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To tackle Britain's housing crisis, we need a commitment to build more than 300,000 new homes a year (the government's current commitment) and at least 150,000 of new homes should be social homes for rent.
The principles underlying Labour's housing policy should be that ‘levelling up’ means nothing less than demolishing inequality. Residential property and housing development are major economic sectors. Relatively cheap borrowing and house price inflation have been significant drivers of inequality, not only in higher end owner occupation, but also in the private rented sector, where incentives to private landlords have allowed them to outrun the capacity of ordinary renters to buy in. The private rented sector has also been fuelled by the ‘right’ to buy council homes with a high proportion no longer in owner occupation long term.
Planning and levelling up
We believe that for too long Labour has failed to recognise that the planning system, and in particular planning policy, provide wellestablished tools to enable us to fulfil our policy objectives. So long as the National Planning Policy Framework and local development plans contain the right locational social objectives, planning authorities will be able to decide whether a proposal (whether for housing or another form of development) is in conformity with those objectives and make planning decisions accordingly. They will also be able to use planning agreements, not merely to facilitate but also positively to promote socially acceptable development, such as affordable housing. The use of these powers will be critical in enabling authorities to insist on key regional development sites being invested in rather than those where the biggest profits can be made. Labour should review and implement changes to financial viability assessments and appraisals that are currently used to drastically reduce the number of affordable houses being delivered in developments across the country. It has already been noted that changes on viability could increase the numbers of affordable homes.
Labour had rightly pledged to end the inclusion of ‘hope value’ in the valuation of land being purchased by local authorities under a Compulsory Purchase Order (CPO). This will enable more land to be purchased for socially acceptable development.
Ambitious reform, and resources, are necessary so that all three housing sectors – homeownership, the social rented sector and the private rented sector (PRS) – become accessible, affordable and safe. These sectors cannot be considered in isolation from one another. The proposals to enhance the rights of renters and homeless applicants considered in this chapter will be of limited practical benefit without measures to significantly increase the availability of all forms of housing, considered in Chapter 6.
The core value of any Labour programme for housing and law reform should be a commitment to housing as a human right. This would mean that Labour will respect and implement Article 11 of the International Covenant on Economic, Cultural and Social Rights: ‘[T] he right of everyone to an adequate standard of living for himself and his family, including adequate food, clothing and housing, and to the continuous improvement of living conditions.’
The rights we propose are meaningless if they cannot be enforced. The legal aid sector is in a crisis of sustainability and Law Society research shows that 26 million people do not have access to a local legal aid housing lawyer. This chapter concludes with proposals to significantly increase the availability of advice and representation for people experiencing housing issues.
Private rented sector
After 40 years of little or no regulation of the PRS, the government published, on 17 May 2023, the Renters’ (Reform) Bill, implementing its pledge to abolish s.21 ‘no fault’ evictions four years after having committed to do so. At the time of writing, the Bill had (on 15 May 2024) passed its Second Reading in the House of Lords. It is now doubtful when it will come into force owing to amendments from Conservative MPs, which have been accepted by the government, and which postpone implementation until the Lord Chancellor has assessed the operation of the process for obtaining possession orders in the County Court. Abolition of s.21, along with the establishment of a PRS Ombudsman and a database for residential landlords are welcome and we support them. However, a number of the new mandatory grounds for possession are open to abuse.
Bromide-containing impurities were found to decrease the thermal stability of quaternary alkyl ammonium-modified layered silicates. Improved purification procedures completely removed bromide and led to a 20°C to >100°C increase in organic modified layered silicate thermal stability. Using mass spectrometry and thermal and electrochemical analysis, N,N-dimethyl-N,N-dioctadecyl quaternary ammonium-modified montmorillonite and fluorinated synthetic mica were found to degrade primarily through elimination and nucleophilic attack by these anions. The nature of residual bromides was identified and quantified, and the efficiency of removing these anions was found to be solvent dependent; sequential extraction, first ethanol then tetrahydrofuran, gave the best results. This exhaustive extraction method represents a viable alternative to the use of expensive, more thermally stable oniumion treatments for layered silicates.
Using recently released papers, we analyze an attempted neoliberal policy revolution in 1980s Britain—the attempt to restrict the state pension to a minimal flat-rate benefit and supplement it with personal pensions. In the process, the government would abolish both the state earnings-related pension and collective employer-provided occupational pension schemes that then covered about half the workforce and owned about a quarter of all shares listed on the London Stock Exchange. Unusually, our focus is not primarily on ministers, as we unpick an attempted revolution that would have refashioned every worker in Britain as an investor-capitalist. Rather we focus on a sub-ministerial center of political power, the No. 10 Policy Unit, and the influence on it of the Centre for Policy Studies, a right-wing think tank. In doing so, we confirm the latter's importance as source of neoliberal ideas for the architects of policy change in the 1980s and reveal the centrality of the Policy Unit as a source of motive power for Britain's neoliberal revolution. We also, however, highlight the relative pragmatism of ministers as they backed away from the Policy Unit's attempted revolution, choosing instead to implement a more evolutionary set of reforms.
Good medical practice encompasses teaching students which is a core competency for trainee doctors. The aim of this project was to assess and improve junior doctor participation in undergraduate psychiatry teaching.
Methods
2 surveys were conducted: 1) Psychiatry-related trainee doctors working in Severn Deanery were emailed a questionnaire to assess their involvement in undergraduate teaching, including barriers and motivators for teaching; 2) doctors with a formal role in teaching were sent a questionnaire to explore their views on recruiting trainee doctors to teach. Questionnaires consisted of multiple answer questions, matrix questions and qualitative free text answer questions. Trainees were then delivered a presentation advertising teaching opportunities. The impact of this on recruitment into psychiatry undergraduate teaching was reassessed by questionnaire.
Results
44 responses were received to the first survey; 13 to the second. The most common answer trainees gave for factors that prevented involvement with teaching students was “unaware of teaching opportunities,” and “lack of overall availability due to clinical commitments.” The most common factor chosen as a motivator for involvement was “notification of session date/timing early in placement” and “protected teaching time in job-plan.” The results highlighted difficulties recruiting trainee doctors to teach, resulting in tutors reducing, cancelling or adapting sessions due to lack of support.
Conclusion
This project identifies barriers and motivators of trainee doctor involvement in undergraduate medical education. To ensure lasting participation of trainees in medical education, support is needed for protected time to teach in clinical roles.
Home care for older people in England is commissioned through local authorities working predominantly with independent providers of care. Commissioners operate in a market model, planning and procuring home care services for local populations. Their role involves ‘managing’ and ‘shaping’ the market to ensure an adequate supply of care providers. Another imperative, emerging from the principles of personalisation, is the drive to achieve user outcomes rather than ‘time and task’ objectives. Little formal research has investigated the way commissioners reconcile these different requirements and organise commissioning. This study investigated commissioning approaches using qualitative telephone interviews with ten commissioners from different local authorities in England. The characteristics of commissioning were analysed thematically. Findings indicated (a) commissioning involved complex systems and processes, uniquely shaped for the local context, but frequently changed, suggesting a constant need for reframing commissioning arrangements; (b) partnerships with providers were mainly transactional, with occasional examples of collaborative models, that were considered to facilitate flexible services more appropriate for commissioning for personalised outcomes; and (c) only a small number of commissioners had attempted to reconcile the competing and incompatible goals of tightly prescribed contracting and working collaboratively with providers. A better understanding of flexible contracting arrangements and the hallmarks of a trusting collaboration is required to move beyond the procedural elements of contracting and commissioning.
A new Health Technology Assessment (HTA) agency, Health Technology Wales (HTW), has been established to consider the identification, appraisal, and adoption of non-medicine health technologies. This includes, for example, medical devices, surgical procedures and diagnostics. HTW recognizes the importance of effective patient and public involvement (PPI) and is building smart capabilities.
Methods
HTW consulted with external organizations to identify the first steps toward effective PPI. Public partners were recruited as a priority before working together on a PPI strategy. Building smart capabilities is key to establishing effective PPI and future-proofing. HTW established a PPI Standing Group to inform HTW throughout its work, including the development of processes and procedures.
Results
Knowledge and resources have been shared and future collaborations identified, including events to encourage new topics from patients and the public. The HTW PPI lead has become a member of key PPI groups, locally and internationally. HTW has recruited public partners who are actively contributing as full members of the Assessment Group and the Appraisal Panel; two members on each Committee. The PPI Standing Group has been established. They have provided advice and co-produced PPI tools for piloting.
Conclusions
The PPI Standing Group concluded that PPI methods and approaches should be tailored for each project based on best practice, and should be piloted to allow them to evolve based on impact evaluation. A PPI strategy or framework would be more useful at a later stage. HTW is committed to identifying and following best practice. Future-proofing and building smart capability will be key to ensuring that HTW develops effective PPI that can be dynamic and responsive to the evolving PPI and HTA landscapes.
Genetic information is relevant not only to the patient, but also to their family. Where a patient refuses to share that information with family members, then their legal rights may conflict. This paper focuses on that conflict between the rights of individuals and the rights of third parties. We first examine the nature of the duty of confidence as it applies in these circumstances, and the extent to which it can appropriately accommodate the familial nature of genetic information. We then consider the situations in which a healthcare practitioner might owe a third-party family member a tortious duty of care. We conclude that in most cases, there will be no duty owed to third parties, but that in certain limited circumstances, a duty of care should arise.
It is widely recognized that ‘the individual’ was prioritized by the Thatcher governments. However, there has been little analysis by historians of exactly how the Thatcher government conceptualized ‘the individual’. In this article, we attempt to remedy this deficiency by undertaking a case-study of a key Thatcherite social policy reform: the introduction of ‘personal pensions’. This approach allows us to understand the position of ‘the individual’ on the functional level of Thatcherite policy-making. In doing so, we argue that there was no coherent or fixed Thatcherite concept of the individual. Instead, we identify three fundamental tensions: (i) should individuals be capitalists or consumers; (ii) were they rational or irrational; and (iii) should they be risk-taking entrepreneurs or prudent savers? This reflected, in part, conflicts within the diverse tapestry of post-war neoliberal thought. We demonstrate in this article that these tensions undermined the Thatcher governments’ original attempt to create a society of entrepreneurial investor-capitalists, which in turn cemented their preference for simply maximizing individual freedom of choice within a competitive – yet tightly regulated – market environment.
Dementia is a major health problem with a growing number of people affected by the condition, both directly and indirectly through caring for someone with dementia. Many live at home but little is known about the range and intensity of the support they receive. Previous studies have mainly reported on discrete services within a single geographical area. This paper presents a protocol for study of different services across several sites in England. The aim is to explore the presence, effects, and cost-effectiveness of approaches to home support for people in later stage dementia and their carers.
Methods:
This is a prospective observational study employing mixed methods. At least 300 participants (people with dementia and their carers) from geographical areas with demonstrably different ranges of services available for people with dementia will be selected. Within each area, participants will be recruited from a range of services. Participants will be interviewed on two occasions and data will be collected on their characteristics and circumstances, quality of life, carer health and burden, and informal and formal support for the person with dementia. The structured interviews will also collect qualitative data to explore the perceptions of older people and carers.
Conclusions:
This national study will explore the components of appropriate and effective home support for people with late stage dementia and their carers. It aims to inform commissioners and service providers across health and social care.
Two broad aims drive weed science research: improved management and improvedunderstanding of weed biology and ecology. In recent years, agriculturalweed research addressing these two aims has effectively split into separatesubdisciplines despite repeated calls for greater integration. Although someexcellent work is being done, agricultural weed research has developed avery high level of repetitiveness, a preponderance of purely descriptivestudies, and has failed to clearly articulate novel hypotheses linked toestablished bodies of ecological and evolutionary theory. In contrast,invasive plant research attracts a diverse cadre of nonweed scientists usinginvasions to explore broader and more integrated biological questionsgrounded in theory. We propose that although studies focused on weedmanagement remain vitally important, agricultural weed research wouldbenefit from deeper theoretical justification, a broader vision, andincreased collaboration across diverse disciplines. To initiate change inthis direction, we call for more emphasis on interdisciplinary training forweed scientists, and for focused workshops and working groups to developspecific areas of research and promote interactions among weed scientistsand with the wider scientific community.
The concept of a mixing efficiency is widely used to relate the amount of irreversible diabatic mixing in a stratified flow to the amount of energy available to support mixing. This common measure of mixing in a flow is based on the change in the background potential energy, which is the minimum gravitational potential energy of the fluid that can be achieved by an adiabatic rearrangement of the instantaneous density field. However, this paper highlights examples of mixing that is primarily ‘buoyancy-driven’ (i.e. energy is released to the flow predominantly from a source of available potential energy) to demonstrate that the mixing efficiency depends not only on the specific characteristics of the turbulence in the region of the flow that is mixing, but also on the density profile in regions remote from where mixing physically occurs. We show that this behaviour is due to the irreversible and direct conversion of available potential energy into background potential energy in those remote regions (a mechanism not previously described). This process (here termed ‘relabelling’) occurs without requiring either a local flow or local mixing, or any other process that affects the internal energy of that fluid. Relabelling is caused by initially available potential energy, associated with identifiable parcels of fluid, becoming dynamically inaccessible to the flow due to mixing elsewhere. These results have wider relevance to characterising mixing in stratified turbulent flows, including those involving an external supply of kinetic energy.
Nimmagadda SR, Agrawal N, Worrall-Davies A, Markova I, Rickards H. Determinants of irritability in Huntington's disease.
Objectives: Irritability is a common and disabling problem associated with Huntington's disease (HD). However, the underlying causes of such irritability remain unclear. This study investigates the association of irritability in HD with possible aetiological factors including dysexecutive syndrome, depression, anxiety (state and trait) and movement disorder.
Methods: Thirty patients with genetically confirmed HD and their carers were recruited from a regional HD neuropsychiatry service. Patients completed two self-reported questionnaires (Irritability, Anxiety and Depression Scale and State Trait Anxiety Inventory). Their carers filled in the Burns Irritability Scale. Patients were also administered the Behavioural Assessment of Dysexecutive Syndrome (BADS), Montgomery and Asberg Depression Rating Scale (MADRS) and the Motor component of the Unified Huntington's Disease Rating Scale (UHDRS).
Results: Both self-rated and carer-rated irritability scales showed significant positive correlation with trait anxiety. The self-rated irritability scales also showed significant positive correlation with state anxiety and depression. No association was observed between irritability and dysexecutive syndrome or motor impairment.
Conclusions: Trait anxiety might serve as a predictor for irritability in HD. Irritability is unrelated to motor or cognitive features of HD indicating that it is an independent neuropsychiatric manifestation of HD.
This volume offers a critical study of a representative selection of Latin American women writers who have made major contributions to all literary genres and represent a wide range of literary perspectives and styles. Many of these women have attained the highest literary honours: Gabriela Mistral won the Nobel Prize in 1945; Clarice Lispector attracted the critical attention of theorists working mainly outside the Hispanic area; others have made such telling contributions to particular strands of literature that their names are immediately evocative of specific currents or styles. Elena Poniatowska is associated with testimonial writing; Isabel Allende and Laura Esquivel are known for the magical realism of their texts; others, such as Juana de Ibarbourou and Laura Restrepo remain relatively unknown despite their contributions to erotic poetry and to postcolonial prose fiction respectively. The distinctiveness of this volume lies in its attention to writers from widely differing historical and social contexts and to the diverse theoretical approaches adopted by the authors. Brígida M. Pastor teaches Latin American literature and film at the University of Glasgow . Her publications include 'Fashioning Cuban Feminism and Beyond', 'El discurso de Gertrudis Gómez de Avellaneda: Identidad Femenina y Otredad'; and 'Discursos Caribenhos: Historia, Literatura e Cinema'. Lloyd Hughes Davies teaches Spanish American Literature at Swansea University. His publications include 'Isabel Allende, La casa de los espíritus' and 'Projections of Peronism in Argentine Autobiography, Biography and Fiction'.
The sixteenth Appalachian Set Theory workshop was held at Cornell University in Ithaca on April 7, 2012. The lecturer was Hugh Woodin. As graduate students Jacob Davis and Daniel Rodríguez assisted in writing this chapter, which is based on the workshop lectures.
Introduction
This paper provides a more accessible account of some of the material from Woodin [4] and [5]. All unattributed results are due to the first author.
Recall that 0# is a certain set of natural numbers that codes an elementary embedding j : L → L such that j ≠ id ↾ L. Jensen's covering lemma says that if 0# does not exist and A is an uncountable set of ordinals, then there exists B ∈ L such that A ⊆ B and ∣A∣ = ∣B∣. The conclusion implies that if γ is a singular cardinal, then it is a singular cardinal in L. It also implies that if γ ≥ ω2 and γ is a successor cardinal in L, then cf(γ) = ∣γ∣. In particular, if β is a singular cardinal, then (β+)L = β+. Intuitively, this says that L is close to V. On the other hand, should 0# exist, if γ is an uncountable cardinal, then γ is an inaccessible cardinal in L. In this case, we could say that L is far from V. Thus, the covering lemma has the following corollary, which does not mention 0#.
No se trata solamente de leer a las escritoras para (re)descubrirlas y promoverlas, sino de preguntarse de qué manera el poder se ejerce o se tolera, se sufre o se transgrede, en el espacio textual. (Araújo, 1997a: 11) [It is not only about reading women writers' texts in order to (re)discover and promote them, but about questioning to what extent power is exercised or tolerated, is suffered or transgressed, in the textual space.]
In the text of many Latin American women writers, the Word is a space for women's self-representation, a new territory to map their self-defined image, to sign with their own voice. (Medeiros-Lichem, 2002b: 211)
This Companion to Latin American Women Writers introduces the reader to an overview of the socio-historical context that has shaped the voice of these women. The diverse range of writers covered in this volume offers an exposure of feminine literary discourse, which is of great relevance to understanding the ‘matriheritage of founding discourses,’ revealing the rich textual examples of a wide range of women writers in Latin America, from those well-established to the lesser known and forgotten. The female writer has been largely absent from the literary canon with the exception of a few isolated examples2 (Díaz-Diocaretz, 1990: 104–5). It is in the recent past that women writers have gained recognition, filling a vacuum created by their exclusion, allowing the exploration of the transgressive and revolutionary import of their writings.
Laura Restrepo (Colombia, 1950– ), the author of half a dozen major novels, is fast emerging as one of the leading female writers of Spanish America. The pervasive socio-historical preoccupations of her work might seem to merge almost seamlessly within a body of Spanish American novelistic writing traditionally judged by its social effectiveness. But such a first impression is misleading – at least in part: if there is one common thread running through her diverse literary output it is her consistent blurring of boundaries between traditionally distinct identities, categories and concepts: truth and fiction, historical fact and imaginative re-creation; the sacred and the profane. Temporal and spatial border territories recur in her work: Siete por Tres, the protagonist of La multitud errante (2001) [A Tale of the Dispossessed], is born on 1 January 1950 (on the cusp, therefore, of mid-century) in a rural village located on the border of Huila and Tolima (2001: 25). He is discovered in the church vestibule at the liminal midnight hour. In later life, he engages in a fruitless search for his missing guardian, Matilde Lina, who, as the narrator reflects, ‘se fue al limbo, donde habitan los que no están ni vivos ni muertos’ (2001: 14) [went into limbo, the abode of people who are neither alive nor dead].