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Divergence or Convergence? Health Inequalities and Policy in a Devolved Britain

Smith, K.; Hunter, D.; Blackman, T.; Elliott, E.; Greene, A.; Harrington, B.; Marks, L.; McKee, L.; Williams, G.

Authors

K. Smith

D. Hunter

T. Blackman

E. Elliott

A. Greene

B. Harrington

L. Marks

L. McKee

G. Williams



Abstract

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.

Citation

Smith, K., Hunter, D., Blackman, T., Elliott, E., Greene, A., Harrington, B., …Williams, G. (2009). Divergence or Convergence? Health Inequalities and Policy in a Devolved Britain. Critical Social Policy, 29(2), 216-242. https://doi.org/10.1177/0261018308101627

Journal Article Type Article
Publication Date May 1, 2009
Deposit Date Sep 16, 2009
Journal Critical Social Policy
Print ISSN 0261-0183
Electronic ISSN 1461-703X
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 29
Issue 2
Pages 216-242
DOI https://doi.org/10.1177/0261018308101627
Keywords Britain, Critical discourse analysis, Devolution, Health.


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