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 journalArticle

45 Citations (Scopus)
5 Downloads (Pure)

Abstract

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
Volume29
Issue number2
DOIs
Publication statusPublished - May 2009

Keywords

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

Cite this

Smith, K. E., Hunter, D. J., Blackman, T., Elliott, E., Greene, A., Harrington, B. E., ... Williams, G. H. (2009). Divergence or convergence? Health inequalities and policy in a devolved Britain. Critical Social Policy, 29(2), 216-242. https://doi.org/10.1177/0261018308101627

Divergence or convergence? Health inequalities and policy in a devolved Britain. / Smith, Katherine E.; Hunter, David J.; Blackman, Tim; Elliott, Eva; Greene, Alexandra; Harrington, Barbara E.; Marks, Linda; McKee, Lorna; Williams, Gareth H.

In: Critical Social Policy, Vol. 29, No. 2, 05.2009, p. 216-242.

Research output: Contribution to journalArticle

Smith, KE, Hunter, DJ, Blackman, T, Elliott, E, Greene, A, Harrington, BE, Marks, L, McKee, L & Williams, GH 2009, 'Divergence or convergence? Health inequalities and policy in a devolved Britain', Critical Social Policy, vol. 29, no. 2, pp. 216-242. https://doi.org/10.1177/0261018308101627
Smith KE, Hunter DJ, Blackman T, Elliott E, Greene A, Harrington BE et al. Divergence or convergence? Health inequalities and policy in a devolved Britain. Critical Social Policy. 2009 May;29(2):216-242. https://doi.org/10.1177/0261018308101627
Smith, Katherine E. ; Hunter, David J. ; Blackman, Tim ; Elliott, Eva ; Greene, Alexandra ; Harrington, Barbara E. ; Marks, Linda ; McKee, Lorna ; Williams, Gareth H. / Divergence or convergence? Health inequalities and policy in a devolved Britain. In: Critical Social Policy. 2009 ; Vol. 29, No. 2. pp. 216-242.
@article{b30533e2b98e43819986a5b050cd2c38,
title = "Divergence or convergence?: Health inequalities and policy in a devolved Britain",
abstract = "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.",
keywords = "Britain, critical discourse analysis, devolution, health inequalities, policy divergence, social-policy, Scotland, document, Wales",
author = "Smith, {Katherine E.} and Hunter, {David J.} and Tim Blackman and Eva Elliott and Alexandra Greene and Harrington, {Barbara E.} and Linda Marks and Lorna McKee and Williams, {Gareth H.}",
year = "2009",
month = "5",
doi = "10.1177/0261018308101627",
language = "English",
volume = "29",
pages = "216--242",
journal = "Critical Social Policy",
issn = "0261-0183",
publisher = "SAGE Publications Ltd",
number = "2",

}

TY - JOUR

T1 - Divergence or convergence?

T2 - Health inequalities and policy in a devolved Britain

AU - Smith, Katherine E.

AU - Hunter, David J.

AU - Blackman, Tim

AU - Elliott, Eva

AU - Greene, Alexandra

AU - Harrington, Barbara E.

AU - Marks, Linda

AU - McKee, Lorna

AU - Williams, Gareth H.

PY - 2009/5

Y1 - 2009/5

N2 - 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.

AB - 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.

KW - Britain

KW - critical discourse analysis

KW - devolution

KW - health inequalities

KW - policy divergence

KW - social-policy

KW - Scotland

KW - document

KW - Wales

U2 - 10.1177/0261018308101627

DO - 10.1177/0261018308101627

M3 - Article

VL - 29

SP - 216

EP - 242

JO - Critical Social Policy

JF - Critical Social Policy

SN - 0261-0183

IS - 2

ER -