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    How the New Labour Government Third Way policies (1998-2010) and the delivery of the New Deal for Communities (NDC) regeneration programme impacted on participation in health care in an area-based initiative. A longitudinal study using action-learning research methodology in a New Deal for Communities Area Based Initiative

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    PhD Thesis (3.792Mb)
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    Publication date
    2018
    Author
    Greenham, Felicity J.
    Supervisor
    Chesters, Graeme S.
    Keyword
    Community governance
    Social capacity
    Public health
    New Deal for Communities
    Participation
    Health inequalities
    New Labour
    Third Way policies
    Longitudinal study
    Action-learning
    Rights
    Creative Commons License
    The University of Bradford theses are licenced under a Creative Commons Licence.
    Institution
    University of Bradford
    Department
    Department of Peace Studies and International Development
    Awarded
    2018
    
    Metadata
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    Abstract
    The research examines New Labour’s Third Way policies and the impact New Deal for Communities (NDC) regeneration programme had on participation in health care. This longitudinal study (1998-2007) explores participatory joint working, welfare state, social capacity, health inequalities, citizen involvement and community capacity. It captures the experiences of local community and front-line workers whilst delivering the Health Focus Group (HFG) in the NDC programme. Using action learning reflection techniques, the study analyses a purposeful sample of 15 from the local community, front-line workers, and strategic respondents involved in the NDC health programme. The research demonstrated the NDC did increase participation, joint working and involvement of local actors 1998–2003. The importance of communication, leadership and relationships was recognised as an important catalyst for developing community governance models. The new action learning spaces initiated, designed and delivered 19 new models of joint local clinical, community and complementary health and well-being projects. In 2001, New Labour introduced public private finance initiatives with the Primary Care Trust (PCT) which conflicted with the local actors’ involvement in the participatory joint decision-making. The reconfiguration of health and social care services and the new public health models introduced complex governance and monitoring models, further distancing the local actors from the process. Strategic staff changes in key governance positions also adversely affected the communication and trust established with local actors. The research concluded operational, tactical, and strategic alignment is necessary to maximise joint participation in decision-making.
    URI
    http://hdl.handle.net/10454/16922
    Type
    Thesis
    Qualification name
    PhD
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    Theses

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