Socioeconomic disadvantage and self-reported health
Analysis examining how socioeconomic disadvantage affects transitions from good health to poorer health among the working-age population in England and Wales between 2011 and 2021.
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A study examining how austerity policies affected English city governments and how reductions in local authority funding were passed on to poorer communities through changes to services and public spending.
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This study examines how austerity policies affected local government services in English cities and how these financial pressures ultimately affected poorer communities. The research combines national financial data with detailed case studies of several English local authorities to understand how funding reductions translated into changes in services.
Between 2010 and 2015, English local authorities experienced significant reductions in their spending power. The study shows that these reductions were not evenly distributed. Councils serving more deprived populations tended to lose a greater share of their funding because they relied more heavily on central government grants. When these grants were reduced, the financial impact was larger for poorer areas.
One important finding is the erosion of the historic principle of equalisation in local government finance. This principle aimed to compensate poorer councils for the higher levels of social need they faced. As austerity policies reduced this funding premium, poorer councils became less able to provide services at levels comparable with more affluent areas.
The research also highlights how the structure of local government spending affects how cuts are experienced. Many services provided by local authorities are used more frequently by lower-income households. Because these services make up a large share of council spending, it becomes difficult for councils to protect them completely when budgets are reduced.
Even services used by all residents can affect disadvantaged communities more strongly when they are reduced. For example, cuts to libraries, parks or neighbourhood maintenance may have greater consequences for households with fewer private resources or alternatives.
From a health and social care equity perspective, the study demonstrates how funding decisions made at national level can influence the distribution of services at local level. When deprived cities lose more resources, their ability to support vulnerable populations may decline.
Overall, the study shows that austerity policies can produce uneven impacts across places and populations. Without mechanisms that account for differences in local need, reductions in local government funding risk reinforcing existing social and geographical inequities.
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Analysis examining how social policies in England and Wales fail to address the needs of Autistic adults, focusing on barriers in health services and social care systems.
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A systematic review examining interventions designed to reduce inequities in dementia diagnosis and post-diagnostic care across multiple countries, focusing on individual, community and health system solutions.
A qualitative study examining how newly qualified social workers in England experience and respond to racism in practice, and how social work education prepares them to challenge racism in health and social care contexts.
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