Social and Public Policy

As the leading publisher in Social and Public Policy, we publish in the core social sciences to highlight social issues, advance debate and positively influence policy and practice. 

Our list leads the way on conversations around inequality and social injustice featuring authors such as Peter Townsend, Kayleigh Garthwaite, Danny Dorling, Pete Alcock, John Hills and Bob Jessop. Series including the International Library of Policy Analysis and Research in Comparative and Global Social Policy bring international, high-quality scholarship together in order to address globally shared challenges.

Our key journals in this field are the Journal of Poverty and Social Justice, an internationally unique forum for leading research on the themes of poverty and social justice, Policy & Politics, ranked 15th of 49 in Public Administration and celebrated its 50th year in 2022, and Evidence & Policy, dedicated to comprehensive and critical assessment of the relationship between researchers and the evidence they produce and the concerns of policy makers and practitioners.

Social and Public Policy

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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.

Open access

This chapter examines regional trends and inequalities in the ‘parallel pandemics’ of mental health, hospital pressure, and long COVID. Using mental health survey data, NHS prescribing data, NHS hospital data, and official estimates of long COVID prevalence, the chapter shows that these three parallel pandemics have been regionally unequal with worse outcomes in the North. In addition, the analyses reveal stark intersectional inequalities in self-reported mental health by ethnicity and gender in the North.

Open access

This discussion chapter places the results from the empirical analyses in Chapters Two–Four within the wider conceptual and empirical context. It sets out how the regional inequalities in health and wealth that have been identified during the pandemic reflect longer-term health divides across the country. Drawing on the conceptual material outlined in the introductory chapter, this chapter reflects on how, through the concepts of the syndemic pandemic, intersectionality and of deprivation amplification, COVID-19 had such an unequal regional impact.

Open access

This chapter presents original analyses of regional inequalities in COVID-19 mortality in the first year (pre-vaccine) of the pandemic. Using mortality data and a conceptual model to guide the analyses, this chapter demonstrates that COVID-19 deaths were higher in the North of England. It also demonstrates that this higher mortality in the North was not just a case of higher levels of area-level deprivation, but a case of deprivation amplification.

Open access

The role of charity in the provision of public services is of substantial academic and practitioner interest, and charitable initiative within the English and Welsh National Health Service (NHS) has recently received considerable attention. This study provides rich insights into the role that NHS-linked charities present themselves as playing within the NHS. The dataset analysed is a novel construction of 3,250 detailed expenditure lines from 676 sets of charity accounts. Qualitative content analysis of itemised descriptions of expenditure allows us to explore how these charities portray their activities. We distinguish between expenditures that can be framed as supplementary to government funding (such as amenities and comforts) and items that suggest charitable effort is substituting for government support (such as funding for clinical equipment). We also consider the claims being made through these representations, and suggest that the distinctiveness of the charity and NHS spheres are currently under question. We argue that, through their representational practices, charities are both shaping and blurring the expected roles of government and charity. Acceptance of the benefits that charitable initiative does provide, in terms of innovation, pluralism and participation, must be tempered with the realisation that charitable funds are playing a role in service provision that is not guided by clear policy, and that this has the potential to widen existing inequalities within a key public service.

Open access

The study analyses the household food security situation in Libokemkem woreda of the Amhara region in Ethiopia using 285 randomly selected sample households. The Household Calorie Acquisition (HCA) is used to measure the diet quantity aspect of food insecurity, and 225 kg/year/AE is used as a food security threshold. The Household Diet Diversity Score (HHDDS) is used to measure the diet quality aspect of food insecurity, and consuming four food groups is used as a food security line. Approximately 83 per cent of the total households achieved minimum food security status in terms of diet quantity, and 64 per cent were food secure in terms of diet quality. Determinants of food security in terms of diet quantity and quality were analysed using Tobit and logit regression models, respectively. Sex, family size, farm size, number of oxen, expenditure on agricultural technology, agroecology zone and distance from market centre are statistically significant determinants of food security in terms of diet quantity. On the other hand, sex, education status, off-farming activities, livestock ownership and agroecology zone are statistically significant determinants of food security in terms of diet quality or diversity. The study suggested the urgency of human capital development, increasing the production and productivity of major cereal crops, and promoting labour-intensive rural employment opportunities to break the vicious circle of poverty and food insecurity. It also suggested the promotion of soil and water conservation, livestock rearing and the use of organic fertiliser in highland areas, while mechanised farming for major crops such as rice, onion, chickpea, tomato and garlic is recommended for midland areas.

Open access

This work adopts different approaches to analyse situations of poverty and extreme poverty in Spain during the last decade, considering different monetary thresholds, measures of severe material deprivation and the combination of both. The determining factors of these situations and the patterns that act as a link between extreme poverty and homelessness are also examined. The results of the study show that for the most restrictive thresholds of 10 per cent and 20 per cent of the median equivalised disposable income the smallest variations during the series are observed, confirming that situations of such deep poverty are not influenced by the cycle since they do not respond to economic stimuli. The determinants of extreme poverty suggest that public policies should be target towards high-risk groups, such as single person households, households with children, younger individuals, individuals with a low educational attainment, and of foreign nationality. Finally, an interesting result is that the profile of individuals in situations of consistent poverty have the greatest similarities to the group of people experiencing homelessness.

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The benefit cap and the two-child limit were both introduced with the aim of promoting fairness. However, women are disproportionately affected by both of these polices. This article presents new empirical evidence that demonstrates the gendered impacts of the benefit cap and the two-child limit on mothers. It shows that the benefit cap and the two-child limit ignore the gendered reasons for women’s disproportionate subjection to the policies, devalue unpaid care, fail to recognise gendered barriers to paid work and ultimately, harm women in a wide range of ways, particularly by further entrenching them in poverty.

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It is often asserted that the representation of women in leadership positions within public service organisations is likely to result in improved outcomes for other women within those organisations. However, there has been little systematic research devoted to understanding whether this argument holds for the nonprofit organisations that now provide many public services. To cast light on this important issue, this article presents an analysis of the representation of women in leadership roles and the gender pay gap in Welsh housing associations – registered societies responsible for providing more than half of the social housing within Wales. The findings show that nonprofit service providers led by women in the most senior organisational positions may be more likely to have a lower gender pay gap, confirming arguments about the importance of actively representing female interests. At the same time, it seems that representation in the upper echelons in general is not likely to influence gender pay equality, which raises questions about whether a glass ceiling may be present, as has been observed in state-led public service provision. These findings suggest a need for more in-depth, multi-method research which systematically evaluates the way in which female leaders actively represent women’s interests in the myriad organisations that provide public services. This article has important implications given a renewed period of austerity in the public sector, which, as in the past, may threaten further progress on equality for those women who provide and receive public services.

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The number of people engaging in volunteer firefighting is on the decline. It is therefore important to understand what factors on a personal and social level and from the three stages of the volunteer process model – antecedents, experiences and consequences – might be linked to starting and sustaining engagement in volunteer firefighting. To do this, a qualitative, interview-based study was carried out using a sample of ten volunteer firefighters from across Poland. The data were gathered and analysed using the interpretative phenomenological analysis methodological framework. The data enabled information regarding the stage of the volunteer process and the motivations behind the engagement to be grouped and interpreted. The implications for retention strategies are set out, with a particular focus on the social support of firefighters, the role of coping skills, relationships with the local community, the quality of relationships within the firefighting brigade, the personal development of volunteers and how firefighters make meaning of their service.

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