Reeling in the year: a look back at 2018

It’s been another busy year for The Knowledge Exchange Blog. We’ve covered a variety of subjects, from housing and the environment to education and planning. So as the year draws to a close, now’s a good time to reflect on some of the subjects we’ve been blogging about during 2018.

Bibliotheraphy, walkability and family learning

We started the year with health and wellbeing in mind. Our first blog post of 2018 highlighted the increasing application of “bibliotherapy”:

“The Reading Agency’s Books on Prescription scheme has been running nationally in England since 2013 and since it started has been expanded to cover Books on Prescription for common mental health conditions, Books on Prescription for dementia, Reading Well for young people and Reading Well for long term conditions. 635,000 people are estimated to have benefited from the schemes.”

In February, we blogged about family learning, where parents engage in learning activities with their children. This can involve organised programmes such as Booksmart, but activities such as reading to children or singing with them can also be described as family learning:

Research from the National Literacy Trust, suggests that “parental involvement in their child’s reading has been found to be the most important determinant of language and emergent literacy”.

In recent years, growing numbers of cities and towns have introduced “shared spaces”, where pedestrians, cyclists and drivers share the same, deregulated space. As we reported in March, the practice has proved divisive, with supporters claiming that shared spaces can improve the urban environment, revitalise town centres, and reduce congestion, while opponents believe that shared space schemes – particularly the removal of kerbs and crossings – are dangerous and exclusionary for vulnerable groups of pedestrians, people with disabilities and those with reduced mobility.

In April, we took the opportunity to promote the Idox Information Service, highlighting a selection of the hundreds of items added to our database since the beginning of 2018. All members of the Idox Information Service have access to the Idox database, which contains thousands of reports and journal articles on public and social policy.

Voters, apprentices and city trees

Local elections in May prompted us to blog about the voting rights of those with age related degenerative mental conditions such as dementia and Alzheimer’s.

“Many people with dementia still hold strong political feelings, and know their own opinion when it comes to voting for political parties or in a referendum. However, the process of voting can often present them with specific challenges. It is up to local authority teams and their election partners to make the process as transparent and easy for people with dementia and Alzheimer’s as possible. Specific challenges include not spoiling the ballot, and the ability to write/ see the ballot paper and process the information quickly enough.”

A year after the launch of the government’s Apprenticeship Levy in June, we highlighted a report from the Reform think tank which suggested that significant reforms were needed to improve England’s apprenticeship system. Among the recommended changes were a renewed focus on quality over quantity, removal of the 10% employer co-investment requirement and making Ofqual the sole quality assurance body for maintaining apprenticeship standards.

The shortage of affordable housing continues to exercise the minds of policy makers, and in July we blogged about its impact on the private rented sector:

“In many cases people view the private rented sector as being a stop gap for those not able to get social housing, and not able to afford a deposit for a mortgage. Although in many instances they may be right, the demographic of those renting privately now is changing, and becoming more and more varied year on year, with many young professionals and families with children now renting privately.”

The long, hot summer of 2018 was one to remember, but its effect on air quality in urban areas underlined the need to combat the pollution in our air. In August, we blogged about an innovation that could help to clear the air:

“Designed by a German startup, a City Tree is a “living wall” of irrigated mosses with the pollution-absorbing power of almost 300 trees. A rainwater-collection unit is built into the City Tree, as well as a nutrient tank and irrigation system, allowing the assembly to water itself.”

Planning, polarisation and liveable cities

September saw another highly successful Scottish Planning and Environmental Law conference. It opened with a thought-provoking presentation by Greg Lloyd, professor Emeritus at Ulster University, and visiting professor at Wageningen University in the Netherlands, who challenged delegates to consider what might happen if the current planning system were to be abolished altogether, to clear the way for a new and more fit-for-purpose planning system.

In October, we focused on the ever-increasing job polarisation affecting the labour market:

In the EU, data shows that between 2002-2014 medium skilled routine jobs declined by 8.9%, whilst high skilled roles rose by 5.4%, and low skilled jobs grew marginally (0.1%). As a consequence, wage inequalities have grown.”

More than half the world’s population now lives in urban areas, presenting significant challenges to local authorities who have to try and make their cities work for everyone. In November, we reported from The Liveable City conference in Edinburgh, which showcased ideas from the UK and Denmark on how to make cities more attractive for residents and visitors:

“A great example of the reinvention of a post-industrial area came from Ian Manson, Chief Executive of Clyde Gateway, Scotland’s biggest and most ambitious regeneration programme. When it comes to recovering from the demise of old industries, the East End of Glasgow has seen many false dawns. As Ian explained, when Clyde Gateway was launched ten years ago, the local community were sceptical about the programme’s ambitions. But they were also ready to engage with the project. A decade on, the area has undergone significant physical generation, but more importantly this has taken place in partnership with the local people.”

Although much has been made of the government’s claim that austerity is coming to an end, many local authorities are still struggling to provide services within tight financial constraints. One of our final blogs this year reported on local councils that are selling their assets to generate revenue:

“In a bid to increase affordable housing supply, for example, Leicester City Council has sold council land worth more than £5m for less than £10 as part of deals with housing associations.”

Brexit means….

Overshadowing much of public policy in 2018 has been the UK’s decision to leave the European Union. Our blog posts have reflected the uncertainties posed by Brexit with regard to science and technology, local authority funding and academic research.

As we enter 2019, those uncertainties remain, and what actually happens is still impossible to predict. As always, we’ll continue to blog about public policy and practice, and try to make sense of the important issues, based on evidence, facts and research.

To all our readers, a very happy Christmas, and our best wishes for a peaceful and prosperous new year.

Feel better with a book … why bibliotherapy may be just the medicine we’re looking for

By Morwen Johnson

It’s not just dedicated bookworms or librarians who get excited that Christmas means piles of book-shaped parcels under the Christmas tree (and time to read them too!). Books are the second most popular Christmas gift for adults in the UK, behind chocolate. But now we’re into the New Year it’s worth remembering that books are for life, not just for Christmas. And the benefits of books go much further than keeping your brain active and passing the time.

Reading involves ‘emotional thinking’ and in the words of The Reader, books “are full of the stuff that makes us human”. That means that they can be a powerful resource for improving mental health.

“I felt better than before … I felt understood”

We’ve written a couple of times on our blog about social prescribing – and how the NHS is recognising that non-medical treatments such as arts activities or gardening can improve mental and physical health. The use of bibliotherapy and self-help reading is part of this focus on holistic health and self-management of long-term or chronic health conditions. And a recent systematic review has added to the evidence base, finding that bibliotherapy is effective in reducing adults’ depressive symptoms in the long-term, “providing an affordable prompt treatment that could reduce further medications”.

The Reading Agency’s Books on Prescription scheme has been running nationally in England since 2013 and since it started has been expanded to cover Books on Prescription for common mental health conditions, Books on Prescription for dementia, Reading Well for young people and Reading Well for long term conditions. 635,000 people are estimated to have benefited from the schemes.

Books can be recommended by GPs or other health professionals but are also available on self-referral for anyone to borrow, as part of public libraries’ health offer. Similar schemes can be accessed in other parts of the UK.

And the social enterprise The Reader has many years’ experience of how shared reading groups and reading aloud projects can be used to increase health and wellbeing.

The healing power of imagination and creativity

It’s not just self-help books which can help improve health – reading fiction and poetry can also help. The author Philip Pullman recently said that comfort can be found in books, and the familiar act of reading, in an uncertain world. And Blake Morrison, writing back in 2008 on fledgling bibliotherapy initiatives, quoted Hector, in Alan Bennett’s The History Boys, as saying how, in the presence of great literature, “it’s as if a hand has reached out and taken our own”.

The unique value of fiction is that we can recognise aspects of our own lives in the characters and imaginary worlds of books and in many cases, narratives of change, of transformation, of recovery, can provide comfort or hope. In other situations, books can literally put into words, difficult experiences which people struggle to admit or talk about. They can also promote understanding of other people’s situations, very different to our own.

This is true not just in literary works –acclaimed graphic novels and memoirs have shone a light on topics such as the experience of psychosis (Look Straight Ahead), cancer (When David Lost His Voice; and Probably Nothing); eating disorders (Lighter Than My Shadow); OCD (The Bad Doctor); childhood anxiety (Everything is Teeth) and grief (The End).

And children’s publishing is also a medium for helping children process difficult emotions or experiences –for example Duck, Death and the Tulip is visually beautiful and heartfelt. For anyone interested in how books can help children’s mental health, the Royal College of Psychiatrists has a useful online resource list of books for children and also for teenagers.

A lifeline and a consolation

It’s worth remembering the important role that libraries play in supporting wellbeing. As well as supporting bibliotherapy initiatives, public libraries are safe spaces which people who are isolated, lonely or ill can come to for support and to make connections. Research for the Arts Council estimated that these improvements to health save the NHS around £27.5million a year.

Reading is not just a leisure activity. For many people, the information and stories found in books – whether bought, borrowed from libraries, or shared between friends – can provide a lifeline.

In the words of Daisy Goodwin, introducing her book 101 Poems That Could Save Your Life, “there may not be a cure, but there is always a consolation”.


The Knowledge Exchange are a team of researchers and librarians based in Glasgow, who comment on and curate information on social policy.

You can follow us on Twitter to see what developments in public and social policy are interesting our research team. There may also be a few book-related quotes occasionally!

A book for everything that ails us … why bibliotherapy could be just the medicine we’re looking for

platform reading

Image: Moriza (CC BY 2.0)

By Morwen Johnson

Many of us will have received books as Christmas presents last month – and the bestseller lists testify to their continuing popularity despite regular doom-mongering. The benefits of books go much further though than keeping your brain active and passing the time. Reading involves ‘emotional thinking’ and in the words of The Reader, books “are full of the stuff that makes us human”. That means that they can actually be a powerful resource for improving mental health.

“I felt better than before … I felt understood”

Last year we wrote on our blog about social prescribing – and how the NHS is recognising that non-medical treatments such as arts activities or exercise can improve patient’s mental and physical health. This is partly linked to the emphasis on enabling self-management support to be given to people with long-term or chronic health conditions. The use of bibliotherapy and self-help reading is a valuable aspect of social prescribing.

The Reading Agency’s Books on Prescription scheme has been running nationally in England since 2013 and was expanded last year to include a reading list to support people with dementia and their carers. In its first year, an evaluation showed that it had reached 275,000 people with book-based cognitive behavioural therapy. The scheme is evidence-based and works within NICE guidelines. Books can be recommended by GPs or other health professionals but are also available on self-referral for anyone to borrow. Similar schemes can be accessed in other parts of the UK.

The healing power of imagination and creativity

It’s not just self-help books which can help improve health however – reading fiction and poetry can also help. Blake Morrison, writing back in 2008 on fledgling bibliotherapy initiatives, quoted Hector, in Alan Bennett’s The History Boys, as saying how, in the presence of great literature, “it’s as if a hand has reached out and taken our own”. We can recognise aspects of our own lives in the characters and imaginary worlds of books and in many cases, narratives of change, of transformation, of recovery, can provide comfort or hope. In other situations, books can literally put into words, difficult experiences which people struggle to admit or talk about.

This is true not just in literary works –acclaimed graphic novels and memoirs have shone a light on topics such as the experience of psychosis (Look Straight Ahead), cancer (When David Lost His Voice; and Probably Nothing); eating disorders (Lighter Than My Shadow); OCD (The Bad Doctor); childhood anxiety (Everything is Teeth) and grief (The End).

And children’s publishing is also a medium for helping children process difficult emotions or experiences –for example Duck, Death and the Tulip is visually beautiful and heartfelt. For anyone interested in how books can help children’s mental health, the Royal College of Psychiatrists has a useful online resource list of books for children.

Taking the idea of the healing power of reading and providing a creative spin, the Emergency Poet offers prescription poems and poetic pills. Deborah Alma was inspired by her experience using poetry to support dementia patients, to think about how poems could be used as a therapeutic way to encourage people to discuss stress. She now travels in a converted ambulance to festivals, schools and libraries, providing literacy solace on the move.

And the social enterprise The Reader has many years’ experience of how shared reading groups and reading aloud projects can be used to increase health and wellbeing.

Libraries are the best pill

As public libraries come under increased pressure from councils trying to make budget savings, it’s worth remembering during the economic arguments that free access to books does not just help improve literacy. Research for the Arts Council last year found that libraries make a positive contribution to people’s health and wellbeing. In fact they estimated that these improvements to health save the NHS around £27.5million a year. The Carnegie Trust and CILIP also advocate strongly for the wider benefits of public library services in the 21st century.

Public libraries are safe spaces which people who are isolated, lonely or ill can come to for support and to make connections. As mentioned, many libraries are involved in Books on Prescription schemes (in England it is part of the Universal Health Offer), run social reading groups, and benefit both individuals and community wellbeing. Librarians have expanded their professional skills to work on these multi-agency projects and tailor them for their own local communities’ needs. For example, Kirklees Libraries and Information Centres was a finalist in the 2013 CILIP Libraries Change Lives Award for its Reading and You scheme which uses bibliotherapy in libraries, hospitals and community organisations’ premises. And yet libraries continue to be seen as an easy target for cost-cutting.

A lifeline and a consolation

Reading is not just a leisure activity. Libraries are not just buildings which have been superseded by the internet. For many people, the information and stories found in books – whether bought, borrowed from libraries, or shared between friends – can provide a lifeline.

In the words of Daisy Goodwin, introducing her book 101 Poems That Could Save Your Life, “there may not be a cure, but there is always a consolation”.


The Knowledge Exchange are a team of researchers and librarians based in Glasgow, who comment on and curate information on social policy.

You can read more about us in this blog article and on our website.

And of course, you can follow us on Twitter to see what developments in public and social policy are interesting our research team. There may also be a few book-related quotes occasionally!