Local Authorities and the Social Determinants of Health
Local Authorities and the Social Determinants of Health
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Abstract
As many social inequalities widen, this is a crucial survey of local authorities' evolving role in health, social care, and wellbeing. The book reviews structural changes in provision and procurement, and explores social determinants of health including intergenerational needs and housing. The book begins with an overview of the relationship between health and housing, regional disparities and responses across England, Wales, and Scotland in the provision of health and social care, and local authority commissioning. It considers how the Municipal Corporations Act (1835) led to the establishment of elected town councils. In the mid- to late 20th century, municipalisation gave way to centralised government, which subverted the autonomy of local authorities. Currently, social care is provided and funded by local authorities and private funders. The main objective of social care is to help people to live well and happily, and live as long as they can. This person-centred approach is in contrast to the systems that have been developed to support the health care needs of people. In 2020, poverty still remains a key driver of poor health and wellbeing. With detailed assessments of regional disparities and case studies of effective strategies and interventions from local authorities, the book addresses complex issues (Wicked Issues), considers where responsibility for wellbeing lies and points the way to future policy-making. The Centre for Partnering (CfP), a network of universities working with the private and third sectors, is a key outcome of this innovative review.
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Front Matter
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Introduction: Key sociopolitical changes affecting the health and wellbeing of people
Adrian Bonner
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Part I Health, social care and community wellbeing: Introduction
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1
Deaths of despair – causes and possible cures
Harry Burns
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2
The role of English local authorities in addressing the social determinants of health: a public health perspective
Jeanelle de Gruchy andJim McManus
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3
Health and social care systems
Anna Coleman and others
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4
Strictly come partnering: are health and wellbeing boards the answer?
David J. Hunter
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1
Deaths of despair – causes and possible cures
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Part II The role of local authorities in promoting health and wellbeing in the community: Introduction
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5
Devolution and localism: metropolitan authorities
Paul Dennett andJacquie Russell
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6
A place-based approach to healthy, happy lives
Ruth Dombey andAdrian Bonner
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7
Inequalities in health and wellbeing across the UK: a local North-East perspective
Edward Kunonga and others
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8
Cultural change and the evolution of community governance: a North‑West England perspective
Kate Arden and others
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5
Devolution and localism: metropolitan authorities
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Part III Local authority commissioning: Introduction
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9
The changing landscape of local authority commissioning
Dave Ayre
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10
The power and value of relationships in local authorities’ and central government funding encouraging culture change
Richard Smith
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11
The challenges facing local authorities in supporting children and families
Gayle Munro andKeith Clements
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12
The cost of care if you don’t own your home
Glenda Roberts
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13
The Human, Learning, Systems approach to commissioning in complexity
Toby Lowe and others
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9
The changing landscape of local authority commissioning
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Part IV The third sector: Introduction
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14
Commissioning and social determinants: evidence and opportunities
Chris O’Leary andChris Fox
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15
Future generations: the role of community-based organisations in supporting young people
Adam Bonner
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16
The role of the third sector working with the hard and soft structures of public–private partnerships to promote individual health and reinvigorated, healthier communities
Tony Chasteauneuf and others
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17
Mutuality in the public, private and third sectors
Richard Simmons
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14
Commissioning and social determinants: evidence and opportunities
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Part V Socio-economic political perspectives: Introduction
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18
From front-line defence to back‑foot retreat: the diminishment of local government’s role in social health outcomes
Michael Bennett
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19
Devolution and the health of Scottish housing policy
Isobel Anderson
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20
Public health and local government in Wales: every policy a health policy – a collaborative agenda
Catherine Farrell and others
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21
Steadying the swinging pendulum – how might we accommodate competing approaches to public service delivery?
Nigel Ball
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Conclusion
Adrian Bonner
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18
From front-line defence to back‑foot retreat: the diminishment of local government’s role in social health outcomes
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End Matter
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