EXWORTHY, Mark

`How great expectations in Westminster may be dashed locally' : the local implementation of national policy on health inequalities - 2002

Talkling healt inequalities is a policy priority for the Labour government in the UK. We use Kingdon's model of `policy streams' to explain how the issue of realth inequalities gets onto the policy agenda nationally and locally, and how it is being implemented. Using empirical evidence from local agencies, we suggest that the issue of theath inequalities is on the agenda nationally and locally but implementation is hampered by deficiencies in performance management, insufficient integration between policy sectors, and contradictions between heath inequalities and other policy imperatives. Thus, the government's expectations are not only dashed locally, but also local expectations are being dashed at the centre


Health Inequalities
Policy
Implementation
Intergovernmental Relations