Strictly come partnering: are health and wellbeing boards the answer?

2020 ◽  
pp. 67-82
Author(s):  
David J. Hunter
Keyword(s):  
Public Health ◽  
National Health Service ◽  
Young People ◽  
Health Service ◽  
Poor Performance ◽  
Local Authorities ◽  
Ageing Society ◽  
Health And Wellbeing ◽  
System Leaders ◽  
Local Levels

This chapter highlights the need for partnership working, which has been a long-standing objective of health and social policy. For many years, the National Health Service (NHS) and local authorities have been attempting to deal with 'wicked issues'. Issues such as homelessness, disaffection of young people, and the ageing society that have complex multiple causes require joined-up approaches by the statutory and third sectors at national and local levels. In 2012, at the time when Public Health responsibilities were transferred from the NHS to local authorities, health and wellbeing boards (HWBs) were established in England. With few exceptions, HWBs punch below their weight and are not the powerful system leaders that were hoped for. Evidence of their value and impact is negligible, with poor-performance indicators, and the difficulties in overcoming deep-seated departmentalism and a silo approach prevalent in government and public services, leaving 'wicked issues' as deep-seated as ever.

scholarly journals Prescribed Reading: Reflective Medical Narratives and the Rise of the Medimoir: An Interview with Adam Kay

Humanities ◽  
2018 ◽  
Vol 7 (4) ◽  
pp. 130
Author(s):  
Katy Shaw
Keyword(s):  
Public Health ◽  
National Health Service ◽  
Health Service ◽  
Publishing Industry ◽  
Medical Training ◽  
Point Of Care ◽  
Reading Public ◽  
Health And Wellbeing ◽  
The Face ◽  
Medical Narratives

The 21st century has witnessed the rise of a genre of literature that has taken both the reading public and the publishing industry by storm. The ‘medimoir’—or medical memoir—is not in itself a new genre of writing, but has risen to prominence in a contemporary British context of renewed focus on public health and wellbeing, a proliferation of professional confessionals in publishing, and debates about the future of the free-at-point-of-care British National Health Service (NHS). The most prolific medimoir published to date is Adam Kay’s This Is Going to Hurt (2017), a reflective diary that chronicles his time as a trainee gynaecologist in the NHS, and his subsequent exit from medical training in the face of growing personal and political pressures on his profession. This article contextualises and considers the rise of the medimoir, and examines why this genre of medical narrative has become such a critical, literary, and publishing success in the first two decades of the new millennium.

scholarly journals Assessing the Risk of Exotic Mosquito Incursion through an International Seaport, Newcastle, NSW, Australia

2021 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Cameron E. Webb ◽  
Philippe G. Porigneaux ◽  
David N. Durrheim
Keyword(s):  
Public Health ◽  
Mosquito Control ◽  
Economic Costs ◽  
Considerable Effort ◽  
Local Authorities ◽  
Health And Wellbeing ◽  
Residential Properties ◽  
Surveillance Programs ◽  
Water Holding ◽  
Pot Plant

Exotic mosquitoes, especially container-inhabiting species such as Aedes aegypti and Aedes albopictus, pose a risk to Australia as they bring with them potentially significant pest and public health concerns. Notwithstanding the threat to public health and wellbeing, significant economic costs associated with the burden of mosquito control would fall to local authorities. Detection of these mosquitoes at airports and seaports has highlighted pathways of introduction but surveillance programs outside these first ports of entry are not routinely conducted in the majority of Australian cities. To assist local authorities to better prepare response plans for exotic mosquito incursions, an investigation was undertaken to determine the extent of habitats suitable for container-inhabiting mosquitoes in over 300 residential properties adjacent to the Port of Newcastle, Newcastle, NSW. More than 1500 water-holding containers were recorded, most commonly pot plant saucers, roof gutters, and water-holding plants (e.g., bromeliads). There were significantly more containers identified for properties classified as untidy but there was no evidence visible that property characteristics could be used to prioritise property surveys in a strategic eradication response. The results demonstrate that there is potential for local establishment of exotic mosquitoes and that considerable effort would be required to adequately survey these environments for the purpose of surveillance and eradication programs.

Conclusion

2020 ◽  
pp. 421-426
Author(s):  
Adrian Bonner
Keyword(s):  
Young People ◽  
Health Services ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Children And Families ◽  
Local Authorities ◽  
Health And Wellbeing ◽  
Large Numbers ◽  
Health Model

This concluding chapter explains that in order to develop interrelationships and interdependencies across the various domains within a social determinants of health rainbow model, there needs to be a good understanding and respect for each of these contributions to the health and wellbeing of people and their communities. In the ten-year period of austerity preceding the COVID-19 crisis, many local authorities have radically reduced their social and health services for children and families and young people, concentrating solely on those with the most acute need, those whom they have a legal obligation to support. Indeed, local government has 'retreated from its historical position as the front-line of defence against social evils'. There remain major concerns about local authorities' ability to support their communities in the post-COVID-19 period. Ultimately, although there are large numbers of reports and reviews aimed at local commissioning policies and practices, there is very little evidence to support the interrelated and interdependent approaches utilising a social determinants of health model that specifically addresses 'wicked issues'.

scholarly journals Scottish rehabilitation services: eight year follow-up

1993 ◽  
Vol 17 (6) ◽  
pp. 341-344
Author(s):  
Robin G. McCreadie ◽  
Douglas J. Williamson ◽  
Lesley J. Robertson
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Mentally Ill ◽  
Support Services ◽  
Psychiatric Rehabilitation ◽  
Rehabilitation Services ◽  
Local Authorities

A survey of Scottish psychiatric rehabilitation and support services, carried out in 1983 (McCreadie et al, 1985), found that although there were wide between-hospital differences, the National Health Service in Scotland was making considerable efforts to provide services for the long-term mentally ill. However, services provided by local authorities were seriously deficient.

Sign in / Sign up

Export Citation Format

Share Document