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The UK Health Trainer Initiative: Critical Contexts

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Abstract

It has never been a more exciting time to study the health policy cycle (design, implementation and evaluation) and there have never been more secondary resources at the researcher’s disposal, for example - data, theory and opinion. This makes for a more engaging and multi-faceted exploration though it can feel a little daunting. Focusing analysis on the contents of policies alone may seem to remove some of this complexity but it can leave the researcher with an irreconcilable set of aims, agendas and results, and a limited understanding of an issue. Policies are constructed within contested local, national and elite domains, and health is no exception.

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References

  • Agger, B. (2006) Critical Social Theories: An Introduction, 2nd edn. Boulder, CO: Paradigm Publishers.

    Google Scholar 

  • Attree, P. (2006) ‘A critical analysis of UK public health policies in relation to diet and nutrition in low-income households’, Maternal and Child Nutrition, 2(2): 67–78.

    Article  Google Scholar 

  • Ball, L., Okasheh, R., and Whitfield, M. (2009) Summary Evaluation of the North East Lincolnshire Health Trainer Service 2007–2009. Lincoln: NHS

    Google Scholar 

  • Bambra, C., Gibson, M., Sowden, A., Wright, K., Whitehead, M., and Petticrew, M. (2010) ‘Tackling the wider social determinants of health and health inequalities: evidence from systematic reviews’, Journal of Epidemiology and Community Health, 64(4): 284–91.

    Article  Google Scholar 

  • Barton, G.R., Goodall, M., Bower, P., Woolf, S., Capewell, S., and Gabbay, M.B. (2012) ‘Increasing heart-health lifestyles in deprived communities: economic evaluation of lay health trainers’, Journal of Evaluation in Clinical Practice, 18(4): 835–840

    Article  Google Scholar 

  • Blackman, T., Harrington, B., Elliott, E., Greene, A., Hunter, D.J., Marks, L., McKee, L., and Williams, G. (2012) ‘Framing health inequalities for local intervention: comparative case studies’, Sociology of Health & Illness, 34(1): 49–63.

    Article  Google Scholar 

  • Cameron, D. (2010a) ‘Let’s mend our broken society’, Conservative Party website http://www.conservatives.com/News/Speeches/2010/04/David_Cameron_Lets_mend_our_broken_society.aspx, accessed 12 February 2012.

    Google Scholar 

  • Cameron, D. (2010b) ‘David Cameron’s conservative conference speech in full’, The Telegraph on-line, http://www.telegraph.co.uk/news/politics/david-cameron/8046342/David-Camerons Conservative-conference-speech-in- full.ht, accessed 23 February 2012.

    Google Scholar 

  • Carr S, Lhussier M, Forster N, Geddes L, Deane K, et al. (2011) ‘An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health’, in Health Technology Assessment, NIHR HTA programme. Southampton: National Institute for Health Research

    Google Scholar 

  • Clarke, J. Gewirtz, S., and McLaughlin, E. (eds) (2000) New Managerialism, New Welfare? London: Open University in association with SAGE Publications.

    Google Scholar 

  • Coote, A. and Franklin, J. (2010) ‘Transforming welfare: new economics, New Labour and the new Tories’, New Economics Foundation (online) http://www.politiquessociales.net/IMG/pdf/Transforming_Welfare.pdf, accessed 12January 2012.

    Google Scholar 

  • Cutler, T. and Waine, B. (2000) ‘Managerialism reformed? New labour and public sector management’, Social Policy & Administration, 34(3): 318–32.

    Article  Google Scholar 

  • Davies, H. and Tavakoli, M. (2004) Health Care Policy, Performance and Finance: Strategic Issues in Health Care Management. Surrey: Ashgate.

    Google Scholar 

  • Department of Health (DoH) (1999) Saving lives: Our Healthier Nation. London: Department of Health.

    Google Scholar 

  • Department of Health (DoH) (2004) Choosing Health: Making Healthy Choices Easier. London: Department of Health.

    Google Scholar 

  • Department of Health (DoH) (2008) Press Release-health Trainers. Department of Health Publications and Statistics.

    Google Scholar 

  • European Heart Network (2008) European Cardiovascular Disease Statistics 2008 Edition. Brussels: European Heart Network.

    Google Scholar 

  • Farnsworth, K. and Irving, Z. (eds) (2011) Social Policy in Challenging Times: Economic Crisis and Welfare Systems. Bristol: Policy Press.

    Book  Google Scholar 

  • Gould, M. (2009) ‘Can health trainers reduce poor health?’, Health Service Journal. http://www.hsj.co.uk/resource-centre/can-health-trainers-reduce-poor- health/2007724.article, accessed 12.1.2013

    Google Scholar 

  • Hossain, M., Abbas, B., Rahman, K.A., and Iyorlumun, U. (2004) ‘Community development and its impact on health: South Asian experience’, British Medical Journal, 328(7443): 830–3.

    Article  Google Scholar 

  • Katikireddi, S.V., Higgins, M., Bond, L., Bonell, C., and Macintyre, S. (2011) ‘How evidence based is English public health policy?’, British Medical Journal (online) http://www.bmj.com/content/343/bmj.d7310, accessed 1 February 2012.

    Google Scholar 

  • Luengo-Fernandez, R., Leal, J., Gray, A., Petersen, S., and Rayner, M. (2006) ‘Cost of cardiovascular diseases in the United Kingdom’, Heart, 92(10): 1384–9.

    Article  Google Scholar 

  • Marmot, M. (2005) ‘Social determinants of health inequalities’, The Lancet, 365(9464): 1099–104.

    Article  Google Scholar 

  • Marmot, M. (2010) ‘Interim first report on social determinants of health and the health divide in the WHO European Region’, WHO Regional Office for Europe, Scherfigsvej 8, DK-2100 Copenhagen 0, Denmark: World Health Organization.

    Google Scholar 

  • Marmot, M. (2011) ‘Social Determinants of Health-framing the future of health care in Europe’, in The Future of Healthcare in Europe Conference. London: University College London.

    Google Scholar 

  • Martindale, A.-M. (2006) ‘Mainstreaming learning from the children’s fund: as easy as A, B, C?’, Journal of Social Welfare and Family Law, 28(1): 47–57.

    Article  Google Scholar 

  • Meah, S. and Guest, S. (2010) An Evaluation of the Health Trainer Service across Greater Manchester. Salford: Association of Greater Manchester Primary Care Trusts.

    Google Scholar 

  • Perkins, N., Smith, K., Hunter, D.J., Bambra, C., and Joyce, K. (2010) ‘“What counts is what works?” New labour and partnerships in public health’, Policy & Politics, 38(1): 101–17.

    Article  Google Scholar 

  • Personal Communication, 17 March 2009.

    Google Scholar 

  • Petticrew, M., Whitehead, M., Macintyre, S.J., Graham, H., and Egan, M. (2004) ‘Evidence for public health policy on inequalities: 1: The reality according to policymakers’, Journal of Epidemiology and Community Health, 58(10): 811–16.

    Article  Google Scholar 

  • Pollitt, C. (1993) ‘Occasional excursions: a brief history of policy evaluation in the UK’, Parliamentary Affairs, 46(3): 353–62.

    Google Scholar 

  • Shaheen, F. (2011) ‘Ten reasons to care about economic inequality’, New Economics Foundation (online), http://www.neweconomics.org/sites/neweconomics.org/files/Ten_Reasons_to_Care_About_Economic_Inequality_0.pdf, accessed 15 January 2012.

    Google Scholar 

  • Sinfield, A. (2011) ‘Credit crunch, inequality and social policy’, in K. Farnsworth and Z. Irving (eds) Social Policy in Challenging Times: Economic Crisis and Welfare Systems (Chapter 4, pp. 65–80). Bristol: Policy Press.

    Chapter  Google Scholar 

  • Smith, J, Gardner, B., and Michie, S. (2010) Health Trainers National End of Year Report: 2008–09. London: University College London.

    Google Scholar 

  • South, J., Woodward, J., and Lowcock, D. (2007) ‘New beginnings: stakeholder perspectives on the role of health trainers’, The Journal of the Royal Society for the Promotion of Health, 127(5): 224–30.

    Article  Google Scholar 

  • Sullivan, H. (2011) ‘“Truth” junkies: using evaluation in UK public policy’, Policy & Politics, 39(4): 499–512.

    Article  Google Scholar 

  • Taylor, D. and Balloch, S. (eds) (2005) The Politics of Evaluation: Participation and Policy Implementation. Bristol: Policy Press.

    Google Scholar 

  • Taylor-Gooby, P. and Stoker, G. (2011) ‘The coalition programme: a new vision for Britain or politics as usual?’, The Political Quarterly, 82(1): 4–15.

    Article  Google Scholar 

  • Trayers, T. and Lawlor, D.A. (2007) ‘Bridging the gap in health inequalities with the help of health trainers: a realistic task in hostile environments? A short report for debate’, Journal of Public Health, 29(3): 218–21.

    Article  Google Scholar 

  • Unger, J.P., de Paepe, P. and Ghilbert, P. (2004) ‘Health in South Asia: community worker programmes may be occasional local solution’, British Medical Journal, 328(7454): 1497–8.

    Article  Google Scholar 

  • Vishram, S. and Drinkwater, C. (2005) Health Trainers: A Review of the Evidence. Northumbria: Northumbria University.

    Google Scholar 

  • Whitehead, M. and Popay, J. (2010) ‘Swimming upstream? Taking action on the social determinants of health inequalities’, Social Science & Medicine, 71(7): 1234–6.

    Article  Google Scholar 

  • Wiggan, J. (2011) Something Old and Blue or Red, Bold and New?: Welfare Reform Under the Coalition Government. Bristol: Policy Press.

    Google Scholar 

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© 2013 Anne-Marie Martindale

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Martindale, AM. (2013). The UK Health Trainer Initiative: Critical Contexts. In: Petrie, S. (eds) Controversies in Policy Research. Palgrave Macmillan, London. https://doi.org/10.1057/9780230390836_9

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