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Joint working, reality or rhetoric?

A B Gilmore1

  • 1ECOHOST, London School of Hygiene and Tropical Medicine. anna.gilmore@lshtm.ac.uk

Journal of Public Health Medicine
|April 24, 2001
PubMed
Summary
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Joint working between government departments to tackle health inequalities and social exclusion is not effective. Poor coordination and a lack of public health understanding hinder progress.

Area of Science:

  • Public Health
  • Health Policy
  • Social Determinants of Health

Background:

  • The UK Government prioritizes eliminating health inequalities and social exclusion.
  • Partnership working is identified as a key strategy in policy initiatives to address these issues.

Purpose of the Study:

  • To evaluate the effectiveness of joint working in practice, specifically examining the Social Exclusion Unit.
  • To identify barriers to effective partnership working between government bodies and public health initiatives.

Main Methods:

  • Qualitative analysis of policy initiatives and organizational structures.
  • Case study approach focusing on the Social Exclusion Unit's cross-organizational collaboration.
  • Identification of coordination challenges between the Department of Health and the Cabinet Office.

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Main Results:

  • Centrally, joint working is not functioning effectively, despite policy emphasis.
  • Public health programs are poorly coordinated with broader government social exclusion initiatives.
  • Lack of understanding regarding public health's role in tackling inequalities and social exclusion was identified as a key issue.

Conclusions:

  • Central government directives require better coordination to support local partnership efforts.
  • Public health community needs to clarify and promote its role in addressing social exclusion and inequalities.
  • Effective collaboration is crucial for achieving government's agenda on health inequalities and social exclusion.