The Knowledge Exchange Blog

The official blog of The Knowledge Exchange from Idox

Rolling the dice with sexual health? New challenges for STI services

Today is the start of Sexual Health Week, which aims to raise awareness about services for the testing and treatment of sexually transmitted infections (STIs). The UK has a strong track record in the provision of STI services. But they are now facing new challenges, including a rise in demand, significant cutbacks in public health funding, and the emergence of infections that are resistant to treatment.

A historical perspective

STIs go back a long way. Syphilis first became widely reported in Europe during the late fifteenth century, while gonorrhoea was first described 3,500 years ago. For a long time, these diseases were incurable, afflicting millions of people and leading to infertility, disfigurement and insanity. Early attempts at treatment with mercury often proved fatal. With the development of penicillin in the 1940s, along with improvements in sex education, the rates of STIs fell dramatically. More recently, new drugs have revolutionised the treatment of people living with HIV.

A growing problem

Today, the instances of STIs are rising. In Australia, rates of syphilis, gonorrhoea and chlamydia are the highest since the 1990s. It’s a similar story in the United States and Canada, while in the European Union reported syphilis cases have continued to grow. HIV remains a major public health concern, with recent data indicating a significant number of new infections in eastern Europe.

In the UK, a 2019 report by the House of Commons Health and Social Care Committee found that overall STIs fell between 2013 and 2017. But more recent figures have revealed worrying developments:

  • In 2017 there was a 20% increase in cases of syphilis in England, and a 22% increase in gonorrhoea.
  • In Scotland, the number of cases of syphilis recorded has reached a 15-year high.
  • Public Health Wales has reported a 79% increase in syphilis cases in the country between 2016 and 2018.
  • The number of people in Northern Ireland diagnosed with gonorrhoea in 2018 was the highest on record.

The committee found that the impact of STIs in England is greatest among young people. Men who have sex with men are also disproportionately affected by STIs, while in black and minority ethnic populations, the rates of STI are higher than in the general population.

Along with the rise in the number of infections, the demand for sexual health services is increasing. At the same time, sexual health services say they are facing unprecedented threats from government cuts to local authority public health budgets.

In 2017, a Public Health England survey highlighted the concerns of commissioners of sexual health services. Respondents raised concerns about a decrease in capacity and an increase in demand, in both primary care and specialist services. They believe the consequences could include a worsening of health inequalities and a shift from prevention to treatment.

Debbie Laycock from the Terence Higgins Trust HIV charity told BBC News:

“The number of people accessing sexual health services has continued to rise, demand is on the increase and we’re hearing day-to-day more and more people are saying they’re being turned away from sexual health clinics. When it becomes harder to get an appointment, this is likely to deter people who don’t have symptoms, but just want a routine test. Those routine tests pick up infections at an early stage and stop them being spread to too many other people.”

Services at “breaking point”

There are concerns that this situation will worsen: from April 2020, previously ring-fenced sexual health, drug and alcohol services, which in England are funded by local authorities, will be competing for increasingly scarce funds alongside other council services such as social care.

The Health and Social Care Committee argues that budget cutbacks are not only bad for individuals’ health, but also increase overall costs to the NHS:

“Cuts to spending on sexual health, as with other areas of public health expenditure, are a false economy because they lead to higher financial costs for the wider health system. Inadequate sexual health services may also lead to serious personal long-term health consequences for individuals and jeopardise other public health campaigns such as the fight against antimicrobial resistance.”

This last point refers to a worrying new issue in the treatment of STIs. In recent months, several cases have been reported of new infections that have developed resistance to antibiotics.

Dr Tim Jinks, head of Wellcome’s Drug Resistant Infection programme, believes that increasing resistance to antibiotics will make treating and curing STIs harder:

“Untreatable cases of gonorrhoea are harbingers of a wider crisis, where common infections are harder and harder to treat. We urgently need to reduce the spread of these infections and invest in new antibiotics and treatments to replace those that no longer work.”

Some health professionals, such as Duncan Stephenson from the Royal Society for Public Health have warned that sexual health services are already at breaking point:

“With continued increases in rates of STIs such as syphilis…and the future threats posed by issues such as drug resistant gonorrhoea, the government is rolling the dice with the public’s sexual health.”

 Sexual health services for people with disabilities

This year, Sexual Health Week is focused on people with disabilities, who often face barriers that prevent access to information and support. To overcome these obstacles, sexual health services need to make changes, such as providing longer consultation periods for people with learning disabilities, and training for health professionals in advising and treating patients with special needs. With sexual health services already under pressure, the challenges of meeting the particular needs of people with disabilities are all the greater.

Final thoughts

In its report, the Commons Health and Social Care Committee recommended that Public Health England should collaborate with the sectors involved in commissioning and providing sexual health services to develop a new strategy. The report’s authors believe that this strategy:

“should help both providers and commissioners in their attempts to deliver sexual health services to a high quality and consistent level, in the face of the challenges of fragmented structures and reduced funding.

The committee also identified priority areas to be addressed by the strategy, including:

  • the provision of services which meet the needs of vulnerable populations
  • testing for the full range of sexually transmitted infections
  • access to pre-exposure prophylaxis (PrEP) for those at risk of contracting HIV
  • preventative interventions within all aspects of sexual health

Sexual health is an important part of physical and mental health, as well as ensuring emotional and social well-being. Modern, rapid testing can reduce the rate of onward transmission, and ensure that patients receive the right care, leading to long and healthy lives. Ensuring that those benefits continue will be the greatest challenge facing sexual health services now and in the future.


Effective clinical management for sexual health services

Effective record-keeping is an understated, but fundamentally important element of sexual health services. Increasingly, sexual health clinics are turning to electronic systems to maintain records, improve services and deliver cost savings.

Lilie is a clinical management software system specifically designed by Idox Health for sexual health services. Its electronic patient record (EPR) system provides fast access to patient information and greatly reduces administrative functions.

The system also provides sexual health services with a range of options, including:

    • patient communication via SMS
    • modules for contraceptive and reproductive health, chlamydia screening, HIV, and prescribing services
  • laboratory test results automatically received and entered into the electronic patient record

This market-leading software is now in use in more than 140 sites.

Further information about Lilie is available from Idox Health.

Youth Work in the Digital Age – What Next?

by Scott Faulds

On Tuesday 3rd September, youth work organisations from across the European Union came together in Glasgow to launch the European Guidelines for Digital Youth Work, training materials and a collection of short films showcasing Good Practice. This was the culmination of a two-year transnational Erasmus+ project, designed to foster shared understandings and inform, inspire and empower the wider youth work sector to get to grips with youth work in the digital age.

The project was conducted in partnership with YouthLink Scotland, Centre for Digital Youth Care (Denmark), Verke – The National Digital Youth Work Centre (Finland), wienXtra MedienZentrum (Austria), JFF – Institut für Medienpädagogik (Germany), National Youth Council of Ireland and Camara Education Limited (Ireland).

Keynote Speaker: Dr Jane Melvin

To kick off the conference, keynote speaker Dr Jane Melvin of the University of Brighton, spoke of her journey from technophobe to technophile and of her belief that there is no longer an option for youth workers not to embrace digital technology.

Dr Melvin argued that youth workers should utilise any tool which could allow for the better engagement of young people. She described this as the “digital hybrid approach”. This approach encourages youth workers to adopt a critical standpoint when considering the use of digital tools and actively encourages the questioning of why and when digital tools are utilised. Dr Melvin contends that it is as much about using digital tools thoughtfully as it is about deciding when not to use them.

Additionally, Dr Melvin stressed that the concept of young people being digitally literate is no longer relevant in a time where technology is advancing at an ever-faster pace. In the digital age, it is vital that young people can navigate a variety of different digital tools and be confident in adopting new technologies as they emerge. This ability to transfer existing knowledge to critically assess the best way to interact with new and emerging technology has been described as digital fluency, and Dr Melvin advocates the need for every young person to develop this fluency to enable them to thrive in the digital age.

In closing, Dr Melvin stated that for youth work in the digital age, it is essential to find a balance between conservative stability and runaway adoption, to ensure that youth workers can truly reap the benefits of the digital age.

Digital Youth Work in Scotland

As the conference was held in Glasgow, it seemed only fitting to hear about some of the work that youth work organisations in Scotland were doing to help adapt to the digital age.

We heard from Claire McGinley and Inigo Sands from Paisley YMCA, which has received awards for their digital youth work and has fostered partnerships with Microsoft, Google and the University of the West of Scotland.

Claire and Inigo began by stressing that there is no specific type of young person who will take part in digital youth work, as digital skills are vital to allow young people to access the world of work. We all access the digital world as part of our day-to-day lives and for young people there is less of a distinction between the real and online world. Therefore, is it crucial that youth workers are able to help young people develop their digital skills. This is something Paisley YMCA has had a great deal of success at with, through fostering a good environment for ‘stealth learning’.

Paisley YMCA has a maker space, a STEM for girls’ club, coding dojo and are able to adapt to the needs of young people as new digital tools emerge. However, it is not simply about young people becoming experts at using a 3D printer; the activities offered by Paisley YMCA are about giving young people an opportunity to try new things.

Claire and Inigo concluded that there is no secret formula to digital youth work; you just have to do it, and be open to the opportunity for vertical learning.

We also heard from representatives from the Young Scot 5Rights Young Leaders, who spoke of their work to promote the five digital rights for young people, which were based on the United Nations Convention on the Rights of the Child. The five rights are:

  1. The right to remove
  2. The right to know
  3. The right to safety and support
  4. The right to informed and conscious use
  5. The right to digital literacy

The Young Scot 5Rights Young Leaders presented the Scottish Government with their report, Our Digital Rights, which featured 20 recommendations of how the Government can best support the protection of these rights. Recommendations included the integration of digital literacy across all school subject areas, the ability to limit the unnecessary collection and use of young people’s data and the provision of greater internet access in rural areas of Scotland.

The Scottish Government accepted the recommendations of the report and the Cabinet Secretary for Culture, Tourism and External Affairs, Fiona Hyslop, has agreed to keep the 5Rights Young Leaders involved during its implementation. The 5Rights Young Leaders concluded by voicing their desire for Scotland to become a leading example of how young people and children can benefit from the digital age without having their safety and privacy compromised.  

Good Practice

One of the key aims of this Erasmus+ project was the facilitation of the exchange of good practice and knowledge across the European Union. At the conference, we had an opportunity to hear from each of the partner organisations and learn about the work they were doing in their respective countries. The Digital Youth Work website features a collection of videos featuring Good Practice, as well as an extensive library of training materials.

One particularly interesting example was the online counselling services offered by Denmark’s Centre for Digital Youth Care, who operate three tailored online services.

  1. Cyberhus – a general forum for young people aged between 9 and 23 years old
  2. Mitassist – focused on young men and utilises gamification to keep them engaged
  3. Netstof – focused on discussing drug and alcohol problems for young people aged between 15 and 24 years old

These services offer a space for young people to seek advice and discuss problems anonymously, either with their peers on the moderated forum or with qualified social workers. Cyberhus has 40,000 unique visitors each month and the top three issues regularly discussed are self-harm, eating disorders and relationships. The number of regular users and the type of issues discussed can be challenging for staff, who all have to complete a twelve-week course before working on the platform.

 

Digital Youth Work Good Practice video featuring Denmark’s online counselling platforms


The Centre for Digital Youth Care view this service as vital in helping support young people in Denmark. The anonymity these platforms provide is often attractive to young people, with the vast majority not wishing to provide social workers with their location or confirming if they are already in touch with a professional treatment provider. Anni Marquard, the creator of Cyberhus, believes that youth workers must be willing to adapt to allow them to engage with young people. After all, 88% of all visits to Cyberhus are from smartphones. The use of digital tools to enable anonymous online counselling has enabled young people across Denmark to access support when they need it most and the platforms regularly provide more counselling sessions than their real-life counterparts. Thus, it is clear that youth workers must be ready to adapt to the digital age in order to best engage young people.

Final Thoughts

The conference demonstrated that a great deal of work has been done by organisations and countries across the European Union.

The ability to exchange good practice and knowledge from youth workers across the EU enabled everyone to gain a new perspective on how to approach the implementation of new digital tools and was aided by the format of the conference which encouraged networking and dialogue.

The basis of this transnational Erasmus+ project was the exchange of good practice to enable youth workers across Europe to harness the tools of the digital age to better support young people.

Through the production of the European Guidelines for Digital Youth Work, Good Practice videos and training materials, it is clear that not only has this project been a success, but it has resulted in the creation of a powerful and effective resource that can empower youth workers across the world to meet the challenges of the digital age.


The Knowledge Exchange provides information services to local authorities, public agencies, research consultancies and commercial organisations across the UK. 

Follow us on Twitter to see what developments in policy and practice are interesting our research team.

Daily exercise can boost children’s exam grades – new research

Guest post by Michael McCluskey, Keele University

 

Most parents are aware that physical activity is good for children – as it can help to improve their sense of self and have a positive impact on their mental health and well-being. But it’s less well known that being fit and active can also help to boost children’s academic performance.

Our recent review of primary school children from Stoke-on-Trent, England, shows that children who are more active perform better in key stage one results in reading, writing and mathematics than less active children – achieving grades that were either average or above average for each subject.

We also looked at how the children’s weight and height changed over the school year in our enjoy exercise. All the children gained weight, but less active children appeared to gain weight at a steeper rate than active children. This may mean these children – who currently have a normal weight and body mass – may be at risk of becoming overweight or obese in the future.

Not enough exercise

A report from Sport England shows that children who enjoy exercise, have confidence in their physical abilities and understand why exercise is important, are more likely to be active regularly. The same report also shows that these children do, on average, twice as much physical activity compared with children who don’t enjoy sport and exercise.

The Department of Health recommends children do at least 60 minutes of physical activity every day – but many children fail to meet these recommendations. This is in keeping with national figures that show only 17.5% of English, 38% of Scottish, 51% of Welsh and 12% of Northern Irish children meet the recommended minimum exercise levels.

But inactivity is not just a problem in the UK. Levels of childhood physical activity have recently been described as a global crisis by the World Health Organisation. Increasing urbanisation, changing patterns in transport, increased use of technology and high levels of poverty are considered to be reasons for the decline.

Of course, not all children naturally love exercise – and many dread PE lessons. Indeed, research shows that children who get regular encouragement and who have access to affordable facilities are more likely to be and stay active.

Be a role model

Given that our research shows the impact physical activity can have on academic performance and growth, it’s clear that children need to be encouraged to be active and given time to play regularly at home, in school and in the local community.

Children should walk more, run, cycle, use their scooter, go to their local playgrounds, dance, swim and play sports. Children should also be encouraged to travel to school on foot or by bike where possible and sit less often and for shorter periods of time.

Playing outdoors can help children to develop creative thinking Rawpixel.com/Shutterstock

Importantly, children also need to have positive role models. They need to see parents, family members, teachers and members of the community, enjoying being physically active on a regular basis.

 

This is important because children who are active regularly during childhood are more likely to develop into adults who are active and exercise. And adults who exercise regularly are more likely to live happier and healthier lives than those who do not.The Conversation

Michael McCluskey, Lecturer in Physiotherapy, Keele University

This article is republished from The Conversation under a Creative Commons license. Read the original article.


Read more: articles on children and health on The Knowledge Exchange blog:

Idox congratulates the winners of the RTPI Awards for Research Excellence 2019

Working across professional boundaries was a key theme among the winners of the 2019 Royal Town Planning Institute (RTPI) Awards for Research Excellence, which were announced this week. The awards were presented at the opening ceremony of the UK-Ireland Planning Research Conference at the University of Liverpool.

Idox is proud to have supported the awards since 2015, and this year we again sponsored three of the five awards – the Sir Peter Hall Award for Wider Engagement, the Consultancy Award, and the Student Award.

The judging panel of 28 experienced academics and leading voices from the public and private sector, considered submissions from across the UK and around the world, and the winning entries reflected this diversity.

Entries were on a range of topics, including climate change, spatial justice, physical and mental health, rural development, neighbourhood planning and community engagement.

Award winning research from around the world

RTPI President Ian Tant, who presented the awards, commented that: “High quality and impactful research forms a vital basis for planning practice. This year’s Research Awards have again shone a light on fantastic planning research from around the world.”

Henk Heerink, Director of Idox Content, said: “It was inspiring to see the research showcased in this year’s award applications. At Idox, we have a close relationship with the research community via RESEARCHconnect, our end-to-end solution which supports researchers and institutions to find funding or research partners.”

“It is again a pleasure to see these awards bestowed on researchers who are leading the way in showing how planning research can help shape the world we live in.”

Supporting communities in neighbourhood planning

The Sir Peter Hall Award was awarded to Gavin Parker, Kat Salter and Matthew Wargent (University of Reading – Real Estate & Planning, Henley Business School) for their book and supporting website designed to help communities to engage with community-led planning. This work is the result of extensive research in neighbourhood planning and community involvement in planning led in the past five years by the Neighbourhood Planning academic research hub at Reading University.

The judges found that the project had succeeded in “engaging a wider audience, mobilising an impressive research output and communicating it in an innovative and clear way.”

Planning for healthier outcomes

All four shortlisted entries for the Consultancy award were for research undertaken by Lichfields in different parts of the UK. The ultimate winner was Myles Smith, for their annual review of Local Plan progress under the NPPF 2012. The detailed review of Inspectors’ reports and the qualitative application of planning judgements within them has set the standard for future research in this area.

The judges found the research “eminently relevant for planning practice and research and extremely well-documented.”

Cross-cutting impactful research

The Academic Award went to Dr Chinmoy Sarkar, Prof Chris Webster (University of Hong Kong, Faculty of Architecture, Department of Urban Planning and Design) and Prof John Gallacher (Department of Psychiatry, University of Oxford) for their study ‘Residential greenness and prevalence of major depressive disorders: A cross-sectional, observational, associational study of 94,879 adult UK Biobank participants’.

The Early Career Award went to Dr Guibo Sun for his work with Prof Chris Webster and Xiaohu Zhang (University of Hong Kong, Faculty of Architecture, Department of Urban Planning and Design): ‘Connecting the city: A three-dimensional pedestrian network of Hong Kong’.

The Student Award went to Richard Lundy (Cardiff University, School of Geography and Planning) for his Masters dissertation: ‘Incompatible Imagery: The conflict between heritage and development at Liverpool Waters’.

For the first time, two Practitioner Research Awards were also made. RTPI members who are practising planners were invited to submit research proposals and the winners received £5,000 of research funding.


The full list of winners and shortlisted finalists for the 2019 RTPI Awards for Research Excellence are available here.

We interviewed the winner of the 2016 Sir Peter Hall Award for Wider Engagement, Dr Paul Cowie from the University of Newcastle, about the impact of winning the award for the Town Meeting project, which used theatre to engage communities in planning.

ARLGS library visits: the Royal Conservatoire of Scotland and the National Piping Centre

The Whittaker Library at the Royal Conservatoire of Scotland

Late last month, Academic and Research Libraries Group Scotland (ARLGS) held an afternoon of visits to the libraries of the Royal Conservatoire of Scotland (RCS) and the National Piping Centre (NPC) in Glasgow. Both venues hold fascinating collections, and the visits were a great chance for library and information professionals from across Scotland to see the collections and meet the librarians behind them.

The RCS and the Whittaker Library

Co-ordinated by ARLGS’ event planner, Isabelle Bridoux, the afternoon began at the Royal Conservatoire of Scotland, where librarian Dr. Karen McAulay gave a talk on the history of the performing arts school and its Whittaker Library. Founded in 1847 as the Glasgow Athanaeum, the school quickly became one of the largest and busiest performing arts schools in the country. It has been based at its current site on Glasgow’s Renfrew Street since 1988, and is now considered one of the world’s best performing arts schools.

Dr. McAulay’s stories about the foundation of its Whittaker Library were particularly interesting – it was set up by the school’s janitors and began as a small, closed access collection, which has adapted over the years into the expansive, comprehensive collection of music, drama, dance, production and film which serves the RCS’s students and staff today.

The Whittaker Library’s LP collection

Dr. McAulay spoke about the challenges the library team have faced over the years, including some difficult decisions they have had to make in limiting their collection of physical resources to cope with demands on space. It was apparent how much work has gone into adapting the collection to keep up with the rapidly growing student base and the new courses the school launched in recent years, and Dr. McAulay emphasised that the increasing availability of electronic resources had helped to facilitate this. However, the unique value of their print and physical resources was also evident, and it seemed that striking a balance was important. The library has retained an impressive collection of CDs, LPs and DVDs, and Dr. McAulay emphasised the continuing value of these formats – there are many unique recordings which do not end up available online.

The New Athenaeum Theatre at the Royal Conservatoire of Scotland

The visit to the RCS ended with a tour of the rest of the school (including the New Athenaeum Theatre, the opera school, and an impressive wall of fame).

The National Piping Centre

On arrival at the National Piping Centre, a presentation (and bagpipe performance!) was given by librarian James Beaton. The piping centre operates as an educational charity, promoting the study and the history of piping in Scotland.

The centre has a small internal lending library for students and staff, which holds a large collection of material for studying piping, including printed books, manuscripts, sounds holdings, and teaching tapes. The collections held in the library are truly unique. James Beaton’s talk covered the oral tradition of piping – there was no literature on piping at all until the 18th Century, and older resources relating to piping are rare, making the collection of older material presented during the visits particularly special.

Examples of the collection at the National Piping Centre

The talk covered a varied and interesting range of topics, touching on the complexities of indexing such specialist and valuable material, and the process of and issues around digitising such resources for the library’s online catalogue.

 

Final thoughts

This event showcased the value of libraries in creative and academic institutions, as well as the challenges faced by the librarians who run them. A particular theme which ran through the afternoon’s discussion was the importance of the creative arts in education. Concerns were cited about the decline in subjects like music and drama in schools and the potential impact on the arts industry, and it stood out that libraries like these are playing a vital role in facilitating the continued study of the creative arts.

How well is your economy? Moving beyond GDP as an indicator of success

by Scott Faulds

Since the early 20th century, the predominant method of evaluating the success of a country has been through the metric of Gross Domestic Production (GDP). This measurement is based upon the assumption that economic growth is the key indicator of a successful country.

In recent years, this assumption has been challenged, with politicians and economists, arguing that the focus on GDP has led to the development of policy which values economic growth at the expense of the wellbeing of society.

Following the 2018 OECD World Forum, Scotland, Iceland and New Zealand, have formed a group known as the Wellbeing Economy Governments, to share best practice of how to build an economic strategy that will foster societal wellbeing.  Additionally, organisations such as the OECD, European Commission and United Nations, are all conducting research into the development of policy beyond GDP. Therefore, it is clear that the previously held consensus surrounding the use of GDP has begun to break down, with countries across the world searching for different ways to evaluate the success of policy.

We must forge ahead with progressive economic policies that defy common stereotypes about costs and benefits and keep on promoting gender equality as part of a forward-looking social justice agenda

Katrín Jakobsdóttir
Prime Minister of Iceland

 

What’s wrong with GDP?

According to the International Monetary Fund (IMF), GDP is the measurement of the monetary value of all final goods and services produced within a country during a given period. However, it should be noted that this measure excludes unpaid work and the economic activity of the black market. Simon Kutzents, the modern-day creator of GDP, argued that whilst GDP was effective as a measure of productivity, it should have never been used as an indicator of the welfare of a nation.

Critics of GDP contend that the measure is overly simplistic, due to its interpretation of a successful country as one which is experiencing economic growth, arguing that some countries with growing economies have many social problems. For example, in China GDP grew by 6.6% last year whilst levels of inequality rose faster than in other countries, and society faces a great deal of political oppression. Therefore, it can be said that GDP does not provide a true picture of the success of a country, as it fails to consider societal problems, such as inequality and political freedom.  

The wellbeing approach

As a result of growing criticism of the use of GDP, several countries have started to look at alternative approaches of measuring success which considers factors beyond economic growth. This has led to international interest around the concept of wellbeing, a desire to create policy to improve the wellness of society.

This can manifest in a variety of different forms, from Scotland’s National Performance Framework to New Zealand’s Wellbeing Budget –  both policies designed to help improve the health of society rather than solely increasing economic growth.

However, this should not be interpreted as a movement away from encouraging businesses to grow; rather the Wellbeing Economy Governments believe that by improving the wellbeing of society they will indirectly stimulate sustainable economic growth.

“We need to address the societal well-being of our nation, not just the economic well-being

Jacinda Ardern
Prime Minister of New Zealand

As a result of creating a budget justified by improvements in societal wellbeing, New Zealand has invested record levels of funding into supporting the mental wellbeing of all citizens, with a special focus on under 24s. Additionally, the budget prioritises measures to reduce child poverty, reduce inequality for Māori and Pacific Islanders and enable a just transition to a sustainable and low-emissions economy. New Zealand believes that by tackling these inequalities, economic growth can be stimulated in ways that benefit all New Zealanders, where improvements in mental health alone could lead to an increase in GDP of 5%.

Therefore, whilst GDP isn’t the main priority of policy making under the wellbeing approach, it is possible for economic growth to occur as a result of implementing policy designed to improve the wellbeing of society. After all, according to the World Health Organisation, a healthier and happier society is a more productive society.

How well is well?

It is evident that the use of GDP as a measure of a country’s success has faced a great deal of criticism in recent years. However, some economists are not ready to give up on GDP quite yet. They argue that whilst GDP is not a perfect representation of a country’s success, neither is the wellbeing approach as it can be incredibly difficult to quantify societal wellness.

For example, if we compare one citizen who is in poor health and lives in an area experiencing low-levels of crime with another citizen who is healthy and lives in an area with high-levels of crime, how can we quantify which citizen has the better level of wellbeing?

In short, critics of the wellbeing approach argue that whilst it is vital that society’s wellbeing is considered during the policy-making process, basing policy solely around wellbeing is ineffective and would be incredibly difficult to measure, due to the personal nature of what constitutes wellbeing.

“Growth in GDP should not be pursued at any or all cost … the objective of economic policy should be collective well-being: how happy and healthy a population is, not just how wealthy a population is.”

Nicola Sturgeon
First Minister of Scotland

Final Thoughts

In summary, whilst there is a great deal of international interest in the possibility of a movement away from GDP, no consensus has yet formed as to whether the wellbeing approach is the way forward. With all new forms of policy, other countries often wait to see if early adopters succeed before following their lead. Perhaps it will be left up to smaller countries to prove that an economic policy focused on wellbeing can be successful.

Until then expect to see a great deal of interest in New Zealand’s implementation of the Wellbeing Budget and the results of the second meeting of the Wellbeing Economy Governments in Iceland this autumn.


The Knowledge Exchange provides information services to local authorities, public agencies, research consultancies and commercial organisations across the UK. 

Follow us on Twitter to see what developments in policy and practice are interesting our research team.

What works now: how can we use evidence more effectively in policymaking?

Evidence use in policymaking is nothing new. It has been talked about by policymakers, academics and professionals for the best part of ten years, and has been highlighted a lot, among other places, on this blog. Over the years various government initiatives have been set up to try to establish how best to use evidence and identify “what works” in relation to specific policy interventions, and “evidence-based” policymaking has become the catchphrase of policymakers across most sectors.

One of the newest books to be added to the Idox Information Service library reflects on the rise of “what works” as an approach to policy development. The book builds on discussions from the first edition of the book, and provides a sector-by-sector breakdown of how evidence is – and could be – used in policymaking across areas like health, the environment, education and criminal justice. It also offers some insight into appraising evidence and how to assess quality, as well as how evidence is used internationally, providing examples from the USA, Australia, New Zealand and Scandinavia.

As one of our key aims is to support and facilitate the sharing and use of evidence in the public sector, this book has been a welcome addition to our collection.

Making use of research across policy

In 2013, the UK government launched the What Works Network, which is now made up of 10 independent centres committed to “supporting the creation, supply and use of evidence” in specific policy areas including crime and policing, education and economic growth. The centres aim to improve the way government and other organisations create, share and use (or ‘generate, translate and adopt’) high-quality evidence for decision-making. According to the UK government, the initiative is the first time a government has taken a national approach to prioritising the use of evidence in decision making.

What Works Now? highlights research from Weiss (1979) which suggests that there are “7 types of research use”:

  • Knowledge Driven – research will be developed, applied and used once it has been produced
  • Problem Solving – research will be applied directly to a particular policy problem in order to solve it
  • Interactive – research forms part of a wider web of knowledge, policy and other research which all interact with each other
  • Political – research could (and probably will) be used to retrospectively provide support for a policy decision which has already been made
  • Tactical – research can be used as a tool to delay or deflect from decision making or action around a particular issue (i.e. “more research is needed in this area”)
  • Enlightenment – research informs policy through encouraging people to think and discuss particular ideas or concepts in a different way
  • Embedded research – research production is embedded in a wider contextual system which includes political priorities, the law and the media

Building a research base to support “what works”

Creating and disseminating research effectively have been cited as being key to creating a “what works” evidence base. A number of research institutes and think tanks contribute alongside real-life experiences of practitioners and other stakeholders to try and establish the conditions which support effective interventions and lead to positive policy outcomes.

One of the big discussions currently is around the creation of academic research to support what works programmes. Exploring what sort of research is useful to practitioners and policymakers and aligning this with the research agenda of academics and universities can help to create an effective supply chain of evidence to inform policymaking. However, often academics often do not engage with the policy process, or politicians politicise evidence, picking and choosing which findings to take notice of, which can distort the perception of what evidence is available in a particular area.

Encouraging fuller participation and a more robust appraisal of research from across the board is something which many institutions are trying to work towards. Research impact and knowledge exchange is now integrated into research funding and a growing number of people are working to feed research more effectively into the policy arena.

Evaluating research and evidence and judging which to take forward to inform policy decision making is also important. Along with discussions around assessing and labelling evidence the book considers how some of the main organisations in the UK concerned with promoting evidence-informed policy have gone about appraising evidence, weighing it up, assessing quality and “fitness for purpose” and taking account of non-research based forms of knowledge and evidence, such as the personal experience of practitioners.

Applying “what works” in practice

Applying “what works” in practice can be a challenge, especially in a setting that is perhaps very different from the conditions of a study that has been shown to produce successful outcomes from a particular intervention.

In the book, 10 guiding principles to support the use of evidence in practice are set out:

  • Translated – To be used research must be adapted and reconstructed to fit with local contexts. Simply providing findings is not enough
  • Ownership – Ownership of the research and allowing people to feel a sense of ownership over the development of research
  • Enthusiasts – Individual “champions” can be useful in ensuring that research actually gets used
  • Local context – Local context must be taken into account, particularly in relation to specific barriers and enablers which might help or hinder change
  • Credibility – Credibility of researchers and the people who support the research is key to ensuring that the research is taken seriously
  • Leadership – Strong leadership provides motivation, authority and integrity in the implementation of evidence
  • Support to implement change – Ongoing support to implement change is important, this could include financial, technical, organisational or emotional support
  • Develop Integration – Activities need to be able to be integrated with existing organisational systems and practices, changes do not happen within a bubble
  • Engage key stakeholders – To ensure effective uptake and buy-in key stakeholders should be involved as fully as possible form the earliest possible stage
  • Capture learning/ Effective evaluation – Don’t forget the importance of evaluation, identify what worked and what didn’t to help share learning and support future projects

Final thoughts

In theory, using evidence to inform policy sounds straightforward. The reality can be quite different. What Works Now? highlights that the “what works” agenda remains dominant across the policy landscape, even if the application or approach to it differs from policy area to policy area.

What counts as evidence is still disputed; getting evidence “out there” and encouraging academics to be involved in the policy process is still hard to achieve (although there is good work being done in this area to try and combat this); and context is still key to making evidence work in a particular environment.

Understanding evidence, and how to use it effectively has been a core aim of policymakers in the UK, and across the world for the many years. This book, and the supporting research outlined in it highlights that while evidence is still at the fore of policymaking, actually identifying what works and putting it into practice is a bit more of a challenge.

Members of the Idox Information Service can log into our website to request a loan of “What works Now?”

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A world of evidence … but can we trust that it is any good?

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Plugging into the future: can electric vehicles clear the air?

“Electric Car2Go”by mikecogh is licensed under CC BY-SA 2.0

Science tells us that improvements to our air quality bring real health benefits – fewer heart attacks, strokes and premature births, less cancer, dementia and asthma, and lower incidences of premature deaths.

Better health because of cleaner air has been a strong driving force behind efforts by local and national government to keep highly polluting vehicles away from city centres, where air quality can be especially poor.

Earlier this year, we blogged about initiatives to improve the air quality of cities by banning the most polluting vehicles that emit dangerous levels of nitrogen dioxide and poisonous particulate matter.

Driving out diesel

There have also been important policy announcements to underline how seriously national and local authorities are taking the issue of air pollution. In July 2017, the UK government announced plans to phase out the sale of new diesel and petrol cars by 2040, with all fuel-powered vehicles to be banned from the roads entirely by 2050. Shortly afterwards, the Scottish Government unveiled plans to ban new petrol and diesel vehicles by 2032 – eight years ahead of the proposed deadline set out by the London government. These moves replicate measures introduced by France and cities such as Amsterdam, and Hamburg.

Electric currents

As diesel and petrol cars are phased out, alternatives, such as battery electric, plug-in hybrid electric and hydrogen-powered vehicles are moving in. These have a lower environmental impact and could also help the UK to meet its target of net zero carbon dioxide emissions by 2050.

At present, electric-powered vehicles make up a small part of the UK car market – just 0.9% of new cars are electric. But sales of electric cars have been rising – in June 2019 there was a 61.7% increase in battery electric vehicles registered in the UK, and in July electric car sales continued to accelerate (meanwhile, diesel registrations fell for the 28th consecutive month). This trend is set to continue as car manufacturers in the UK and overseas invest more in electric vehicle production.

Diesel and petrol cars could be phased out much more quickly if more drivers could be persuaded to go electric. But many are still reluctant to make the switch due to concerns about the distances that electric cars can travel between charges (the electric Volkswagen Golf, for example, needs recharging every 120 miles) and the availability of a robust charging infrastructure. But for most drivers, the leap in costs of switching to electric has proved the major stumbling block.

In the UK, the government has cut subsidies and grants for some hybrid and electric vehicles, leading to a slump in hybrid sales. By contrast, Norway’s government is leaving no doubt that they want drivers to turn away from diesel and petrol cars. The Norwegian government has backed up its ambitious goal to stop selling new gas and diesel passenger cars and vans by 2025 (15 years ahead of the UK government’s target) with incentives to go electric. These include tax breaks for electric cars, access for electric vehicles to fast-track bus lanes, plus discounts on parking and charging. Drivers are getting the message: in April 2019, almost 59% of all cars sold in Norway were electric.

Other countries are also joining the electric vehicle bandwagon, including France, the Netherlands, Germany and the world leader in electric mobility, China.

Meanwhile, in 2018, the House of Commons Business Select Committee said the UK government’s plans to ban diesel and petrol emitting vehicles were “vague and unambitious”. The committee was also critical of the subsidy cuts and the lack of charging points.

Putting the brakes on: the downside of electric vehicles

Electric vehicles have the potential to bring significant benefits to the UK economy, and many believe that Britain could become a world leader in electric car production. But this would require large-scale lithium-ion battery cell plants facilities. There are currently no plans for these in the UK, while China and Germany are setting the pace on battery production.

Although electric vehicles have been heralded as an environmental good news story, manufacturing their batteries requires raw materials such as cobalt, the mining of which has considerable environmental and human costs. At the same time, the electricity used to charge the vehicles is largely generated from fossil fuels. And, just like petrol and diesel vehicles, electric cars produce large amounts of pollution from brake and tyre dust.

Green for go?

Despite the drawbacks, electric vehicles are on the move. Manufacturers are launching new ranges to meet increasing demand and to comply with EU rules on carbon dioxide emissions limits. The International Energy Agency predicts there will be 125 million electric vehicles in use worldwide by 2030.

In Britain, the charging infrastructure is already growing, and  set to improve, further. The UK government is also proposing that all new-build homes should be fitted with charging points for electric vehicles. The Scottish Government has announced plans to make the A9 Scotland’s first fully electric-enabled road, and the city of Dundee is already making progress on zero-carbon transport. Meanwhile, in London Mayor Sadiq Khan has pledged that all London’s taxis and minicabs will be electric by 2033.

But, as a July 2019 report from the Centre for Research into Energy Demand Solutions (CREDS) warns, electric vehicles will not address the problems of congestion, urban sprawl and inactive lifestyles. The authors recommend that governments should be doing more to discourage people from driving, and shifting the focus of travel to more sustainable modes, such as walking and cycling.

Electric cars may help clear the air and bring subsequent health benefits. But they won’t drive away all of the challenges facing our motor-centric cities.


If you’d like to read more on this subject, take a look at our previous blog posts…

A rising tide: the growing importance of the blue economy

Wild Surf

There has been much focus on the green economy in recent times as the international community attempts to address the current ‘climate emergency’. According to the United Nations (UN), “an inclusive green economy is one that improves human well-being and builds social equity while reducing environmental risks and scarcities.” Over the past decade, many governments have highlighted the green economy as a strategic priority, and since the Intergovernmental Panel on Climate Change (IPCC) published its special report on the impacts of global warming of 1.5 °C in 2018, action has been stepped up across the globe.

However, green economy strategies tend to focus on the sectors of energy, transport, agriculture and forestry, which leaves out an important part of the world’s environment – the oceans. It has been argued that “a worldwide transition to a low-carbon, resource-efficient green economy will not be possible unless the seas and oceans are a key part of these urgently needed transformations”.

Perhaps unsurprisingly then, a new buzzword in the international sustainability agenda is gaining momentum – the ‘blue economy’. Since the turn of the 21st Century, there has been an increasing commitment to growing the blue economy but what exactly is it and why is it important?

What is the blue economy?

Similarly to the green economy, there is no internationally agreed definition of the blue economy. Its origins stem from the Rio+20 outcomes whereby member states of the UN pledged to ‘protect, and restore, the health, productivity and resilience of oceans and marine ecosystems, to maintain their biodiversity, enabling their conservation and sustainable use for present and future generations.’

It is further explained through the UN General Assembly support for Sustainable Development Goal 14: ‘Conserve and sustainably use the oceans, seas and marine resources for sustainable development’ as set out in the UN’s 2030 agenda for sustainable development.

Various definitions have been used by different agencies.

According to the World Bank, the blue economy is the “sustainable use of ocean resources for economic growth, improved livelihoods and jobs, and ocean ecosystem health.”

Conservation International has suggested that, “at its simplest, ‘blue economy’ refers to the range of economic uses of ocean and coastal resources — such as energy, shipping, fisheries, aquaculture, mining, and tourism. It also includes economic benefits that may not be marketed, such as carbon storage, coastal protection, cultural values and biodiversity.”

Like the green economy, the blue economy model aims for improvement of human wellbeing and social equity, while significantly reducing environmental risks and ecological scarcities.

Why the blue economy is so important?

Clearly, ocean health is vital to the blue economy. With over 70% of the world’s surface covered by ocean, almost half of the world’s population living in close proximity to the sea, the majority of all large cities being located along the coast and 90% of global economic trade travelling by sea, it is not difficult to see why the ocean and its resources are seen as increasingly important for both sustainable and economic development.

It is also a source of food, jobs and water, and contributes to the protection of the environment by absorbing carbon dioxide emissions. It has been estimated that the global blue economy has an annual turnover of between US$3 and 6 trillion and is expected to double by 2030. It is also estimated that fisheries and aquaculture contribute $US100 billion annually and about 260 million jobs to the global economy. In addition, over 3 billion people around the world, mostly from developing countries, rely on the world’s oceans and seas for their livelihood.

It is therefore not surprising that ocean pollution and the threat to marine resources have ascended the sustainability agenda in recent years, attracting increasing global attention and high-profile interest.

Sir David Attenborough’s popular Blue Planet II series highlighted the devastating impact pollution is having on the world’s oceans. It led to drastic behaviour change – 88% of people who watched the programme reported having changed their behaviour as a result, with half saying they had “drastically changed” their behaviour, and half saying they had “somewhat changed” it.

The recently heightened concerns over climate change have also highlighted the importance of the blue economy. The IPCC report warned that coral reefs would decline by 70-90% with global warming of 1.5°C, whereas virtually all (> 99%) would be lost with 2ºC.

Momentum building

Governments and organisations from across the world have been taking action to address the climate emergency with many strengthening commitments to growing the blue economy in particular.

The first ever global conference on the sustainable blue economy was held last year. It concluded with hundreds of pledges to advance a sustainable blue economy, including 62 commitments related to: marine protection; plastics and waste management; maritime safety and security; fisheries development; financing; infrastructure; biodiversity and climate change; technical assistance and capacity building; private sector support; and partnerships.

A new High Level Panel for a Sustainable Ocean Economy was also established in September, the first time serving heads of government have joined forces on a global pact to protect the world’s oceans.

The UN’s Decade for Ocean Science (2021-2030) will also soon be upon us and the World Trade Organisation has been tasked with ending harmful fisheries subsidies by 2020. New approaches are also helping countries value their small-scale fisheries. Scotland’s economic action plan, for example, makes a specific commitment to grow the blue economy which includes a new, world-leading approach to fisheries management with a focus on inclusive economic growth.

Way forward

The increasing awareness of the blue economy and the threats it currently faces provide an opportunity to change things for the better. As the global conference on the sustainable blue economy suggested, a sustainable blue economy strategy needs to be people-centric with ocean-centric investments. If momentum keeps building towards growing the blue economy across the globe, perhaps this will go some way to mitigating the global climate emergency bringing benefits for all.


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Finalists announced for the 2019 RTPI Awards for Research Excellence

The RTPI have announced the shortlisted finalists for this year’s RTPI Awards for Research Excellence. The Awards, which are in their fifth year, cover six categories and aim to recognise and promote high quality, impactful spatial planning research from RTPI accredited planning schools, and planning consultancies around the world. It’s a truly international shortlist with research from countries including South Africa, Hong Kong, the United States, China, and New Zealand as well as the UK.

Idox sponsors three of the Awards categories – the Planning Consultancy Award, the Student Award, and the Sir Peter Hall Award for Wider Engagement.

David Meaden, CEO at Idox said: “Idox is very pleased to be continuing our relationship with the RTPI and supporting the RTPI Awards for Research Excellence for another year”.

A diverse shortlist

The shortlisted research includes work on a range of scales, from neighbourhhod planning to regional economies and mega-events. Research projects include work on natural capital valuation, the impact of urban environments on mental health, transport interchanges, and the siting of hot food takeaways.

It also highlights the range of disciplines which planning impacts, from heritage management to housing delivery, from regeneration to public health.

Improving planning practice

Dr Daniel Slade, speaking on behalf of the RTPI when the shortlisted entries were announced,  said: “To be effective, just, and respond to society’s greatest challenges, planning practice needs high quality and critical planning research. This year’s shortlist shows that planning schools, RTPI members and consultancies are producing this in abundance. It’s also wonderful to see such diversity – in terms of topics, geographies, and entrants.”

The winners will be announced on 2 September during the opening ceremony of the UK-Ireland Planning Research Conference at the University of Liverpool.


The full list of finalists for the 2019 RTPI Awards for Research Excellence are available here. We also interviewed the winner of the 2016 Sir Peter Hall Award for Wider Engagement, Dr Paul Cowie from the University of Newcastle, about the impact of winning the award for the Town Meeting project, which used theatre to engage communities in planning.

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