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As many social inequalities widen, this is a crucial survey of local authorities’ evolving role in health, social care and wellbeing.
Health and social and public policy experts review structural changes in provision and procurement, and explore social determinants of health including intergenerational needs and housing. With detailed assessments of regional disparities and case studies of effective strategies and interventions from local authorities, this collaborative study addresses complex issues (Wicked Issues), considers where responsibility for wellbeing lies and points the way to future policy-making.
The Centre for Partnering (CfP) is a key outcome of this innovative review along with Bonner’s previous work Social Determinants of Health (2017).
This book provides an applied, interdisciplinary approach to an understanding of the key social determinants of health, essential at a time of increasing inequalities and reductions in existing NHS services and local authority budgets.
A person’s health and wellbeing is influenced by a spectrum of socioeconomic, cultural, living and working conditions, social and community networks and lifestyle choices. Based on the ‘rainbow model’ of the social determinants of health, chapters from experts in a wide range of disciplines examine the key factors which can lead to poor quality of life, homelessness and reduced mortality.
Featuring practitioner, academic and commentator experiences, and clear case studies, this book will enable researchers, front-line workers, managers, service commissioners and politicians to identify and employ the most appropriate health, social and economic interventions to support those at the edge of the community, and the promotion of their inclusion in society.
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.
This concluding chapter explains that in order to develop interrelationships and interdependencies across the various domains within a social determinants of health rainbow model, there needs to be a good understanding and respect for each of these contributions to the health and wellbeing of people and their communities. In the ten-year period of austerity preceding the COVID-19 crisis, many local authorities have radically reduced their social and health services for children and families and young people, concentrating solely on those with the most acute need, those whom they have a legal obligation to support. Indeed, local government has ‘retreated from its historical position as the front-line of defence against social evils’. There remain major concerns about local authorities’ ability to support their communities in the post-COVID-19 period. Ultimately, although there are large numbers of reports and reviews aimed at local commissioning policies and practices, there is very little evidence to support the interrelated and interdependent approaches utilising a social determinants of health model that specifically addresses ‘wicked issues’.
This introductory chapter provides an overview of the relationship between health and housing, regional disparities and responses across England, Wales, and Scotland in the provision of health and social care and local authority commissioning. It considers how the Municipal Corporations Act (1835) led to the establishment of elected town councils. In the mid- to late 20th century, municipalisation gave way to centralised government, which subverted the autonomy of local authorities. Currently, social care is provided and funded by local authorities and private funders. The main objective of social care is to help people to live well and happily, and live as long as they can. This person-centred approach is in contrast to the systems that have been developed to support the health care needs of people. In 2020, poverty still remains a key driver of poor health and wellbeing.
As many social inequalities widen, this is a crucial survey of local authorities’ evolving role in health, social care, and wellbeing. The book reviews structural changes in provision and procurement, and explores social determinants of health including intergenerational needs and housing. The book begins with an overview of the relationship between health and housing, regional disparities and responses across England, Wales, and Scotland in the provision of health and social care, and local authority commissioning. It considers how the Municipal Corporations Act (1835) led to the establishment of elected town councils. In the mid- to late 20th century, municipalisation gave way to centralised government, which subverted the autonomy of local authorities. Currently, social care is provided and funded by local authorities and private funders. The main objective of social care is to help people to live well and happily, and live as long as they can. This person-centred approach is in contrast to the systems that have been developed to support the health care needs of people. In 2020, poverty still remains a key driver of poor health and wellbeing. With detailed assessments of regional disparities and case studies of effective strategies and interventions from local authorities, the book addresses complex issues (Wicked Issues), considers where responsibility for wellbeing lies and points the way to future policy-making. The Centre for Partnering (CfP), a network of universities working with the private and third sectors, is a key outcome of this innovative review.
This book examines the social determinants of health from an interdisciplinary perspective, focusing on social inequalities and well-being. It analyses the key factors which can lead to poor quality of life, homelessness and reduced mortality. The book begins by looking at early life experiences, which in combination with social networks, exert a strong influence on health and well-being in later life, which in turn are mediated by the development of prosocial behaviour, coping skills, resilience, and optimal cognitive functioning. This requires a healthy mind and body and the motivation to benefit and learn from a supportive environment. The book provides an overview of neuropsychological development and the role of affection, fear and anxiety in early development before discussing social anxiety, communication and socialisation, and the well-being of children. It considers the interrelationships between poverty, child abuse and neglect, with an assessment of social inclusion strategies, troubled families, deviant and anti-social behaviour, and the link between mental health and human distress. Ultimately, the book shows that relative poverty and social capital will provide the resilience for an individual to experience a sense of well-being and lead to successful ageing, while lifestyle choices and the support of a healthy community will reduce vulnerability to negative health behaviours. It explains how personal well-being is related to the availability of personal, family and community resources. The book will enable researchers, front-line workers, managers, service commissioners and politicians to identify and employ the most appropriate health care, social and economic interventions to support those at the edge of the community.
This chapter examines the main developmental processes underlying future emotional and social behaviours. Early life experiences, combined with the development of social networks, exert a strong influence on health and well-being in later life, which in turn are mediated by the development of prosocial behaviour, coping skills, resilience, and optimal cognitive functioning. These complex issues require a healthy mind and body and the motivation to benefit and learn from a supportive environment. The chapter first provides an overview of neuropsychological development and the role of affection, fear and anxiety in early development before discussing social anxiety, communication and socialisation, and the well-being of children. It also considers the interrelationships between poverty, child abuse and neglect and concludes with an assessment of social inclusion strategies, troubled families, deviant and anti-social behaviour, the link between mental health and human distress.
This book examines the social determinants of health from an interdisciplinary perspective, focusing on social inequalities and well-being. It analyses the key factors which can lead to poor quality of life, homelessness and reduced mortality. The book begins by looking at early life experiences, which in combination with social networks, exert a strong influence on health and well-being in later life, which in turn are mediated by the development of prosocial behaviour, coping skills, resilience, and optimal cognitive functioning. This requires a healthy mind and body and the motivation to benefit and learn from a supportive environment. The book provides an overview of neuropsychological development and the role of affection, fear and anxiety in early development before discussing social anxiety, communication and socialisation, and the well-being of children. It considers the interrelationships between poverty, child abuse and neglect, with an assessment of social inclusion strategies, troubled families, deviant and anti-social behaviour, and the link between mental health and human distress. Ultimately, the book shows that relative poverty and social capital will provide the resilience for an individual to experience a sense of well-being and lead to successful ageing, while lifestyle choices and the support of a healthy community will reduce vulnerability to negative health behaviours. It explains how personal well-being is related to the availability of personal, family and community resources. The book will enable researchers, front-line workers, managers, service commissioners and politicians to identify and employ the most appropriate health care, social and economic interventions to support those at the edge of the community.
This book has examined the social determinants of health using an interdisciplinary approach, showing that relative poverty and social capital will provide the resilience for an individual to experience a sense of well-being and lead to successful ageing, while lifestyle choices and the support of a healthy community will reduce vulnerability to negative health behaviours. It has also explained how personal well-being is related to the availability of personal, family and community resources. This conclusion considers the austerity policies and other highly contentious policy intentions in the Conservative Party’s manifesto and highlights their implications for health and well-being, particularly the policy on social care known as the ‘dementia tax’. It argues that these regressive policies are being reinforced by a major economic impact on the UK economy from policies related to Brexit and concludes by emphasising the importance of a wholistic approach to inequality and well-being.
