Framing health inequalities for local intervention: comparative case studies

Blackman, Tim; Harrington, Barbara; Elliott, Eva; Greene, Alex; Hunter, David J.; Marks, Linda; McKee, Lorna and Williams, Gareth (2012). Framing health inequalities for local intervention: comparative case studies. Sociology of Health & Illness, 34(1) pp. 49–63.



This article explores how health inequalities are constructed as an object for policy intervention by considering four framings: politics, audit, evidence and treatment. A thematic analysis of 197 interviews conducted with local managers in England, Scotland and Wales is used to explore how these framings emerge from local narratives. The three different national policy regimes create contrasting contexts, especially regarding the different degrees of emphasis in these regimes on audit and performance management. We find that politics dominates how health inequalities are framed for intervention, affecting their prioritisation in practice and how audit, evidence and treatment are described as deployed in local strategies.

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  • Item ORO ID
  • 30975
  • Item Type
  • Journal Item
  • ISSN
  • 0141-9889
  • Project Funding Details
  • Funded Project NameProject IDFunding Body
    Not SetNot SetUK Economic and Social Research Council under the Public Services Programme (Ref RES-153-25-0079)
  • Keywords
  • health inequality; United Kingdom; devolution; policy streams; framing; narratives; discourse analysis
  • Academic Unit or School
  • Other Departments > Vice-Chancellor's Office
    Other Departments
  • Copyright Holders
  • © 2011 The Authors. Sociology of Health & Illness, © 2011 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.
  • Depositing User
  • Tim Blackman