DOCSLIB.ORG

The Wisdom of the Crowd

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Wisdom of the Crowd Acknowledgements We are hugely grateful to the We would also like to acknowledge the 65 individuals who agreed support of our partners for this initiative: to take part in this publication • We are grateful to PwC, our supporter and contribute their valuable for this publication. PwC provides assurance, tax and advisory services to time and reflections – without the public sector, including a specialist them, this publication would practice in health care. In 2013, PwC not be possible. is working with people across the health service and the public to debate what The publication would also not have the NHS will – and should – look like been possible without the endeavour, in ten years’ time. For more information, determination and trademark speed of see www.pwc.co.uk/nhs75 Nicholas Timmins, who has travelled the length and breadth of the country to interview many of the contributors and bring their thoughts to life in this timely publication. As ever, we are indebted to Nick and look forward to further episodes in 2018 and 2023… We are also grateful to Joanne Allison, Editorial Project Manager, who worked long hours with patience and care to bring the book to fruition. • We are also grateful to Health Service Journal for being our media partner for this publication. In particular, we are grateful to its Editor, Alastair McLellan, for his valuable contributions. THE WISDOM OF THE CROWD 65 views of the NHS at 65 Edited by Nicholas Timmins JULIA CUMBERLEGE STEPHEN DORRELL ANDY BURNHAM PATRICIA HEWITT ARA DaRZI PATRICK JENKIN PARLIAMENtaRIANS KEN CLARKE NORMAN LAMB PAUL BURSTOW ALAN MILBURN SHIRLEY WILLIAMS DAVID OWEN NORMAN FOWLER NORMAN WaRNER FRANK DOBSON MALCOLM GRANT THE WISDOM LIAM DONALDSON SALLY DaVIES DAVID BENNETT DAVID FLORY P TAUL BA E OSFFICIAL ANDY MCKEON DAVID NICHOLSON DAVID BEHAN BRUCE KEOGH HUGH TAYLOR TIM KELSEY VICTOR ADEBOWALE GILL MORGAN STEPHEN COLLIER PAUL JENKINS LINDSEY DaVIES PETER CaRTER CLARE GERADA MERRICK COCKELL CIARÁN DEVANE TIMOTHY EVANS CaROL BLACK NORMAN WILLIAMS MICHAEL DIXON HEALTH AND SOCIAL ANDREW DILLON CARE LEADERS JULIE MOORE NIALL DICKSON KATHERINE RAKE MICHAEL O’HIGGINS TERENCE STEPHENSON DAVID MOBBS MARK PORTER OF THE CROWD MIKE FaRRAR RANDEEP RAMESH STEPHEN THORNTON PAUL CORRIGAN JEREMY TAYLOR BEN PAGE NONEIL BAC INDEPENDENT COMMENtatORS PATRICK NOLAN ROY LILLEY POLLY TOYNBEE CHRIS HaM GEOFF MULGAN MATTHEW TAYLOR ALAStaIR MCLELLAN KAREN JENNINGS ROBERT FRANCIS JULIAN LE GRAND 4 The Wisdom of the Crowd: 65 views of the NHS at 65 About this publication On 5 July 2013, the NHS reached its 65th anniversary. To mark this milestone, the Nuffield Trust has been carrying out a number of activities to promote debate and discussion on the current state of the NHS and social care system, and its future prospects. This publication is the centrepiece of our activities. Enclosed are interviews and essays with a cast list of 65 health and political leaders, consisting of current and former health secretaries and ministers, senior civil servants, clinicians, managers, academics, patient representatives, journalists and other key individuals. It is edited by Nuffield Trust Senior Associate Nick Timmins, who has reprised a role he performed for the Nuffield Trust back in 2008 when we took a similar temperature check of the views of leaders at the time of the NHS’s 60th anniversary. The contributors have been asked to provide their assessment of what they believe the state of the NHS and social care system to be at this moment in time and what they think the service will look like in the future. Critically, they have been asked to reflect on what they think needs to happen now and over the coming years to ensure the NHS and social care system is viable and fit for purpose in ten years’ time. This is not a representative group per se, but we have endeavoured to provide perspectives from a broad range of individuals that either are, or have previously been, in positions to help shape the direction of the health and social care system. We are indebted to each author, and our only regret is that we were unable to publish more contributions. This publication is a special edition of the Nuffield Trust’s Viewpoint series, which provides a platform for UK and international health leaders to explore, discuss and debate health care reform issues. It forms part of our work programme on NHS and social care reform. The views expressed in this publication are the authors’ own, and do not necessarily represent those of the Nuffield Trust. Find out more online at: www.nuffieldtrust.org.uk/nhs-65 5 Contents Foreword by Dr Jennifer Dixon CBE 6 Health and social care leaders Overview by Nicholas Timmins 8 Professor Dame Carol Black DBE 126 Dr Peter Carter OBE 128 Parliamentarians Councillor Sir Merrick Cockell 131 Rt Hon. Andy Burnham MP 20 Stephen Collier 134 Rt Hon. Paul Burstow MP 24 Professor Lindsey Davies 138 Rt Hon. Kenneth Clarke QC MP 26 Ciarán Devane 140 Baroness Julia Cumberlege CBE 32 Niall Dickson 142 Rt Hon. Professor the Lord Darzi 35 Sir Andrew Dillon 145 Rt Hon. Frank Dobson MP 39 Dr Michael Dixon 147 Rt Hon. Stephen Dorrell MP 43 Professor Timothy Evans 149 Rt Hon. the Lord Fowler 47 Mike Farrar CBE 152 Rt Hon. Patricia Hewitt 50 Dr Clare Gerada 156 Rt Hon. the Lord Jenkin 55 Paul Jenkins OBE 159 Norman Lamb MP 58 David Mobbs 161 Rt Hon. Alan Milburn 60 Dame Julie Moore DBE 164 Rt Hon. the Lord Owen 66 Michael O’Higgins 166 Rt Hon. the Lord Warner 68 Dr Mark Porter 168 Rt Hon. Baroness Williams 73 Dr Katherine Rake OBE 170 Professor Terence Stephenson 172 Officials Professor Norman Williams 175 Lord Adebowale CBE 78 Paul Bate 80 Independent commentators David Behan CBE 82 Dr Neil Bacon 178 Dr David Bennett 86 Professor Paul Corrigan CBE 180 Professor Dame Sally Davies 90 Robert Francis QC 182 Professor Sir Liam Donaldson 93 Chris Ham CBE 184 David Flory CBE 97 Karen Jennings 186 Professor Sir Malcolm Grant 99 Professor Julian Le Grand 188 Tim Kelsey 105 Roy Lilley 192 Professor Sir Bruce Keogh 108 Alastair McLellan 194 Andy McKeon 112 Geoff Mulgan 197 Dame Gill Morgan DBE 114 Dr Patrick Nolan 200 Sir David Nicholson 117 Ben Page 202 Sir Hugh Taylor 121 Randeep Ramesh 204 Jeremy Taylor 206 Matthew Taylor 209 Stephen Thornton 211 Polly Toynbee 213 6 The Wisdom of the Crowd: 65 views of the NHS at 65 Foreword by Dr Jennifer Dixon CBE The Nuffield Trust commissioned essays on the NHS’s 60th birthday – why do it again at its 65th? Because, as many in this volume agree, the NHS is facing a watershed moment. After belt tightening over the last four years, and managing largely successfully, the next five to ten years must be the most difficult in its history. It isn’t the reforms, distracting though they are, it’s the money. The NHS has faced poor budget settlements before, but nothing like what is likely. The good news is that there seems to be a consensus, at least among contributors to this volume, that the NHS should continue as a comprehensive service, free at the point of use. To a large extent there is also political consensus over what it should look like. After all, look at other health systems across the developed world and you see a technical evolutionary path which is very similar to that in the NHS, as well as better care and health outcomes helped by better information and patient/ public assertiveness. Political tussles over the place of provider competition are somewhat quaint next to these long-run changes. But long-run evolution in health care on the rising tide of economic growth is one thing, managing short- to medium- term financial shocks, then a likely ‘new normal’ of parsimony is another. Here the NHS’s strengths and weaknesses tilt towards inherent weakness. On the one hand, there is the ability to make change centrally and relatively quickly: cuts; reconfigurations; big invest-to-save decisions using capital; price and wage controls; and to articulate this to the public on a national scale. Other countries look on with envy at this level of control. On the other, there is no one answer visible centrally as to how to improve efficiency – it will be the result of a myriad of everyday decisions at the frontline among staff who must be inspired, given autonomy, and held to account. Foreword 7 But on the former, big central decisions can be (and often are) bottled, in part due to politics, or can be plain wrong based on weak evidence or argument. On the latter, politicians can have very little idea what will improve efficiency locally. But more local autonomy without the right kind of accountability risks inertia at best or well-meaning staff doing the wrong thing because they lack information on the impact of their efforts. The essential ingredients here must be information, openness, earned trust and respectful dialogue between the frontline and those making national decisions. The path to chart over the next five to ten years must surely be a far more intelligent blend of the top-down bottom-up dynamic than we’ve seen over the last decade. The essential ingredients here must be information, openness, earned trust and respectful dialogue between the frontline and those making national decisions to thrash out creative solutions. There’s plenty of talent and motivation around, particularly on the shop floor; what is needed is the injection of a very different culture starting at the top. But that’s my diagnosis.
Load more

Recommended publications
  • Brexit Update
    # Swyddfa UE | EU Office Brexit update Pwyllgor Materion Allanol a Deddfwriaeth Ycwhanegol | 11 Gorffennaf 2016 External Affairs and Additional Legislation Committee | 11 July 2016 Research Briefing: 1. Introduction This paper provides Members with an update on the latest relevant developments for the Assembly following the vote to leave the EU on 23 June. Members should also refer to the Research Paper on the implications of the leave vote to Wales, published on 24 June. 2. Developments in Wales 2.1 Welsh Government The First Minister published a statement on 24 June on the referendum outcome, which identified six priorities for Wales: . Protecting jobs; . Full part to be played by the Welsh Government in discussions about the timing and terms of the UK withdrawal; . UK Government should negotiate access to the Single Market; . Continued participation in major programmes like CAP and Structural Funds up until end of 2020; . Overwhelming case for major revision of Barnett Formula to take into account needs arising from withdrawal from EU; 1 . Constitutional shift resulting from Brexit means ‘the relationship between Devolved Administrations and the UK Government must now be placed onto an entirely different footing’. The First Minister has also made a number of oral statements during plenary since then. On Briefing Page | 28 June, speaking about EU funding, in response to the Leader of the Opposition Leanne Wood AM, he said: I wrote to the Prime Minister yesterday. I asked him to guarantee every penny that we would lose, to make sure that came to Wales. If that pledge is honoured, then we can proceed with the metro and Briff Tudalen Gregg Jones, x7972 or 0032 466315750, [email protected] RS Ref: 16/550/1 other projects.
    [Show full text]
  • Paper: NHSE 191401 BOARD PAPER
    Paper: NHSE 191401 BOARD PAPER - NHS ENGLAND Title: Chief Executive’s report By: Simon Stevens, CEO Purpose of paper: Update on the work of the Chief Executive over the last two months. Provide information on a number of NHS England priorities not covered elsewhere on the agenda. Actions required by Board Members: To note, and to discuss various items referred to herein. NHS ENGLAND CEO’s REPORT TO THE BOARD Overview 1. Since the July board meeting I’ve continued to get out and about, meeting with patients, staff and our partners. Recent visits include community hospitals, voluntary organisations, local councils and GPs in Devon; a Friday night with GPs, nurses, paramedics and call handlers serving urgent care patients in north east London and Essex; and meeting a group of people with learning disabilities describing their experiences of - and powerful challenge to – the way NHS and social care services currently work. I’ve also participated in a number of discussion sessions with our third sector, local government and NHS partners debating the future direction of the NHS in the context of the Five Year Forward View. To further advance our commitment to transparency, I now publish a list of my official meetings with non-public sector bodies quarterly on our website. 2. I gave evidence to the Public Accounts Committee on out-of-hours GP services, together with Una O’Brien, Barbara Hakin and Keith Willett, and met with the All Party Parliamentary Group on Cancer. To advance public understanding of our work and the issues facing the NHS, in the past fortnight alone I’ve spoken on BBC Radio 2’s Jeremy Vine show, at the Alzheimers Society Annual Conference, at the HSJ Commissioning Summit, the Cambridge Health Network, with Roy Lilley at the Kings Fund, and again this week in Coventry at Public Health England’s annual conference.
    [Show full text]
  • Who's Progressive Now?
    Who’s progressive now? Greg Clark MP Jeremy Hunt MP Who’s progressive now? Greg Clark MP Jeremy Hunt MP 1 Acknowledgments The authors would like to thank Peter Franklin, Joanna Garner, Adam Smith and David O’Leary for their help in preparing this booklet. 2 Chapter 1: Progressive politics Introduction – whatever happened to the ‘Progressive Consensus’? During the last five years, Gordon Brown and his retinue of younger advisers have been on a quest – to define a political project that will in turn define his premiership. It has proved to be an arid task. Smith Institute seminars in 11 Downing Street have cast around in vain for a purpose that could be described coherently, let alone one that could be said to define the Brown vision. In the end, the task has been abandoned. Three events in the space of three weeks signalled the emptiness of Labour’s intellectual larder. First - the new Prime Minister’s barren conference speech in Brighton in September revealed that the preceding groundwork of seminars, symposia and speeches had offered up nothing usable. Next, the cancellation of the expected election, which was explained as allowing the Prime Minister another two years to set out his vision, was in fact a recognition that there was no vision to set out that would survive the scrutiny of an election campaign. Then came the intellectual surrender of the following week, in which Conservative reforms to inheritance tax set the agenda for what was, in effect, the first Budget of the Brown premiership. With no new idea that did not come from the Opposition, Alistair Darling’s statement signalled the end of the new regime’s ambition to forge an agenda of its own.
    [Show full text]
  • 18 December 2014 Some Good News at the End of Term
    Dear Parents th 18 December 2014 Some good news at the end of term: • Following the final interviews last week for the post of Craig Beeston 10P and I am sure that next year, of Headteacher at Watford Grammar School for with the continued dedication that they all show, Boys, the Governors have appointed Mr Ian the results will start to turn their way. The U14s Cooksey, currently Headteacher at Dr Challoners under Mr Williams and Mr Samarasinghe have also High School for Girls, with effect from 1 st September had a tough season but managed to get some good 2015. wins against Queens, University College School • I will continue in my role as Acting Headmaster for and St Columba’s. They, like the other age groups, the remaining academic year and will lead the have never shirked away from the challenge, transition. I would like to take this opportunity to always turned up with good numbers to training thank you for your incredible support so far this year. and have been unfortunate with some close games not going their way. If they continue in this manner Sports News again next season, I am sure will be different. • This term over 160 Rugby fixtures have been played • The U13’s under Mr Jelski and Mr Davies have with 20 teams representing WBGS from A to D had a frustrating season. Unfortunately the A - teams. Team haven’t managed to ‘kick on’ as they would • With the pavilion works taking place at the New have hoped from last year’s successes.
    [Show full text]
  • Urgent and Emergency Services
    House of Commons Health Committee Urgent and emergency services Second Report of Session 2013–14 Volume I: Report, together with formal minutes, oral and written evidence Additional written evidence is contained in Volume II, available on the Committee website at www.parliament.uk/healthcom Ordered by the House of Commons to be printed 16 July 2013 HC 171 Published on 24 July 2013 by authority of the House of Commons London: The Stationery Office Limited £20.00 The Health Committee The Health Committee is appointed by the House of Commons to examine the expenditure, administration, and policy of the Department of Health and its associated bodies. Membership Rt Hon Stephen Dorrell MP (Conservative, Charnwood) (Chair)1 Rosie Cooper MP (Labour, West Lancashire) Andrew George MP (Liberal Democrat, St Ives) Barbara Keeley MP (Labour, Worsley and Eccles South) Charlotte Leslie MP (Conservative, Bristol North West) Grahame M. Morris MP (Labour, Easington) Andrew Percy MP (Conservative, Brigg and Goole) Mr Virendra Sharma MP (Labour, Ealing Southall) David Tredinnick MP (Conservative, Bosworth) Valerie Vaz MP (Labour, Walsall South) Dr Sarah Wollaston MP (Conservative, Totnes) Powers The Committee is one of the departmental select committees, the powers of which are set out in House of Commons Standing Orders, principally in SO No 152. These are available on the Internet via www.parliament.uk. Publications The Reports and evidence of the Committee are published by The Stationery Office by Order of the House. All publications of the Committee (including press notices) are on the Internet at www.parliament.uk/healthcom. The Reports of the Committee, the formal minutes relating to that report, oral evidence taken and some or all written evidence are available in printed volume(s).
    [Show full text]
  • February 2010 the NEWSLETTER for ENT PROFESSIONALS
    ENT•UK BRITISH ASSOCIATION OF OTOLARYNGOLOGISTS HEAD AND NECK SURGEONS www.ENTUK.org Vol. 20, No. 1, February 2010 THE NEWSLETTER FOR ENT PROFESSIONALS Vote early and vote often Contents Tony Narula Vote early and vote often aving been elected to the have dried up follow- Council of the Royal Col- ing the change in immigration Managers- lege of Surgeons in 2004 rules last year. it is time to take stock of don‟t you just love them? H what is going on in the medico- SAFETY political landscape as I seek re- Patient safety is the new buzzword Procedure Based election in early 2010. being used by everyone from Sir Assessments (PBAs) Liam Donaldson downwards EWTD (upwards?). It‟s a bit like mother- Members of ENT-UK will have seen hood and apple pie: everyone is in Independent practice acres of comment on this issue. favour of this but being in favour survey Especially from the President of doesn‟t make it happen. All sorts the RCS John Black. I have fully of new institutions have sprung up Notes supported his stance that rules like the National Patient Safety introduced to protect truck drivers Agency to protect the public. Re- Goodbye to All That or production line workers are not validation also comes into this appropriate for professionals. On (see later). In fact Safety will be- the other hand no-one can deny come a fig-leaf to close hospitals. English college council that in certain specialties (eg The CEO of the NHS has said quite report 2009 Emergency Medicine, Obstetrics) explicitly that he wants to transfer prolonged hours are unreason- huge swathes of activity into the ENT UK charitable able.
    [Show full text]
  • A Year in Review, the Year Ahead
    2018: A YEAR IN REVIEW, 2019: THE YEAR AHEAD Foreword from Rt Hon Patricia Hewitt, Senior Adviser, FTI Consulting 2018 was the most unpredictable and tumultuous year in politics … since 2017. Which was the most unpredictable and tumultuous year in politics … since 2016. And there’s no sign of let-up as we move into 2019. The unresolved questions of Brexit - how? when? whether at all? - will inevitably dominate the coming year. Even if Theresa May brings back from Brussels a new political declaration sufficiently compelling to command a majority in Parliament - a highly unlikely prospect at the time of writing - the end of March will mean the start of a fresh, complex round of negotiations on a future trade deal, conducted under the shadow of the Irish backstop. For most people, that would be preferable to the collapse of Mrs May’s deal and, almost inevitably, the collapse of her government and a subsequent constitutional crisis. Faced with the choice between revoking Article 50 or leaving the European Union (EU) without a deal, the Commons could well produce a majority for a new referendum. Under the pressure of a leadership contest, the personal and political rancour in the Conservative Party could finally break apart Europe’s hitherto most successful party of government. A no-confidence vote that would be defeated today could command enough votes from the Brexiteers’ kamikaze tendency to force another General Election. And Labour - with most of its moderates MPs replaced by Corbynistas in last-minute candidate selections - could win on a ‘cake and eat it’ manifesto of a Brexit that would end free movement but provide frictionless trade (Irish backstop, anyone?).
    [Show full text]
  • The Four Health Systems of the United Kingdom: How Do They Compare?
    The four health systems of the United Kingdom: how do they compare? Gwyn Bevan, Marina Karanikolos, Jo Exley, Ellen Nolte, Sheelah Connolly and Nicholas Mays Source report April 2014 About this research This report is the fourth in a series dating back to 1999 which looks at how the publicly financed health care systems in the four countries of the UK have fared before and after devolution. The report was commissioned jointly by The Health Foundation and the Nuffield Trust. The research team was led by Nicholas Mays at the London School of Hygiene and Tropical Medicine. The research looks at how the four national health systems compare and how they have performed in terms of quality and productivity before and after devolution. The research also examines performance in North East England, which is acknowledged to be the region that is most comparable to Wales, Scotland and Northern Ireland in terms of socioeconomic and other indicators. This report, along with an accompanying summary report, data appendices, digital outputs and a short report on the history of devolution (to be published later in 2014), are available to download free of charge at www.nuffieldtrust.org.uk/compare-uk-health www.health.org.uk/compareUKhealth. Acknowledgements We are grateful: to government statisticians in the four countries for guidance on sources of data, highlighting problems of comparability and for checking the data we have used; for comments on the draft report from anonymous referees and from Vernon Bogdanor, Alec Morton and Laura Schang; and for guidance on national clinical audits from Nick Black and on nursing data from Jim Buchan.
    [Show full text]
  • To: Sir Liam Donaldson Chair, WHO World Alliance for Patient Safety World Health Organization IER/PSP 20 Avenue Appia CH-1211 Geneva 27 Switzerland
    To: Sir Liam Donaldson Chair, WHO World Alliance for Patient Safety World Health Organization IER/PSP 20 Avenue Appia CH-1211 Geneva 27 Switzerland As surgery is an integral part of health care and a major public health concern, and whilst the volume of surgery is rapidly growing worldwide, the California Hospital Association welcomes the new "Safe Surgery Saves Lives" initiative of the World Health Organization's (WHO) World Alliance for Patient Safety, which for the first time, addresses patient safety in surgical care as a matter of global importance. The California Hospital Association considers the improvement of surgical safety as essential to public health and endorses the concept of the "WHO Surgical Safety Checklist". The Checklist aims to support surgical teams anywhere in the world to ensure that patients undergo the right operation, at the correct body site, with safe anesthesia, established infection prevention measures, and effective teamwork for safer care. The California Hospital Association also supports the establishment of "Surgical Vital Statistics" requesting that countries track surgical volume and in-hospital surgical death rates. The importance of concerted unified action in these areas cannot be overstated. Together, we can prevent hundreds of thousands of deaths and complications from surgery on a global level. The California Hospital Association, therefore, strongly supports the "Safe Surgery Saves Lives" initiative and congratulates WHO on making it possible for all stakeholders to move in this direction. Date: February 12, 2009 Signature: ___________________________________ Name/Title: C. Duane Dauner, President/CEO .
    [Show full text]
  • New Ministerial Team at the Department of Health
    New Ministerial Team at the Department of Health The Rt Hon Alan Johnson MP Secretary of State for Health Alan Johnson was first elected to Parliament in 1997 as the Member for Kingston upon Hull. A former postman, Alan Johnson served as a former General Secretary of the Communication Workers Union (CWU) and is one of the largest trade union names to have entered Parliament in recent decades. Often credited with the much coveted tag of being an "ordinary bloke", he is highly articulate and effective and is credited with the successful campaign that deterred the previous Conservative government from privatising the Post Office. Popular among his peers, Alan Johnson is generally regarded to be on the centre right of the Labour Party and is well regarded by the Labour leadership. As a union member of Labour's ruling NEC (up to 1996) he was seen as supportive of Tony Blair's attempts to modernise the Labour Party. He was the only senior union leader to back the abolition of Labour's clause IV. He becomes the first former union leader to become a cabinet minister in nearly 40 years when he is appointed to the Work and Pensions brief in 2004. After moving to Trade and Industry, he becomes Education and Skills Secretary in May 2006. After being tipped by many as the front-runner in the Labour deputy leadership contest of 2007, Alan Johnson was narrowly beaten by Harriet Harman. Commons Career PPS to Dawn Primarolo: as Financial Secretary, HM Treasury 1997-99, as Paymaster General, HM Treasury 1999; Department of Trade and Industry 1999-2003:
    [Show full text]
  • Groups, Governance and the Development of UK Al- Cohol Policy: an Adversarial Policy Communities Ap- Proach
    ORBIT-OnlineRepository ofBirkbeckInstitutionalTheses Enabling Open Access to Birkbeck’s Research Degree output Groups, governance and the development of UK al- cohol policy: an adversarial policy communities ap- proach https://eprints.bbk.ac.uk/id/eprint/40473/ Version: Full Version Citation: Barrett, Gareth Paul (2020) Groups, governance and the de- velopment of UK alcohol policy: an adversarial policy communities ap- proach. [Thesis] (Unpublished) c 2020 The Author(s) All material available through ORBIT is protected by intellectual property law, including copy- right law. Any use made of the contents should comply with the relevant law. Deposit Guide Contact: email Groups, governance and the development of UK alcohol policy: An Adversarial Policy Communities Approach Gareth Paul Barrett A thesis presented for the Degree of Doctor of Philosophy Department of Politics Birkbeck, University of London January 2020 1 Declaration of Work I certify that the thesis I have presented for examination for the PhD degree of the University of London is solely my own work other than where I have clearly indicated that it is the work of others. The copyright of this thesis rests with the author. Quotation from it is permitted, provided that full acknowledgement is made. This thesis may not be reproduced without my prior written consent. 2 Abstract The governance of UK alcohol policy looks like a textbook case of decision-making by a closed community of policymakers and industry insiders, but this thesis challenges this view. Drawing on Jordan and Richardson’s policy communities approach and Dudley and Richardson’s later work on adversarial policy communities, it examines the complex development of UK alcohol policy using archival sources, government and pressure group reports, news releases and historic media coverage going back over a century.
    [Show full text]
  • Alan Milburn Interviewed the Real Reason for the Misery of Work
    PovertyJournal of the Child Poverty Action Group • Issue 147 • Winter 2014 Alan Milburn interviewed The real reason for the misery of work assessments How can we reduce child poverty without improving its prevention? Policy publications and CPAG briefings and reports from CPAG consultation responses The following reports can all be downloaded from Read these and more consultation responses and www.cpag.org.uk/policy-reports briefings at www.cpag.org.uk/briefings-responses Independent Review of JSA Sanctions: CPAG’s Let’s All Have Lunch! , September 2013 response , January 2014 Childcare and Maternal Employment in Submission to the Work and Pensions Committee London , September 2013 Inquiry into Housing Costs Support , October 2013 The Cost of a Child in 2013 , August 2013 Submission to the ‘Tax-free Childcare’ Will Universal Credit Work? Consultation , October 2013 Written by CPAG for the TUC, May 2013 Localisation of the Social Fund: countdown to The Double Lockout: how low-income families change , March 2013 will be locked out of fair living standards, January CPAG’s Response to the Child Poverty 2013 Measurement Consultation , February 2013 Ending Child Poverty by 2020 Judicial Review: proposals for reform. CPAG’s Progress made and lessons learned response to the Ministry of Justice consultation, Edited by Lindsay Judge January 2013 96 pages 978 1 906076 82 5 2012 £10.00 CPAG Briefing on Welfare Benefits Uprating Bill, Young People’s Thoughts on Child Poverty January 2013 Policy , December 2012 CPAG Briefing for Autumn Statement 2012, December 2012 We Can Work It Out: parental employment in London , November 2012 Food Poverty in London , October 2012.
    [Show full text]