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This paper takes a new look at the importance of context - institutional and political - in effective public engagement processes. It does so through a rare comparative opportunity to examine the effectiveness of processes of public engagement in two UK waste authorities, where the same waste company was involved as both the primary contractor for the delivery of the waste management service (including new energy-from-waste facilities) and, furthermore, the same staff delivered the public engagement. Interrogating these cases affords the opportunity to place flesh on the bones of the sometimes 'abstract' skeleton of context. While engagement processes support effective local governance in an era of partnerships and deliberative democracy, the paper identifies that the methods adopted cannot be played out devoid of detailed understanding and response to local context, including the strength of partnership working between the public and private sector, the degree of political support for engagement, and the extent to which a traditional institutional paternalism still dominates. [ABSTRACT FROM AUTHOR]

Learning that transcends participation processes is critical if public engagement is to translate into a legacy of enhanced environmental citizenship. However, a lack of empirical evidence has limited discussion to date to largely 'aspirational' claims. This paper offers the first rigorous examination of whether public participation does generate beyond-process social learning. Initially we review the literature on public participation and environmental citizenship to identify the key dimensions of social learning. We then re-visit a well-worked case study of an innovative public engagement process on the Hampshire waste strategy from the 1990s. Approximately one third of the original participants have been interviewed to identify whether and how the experience had a lasting effect on them. Key methodological difficulties are discussed, not least the analytical difficulties of attributing learning to a process that happened ten years previously. However, we argue that there is evidence that both instrumental and communicative learning have taken place, and conclude by identifying key areas that require further research. [ABSTRACT FROM AUTHOR]

This paper provides a new discussion of how people learn through deliberative processes, drawing upon empirical analysis of a novel public engagement process for urban river restoration. Such critical evaluation is rare and yet will be crucial to both theoretical development and learning about engagement practice, not least in a policy area subject to strong regulatory drivers for public participation. The analysis supports two important learning mechanisms – the use of ‘gatekeepers’ of knowledge, interests and values, and the privileging of narrative. It provides new evidence of instrumental and communicative learning about shared priorities and criteria for effective river restoration that evolved through the deliberative process and directly informed the restoration scheme. It is important to question whether and how such site or context-specific learning might inform other restoration schemes. Finally, the paper questions the often ignored issue of expert learning, not least the issue of the link between individual and organizational learning. [ABSTRACT FROM AUTHOR]

This paper explores the relations between different forms of knowledge and urban environmental policy arenas. It briefly considers the evolution of the urban environmental agenda and growing interest in questions of knowledge transfer. It then explores reasons for an apparent knowledge-policy ‘gap’, including familiar explanations, such as the problems of communicating research findings, as well as those based on more subtle and complex interpretations of both knowledge and policy processes. It concludes with some proposals for thinking about the boundary between knowledge and policy and constructive ways to enhance the sustainable urban environment agenda. The paper introduces the other contributions in this theme issue—concerned with diverse aspects of knowledge transfer in the context of urban environments—and draws upon insights from a seminar series at which these papers were first presented. [ABSTRACT FROM AUTHOR]

The authors draw upon survey evidence of expert conceptualisations of the value of public knowledge in environmental decisionmaking. In the context of local air quality management in particular, they consider how experts understand the potential benefits of technological citizenship, and what status they accord to lay knowledge relative to their own roles. Evidence suggests a continuing expert-deficit model of lay knowledge, with suspicions that the public misunderstand environmental issues. Although the need for public ‘buy-in’ to the solutions to problems such as air pollution is supported, this does not translate to a more proactive engagement of lay knowledge in the assessment of such issues. Experts seem to be personally challenged by such notions. The authors discuss the need for a cultural shift in expert understanding of the value of lay knowledge, supported by a move away from an oversimplification of the need for, and value of, public participation. [ABSTRACT FROM AUTHOR]

Environmental justice arguments focused on improving the quality of life of the poor contend that environmental ‘bads’ are more often located in areas of social disadvantage. In relation to waste facilities such claims of distributional outcomes have been enhanced by epidemiological analyses of apparent disease clusters in the vicinity. While politically engaging these arguments have been supported rarely by robust evidence. However, if repositioned in more structural issues related to the unequal societal distribution of power, resources and environmental burdens, they do prompt questions about the processes by which equitable decisions are made in a sustainable waste management context. The paper discusses the scientific and institutional barriers affecting the effective balancing of equity issues, arguing that while deliberative processes potentially challenge ‘expert black-boxing’ they also challenge current political and regulatory structures for waste management. [ABSTRACT FROM AUTHOR]

This paper presents an empirical study of public conceptions of responsibility and choice in relation to health protection, and the influence of these upon responses to official information. Two contrasting case studies are used, air pollution and childhood immunisation (specifically the MMR vaccination). The results confirm social networks and everyday experiences, and social normalisation of behaviour as important influences upon learning, responses to information, and the taking of personal action. People require information to support the freedom to make personal choices. However, the two cases illustrate that notions of collective responsibility are weaker, in the case of MMR overridden by personal responsibility, in the case of air pollution being transferred to other institutions. Conclusions are developed relating to information provision in an age promoting individualisation and retraction of government, specifically the need for explicit engagement with the benefits (personal and collective) of health protection measures. [ABSTRACT FROM AUTHOR]

Immunisation is the cornerstone of childhood disease prevention. In this context the combined measles, mumps and rubella vaccination (MMR) has proved a world-wide success, although in the UK it has been at the centre of public controversy since 1998. Through the media, the public domain has witnessed contestation among expert views about the relative risks associated with the diseases vs. the potential side-effects of the vaccination. Attainment of health protection targets has been compromised. The UK Department of Health sought to redress this through a major communication exercise. This paper reports the findings of a study of information strategies that parents use to make sense of health risk issues, particularly MMR. The findings identify the importance of social networks in reinforcing parental understanding and beliefs. While the media are identified as important sources of information, there is no evidence to suggest that parents passively receive and act upon such risk messages. Official information has been able to capitalise on the strong social normalisation of vaccination, but has not responded fully to the evolving social interpretation of risks. The study reveals a preference for personal and face-to-face engagement with health professionals, stressing the importance of user-centred health risk communication. [ABSTRACT FROM AUTHOR]

Public participation in decision making through the use of deliberative processes is now widely promoted as the means of enhancing institutional legitimacy, citizen influence and social responsibility and learning. Different methods are being tried but key questions remain about what works best and how practice could be improved. This paper discusses four examples of the application of community advisory committees and citizens' juries to waste strategy development by English local authorities. It evaluates the processes using criteria based on the concept of the fair and competent process, and identifies lessons for the optimum process. [ABSTRACT FROM AUTHOR]

Investigates management and nonmanagement attitudes in English and Welsh small and medium-sized enterprises regarding environmental policy. Doubts cast on the effectiveness of regulation; Nonmanagement's demand for strong enforcement; Management's demand for consistent regulation to ensure a `level playing field.'

Examines the links between management and non-management attitudes to the environment and organizational responses with small and medium sized enterprises in Great Britain. Identification of strong personal attitudes; Structural elements of organizational learning in proactive companies; Limits of development.

Discusses the findings of a study into the effectiveness of a more proactive community involvement program in the siting of waste facilities in Hampshire, England. Opportunities and barriers to public involvement in waste management strategy development; Consensus-building approaches.

Health communication has relevance for virtually every aspect of health and well-being, including disease prevention. This review explored the effectiveness of communications in enhancing the adoption of or adherence to behavioural interventions (non-pharmaceutical interventions (NPIs)) related to COVID-19. The review takes the UK as a case study and focuses on self-reported behaviours (e.g. social distancing). It also reviews the psychosocial determinants of adherence. Searches were conducted using PubMed, Scopus, CINAL, ASSIA and iCite databases. Eleven thousand five hundred records were identified and 13 were included in the final sample. Included studies suggest that NPI adoption or adherence was generally high, and communication had significant impacts, with key themes including clarity and consistency, trust and control. Based on the evidence in this review, features of effective communication in the context of NPI adoption or adherence are (i) information should be conveyed clearly and conflicting (mixed) messages should be avoided; (ii) information should be conveyed by trusted sources (e.g. health authorities) and (iii) communication should strike a balance between being authoritative but avoiding language seen as controlling (e.g. 'you must'). Future research should prioritize quantitative, experimental and longitudinal study designs, that focus specifically on communication as an intervention, and which measure behaviour. This article is part of the theme issue 'The effectiveness of non-pharmaceutical interventions on the COVID-19 pandemic: the evidence'. [ABSTRACT FROM AUTHOR]

The freight and logistics sector is of significant importance as an enabler and driver of the global economy, but it is also inherently vulnerable to hazardous weather. Despite this, there is currently no quantitative assessment of how climate change may affect the sector. This paper applies multidisciplinary climate change impact assessment tools and conceptual frameworks to the road freight sector of Great Britain in order to identify potential future weather-related safety issues. Relationships between weather and freight accidents are determined using road accident data and meteorological observations, which are then used with climate change scenarios to arrive at projections of possible impacts across the regions of Great Britain. Included in the study are industry perceptions of future trends within the sector and wider economy which many affect freight's exposure and sensitivity to weather. These are elicited through interviews and an iterative expert Delphi study. Hence, unlike many other climate change impact assessments, this innovative study takes into account the potentially significant impact of socio-economic change (including institutional and operational). The results show that summer precipitation and winter ice-related accidents are likely to decrease across most of the country, whereas winter rain-related accidents are projected to increase. However, it is postulated that some of the impacts of climate change will be modified by reflexive behavioural change on the part of the driver and either institutional adaptation or complacency on the part of the road authorities. The paper concludes by framing the study in a range of future scenarios outlining how the socio-economic environment could influence the road transport network and how it is used, modifying the impact of climate change. [ABSTRACT FROM AUTHOR]

Most academic papers on ethics in pandemics concentrate on the duties of healthcare professionals. This paper will consider non-professional healthcare workers: do they have a moral obligation to work during an influenza pandemic? If so, is this an obligation that outweighs others they might have, e.g., as parents, and should such an obligation be backed up by the coercive power of law? This paper considers whether non-professional healthcare workers—porters, domestic service workers, catering staff, clerks, IT support workers, etc.—have an obligation to work during an influenza pandemic. It uses data collected as part of a study looking at the attitudes of healthcare workers to working during a pandemic to suggest the philosophical arguments explored. These include: being in a position to do good, the ethics of work, competing obligations to family members and in particular to children and the obligations of citizens in a state of national emergency. We also look at whether compulsory measures are justified to support a national health service during a health emergency. We conclude that even if they are, compulsion should not be restricted to non-professionals who happen to be working in the health service at the time. Rather, compulsion involving a larger pool of people with the relevant skills and abilities is more equitable. [ABSTRACT FROM PUBLISHER]

We present a summary of the kinds of outputs submitted to the Geography and Environmental Studies sub-panel (H-32) for the 2008 Research Assessment Exercise (RAE), and examine the relationships between the peer assessment of research quality that the RAE process has typified, and alternative modes of assessment based on bibliometrics. This comparison is effected using (in aggregate form) some of the results from the RAE, together with citation data gathered after completion of the RAE assessment, specifically for the purpose of this paper. We conclude that, if it continues to be necessary and desirable to assess, in some measure and however imprecisely, research quality, then peer assessment cannot be replaced by bibliometrics. Bibliometrics permit measurement of something that may be linked to quality but is essentially a different phenomenon – a measure of ‘impact’, for example. [ABSTRACT FROM AUTHOR]

Background: If UK healthcare services are to respond effectively to pandemic influenza, levels of absenteeism amongst healthcare workers (HCWs) must be minimised. Current estimates of the likelihood that HCWs will continue to attend work during a pandemic are subject to scientific and predictive uncertainty, yet an informed evidence base is needed if contingency plans addressing the issues of HCW absenteeism are to be prepared. Methods: This paper reports the findings of a self-completed survey of randomly selected HCWs across three purposively sampled healthcare trusts in the West Midlands. The survey aimed to identify the factors positively or negatively associated with willingness to work during an influenza pandemic, and to evaluate the acceptability of potential interventions or changes to working practice to promote the continued presence at work of those otherwise unwilling or unable to attend. 'Likelihood' and 'persuadability' scores were calculated for each respondent according to indications of whether or not they were likely to work under different circumstances. Binary logistic regression was used to compute bivariate and multivariate odds ratios to evaluate the association of demographic variables and other respondent characteristics with the self-described likelihood of reporting to work. Results: The survey response rate was 34.4% (n = 1032). Results suggest absenteeism may be as high as 85% at any point during a pandemic, with potential absence particularly concentrated amongst nursing and ancillary workers (OR 0.3; 95% CI 0.1 to 0.7 and 0.5; 95% CI 0.2 to 0.9 respectively). Conclusion: Levels of absenteeism amongst HCWs may be considerably higher than official estimates, with potential absence concentrated amongst certain groups of employees. Although interventions designed to minimise absenteeism should target HCWs with a low stated likelihood of working, members of these groups may also be the least receptive to such interventions. Changes to working conditions which reduce barriers to the ability to work may not address barriers linked to willingness to work, and may fail to overcome HCWs' reluctance to work in the face of what may still be deemed unacceptable risk to self and/or family. [ABSTRACT FROM AUTHOR]

Background: Healthcare workers (HCWs) will play a key role in any response to pandemic influenza, and the UK healthcare system's ability to cope during an influenza pandemic will depend, to a large extent, on the number of HCWs who are able and willing to work through the crisis. UK emergency planning will be improved if planners have a better understanding of the reasons UK HCWs may have for their absenteeism, and what might motivate them to work during an influenza pandemic. This paper reports the results of a qualitative study that explored UK HCWs' views (n = 64) about working during an influenza pandemic, in order to identify factors that might influence their willingness and ability to work and to identify potential sources of any perceived duty on HCWs to work. Methods: A qualitative study, using focus groups (n = 9) and interviews (n = 5). Results: HCWs across a range of roles and grades tended to feel motivated by a sense of obligation to work through an influenza pandemic. A number of significant barriers that may prevent them from doing so were also identified. Perceived barriers to the ability to work included being ill oneself, transport difficulties, and childcare responsibilities. Perceived barriers to the willingness to work included: prioritising the wellbeing of family members; a lack of trust in, and goodwill towards, the NHS; a lack of information about the risks and what is expected of them during the crisis; fear of litigation; and the feeling that employers do not take the needs of staff seriously. Barriers to ability and barriers to willingness, however, are difficult to separate out. Conclusion: Although our participants tended to feel a general obligation to work during an influenza pandemic, there are barriers to working, which, if generalisable, may significantly reduce the NHS workforce during a pandemic. The barriers identified are both barriers to willingness and to ability. This suggests that pandemic planning needs to take into account the possibility that staff may be absent for reasons beyond those currently anticipated in UK planning documents. In particular, staff who are physically able to attend work may nonetheless be unwilling to do so. Although there are some barriers that cannot be mitigated by employers (such as illness, transport infrastructure etc.), there are a number of remedial steps that can be taken to lesson the impact of others (providing accommodation, building reciprocity, provision of information and guidance etc). We suggest that barriers to working lie along an ability/willingness continuum, and that absenteeism may be reduced by taking steps to prevent barriers to willingness becoming perceived barriers to ability. [ABSTRACT FROM AUTHOR]

Background: Healthcare workers (HCWs) will be key players in any response to pandemic influenza, and will be in the front line of exposure to infection. Responding effectively to a pandemic relies on the majority of medical, nursing, laboratory and hotel services staff continuing to work normally. Planning assumes that during a pandemic normal healthcare service levels will be provided, although it anticipates that as caseloads increase only essential care will be provided. The ability of the NHS to provide expected service levels is entirely dependent upon HCWs continuing to work as normal. Methods/design: This study is designed as a two-phase multi-method study, incorporating focus groups and a questionnaire survey. In phase one, qualitative methods will be used to collect the views of a purposive sample of HCWs, to determine the range of factors associated with their responses to the prospect of working through pandemic influenza. In phase two, the findings from the focus groups, combined with the available literature, will be used to inform the design of a survey to determine the generalisability of these factors, enabling the estimation of the likely proportion of HCWs affected by each factor, and how likely it is that they would be willing and/or able to continue to work during an influenza pandemic. Discussion: There are potentially greater than normal health risks for some healthcare workers working during a pandemic, and these workers may be concerned about infecting family members/ friends. HCWs will be as liable as other workers to care for sick family members and friends. It is vital to have information about how motivated HCWs will be to continue to work during such a crisis, and what factors might influence their decision to work/not to work. Through the identification and subsequent management of these factors it may be possible to implement strategies that will alleviate the concerns and fears of HCWs and remove potential barriers to working. [ABSTRACT FROM AUTHOR]