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Recapturing the Bevanite dream? Case study evaluation of Healthy Living Centres in Wales

Elliott, Eva and Williams, Gareth 2006. Recapturing the Bevanite dream? Case study evaluation of Healthy Living Centres in Wales. [Working Paper]. School of Social Sciences Working Papers Series, vol. 90. Cardiff: Cardiff University.

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The Healthy Living Centre’s (HLC) programme was initiated in 1998 in response to the UK Government’s drive to tackle inequalities and address the broader socio-economic determinants of health. Funded by the New Opportunities Fund (NOF), now the Big Lottery Fund (BLF), this programme also resonated with an emerging political adherence to ‘localism’ which supported the view that effective responses to such problems needed to be addressed at a local level as well as by national government. The emphasis from the start was on the development of strong local service partnerships and effective mechanisms for community engagement. Another distinctive feature of the programme was its basis in a social and ‘salutogenic’ model of health. Indeed HLCs draw on a concept that has its point of origin in the pre-NHS days, that health services are about health improvement in times of wellness as much as they are about health care in times of illness The evaluation of the programme was commissioned by NOF and led by the Tavistock Institute with a range of academic partners, including Cardiff University. Additional funds for the evaluation were provided by the Welsh Assembly Government. This paper is the substance of an interim report to the Health Improvement Division (HID), which is in the Welsh Assembly Government’s Public Health and Health Professions Department (PHHPD), as part of Cardiff University’s agreed outputs. It enables emerging findings to be placed within Wales’ distinct policy context. Drawing of ‘theories of change’ evaluation this paper focuses on the way in which HLCs have theorised and developed activities to address health issues, the approaches they have developed to engage with local people or ‘users’ and the positioning of HLCs in an evolving local health economy. The ways in which efforts to sustain the work of the HLCs are being interpreted and operationalised are also discussed.

Item Type: Monograph (Working Paper)
Date Type: Publication
Status: Published
Schools: Social Sciences (Includes Criminology and Education)
Subjects: H Social Sciences > H Social Sciences (General)
Additional Information: Interim Report to the Office of the Chief Medical Officer, Welsh Assembly Government ; Summary of progress to October 2005
Publisher: Cardiff University
Date of First Compliant Deposit: 30 March 2016
Last Modified: 04 Jun 2017 08:26

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