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The Role of Power and Morality in the Making of Drug Policy in the UK
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How is UK drugs policy made, and why does it so often seem irrational when considering what works in reducing drug-related harms?

This book explains how the concept of drug policy constellations – the loosely concerted policy actors with shared moral commitments that influenced policy outcomes – explains why there is no such thing as ‘evidence-based’ drug policy. Drawing on his participation in high-level policy discussions, and a novel approach to policy analysis, Stevens presents three recent cases involving key issues in UK illicit drug policy – medical cannabis, drug-related deaths and the government’s 10-year drug strategy.

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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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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.

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COVID-19 and Regional Inequalities in Health and Wealth

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

Whilst the COVID-19 pandemic affected all parts of the country, it did not do so equally. Northern England was hit the hardest, exposing more than ever the extent of regional inequalities in health and wealth.

Using original data analysis from a wide range of sources, this book demonstrates how COVID-19 has impacted the country unequally in terms of mortality, mental health and the economy.

The book provides a striking empirical overview of the impact of the pandemic on regional inequalities and explores why the North fared worse.

It sets out what needs to be learnt from the pandemic to prevent regional inequality growing and to reduce inequalities in health and wealth in the future.

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ePDF and ePUB available Open Access under CC-BY-NC-ND licence.

How can public services and social interventions create and sustain good outcomes for the populations they serve?

Building on research in public health, social epidemiology and the social determinants of health, this book presents complexity theory as an alternative basis for an outcome-oriented public management praxis. It takes a critical approach towards New Public Management and provides new conceptual inroads for reappraising public management in theory and practice. It advances two practical approaches: Human Learning Systems (a model for public service reform) and Learning Partnerships (a model for research and academic engagement in complex settings).

With up-to-date and extensive discussions on public service reform, this book provides practical and action-oriented guidance for a radical change of course in management and governance.

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Wicked Issues and Relationalism
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Health and socio-economic consequences of the COVID-19 pandemic have been exacerbated by central government-imposed austerity budgeting by local authorities and the health service.

This book, part of the Social Determinants of Health series, extends the ideas developed in the previous volumes by reviewing the impact of COVID-19 on local and national governance from the perspectives of public health, social care and economic development.

Drawing on case studies from across the UK and beyond, it explores the pandemic and other ‘wicked’ issues including climate change, homelessness, unemployment and domestic abuse through the lens of relationalism, and proposes necessary system changes.

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Housing and Home in the UK during the COVID-19 Pandemic
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The COVID-19 pandemic has dramatically exposed weaknesses in UK housing’s relationship to the labour market and welfare system. Inequalities in household type, home occupancy, housing cost and security have contributed to the unequal impact of the disease.

Comprehensively charting fast-moving and inter-linked policy developments, Becky Tunstall assesses the position of housing and home in public policy, health and in peoples’ lives, and documents the most immediate responses to the pandemic in one convenient resource for students, scholars and practitioners.

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Improving Health and Wellbeing

Health and wellbeing are significantly influenced by how professionals plan, design and manage the environment.

This book supports those working in the built environment and public health sectors, with the knowledge and insight to maximise health improvement through planning and land use decisions. Supported by examples of policy and approaches, it focuses on implementation and delivery, and sets out what is needed to achieve healthier environments within the parameters of legislative and policy frameworks.

It demonstrates how when we harness the art and science of public health spatial planning, can we begin to effect changes to the policies and decisions that shape population health.

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Community-based Action for Transformative Change

In this second edition of a bestselling book, the authors’ unique, holistic and radical perspective on participatory practice has been updated to reflect advances in thought made in the past decade, the impact of neoliberalism and austerity and the challenge of climate change. Their innovative approach bridges the divide between community development ideas and practice to offer a critical praxis.

The authors argue that transformative practice begins with everyday stories about people’s lives and that practical theory generated from these narratives is the best way to inform both policy and practice.

The book will be of interest to academics and community-based practitioners working in a range of settings, including health and education.

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A Comparative Study of England and Canada

This timely comparative study assesses the role of medical doctors in reforming publicly funded health services in England and Canada.

Respected authors from health and legal backgrounds on both sides of the Atlantic consider how the high status of the profession uniquely influences reforms. With summaries of developments in models of care, and the participation of doctors since the inception of publicly funded healthcare systems, they ask whether professionals might be considered allies or enemies of policy-makers.

With insights for future health policy and research, the book is an important contribution to debates about the complex relationship between doctors and the systems in which they practice.

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