Learn More
"The term counterurbanisation is frequently used to describe the redistribution of a population away from major cities and metropolitan areas and towards more rural areas. The widespread nature of this phenomenon has attracted much attention, yet the concept remains relatively under-developed, and even the basic definition lacks rigour. It is not(More)
Partnership working is integral to New Labour's approach to modernising health and social care services for vulnerable groups such as children with complex needs. This paper draws on an initiative from Cornwall and the Isles of Scilly in which strategic and operational change have been promoted across the health and social care community in order to provide(More)
There is a national commitment to ensuring that, regardless of where patients live, they should be provided with an acceptable level of service in terms of quality, effectiveness and accessibility. Because of differences in the distributions of their populations, rural and urban areas present quite different challenges for the optimal design of health(More)
Systematic reviews have become an important methodology in the United Kingdom by which research informs health policy, and their use now extends beyond evidence-based medicine to evidence-based public health and, particularly, health inequalities policies. This article reviews the limitations of systematic reviews as stand-alone tools for this purpose and(More)
The South West Public Health Observatory is part of a national network of eight regional public health observatories, funded by the Department of Health. These were established in 2000 as outlined in the Government White Paper Saving Lives: Our Healthier Nation. Key tasks include: monitoring health and disease trends; identifying gaps in health information;(More)
Intervention in the early years, including family support, can reduce inequality and disadvantage across the life course. This paper reports on an evaluation of a local project, which aims to increase resilience and avert crisis among vulnerable young mothers. It suggests that paraprofessional link workers, spanning the antenatal-postnatal period, may(More)
Tackling health inequalities (HI) has become a key policy objective in England in recent years. Yet, despite the wide-ranging policy response of the 1997-2010 Labour Government, socio-economic variations in health continued to widen. In this paper, we seek to explore why. We propose that a meta-narrative has emerged in which the health problems facing(More)
INTRODUCTION The variety of organisations providing National Health Service (NHS)-funded services in England is growing. Besides NHS hospitals and general practitioners (GPs), they include corporations, social enterprises, voluntary organisations and others. The degree to which these organisational types vary, however, in the ways they manage and provide(More)
For older people with multiple chronic co-morbidities, strategies to coordinate care depend heavily on information exchange. We analyse the information-sharing difficulties arising from differences between patients' oral narratives and medical sense-making; and whether a modified form of 'narrative medicine' might mitigate them. We systematically compared(More)
  • 1