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A Manifesto for a New Social Contract

A public health crisis is gripping the UK. Improvements in life expectancy have stalled, health inequalities have widened, obesity and alcohol misuse are placing an increasing strain on health services and urban air pollution is now widely recognised as a serious health hazard. COVID-19 revealed the weaknesses of the UK's public health system, once thought to be among the best in the world.

Against this background, this book examines the organisational and political barriers to an effective public health system showcased through the UK. It urges that what is needed is a new social contract, in which health policy is truly public.

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The Use and Supply of Image and Performance Enhancing Drugs
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The health and fitness industry has experienced a meteoric rise over the past two decades, yet its slick exterior conceals a darker side. Using ethnographic data from gyms, interviews, and social media platforms, this book investigates the growing consumption of image and performance enhancing drugs (IPEDs), the motivations behind their use, and their role in masculine body image.

Addressing a gap in the literature, Nick Gibbs also interrogates both the offline and digital drug supply chains with important insights for IPED harm reduction practitioners, law makers and policy advisors.

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The State of UK Health Policy

In its 75th anniversary year, this book examines the history, evolution and future of the NHS.

With contributions from leading researchers and experts across a range of fields, such as finance, health policy, primary and secondary care, quality and patient safety, health inequalities and patient and public involvement, it explores the history of the NHS drawing on narrative, evaluative and analytical approaches.

The book frames its analysis around the four key axes from which the NHS has evolved: governance, centralisation and decentralisation, public and private, and professional and managerial.

It will address the salient factors which shape the direction and pace of change in the NHS. As such, the book provides a long-term critical review of the NHS and key themes in health policy.

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Science and Technology Studies and Health Praxis
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From health tracking to diet apps to biohacking, technology is changing how we relate to our material, embodied selves.

Drawing from a range of disciplines and case studies, this volume looks at what makes these health and genetic technologies unique and explores the representation, communication and internalization of health knowledge.

Showcasing how power and inequality are reflected and reproduced by these technologies, discourses and practices, this book will be a go-to resource for scholars in science and technology studies as well as those who study the intersection of race, gender, socio-economic status, sexuality and health.

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Insights into Health Data Use
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EPDF and EPUB available Open Access under CC-BY-ND licence.

This book explores the concept of public trust in health systems.

In the context of recent events, including public response to interventions to tackle the COVID-19 pandemic, vaccination uptake and the use of health data and digital health, this important book uses empirical evidence to address why public trust is vital to a well-functioning health system.

In doing so, it provides a comprehensive contemporary explanation of public trust, how it affects health systems and how it can be nurtured and maintained as an integral component of health system governance.

Open access
Religious Inequality and the Struggle for Sustainable Development

EPDF and EPUB available Open Access under CC-BY-NC-ND licence.

Freedom of religion and belief is crucial to any sustainable development process, yet the Sustainable Development Goals (SDGs) pay little attention to religious inequalities.

This book offers a comprehensive overview of how efforts to achieve SDGs can be enhanced by paying greater attention to freedom of religion and belief. In particular, it illustrates how poverty is often a direct result of religious prejudice and how religious identity can shape a person’s job prospects, their children’s education and the quality of public services they receive. Drawing on evidence from Asia, the Middle East and sub-Saharan Africa, the book foregrounds the lived experiences of marginalized communities as well as researchers and action organizations.

Open access
Critical Perspectives on Children’s Services Reform
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Over the last decade there has been a series of Government policy initiatives in respect of children’s services and social work education in England, many of which aim to de-regulate or privatise aspects of these services. Critically considering the impact of the MacAlister Review, this book explores the past, present and future of children’s services in the UK from a range of perspectives – lived, professional and academic.

This accessible guide provides a timely and incisive overview of the current children’s services reform agenda in the UK. It identifies current challenges, analyses both strengths and weaknesses in the current policy agenda and sets out alternative policy and practice directions for a system that can meet families’ needs.

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How Social Workers Assess and Manage Risk and Uncertainty
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Chapters 1, 3 and 5 available Open Access under CC-BY-NC-ND license.

Safeguarding adults at risk of abuse or neglect is a core area of social work practice but knowledge of how social workers make adult safeguarding decisions is limited.

Applying recent sociological and ethnographic research to this area for the first time, this book considers how adult safeguarding practice is developing, with a focus on risk management. The author explores how social workers conduct safeguarding adults assessments, work with multiple agencies and involve service users in risk decisions. The book is essential reading for those wishing to understand how risk and uncertainty are managed within frontline adult social work and how current practice can be improved.

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The last few decades have seen an increase in the migration of ageing people from richer Northern and Western countries to poorer Southern and Eastern countries.

This book seeks to understand the motivation behind retirement migration and how precarity in later life contributes to this trend.

Drawing on accounts of retirees from different nations, the book examines how welfare policies in their home country versus their country of migration shape their experiences of migration.

It shows how ageism impacts social precarity across different social classes, and across economic, social and health dimensions. It also evaluates how local and global systems of inequalities influence retirement migrants’ experience, providing both opportunities and constraints that differ across countries.

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Flexible Boundaries
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EPDF and EPUB available Open Access under CC-BY-NC-ND licence.

The COVID-19 pandemic has made unpaid care more visible through its absence, while also increasing the need for it.

Drawing on a range of research projects covering Canada, Germany, Norway, Sweden, the UK and the US, this book documents a broad spectrum of unpaid work performed by residents, relatives, volunteers and staff in nursing homes.

It demonstrates how boundaries between paid and unpaid work are flexible, varying considerably with conditions, time, place and intersectional populations.

By examining the complex labour process within nursing homes, this book provides insight and understanding which will be critical in planning for nursing home care post-pandemic.

Open access