources of funding ensuring successful results of school improvement plans. This will also allow for better preparedness and manage risks by planning ahead.
3.2 Key drivers behind the development of the profession to date & challenges for the future:
SBM role has expanded significantly over recent years; there is an increase in the professional development offered to SBM’s.
A greater emphasis on schools to develop their own capacity as level of support offered by LA’s on core business functions has reduced. Demand for SBM’s is greater due to increased pressure on Headteachers, many coming solely from an educational background some maybe struggling with additional tasks of managing resources effectively, which might have a negative impact on deputies and middle leaders applying for headship.
According to NCTL report (Gov.UK: 12) “Secretary of State for Education pledged to qualify 1000 SBMs by 2006” helps by enabling Headteachers to focus on teaching and learning rather then administration duties. SBM programs were developed and implemented with successful results. Unfortunately, there is still a lack of understanding about the role and more needs to be done to increase the perception, my associate head for example doesn’t fully understand the role of an SBM, but is fully supportive of my development with this course another barrier is lack of funding for the role especially in Primary schools. However based on Geoff Southworth’s SBM A quiet revolution “Most secondary schools enjoy 90% access to a School Business Manager” (Southworth, 2010:6) there’s scope to increase the number of SBMs, if schools can tackle barriers such as affordability, LA resistant’s and lack of understanding for the role. NASBM and other associations are leading the way to increasing the profile of the role through the development of training programs such as DSBM, ADSBM and SBD the benefits of SBMs became more evident by financial savings and increased income, but much promotion is needed so schools reap the benefits of appointing an SBM, collaborations between schools and local communities by sharing expertise cou
