The power of rhetoric in re-shaping health and social care: implications for the under-served

Autori/Curatori Sarah Skerrat
Anno di pubblicazione 2016 Fascicolo 2016/3 Lingua Inglese
Numero pagine 20 P. 9-28 Dimensione file 281 KB
DOI 10.3280/SP2016-003002
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FrancoAngeli è membro della Publishers International Linking Association, Inc (PILA)associazione indipendente e non profit per facilitare (attraverso i servizi tecnologici implementati da l’accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche

Policy rhetoric in Scotland emphasises "communities" as thearena within which systemic social, economic and environmental problemscan be solved. Place-based communities are appropriate authors of inclusiveand sustainable solutions; "local voices" are the legitimate vehicle forcreating strategic direction that "fits" communities. Since the establishmentof the Scottish Parliament (1999) there has been a substantive, ideologicalshift in policy rhetoric towards "achieving through community". This isparticularly so in rural areas, where the normative narrative is self-reliant "resilient communities". The author examines the implications of this policyorientation in relation to health and social care policy, a cornerstone ofScotland’s statutory landscape. The author concludes that: the alreadyempoweredare best-placed to be further empowered through theseprocesses of devolution-to-community, risking non-inclusive welfareprovision; and place-based solutions are not being underpinned by placebaseddata. The normative push is paramount; rigorous analysis is sidelinedby the seductiveness of community-centred rhetoric.

Keywords:Communities; Policy; Resilience; Welfare; Rural

  1. Ashmore, F., Farrington, J. and Skerratt, S. 2015. Superfast Broadband and Rural Community Resilience: Examining the Rural Need for Speed. Scottish Geographical Journal, 131, pp: 3-4, 265-278, DOI: 10.1080/14702541.2014.978808
  2. — forthcoming 2016. Community-Led Broadband in Rural Digital Infrastructure Development: Implications for Resilience. Journal of Rural Studies.
  3. Audit Scotland. 2015. Ayrshire and Arran Health Board: Annual Audit Report for the Board of NHS Ayrshire and Arran and the Auditor General for Scotland 2014/15. Edinburgh: Audit Scotland.
  4. — 2016a. Changing Models of Health and Social Care, Edinburgh: Audit Scotland.
  5. — 2016b. Changing Models of Health and Social Care, Supplement 1. Edinburgh: Audit Scotland.
  6. Bentley, G. and Pugalis, L. 2013. New directions in Economic Development: Localist Policy Discourses and the Localism Act. Local Economy, 28(3), pp. 257-274.
  7. Brennan, M. and Luloff, A. 2007. Exploring Rural Community Agency Differences in Ireland And Pennsylvania. Journal of Rural Studies, 23, pp. 52-61.
  8. Cairney, P. 2016. Evidence-Based Best Practice is More Political than it Looks: A Case Study of the ‘Scottish Approach’. Evidence and Policy, pp.1-17.
  9. Cleaver, F. 2001. Institutions, Agency and the Limitations of Participatory Approaches to Development. In B. Cooke and U. Khotari eds. 2001.
  10. Participation, The New Tyranny? pp.36-55. London: Zed Books. — The Social Embeddedness of Agency and Decision-Making. In S.
  11. Hickey and G. Mohan eds. 2004. Participation: From Tyranny to Transformation? pp.271-277. London: Zed Books.
  12. Cook, B. and Khotari, U. 2001. Participation, the New Tyranny. London: Zed Books.
  13. Cox E. 2010. Five Foundations of Real Localism. Newcastle Upon Tyne: IPPR North.
  14. Curry, N. 2012. Transactions Costs in Rural Decision-Making: The Case of Funding and Monitoring in Rural Development in England. Public Administration, 90(3). pp. 622-641. ISSN 0033-3298. Available from:
  15. Davies, A. 2007. Organic or Orchestrated: The Nature of Leadership in Rural Australia. Rural Society, 17(2), pp. 139-154.
  16. Dawley S, Pike A, Tomaney J. 2010. Towards the Resilient Region? Local Economy, 25(8), pp. 650-667.
  17. Department of Communities and Local Government (2011), A Plain English Guide to the Localism Act. London: Department of Communities and Local Government.
  18. Edwards, B. 1998. Charting the Discourse of Community Action: Perspectives from Practice in Rural Wales. Journal of Rural Studies, 14(1), pp 63-77.
  19. Edwards, M. 2009. Civil Society. Cambridge: Polity Press.
  20. Emery, M. and Flora, C.B. 2006. Spiraling-up: Mapping Community Transformation with Community Capitals Framework. Journal of the Community Development Society, 3(1), pp. 19-35.
  21. Fischbacher, C. 2014. Identifying ‘Deprived Individuals’: Are There Better Alternatives to the Scottish Index of Multiple Deprivation (SIMD) for Socioeconomic Targeting in Individually Based Programmes Addressing Health Inequalities in Scotland? Edinburgh: ISD Scotland.
  22. Flora, C.B., Emery, M., Fey, S. and Bregendhal, C. No date. Community Capitals: A Tool for Evaluating Strategic Interventions and Projects. Iowa State University: North Regional Centre for Rural Development.
  23. Gray, I. 2005. Challenges for Individual and Collective Action. In C. Cocklin and J. Dibden eds. 2005. Sustainability and Change in Rural Australia, pp. 230-246. Sydney: University of New South Wales Press.
  24. Gray, I. and Sinclair, P. 2005. Local Leaders in a Global Setting: Dependency and Resistance in Regional New South Wales and Newfoundland. Sociologia Ruralis, 45(1/2), pp. 37-52.
  25. Herbert-Cheshire, L. 2000. Contemporary Strategies for Rural Community Development in Australia: A Governmentality Perspective. Journal of Rural Studies, 16, pp. 203-215.
  26. Herbert-Cheshire, L. and Higgins, V. 2004. From Risky to Responsible: Expert Knowledge and the Governing of Community-Led Rural Development. Journal of Rural Studies, 20, pp. 289-302.
  27. Hildreth, P. 2011. What is Localism, and What Implications Do Different Models Have for Managing the Local Economy? Local Economy, 26(8), pp. 702-714.
  28. Kretzmann, J. and McKnight, J. 1993. Building Communities from the Inside Out: A Path Toward Finding and Mobilizing a Community's Assets. Centre for Urban Affairs and Policy Research, Chicago: ACTA Publications.
  29. Lowndes, V. and Pratchett, P. 2012. Local Governance under the Coalition Government: Austerity, Localism and the ‘Big Society’. Local Government Studies, 38(1), pp. 21-40.
  30. MacKinnon, D. 2002. Rural Governance and Local Involvement: Assessing State-Community Relations in the Scottish Highlands. Journal of Rural Studies, 18, pp. 307-324.
  31. Mackleworth, P.C. and Caric, H. 2010. Gatekeepers of island communities: Exploring the pillars of sustainable development. Journal of Environmental Development and Sustainability, 12, pp. 463-480.
  32. O’Brien, D., Hassinger, E. and Brown, R. 1991. The Social Networks of Leaders in More and Less Viable Communities. Rural Sociology, 56(4), pp. 699-716.
  33. O’Toole, K. and Burdess, N. 2004. New Community Governance in Small Rural Towns: The Australian Experience. Journal of Rural Studies, 20, pp. 433-443.
  34. Price Waterhouse Coopers. 2015a. NHS Dumfries and Galloway Annual report to Those Charged with Governance and the Auditor General for Scotland. Glasgow: PCW.
  35. — 2015b. NHS Western Isles Annual report to Those Charged with Governance and the Auditor General for Scotland. Glasgow: PWC.
  36. Riddoch, L. 2015. Blossom: What Scotland Needs to Flourish. Edinburgh: Luath Press Ltd.
  37. Rural Development Council. 2010. Speak up for Rural Scotland. Edinburgh: RDC. Scottish Government. 2011b. Our Rural Future. Edinburgh.
  38. — 2011a. Commission on the Future Delivery of Public Services. Edinburgh: Scottish Government.
  39. — 2014a. Policy Memorandum Community Empowerment (Scotland) Bill. Edinburgh.
  40. — 2014b. Programme for Government 2014-2015. Edinburgh.
  41. — 2015. Programme for Government 2015-2016. Edinburgh.
  42. Scottish Government and COSLA. 2009. Community Empowerment Action Plan. Edinburgh.
  43. Scottish Executive. 2000. Rural Scotland: A New Approach. Edinburgh.
  44. — 2002. Rural Scotland: Taking Stock. Edinburgh.
  45. — 2007. Rural Scotland: Better Still Naturally. Edinburgh.
  46. Scottish National Party. 2016. Scottish Election Manifesto. Edinburgh. Shortall, S. 2004. Social or Economic Goals, Civil Inclusion or Exclusion? An Analysis of Rural Development Theory and Practice. Sociologia Ruralis, 44(1), pp. 110-124.
  47. — 2008. Are Rural Development Programmes Socially Inclusive? Social Inclusion, Civic Engagement, Participation and Social Capital: Exploring the Differences. Journal of Rural Studies, 24(4), pp. 450-457.
  48. Shucksmith, M. 2000. Endogenous Development, Social Capital and Social Inclusion: Perspectives from LEADER in the UK. Sociologia Ruralis, 40(2), pp. 208-218.
  49. Skerratt, S. 2010a. How Are Scotland’s Rural Communities Taking Ownership of Their Own Future? In S. Skerratt, C. Hall, C. Lamprinopoulou, D.
  50. McCracken, A. Midgley, M. Price, A. Renwick, C. Revoredo, S. Thomson, F. Williams and A. Wreford eds. 2010. Rural Scotland in Focus 2010, pp.42-51. Edinburgh: Rural Policy Centre, Scottish Agricultural College.
  51. — 2010b. Hot Spots and Not Spots: Addressing Infrastructure and Service Provision Through Combined Approaches in Rural Scotland. Sustainability, 2(6), pp. 1719-1741.
  52. — 2011. A Critical Analysis of Rural Community Leadership: Towards Systematised Understanding and Dialogue Across Leadership Domains. The Journal of Contemporary Issues in Business and Government, 17(1), pp. 87-107.
  53. — 2012. The Need to Shift Rural Community Development from Projects Towards Resilience: International Implications of Findings in Scotland. In S. Sjoblom, K. Andersson, T. Marsden and S. Skerratt eds. 2012. Sustainability and Short-term Policies: Improving Governance in Spatial Policy Interventions, pp.127-152. London: Ashgate Publishing.
  54. — 2013. Enhancing the Analysis of Rural Community Resilience: Evidence from Community Land Ownership. Journal of Rural Studies, 31, pp. 36–46.
  55. Skerratt, S. and Woolvin, M. 2014. Rural Poverty and Disadvantage: falling between the cracks? in Skerratt et al (2014), Rural Scotland in Focus 2014, Edinburgh: Rural Policy Centre, SRUC, Scotland’s Rural College.
  56. Skerratt, S. and Steiner, A. 2013. Working with Communities Who do not Engage: Complexities of Empowerment. Local Economy, 28(3), pp. 320-338.
  57. Skerratt, S. and Hall, C. 2011a. Management of Community-Owned Facilities Post Acquisition: Brokerage for Shared Learning. Local Economy, 26(8) pp. 661-676.
  58. — 2011b. Community Ownership of Physical Assets: Challenges, Complexities and Implications. Local Economy, 26(3), pp. 170–181 Sorensen, T. and Epps, R. 1996. Leadership and Local Development: Dimensions of Leadership in Four Central Queensland Towns. Journal of Rural Studies, 12(2), pp. 113-125.
  59. Woods, M., Edwards, B., Anderson, J. and Gardner, G. 2006. Leadership in Place: Elites, Institutions and Agency in British Rural Community Governance. In L. Cheshire, V. Higgins and G. Lawrence eds. 2006. Rural Governance: International Perspective, pp.211-226. Routledge Studies in Human Geography. London: Routledge.

  • Whose Narrative is it Anyway? Narratives of Social Innovation in Rural Areas – A Comparative Analysis of Community‐Led Initiatives in Scotland and Spain Néstor Vercher, Carla Barlagne, Richard Hewitt, Maria Nijnik, Javier Esparcia, in Sociologia Ruralis /2021 pp.163
    DOI: 10.1111/soru.12321

Sarah Skerrat, The power of rhetoric in re-shaping health and social care: implications for the under-served in "SOCIOLOGIA E POLITICHE SOCIALI" 3/2016, pp 9-28, DOI: 10.3280/SP2016-003002