Divergence or convergence? Health inequalities and policy in a devolved Britain

Katherine E. Smith, David J. Hunter, Tim Blackman, Eva Elliott, Alexandra Greene, Barbara E. Harrington, Linda Marks, Lorna McKee, Gareth H. Williams

Research output: Contribution to journalArticlepeer-review

54 Citations (Scopus)
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Since the advent of political devolution in the UK, it has been widely reported that markedly different health policies have emerged. However, most of these analyses are based on a comparison of health care policies and, as such, only tell part of a complex and evolving story. This paper considers official responses to a shared public health policy aim, the reduction of health inequalities, through an examination of national policy statements produced in England, Scotland and Wales respectively since 1997. The analysis suggests that the relatively consistent manner in which the 'policy problem' of health inequalities has been framed combined with the dominance of a medical model of health have constrained policy responses. Our findings differ from existing analyses, raising some important questions about the actuality of, and scope for, policy divergence since devolution.

Original languageEnglish
Pages (from-to)216-242
Number of pages27
JournalCritical Social Policy
Issue number2
Publication statusPublished - May 2009


  • Britain
  • critical discourse analysis
  • devolution
  • health inequalities
  • policy divergence
  • social-policy
  • Scotland
  • document
  • Wales


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