How great expectations in Westminster may be dashed locally
The Local Implementation of National Policy on Health Inequalities
Bibliographic Data
| ID | 6326482 |
|---|---|
| Authors | Mark Exworthy (0000-0003-4791-7513, London School of Economics and Political Science), Lee Berney (London School of Economics and Political Science), Martin Powell (0000-0002-9148-5087, University of Bath) |
| Year | 2002 |
| Volume | 30 |
| Issue | 1 |
| Pages | 79-96 |
| Publication date | 2002-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Policy & Politics (JOURNAL) |
| Journal identifiers | ISSN: 0305-5736 • E-ISSN: 1470-8442 |
| Publisher | Bristol University Press (PUBLISHER • GB) |
| DOI | 10.1332/0305573022501584 |
| OpenAlex | W2122405580 |
| Language | EN |
| Citations received | 59 |
English Tackling health inequalities is a policy priority for the Labour government in the UK. We use Kingdon’s model of ‘policy streams’ to explain how the issue of health inequalities gets onto the policy agenda nationally and locally, and how it is being implemented. Using empirical evidence from local agencies, we suggest that the issue of health inequalities is on the agenda nationally and locally but implementation is hampered by deficiencies in performance management, insufficient integration between policy sectors, and contradictions between health inequalities and other policy imperatives. Thus, the government’s expectations are not only dashed locally, but also local expectations are being dashed at the centre
Economic growth · Economics · Government (linguistics · Health care · Inequality · Local government · Political science · Public economics · Employment and Welfare Studies · Mathematics · Primary Care and Health Outcomes · Public Administration · Social Policy and Reform Studies · Health Policy
Revitalising the evidence base for public health
Realist review - a new method of systematic review designed for complex policy interventions
Pathways to “Evidence-Informed” Policy and Practice
The multi-layer problem in implementation research
Diffusion of Innovations in Service Organizations
Public entrepreneurship and the politics of regeneration in multi-level governance
The Challenge of Joined-Up Government in Tackling Health Inequalities
Building policy capacities
Factors of the policy process influencing Health in All Policies in local government
Health Equity
Mid-level bureaucrats perception on the implementation of public policies
O burocrata de médio escalão na implementação de políticas públicas
Promoting Social Change
From Sure Start to Children’s Centres
Flattening the National Health Service Hierarchy
Social Marketing Strategy to Promote Traditional Thai Medicines during Covid-19
Are Brief Alcohol Interventions Adequately Embedded in UK Primary Care? A Qualitative Study Utilising Normalisation Process Theory
Did the English strategy reduce inequalities in health? A difference-in-difference analysis comparing England with three other European countries
Cross-sector collaboration to reduce health inequalities
Prospects for progress on health inequalities in England in the post-primary care trust era
An evidence base for tackling inequalities in health
Just do it
Working ‘upstream’ to reduce social inequalities in health
Policy Entrepreneurs and the Design of Administrative Reform
Reconciling Two Conflicting Tales of the English Health Policy Process Since 1997
Eliciting public values on health inequalities
Fantasy paradigms of health inequalities
Puzzling Agency in Centre-Local Relations
Wicked Comparisons
The Democratic Potential of Public Participation
Policy to tackle the social determinants of health
Devolution and Patient Choice
From Street‐level Bureaucrats to Street‐level Policy Entrepreneurs? Central Policy and Local Action in Lottery‐funded Community Cancer Care
Tackling and Mitigating Health Inequalities – Policymakers and Practitioners ‘Talk and Draw’ their Theories
Has Labour decentralised the NHS? Terminological obfuscation and analytical confusion
Effecting change in local government
Policy Implementation in an African State
Lost in Translation
Policy Entrepreneurship in the Development of Public Sector Strategy
Queer(y)ing Public Administration
Big Windows and Little Windows
Networks and problem recognition
Tackling wicked problems through street-level diplomacy
Framing health inequalities for local intervention
Lifestyle drift and the phenomenon of 'citizen shift' in contemporary UK health policy
Where next for policy evaluation? Insights from researching National Health Service modernisation
Theoretically refining the multiple streams framework
Evaluation of Community Perspectives on National Health Insurance Policy to Health Service Delivery in Ghana
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Delivering reform in English healthcare
Gender equalities work in health organisations in England
Research, policy and funding - academic treadmills and the squeeze on intellectual spaces1
Where there's a will, is there a way
Street-level diplomacy? Communicative and adaptive work at the front line of implementing public health policies in primary care
Assets for policy making in health promotion
Practitioner perspectives on tackling health inequalities
Health inequalities in Scotland and England
Reaching the parts that other theories and methods can't reach
Organizing Health Inequalities? Employee-Driven Innovation and the Transformation of Care
| Unique citing works | 59 |
|---|---|
| Citations per year | 2,57 |
| Citation span | 2003 - 2025 (23) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 59 |