Showing posts with label productivity. Show all posts
Showing posts with label productivity. Show all posts

Friday, 2 September 2022

Levelling Up: welcome news or overly ambitious and unrealistic?

Posted by Chloe Beck, Health and Social Care student, Northumbria University

Before his resignation, Boris Johnson unveiled his flagship ‘Levelling Up’ plan. Hailed as the ‘defining mission’ of his Government, this new plan strives to transform the United Kingdom by increasing opportunities and prospects for the whole population. It aims to shift Government focus onto the so-called ‘forgotten communities’ of Great Britain, through a decade long project consisting of twelve missions that have been given status within UK law. Although changes are now afoot in the Government, both candidates to replace Johnson - Liz Truss and Rishi Sunak - have stated their continued commitment to the policy. It seems therefore, that levelling up is here to stay (for a bit longer at least). But what might this mean for inequality in the UK and are its goals likely to be reached?

Levelling up fund boost for historical landmark and high street in Yarm (cropped)
Rishi Sunak visiting Yarm in North East England, December 2021
As might be expected with such a bold promise, the Levelling Up plan has been both welcomed, and branded as overly ambitious (Wood and Swift, 2022). Some see the policy as a serious attempt at understanding and reacting to the regional inequalities that exist within the United Kingdom (HM Government, 2022; Wood and Swift, 2022). Supporters view the policy as a sensible plan, with missions that are collective and recognise the links between health, skills, education and the economy (Wood and Swift, 2022). It’s certainly clear that Levelling Up promises some huge and much needed changes to healthcare services and for the population within the UK (including upgrades to hospitals, increased GP appointments, new fruit and vegetable prescriptions to help tackle food insecurity, changes to the school curriculum to support healthy eating, and community hubs to tackle diagnostic backlogs). Whether these changes are do-able in the context of continued staff shortages and already under-funded health services remains to be seen.

The Labour party has described Levelling Up as a rehash of recycled policies (Harari et al., 2022), with others stating that it is too aspirational and impractical (Pope, 2022). It is argued that the policies breadth and scope may make it hard for the Government to maintain focus and could create a scattered approach (Newman et al., 2022; Pope, 2022; Wood and Swift, 2022).

One of the major problems appears to be a lack of long-term funding into the whole Levelling Up plan, with funds only extending to 2030 (Swinney, 2022). Levelling up may not be fully achieved if funds dwindle once 2030 comes around. Calls for Government to extend Levelling Up plans beyond 2030 (Swinney, 2022), to ensure its longevity and successfulness are unlikely to be met, especially in a political environment where short-termism is the norm and where the maximum term of a Parliament is five years (Marsh, 2013). Likewise, critics suggest that an agreement needs to be made between political parties to ensure Levelling Up is not scrapped once a new Government comes into power (Davenport and Zaranko, 2020; Swinney, 2022).

Even despite levelling up actions, differences in productivity between areas within the United Kingdom will likely remain (Atherton and Webb, 2022). This is because different places have different roles within the economy, with London being top of the chart for professional services, and Wales for the manufacturing sector for example (Sykes and Lisle, 2021). Setting area specific goals and targets (Atherton and Webb 2022), and implementing types of spending (Mason 2022) which take into account the specific demographics and economy of an area may help to combat this issue. Though, of course, this local variation may pose alternative challenges due to mixed ideologies and inconsistency with ideas laid out in the original white paper.

Setting aside concerns about feasibility, it has also been found that many disadvantaged areas are not prioritised within the plan (Atherton and Webb, 2022). This demonstrates a lack of attention and care towards the very thing that the plan is aiming to fix: inequalities! Data journalists at The Guardian found that some of the most deprived localities are receiving far less financial support than some of the most affluent areas, with Bromsgrove in Worcestershire receiving £148 per person and Knowsley in Merseyside receiving no money per person for example. This chimes with Rishi Sunak’s comments about redirecting funding away from disadvantaged areas and towards wealthier towns.

Overall, the new Levelling Up plan has both its positives and negatives. It is a clear start at aiming to try and reduce longstanding inequalities within the United Kingdom. However, the extent to which these policies will be followed as they have been set out is unclear, and only time will tell whether it manages to achieve its missions and ‘level up’ the country.

The cynic in me thinks that this push for equity may also have something to do with attracting votes...



Part of our Fuse blog Student Series
The Fuse blog Student Series showcases posts by students who have been challenged to write a blog as part of their studies at one of the universities in the Fuse collaboration, the NIHR School for Public Health Research, or perhaps further afield. The authors may be new to blogging and we hope to provide a 'safe space' for the students to explore their subject and find their voice in the world of public health research.


The views and opinions expressed by the author are those of the author and do not necessarily reflect those of Northumbria University or Fuse, the Centre for Translational Research in Public Health.

Image: HM Treasury, OGL 3, via Wikimedia Commons

Thursday, 9 April 2020

Working from home isn’t for everyone - here’s how to cope if you’re struggling

Posted by Annabel van Griethuysen, Floating Dietetic Clinical Specialist, Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV)

You may find yourself, as I have, being asked to work from home during the COVID-19 crisis. Although my work as a dietitian is vital to the NHS and to the care of patients, it is something which can be done remotely. Whilst those working from home may feel relieved in some ways to be able to socially distance, unlike our colleagues in front line services, this still comes with its own challenges.



Being isolated at home can be hard; it is easy to feel cut off from friends and co-workers, to feel out of the loop when it comes to work decisions and to feel stressed with how best to work when at home. Some people may find it frustrating that they cannot work as they did, and find performance dropping; others have told me that they are working over and beyond to almost prove that they are still being productive.

Working from home works for some people, and not for others. So what should we do if we are asked to work from home, and are struggling?

One thing which is key is to ensure that you keep a routine as much as possible. It is tempting to roll out of bed and turn on the laptop; no hair brushing, in pyjamas, no makeup. However, getting up and keeping a routine is very helpful to maintain mental health and structure. Getting up with enough time to relax before turning on the computer, to get dressed and to have breakfast, will help to separate relaxing time at home from work time at home. This also goes for the rest of the day - make time to do enjoyable activities, make sure you are getting enough sleep, and schedule breaks into your working day.

Ensuring you are eating and drinking well is also extremely important. Having time away from the computer for lunch and sitting in a different place to eat can help to break up the day and give you a much needed break. Generally, the British Dietetic Association has advised to continue to eat and drink normally throughout this pandemic, focussing on a balance of food groups. If we are struggling to shop regularly, they advise using fresh foods first, but also frozen, dried and tinned produce, for example vegetables, are still a valuable sources of nutrition. It is tempting to snack more when working from home; I know personally the lure of the biscuit tin is strong, but instead of reaching for a biscuit, try getting a hot drink, or having a wander to a different room for a 5 minute break. I’m lucky enough to have a garden to use to get a quick bit of exercise.

One thing to potentially consider is a supplement of vitamin D. This is usually the sunshine vitamin which, in the spring, we would be able to get from sunlight, but with limited exposure to the sun at the moment, a 10microgram supplement may be beneficial.

Having a completely separate space to work which is tidied or hidden away at the end of the day can help to establish structure and boundaries, and resist the temptation to work on into the night. Try to make sure that this space is appropriate as well, with a desk, supportive chair, and enough natural light and ventilation. It can also help to keep two or four legged ‘helpers’ at bay!

But finally, it is normal and understandable to feel anxious and stressed, especially at this time. So make sure you are talking if this is the case. Reach out to your social circles (I have somehow managed to teach my mother to use WhatsApp video calling!) and keep connected. Together we will be strong.

Some sources of support and information:

Annabel is a Floating Dietetic Clinical Specialist at Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV). Practitioner of Public Health, Faculty of Public Health, Trade Union Representative for the BDA (Association of UK Dietitians) and Staff and Dietetic Wellness Champion.

Photo attribution: 

Friday, 30 November 2018

Please mind the health gap: turning complex equations into a call for action

Guest post by Heather Brown, Senior Lecturer in Health Economics, and Michelle Addison, Research Associate, Newcastle University

As a quantitative researcher, I sometimes find it difficult to see how the output from complex equations can make a difference to people’s lives. The launch event for the Northern Health Science Alliance (NHSA) Health for Wealth report was a fantastic opportunity to see first-hand how statistical analysis can actually be used to influence policy and practice.



The productivity and health gap

There is a well-known productivity gap between the Northern Powerhouse and the rest of England of £4 per person per hour[1]. There is also a high health gap between the Northern Powerhouse and the rest of England, with life expectancy 2 years lower in the North. Given that both health and productivity are lower, the NHSA commissioned the Health for Wealth report to understand the impact of poor health on productivity and to explore the opportunities for improving UK productivity by unlocking regional growth through health improvement.

The perfect setting

The launch of the report took place in Newcastle at the Boiler Shop in the morning and at Lancaster House in London in the evening. The Boiler Shop is an impressive, urban industrial building set back from the Central Station. It was built in 1820 and was where Robert Stephenson and Company developed the world’s first locomotives. This has to be the perfect setting for the launch of the report. What better way to discuss how to build a healthier Northern Powerhouse for UK productivity than in this historically important space regarded as the ‘crucible of the Industrial Revolution’? The space is filled by a 100 plus audience of local policy makers, employers, health care practitioners, representatives from third sector organisations, academics, and the general public.

The morning event in Newcastle was kick started with a welcome address by Dame Jackie Daniel, Chief Executive of Newcastle Hospital and NHS Foundation Trust. She outlined how the Trust was very good at meeting targets and is one of the best performing Trusts in the country. But, the North East is still faced with reduced life expectancy and worse health outcomes than the rest of England. To solve this problem she said, we need a joint approach working with employers, local government, the voluntary sector, and the NHS. The report makes the case why it is in everyone’s interest to work together and that improving health, will improve economic prospects.

Fuse Deputy Director Professor Clare Bambra presents the report findings 
This was followed by a summary of the report findings by Fuse Deputy Director Professor Clare Bambra highlighting how 30% or £1.20 of the productivity gap between the Northern Powerhouse region and the rest of England can be explained by health. Reducing this health gap would generate an additional £3.2 billion in Gross Value Added (a measure of economic productivity). 

Next up was the leader of Newcastle City’s Council Nick Forbes. He discussed how in his role he can take the results from the report to try and make a positive change to the economic and health prospects for Newcastle. He also outlined the challenges faced from the current political climate in terms of squeezed budgets for local authorities and public health in particular.

Then there was a Q&A session where interesting questions were raised by a member of the voluntary sector on implementation and the need to involve the local community.

Finally, there was a closing address by Dr Hakim Yadi OBE, CEO of the NHSA, stressing how there was a need to make an economic case for improving health to get the central government to listen and take actual steps to make a difference.

I left the event thinking about how I present my research questions and findings and that when presented in a way that can be understood by key stakeholders, quantitative analysis can be meaningful and useful. The focus does not need to be on the complex equations but how the output from these equations can be used to change opinions or make a case for action.

I hope that the findings from this report lead to real change in improving health and economic prospects for all of us living in the Northern Powerhouse. I also hope that it changes the way I think about how I present my findings and research questions to generate evidence that can easily be used to make a real difference to public health and reducing health inequalities.


Report: Health for Wealth: Building a Healthier Northern Powerhouse for UK Productivity 
News: Major new report connects North’s poor health with poor productivity

The universities involved in the Northern Health Science Alliance (NHSA) commissioned ‘Health for Wealth’ report are: Newcastle University, University of Manchester, University of Lancaster, University of York, University of Liverpool and Sheffield University.

Reference:
  1. Office for National Statistics (2015), Regional and sub-regional productivity in the UK, https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/regionalandsubregionalproductivityintheuk/jan2017