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