Joining the dots: making healthcare work better for the local economy

Posted on 4 March, 2015 by Fiona

On Thursday 26th February Professors Rose Gilroy and Mark Tewdwr-Jones (Newcastle School of Architecture, Planning and Landscape) launched a collection of papers that they co-edited in association with the Smith Institute and the Regional Studies Association. Below is the latest in our Ideas for an Incoming Government series from Professor Gilroy, taking a look at the connection between health and the economy, and suggesting a way forward for public health delivery.

Who should take responsibility for improving the health of the nation? Is it the role of the NHS, or are we simply shifting responsibility by asking our health system to pick up the pieces (and the cost) caused by policy failures elsewhere? What is the real cost of poor health?

The Marmot Review of 2010 estimated that health inequalities cost the taxpayer over £30 billion a year in terms of lost productivity and associated welfare and health costs. Can we really afford to ignore this? A new joint report from Newcastle University academics, the Smith Institute and Regional Studies Association aims to address the issue of health inequality. Launched at Portcullis House, Westminster last Thursday, 26^th February in front of an audience of local government officials, researchers, representatives of the TUC, RTPI, NHS, The Design Council and lobby groups, the report – Joining the Dots: Making healthcare work better for the local economy – discusses the far-reaching consequences of poor health and the responsibility of employers, local planners, and new governance structures in taking a pro-health position that will help to tackle health inequalities.

From considering the social and economic determinants of health; the limitations placed on people’s lives from shrinking local investment in the supply and quality of public services; the need to consider the whole city as an arena for older people’s wellbeing and the struggle to overcome institutional and cultural barriers to make new legislation work, this collection of research challenges all sectors of British society to put health at the heart of its thinking.

The debate was chaired by Andy Love, Labour MP for Edmonton, with the report launched by myself and my School of Architecture, Planning and Landscape colleague Professor Mark Tewdwr-Jones, as co-editors of the report. David Buck, Senior Fellow in Public Health and Inequalities at the Kings Fund joined us to talk about the links between poor health, poverty and worklessness, while Professor Sarah Curtis of Durham University presented compelling evidence linking employment status to health outcomes. Professor Curtis emphasised the long shadow that regional unemployment casts across the course of people’s lives. Elsewhere, Deputy Lords leader Lord Philip Hunt considered the role of the NHS as an employer and reflected on the recent news that Greater Manchester will have devolved power over its local NHS spending, with huge potential implications for local accountability and a new, more holistic understanding of people’s health and social needs.

However, as several contributors argued, it is the ability of individuals and organisations to overcome the often complex local governance map and develop a joint vision and shared objectives that will lead to success in addressing the UK’s deep health inequalities.

The conclusion of this report is clear: too often we intervene too late and forget that health starts where we live, learn, work and play. The key to good health is to build preventative services in communities, helping us to take care of our families, our schools, our workplaces and our playground and parks. When considering national and local spending priorities, we must understand the need to make pro-health choices to tackle the scandal of health inequality in modern Britain.

View the full report via The Smith Institute. (PDF)

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Affordable housing: a fair deal for rural communities

Posted on 3 March, 2015 by Fiona

Professor Mark Shucksmith OBE, Director of the Newcastle University Institute for Social Renewal, considers the problem of providing affordable housing in rural areas, and presents the findings of the Rural Housing Policy Review group.

It’s now 34 years since my first book, “No Homes For Locals?” was published. This worries me partly because this suggests I’m not as young as I used to be; but mainly it worries me because we have made so little progress in addressing the challenges of enabling people to live and work in the countryside which prompted me to write that book. There are severe housing difficulties throughout the UK, but rural areas face special difficulties. In the UK, uniquely, rural house prices are higher than in urban areas – in fact, 26% higher on average. The ratio of house prices to local earnings is even worse. And there is far less social housing (council housing and housing association housing) than in urban areas, not least due to Right to Buy sales going through the roof in recent decades.

For the last year I’ve worked with other experts as part of the Rural Housing Policy Review group, chaired by Lord Best, to propose solutions to this challenge which acknowledge the current constraints on public spending. Last week we presented these at a launch in the House of Lords. Here is a summary of our proposals, the latest of our ‘Ideas for an Incoming Government’:

Because more sites are needed:

Since the vast majority of rural schemes are on small sites, Government’s policy is to remove from local authorities the power to require affordable homes on sites of less than 10 homes. This must be reversed. Local Planning Authorities should require all sites, whatever their size, to make an affordable housing contribution. The level of this contribution – in cash or kind – will be determined by what works in the housing market of that area.
Government should provide incentives to encourage land owners to develop rural affordable housing to meet local needs or to release sites for these homes, e.g. through tax incentives or nomination rights, which would also stimulate the local economy.
Since local communities cannot properly influence what kind of development takes place without a Local Plan, Government should require all local authorities to complete their Local Plan preparation within two years

Because new homes must be affordable to local people:

Government should exclude rural areas from the “spare room subsidy withdrawal” (commonly known as the ‘bedroom tax’) because there are so few opportunities for rural tenants in houses to move to 1 or 2 bedroom flats in villages; these households should not be forced to move away from their long-standing social and support networks to urban areas elsewhere.
Where there are already problems from the low levels of affordable housing and limited opportunities to build any more, Government should give rural local authorities the power to suspend the Right to Buy scheme.
To provide a driver for action and delivery by housing associations of all sizes, a new national target for delivery of rural housing through the Homes and Communities Agency should be established of 13% of the HCA’s national investment.
To address problems of accessing development finance, Government should find ways of supporting the development funding of small and medium-sized builders and housing associations that undertake smaller developments: e.g. recalibrating its loan guarantee scheme to cover schemes of less than 25 homes.

Because affordable homes need to be there for future households:

To ensure rents are affordable in low wage, high house price rural communities, Government should not require housing associations to charge so-called ‘affordable rents’ at 80% of market rental rate as a condition for receiving HCA funding. Instead, as in Greater London, rents should be charged at a level agreed between the local authority and the housing provider as being affordable in relation to local incomes.
Where an area is experiencing high levels of second home ownership, Government should endorse the approach taken by the Exmoor National Park Authority, and in other places, by requiring a proportion of open market homes – up to a 100% in exceptional cases – to be granted planning permission with the condition that they can only be used as principal residences.
Although those buying affordable homes on special terms need to be able easily to access a mortgage it is essential that they do not simply resell for a profit at a later date. The Council of Mortgage Lenders should, at long last, produce a standardised mortgage form for rural affordable home ownership which incorporates a ‘perpetuity’ arrangement.

Because leadership is needed from national to community level:

The Department for Environment, Food and Rural Affairs, as the champion for rural areas, should ensure ‘rural proofing’ is continuously and consistently applied to national policies, with specialist, rural technical expertise available to all Government departments.
Because Neighbourhood Plans are a vital means for rural communities to deliver affordable homes, yet require resources and expertise, Government should increase and extend its support (beyond April 2015) for more communities to produce Neighbourhood Plans. And the Homes and Communities Agency should offer match funding to housing associations for the employment of Rural Housing Enablers who can play the key role in bringing together parish councils, land owners, local authorities and housing associations to achieve affordable rural homes.

There is more detail in our full report which you can download free here. The shortage of affordable rural housing is an issue not just for young people and others earning middle to low incomes; it has a wider significance as our countryside becomes ever more socially exclusive, a place where only rich people will be able to afford to live and in which most members of society can never be resident. This growing separation between rich and poor threatens our social solidarity and is far from ideas of ‘one nation’, espoused by successive governments.

Members of the Rural Housing Policy Review

Lord Richard Best OBE DL (Chair of the Rural Housing Policy Review)

Lord Matthew Taylor

Lord Ewen Cameron DL FRICS

Elinor Goodman

David Fursdon DL FRICS

Margaret Clark CBE

Sue Chalkley

Professor Mark Shucksmith OBE

Peter Moore

Peter Hetherington

Cllr Anne Hall

Jo Lavis (Secretary and member)

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Investing in Young People

Posted on 24 February, 2015 by Fiona

As part of our ‘Ideas for an Incoming Government‘ series, Professor Peter Hopkins from the School of Geography, Politics and Sociology writes about the urgent need to end the marginalisation and misrepresentation of young people.

A number of recent policy changes have placed an unfair burden upon young people, particularly for those who live in the most socially and economically deprived areas. In England, Educational Maintenance Allowance has been withdrawn, tuition fees of up to £9000 a year have been introduced for those wanting to study at university, and many young people across Britain are expected to undertake unpaid internships or voluntary work to gain ‘work experience’. Young people are bearing the brunt of these policy changes unlike the generations before them. It is time to start investing in young people by providing additional youth services and funding for educational training, and to stop marginalising, excluding and misrepresenting young people.

Research has been undertaken to counter these problematic and negative representations of young people, particularly those from the most deprived backgrounds.

Hill et al (2006) undertook research with children and young people from disadvantaged neighbourhoods and found that they hung out in groups in order to protect themselves rather than to threaten others.
In a more recent example, MacDonald et al (2013) searched for ‘intergenerational cultures of worklessness’ in response to political rhetoric about ‘three generations of families where no-one has ever worked’; interviews with 20 families in Glasgow and Middlesbrough who were long term workless found no evidence of intergenerational cultures of worklessness.
Related to this, the Joseph Rowntree Foundation noted that in 2007-08, 31% of children were in families in poverty (4 million children).
Recent research with students involved in the Newcastle Occupation found that the young people who participated in this social movement were politically sophisticated, astutely aware of political matters and savvy about how to have their views heard by those in power (Hopkins, Todd and Newcastle Occupation, 2012).

What is the solution?

Creating environments where young people can express their views, be listened to, and encouraged to foster social change with others (including with adults and older people)
Providing additional educational funding and paid training opportunities for young people, particularly those from the most economically and socially deprived backgrounds
Representing young people better in the media (consider for example, the sophisticated ways in which students engaged with political issues through organisations, occupations and marchers in protest at government proposals about the funding of education).

The evidence

Much of the work of the Intergenerational Foundation demonstrates clearly that young people are being treated very unjustly in many areas including education, employment and housing. Moreover, such stark inequality between the generations means that young people are continually losing out compared to older and wealthier generations.
Recent research with young people growing up in social and economic deprivation in the UK has found that austerity cuts have meant that services in such areas have been cut back dramatically with religious organisations being some of the only services left to support young people (see this Religion and Society resource)
Many churches have experienced disinvestment or have been closed, leaving young people with very few, if any, services in their local area. This is particularly challenging for young people from such backgrounds that may be experiencing family breakdown, bereavement and social isolation.
The protests against the rise in tuition fees in England demonstrates that young people are politically engaged and aware of their situation (as opposed to their dominant representation amongst politicians and in the media as being disengaged, apathetic and inert). Research surrounding this involved interviews with young people involved in the Newcastle Occupation (Hopkins, Todd and Newcastle Occupation (2012) Occupying Newcastle University: student resistance to government spending cuts in England. The Geographical Journal 178 (2) 104-109).

It is time to invest in young people in order to counter negative assumptions about their peer group behaviours, their engagement with work, and to minimise their experiences of poverty.

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Ideas for an Incoming Government

Posted on 20 February, 2015 by Jenny

Newcastle University is known around the world for its vision “to be a world-class civic university”. Our guiding principle – excellence with a purpose – helps us to focus on not just what we are good at, but what we are good for. Much of the research we do has relevance for policy and practice, and so the Institute for Social Renewal tries to help bring colleagues’ findings to the attention of policy makers and the general public. For example, in 2014 we organised an event in Westminster to showcase our Queens Anniversary Award winning work on rural economies and societies.

“Meeting colleagues from across the University and hearing about their research, I’m struck by how much of what we discover has relevance for policy, and could help inform better decisions by government,” says Professor Mark Shucksmith OBE, Director of the Institute. “We are working to find new ways in which to bring these findings into discussions about future policies, underpinning their evidence base.”

With the general election approaching, there is a heightened opportunity to contribute to public debates, campaigns and policy formulation, and to engage with voters and parliamentary candidates. With this in mind, Newcastle University academics are now taking part in a series of blogs during February and March to inform election debates and the political parties’ thinking.

Examples of work that has already made a difference can be found on the Highlighted Projects section of the NISR website.

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Hearing History

Posted on 23 January, 2015 by Jenny

Preparing for ‘Hearing History’ workshops

Dr Paul Fleet @DrPaulFleet #HearingHistory

Dr Paul Fleet FHEA, FRSA is Director of Excellence in Learning and Teaching in the School of Arts and Cultures at Newcastle University and was recently granted an award under NISR’s Past in the Present theme. Here he writes about the planning of the public facing workshops exploring recording technologies.

What does it mean to record something and commit its content to timelessness and what are the social, political and historical boundaries between public and private recordings? These questions will be the focus of two workshops delivered by Newcastle University, Tyne & Wear Archives & Museums (TWAM) and the Lathe Revival and explored in hands-on workshops with various recording devices – from phonographs to mobile phones – by members of the public, academic staff and archivists.

The remarkable speed of development of such technologies has forced the public to consciously and subconsciously change their social and environmental listening behaviours. One need only think of the recent stand by Kate Bush to have every audience member turn off their mobile phone during her concert to better engage with the experience as a community.

(http://www.theguardian.com/music/2014/aug/27/kate-bush-concert-fans-react).

On 16 January 2015, John Coburn and Alex Boyd from TWAM, Lorna Fulton from @LatheRevival and I met to discuss the dates and details of these workshops. So what can I tell you so far… we will be looking at an original tin-foil phonograph and recording on an Edison wax cylinder phonograph that are currently housed within TWAM; we will be live cutting 78s on a 1930s Presto Lathe; we will be recording on a reel-to-reel that was made by the British Ferrograph Recorder Company of South Shields (North East); and we will be inviting the participants to explore their conscious and subconscious use of mobile phone audio capture.

The dates are to be confirmed but they will be in March 2015 so watch this space and search for #HearingHistory on Twitter for further details.