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Divergence or convergence? Health inequalities and policy in a devolved Britain

Smith, Katherine E., Hunter, David J., Blackman, Tim, Elliott, Eva ORCID:, Greene, Alexandra, Harrington, Barbara E., Marks, Linda, Mckee, Lorna and Williams, Gareth Howard 2009. Divergence or convergence? Health inequalities and policy in a devolved Britain. Critical Social Policy 29 (2) , pp. 216-242. 10.1177/0261018308101627

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Since the advent of political devolution in the UK, it has been widely reported that markedly different health policies have emerged. However, most of these analyses are based on a comparison of health care policies and, as such, only tell part of a complex and evolving story. This paper considers official responses to a shared public health policy aim, the reduction of health inequalities, through an examination of national policy statements produced in England, Scotland and Wales respectively since 1997. The analysis suggests that the relatively consistent manner in which the ‘policy problem’ of health inequalities has been framed combined with the dominance of a medical model of health have constrained policy responses. Our findings differ from existing analyses, raising some important questions about the actuality of, and scope for, policy divergence since devolution. Downloaded from

Item Type: Article
Date Type: Publication
Status: Published
Schools: Cardiff Institute of Society and Health (CISHE)
Social Sciences (Includes Criminology and Education)
Subjects: H Social Sciences > HN Social history and conditions. Social problems. Social reform
Uncontrolled Keywords: Britain; Critical discourse analysis; Devolution; Health inequalities; Policy divergence
Publisher: Sage Publishing
ISSN: 0261-0183
Last Modified: 20 Oct 2022 08:38

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