Making a virtue of variation? The fragmentation of the English NHS
Geographic reform of the NHS is not new: region, district, area, and locality are all familiar terms in NHS history, and notions of “place” as an organising principle retain an intrinsic appeal for policy-makers. Recently, the English NHS has now...
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VIDEO: Public Health in the Calais Refugee Camp
Public Health in the Calais Refugee Camp: Environment, Health and Exclusion If you missed this year’s ‘Cost of Living’ Symposium it is now available to watch in the above video. Surindar Dhesi, School of Geography, Earth and Environmental Sciences, University...
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The Gradual Rehabilitation of Salt
The Public Health campaign against salt seems to be losing ground – for some sociologically interesting reasons. It’s become one of those facts that everyone knows – too much salt is bad for you, right? But a complete lack of...
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Placebo, participation and surgery
A therapeutic effect that cannot be attributed to an active ingredient of medication is termed ‘placebo’. The ‘placebo effect’ is far from a neutral description of the effect of ‘inert drugs’, being associated with the quackery and deception of sugar...
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Why we keep playing the Generation Blame Game … and why we need to stop
Successive generations’ healthy disregard of the previous generation’s tastes, habits and customs is a necessary ingredient of human progress. But there is something about the current carving up of the population into ever smaller generational slices of entitlement and opprobrium...
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Governing in the heat
As I write it’s baking hot, and seems to have been for days. The usual risks apply to writing about it though. By the time this is published the thunder storms we have been promised may have brought cooler wetter...
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The dynamics of health inequalities
Since the publication of the Black Report, through numerous subsequent policy documents and much policy activity the health differences between the rich and poor in Britain remain a reality which blights the lives of millions. Inequalities in health bring earlier...
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Extending Patient Access to GPs: who will benefit?
Investing in extended patient access to GPs is a key government objective, but which patients will benefit, and will it have its intended consequences? Despite little evidence that it is demanded by patients, extended access to GPs, providing care outside...
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On ignorance, knowledge and health
In the age of alternative facts, WikiLeaks and the routine denigration of expertise, knowledge and ignorance have become highly politicised. Of course, knowledge has always been political: and nowhere is this more evident than in health and health care. Historically,...
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Do speed bumps kill?
Well, no, but you’d be forgiven for thinking they did after UK newspaper headlines last week. In focusing on the much-maligned speed bump, poor reporting of NICE’s guidelines on action to reduce air pollution deflected attention from the real problem...
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How many Zikas will it take?
Gradually the Public Health gaze is turning towards the minor acute events that trigger serious long term illnesses and chronic conditions. “About time too”, say many campaigners. For social scientists, it is very interesting to observe major changes in medical...
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Big Drinkers to get a Big Nudge