Neo-Liberalism, Communities and Health in Contemporary Scotland
Submitting Institution
University of the West of ScotlandUnit of Assessment
Social Work and Social PolicySummary Impact Type
SocietalResearch Subject Area(s)
Studies In Human Society: Policy and Administration, Sociology
Summary of the impact
    Chik Collins's research on the effects of neo-liberal policies on working
      class communities in contemporary Scotland has contributed to important
      changes and benefits beyond academia. It has supported community, third
      sector, professional and trade union organisations in developing
      appropriate strategies for action. Oxfam Scotland has used the research
      extensively in reconfiguring its UK Poverty Programme, and has instigated
      a Partnership with UWS to enhance this development. Public health
      professionals grappling with Scotland's lagging health outcomes have used
      the work in shifting their focus towards underlying causes and in
      reassessing prevailing public health interventions focused on `health
      behaviours'.
    Underpinning research
    References below are to Section 3.
    Collins's research on the impact of neoliberal policies has focused on
      the apparent intensification of problems in many working class
      communities, in the context of ongoing, and often expensive, interventions
      for `renewal' and `regeneration'. He has published >50 articles, books,
      book chapters and reports, and has engaged widely beyond academia. The
      research has developed in 3 phases.
    Phase 1 - 1990s: Focused on:
    
      - Working class opposition to neoliberalism in the early 1970s
        (particularly the UCS Work-In), using archival sources to highlight the
        role of language in precipitating Heath's U-turn.
 
      - The Conservatives' New Life for Urban Scotland Programme (1988-98),
        looking at the problem of `community participation', particularly in the
        Ferguslie Park area of Paisley. This research traced the connections
        between politics and policy at UK and Scottish levels, and the New Life
        Programme and its local implementation via `regeneration partnerships'.
        It demonstrated the profoundly dysfunctional dynamic of these
        connections, and their equally profoundly damaging effects on
        communities (3.1).
 
    
    Phase 2 - Late 1990s-2007: Focused on the evolution of policy
      under New Labour at Westminster and the Lab-Lib coalition at Holyrood,
      highlighting the negative impacts across local communities. It identified
      the continuing failure of policy (2000-2004), and then the (otherwise
      barely noticed) major reorientation of policy in Scotland after 2004. It
      highlighted the role of the Edinburgh financial elite in turning
      regeneration policy towards liberalisation and privatisation, and drew out
      the implications for local communities and trade unions.
    Phase 3 - 2007-2013: Focused on the development of policy under
      the SNP at Holyrood and the Conservative-Lib-Dem coalition at Westminster.
      In this phase the research was taken up in new ways by external parties:
    
      - Oxfam commissioned research for its UK Poverty Programme on a key
        community organisation in Clydebank (Clydebank Independent Resource
        Centre — CIRC), tracing its experience from its early 1970s origins. The
        challenge was to account for its longevity, when so many community
        organisations had ceased to exist. The key finding, based on extensive
        research and delivered in a book-length report, linked this to the
        organisation's long-standing connections with the trade unions in the
        area (3.2). Subsequently, Oxfam commissioned further research with the
        same organisation, looking at the experience of the Labour Government's
        `Welfare to Work' policy. Taking case studies of Incapacity Benefit
        claimants, the research challenged the rationale for the policy and
        illuminated its damaging impacts on individuals and families (3.4).
 
      - From 2008, Collins's research was brought to bear on the issue of
        Scotland's lagging health outcomes. He collaborated with an NHS
        colleague to formulate a new hypothesis, linked to supporting evidence,
        focused on Scotland's higher vulnerability to the damaging effects of
        neo-liberal policies after 1979 (3.3). Continuing research identified
        and evaluated all the proposed hypotheses for Scotland's health
        outcomes, and provided an outline synthesis of the more credible
        hypotheses as the basis for future work (3.5). A further, related
        exercise traced Scotland's longer-term comparative health trends and
        identified the key points of divergence (3.6).
 
    
    References to the research
    
3.1 (Peer reviewed book chapter) Collins, C. (2008),
      "Discourse in Cultural-Historical Perspective: Critical discourse
      analysis, CHAT and the study of social change", in Van Oers, B., Elbers,
      E. and Wardekker, W. & Van Der Veer, R., eds., The Transformation
        of Learning: Advances in cultural-historical activity theory,
      Cambridge: Cambridge University Press, 2008, pp.242-272.
     
3.2 (Report for Oxfam Scotland, also published as peer reviewed book
        chapter) Collins, C. (2008), The Right to Exist: The
        Story of the Clydebank Independent Resource Centre, Oxfam, Glasgow.
      http://policy-practice.oxfam.org.uk/publications/the-right-to-exist-the-story-of-the-clydebank-independent-resource-centre-112387
      ; Collins, C. (2011), and also "`For a People's Clydebank': Learning the
      ethic of solidarity amidst the wreckage of neo-liberalism in contemporary
      Scotland", in Peter E. Jones (ed.), Marxism and Education — Renewing
        the Dialogue: Pedagogy and Culture, New York: Palgrave, 2011,
      pp.65-86.
     
3.3 (Peer reviewed journal article) Collins, C. and McCartney,
        G. (2011), "The Impact of Neo-Liberal `Political Attack' on Health:
      The case of the `Scottish Effect'", International Journal of Health
        Services, Vol. 41, No. 3, pp.501-523. doi: 10.2190/HS.41.3.f
     
3.5 (Report for Glasgow Centre for Population Health, also published
        as `Editor's Choice' peer reviewed journal article) McCartney,
        G., Collins, C., Walsh, D. and Batty, D. (2011), Accounting for
        Scotland's Excess Mortality: Towards a Synthesis, Glasgow: Glasgow
      Centre for Population Health
      http://www.gcph.co.uk/assets/0000/1080/GLA147851_Hypothesis_Report__2_.pdf;
      McCartney, G., Collins, C., Walsh, D. and Batty, D.G. (2012), and
      also "Why the Scots Die Younger: Synthesizing the Evidence", Public
        Health, Vol. 126, No. 6, pp.459-470. doi:
      10.1016/j.puhe.2012.03.007.
     
3.6 (Peer Reviewed journal article, published as `Editor's Choice',
        with commentary from Johan P. Mackenbach) McCartney, G., Walsh,
        D., Whyte, B. and Collins, C. (2012), "Has Scotland always been the
      `sick man' of Europe? An observational study from 1855 to 2006", European
        Journal of Public Health, Vol 22, No.6, pp.756-760.
      doi:10.1093/eurpub/ckr136
     
Details of the impact
    References below map to sections 3 and 5 respectively.
    Impact on Oxfam's UK Poverty Programme
    Collins's contributions led Oxfam to fund research for their UK Poverty
      Programme. This work (3.2) was reported widely in 2008 (e.g. The
        Herald, July 2008, BBC Scotland News, June 2008) and written
      up for three professional journals. It was used by the Clydebank
      Independent Resource Centre to ensure its survival in a time of cuts
      (2008-present), and used by Oxfam, both in highlighting the plight of
      community organisations to government and in reconfiguring its UK Poverty
      programme in Scotland (2008-present) (5.1).
    This success led to further Oxfam requests for engagement with Collins
      and UWS colleagues. Collins's 2009 report on `Welfare to Work' (3.4),
      again funded by Oxfam, was also widely reported (e.g. BBC Radio Scotland's
      `Good Morning Scotland', April 2009), used by the high profile Scottish
      Campaign on Welfare Reform (e.g, The Herald, 18/02/11), featured
      at the annual Document Film Festival in Glasgow (October, 2009), and
      became the subject of high-level discussions between Oxfam and the DWP
      (2009) (5.1).
    Collins also introduced Oxfam to a UWS economist to assist with the
      economic side of Oxfam's policy. This led to Oxfam Scotland's high profile
      Whose Economy? seminar programme (2010-11, co-organised by UWS and
      Oxfam), which in turn provided the basis for its more recent Our
        Economy report and strategy (2013). The report fully acknowledges
      the contribution of UWS staff, and has substantially influenced Oxfam's
      work at UK level and internationally (5.1; 5.2).
    The UWS-Oxfam Partnership
    The growing engagement between UWS and Oxfam led the latter in the summer
      of 2011 to instigate a UWS-Oxfam Partnership (5.1). The Partnership,
      established in 2012 with £50,000 of initial funding from UWS, primarily
      comprises:
    
      - A Policy Forum, focused on Oxfam's ongoing policy development and
        advocacy strategy, engaging UWS academics with Oxfam, its community
        partners, and a range of other organisations beyond academia (e.g. NHS;
        SURF; Scottish Community Development Council; New Policy Institute;
        Poverty Alliance; STUC; Scottish Family Business Association);
 
      - A programme of research collaborations (currently nine), initially
        funded by the Partnership, engaging academics with Oxfam and its
        community partners, both to support these organisations and to inform
        Oxfam's policy development and advocacy strategy. Some of these
        collaborations are already producing impacts of their own (5.1).
 
    
    This Partnership, which Collins leads from the UWS side, is progressing
      well and working towards levering external RKE funding (5.3). It is seen
      by Oxfam as an exemplar for its wider activities (5.1).
    Impact in Public Health Field
    Collins's work impacted significantly on the work of NHS Health Scotland
      and the Glasgow Centre for Population Health (GCPH — a collaboration
      between NHS Greater Glasgow and Clyde, Glasgow City Council, the Scottish
      Government and the University of Glasgow) (5.4).
    Hitherto, the causes of Scotland's health deficits have been inadequately
      understood. Remedial interventions have had little or no impact. In 2008,
      Collins was approached by an NHS colleague (Gerry McCartney) to
      collaborate on broadening understanding of how immediate causes are linked
      to broader processes of socio-economic and political change (3.3) (5.4).
      Discussions (2009-10) were conducted with key public health figures
      charged with reporting to the Scottish Government.
    From 2010, the two Public Health Programme Managers at the GCPH became
      involved in furthering the work initiated by Collins and McCartney, and
      co-authoring outputs. In 2011, GCPH itself published one of these — a
      major report endorsing and further developing the broadening of
      perspective advocated by Collins (3.5, see also 3.6). All this work has
      been widely reported in the media, at Scottish level (e.g. The
        Scotsman, August 2011, The Herald, June 2012, Sunday Herald,
      August 2011; BBC Scotland News, November 2012, Scotland on Sunday,
        June 2013), UK level (e.g. The Guardian, June 2011 and
      November 2012, The Economist, August 2012) and internationally
      (e.g. Le Monde, November 2012).
    The ongoing impact is now clearly reflected in the continuing work of NHS
      Health Scotland and the GCPH — all of which is conducted `beyond academia'
      (5.5, 5.6). It has also informed the critical assessment of prevailing
      interventions focusing on `immediate' causes, to the neglect of `causes of
      the causes' (5.7). This is evident in a recent Herald report on
      the current view of Scotland's Chief Medical Officer, Sir Harry Burns
      (5.7).
    Urban Regeneration and the `Community Voices Network'
    Collins's work raised broad critical awareness of the failings of the
      prevailing regeneration model. From 2006, it raised particular awareness
      as to the nature of the Community Voices Network — a national community
      organisation, created in 2006, led by a private company and funded by the
      Scottish Executive. This impacted on wider attitudes to the organisation,
      which was subsequently disbanded by the Scottish Government (in 2009)
      (5.8)
    Impact on Trade Union Organisations
    Collins's work played a key role in Clydebank Trades Council's securing a
      2007 Scottish TUC mandate to organise a national conference (`Communities,
      Regeneration and Democracy', September 2008), which Collins addressed.
      This has contributed to ensuring that community engagement and
      regeneration have remained on the agenda of the STUC and individual unions
      (e.g. Unite and Unison). (5.9)
    Collins's research on the UCS Work-In was the basis for a national
      training event for Unite trade union activists (August 2011), and was used
      extensively by FairPley Associates, who organised this training and also
      the wider programme of celebrations for the 40th anniversary of
      the Work-In sponsored by the Unite trade union(in 2011-12). Collins
      provided the material for David Hayman's re-enactment of Jimmy Reid's role
      at the main anniversary event (February, 2012). (5.10)
    Sources to corroborate the impact 
    5.1 Note from Head of Oxfam Scotland
    5.2 Oxfam's Our Economy strategy, see esp. pp.8-9 and p.51 for
      references to UWS input and current/future role: http://policy-practice.oxfam.org.uk/publications/our-economy-towards-a-new-prosperity-294239
    5.3 Application to UWS Strategic Development Fund to support UWS-Oxfam
      Partnership, May 2012; Memorandum of Understanding for UWS-Oxfam
      Partnership, signed October 2012; First Annual Report on the UWS-Oxfam
      Partnership to UWS Financial Monitoring Committee, May 2013 (all available
      on request to UWS)
    5.4 Note from Head of the Public Health Observatory at NHS Health
      Scotland
    5.5 Martin Taulbut, David Walsh, et al (2012) Health and its
        determinants in Scotland and other parts of post-industrial Europe: the
        `Aftershock of Deindustrialisation' study — phase two, A joint
      report by the Glasgow Centre for Population Health and NHS Health
      Scotland. The emphasis in this report on the importance of the political
      differences between Europe and the UK after 1979 to the differences in
      health outcomes between UK and European deindustrialised areas reflects
      the intervention of Collins and McCartney after the phase one Aftershock
      Report in 2008. This emphasis was not to be found in the 2008 report, and
      in the 2012 report it is linked to the PhD research of Gordon Daniels (a
      former student of Collins at UWS, who became a doctoral candidate at GCPH
      and who drew heavily on Collins and McCartney's work). There is also
      extensive reference in the phase two report to McCartney and Collins's
      `hypotheses' report (3.5).
      http://www.gcph.co.uk/publications/271_the_aftershock_of_deindustrialisation_study-phase_two
    5.6 David Walsh et al (2013) Exploring Potential Reasons for
        Glasgow's `Excess' Mortality: Results of a three-city survey of Glasgow,
        Liverpool and Manchester, Glasgow Centre for Population Health. This
      report uses large-scale survey data to explore seven key theories as to
      the causation of Glasgow's excess mortality. One of these is the
      `political attack' perspective developed by Collins and McCartney. Collins
      helped to design the survey and contributed to the analysis of the
      results.
      http://www.gcph.co.uk/publications/440_exploring_potential_reasons_for_glasgows_excess_mortality
    5.7 "Demise of Shipyards Blamed for Scotland's Ill Health", The
        Herald, 3rd October 2013, p.4
 http://www.heraldscotland.com/news/health/demise-of-shipyards-blamed-for-nations-ill-health.22329844
    5.8 Note from Chief Executive, Scottish Urban Regeneration Forum:
      Scotland's Independent Regeneration Network
    5.9 Note from Secretary, Clydebank and District Trades Council. STUC
      Conference listed at
 https://www.jiscmail.ac.uk/cgi-bin/webadmin?A2=crit-geog-forum;e4ff0bf5.0808
    5.10 Note from FairPley Associates