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UK Health action zones: political accountability and political marketing - perspectives from the South West

Cole, Michael and Cotterill, Lesley (2005) UK Health action zones: political accountability and political marketing - perspectives from the South West. Urban Studies, 42 (3). pp. 397-416. ISSN 0042-0980

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This article evaluates the accountability of the strategic layer of Plymouth Health Action Zone (HAZ) and identifies conclusions with a wider application to partnership governance. The structures of Plymouth HAZ are assessed in the context of horizontal, vertical and downward models of accountability. The study finds fundamental weaknesses in the accountability regime. Vertical mechanisms are superficial and often inappropriate. The impact of horizontal accountability is marginalised through factors such as informal networks of dependency and a culture that discourages rigorous scrutiny. Downward accountability is addressed through the dissemination of information about achievements. In particular, the study highlights the difficulties of relying on local partners as the main mechanism of accountability. Plymouth HAZ is also evaluated in relation to political marketing and found to possess a sales-orientation

Item Type: Article
Additional Information: © 2005 The Editors of Urban Studies
Uncontrolled Keywords: UK Health Action Zones Political Accountability Marketing—Perspectives South West Urban Studies
Subjects: J Political Science > JA Political science (General)
R Medicine > RA Public aspects of medicine
Schools: School of Human and Health Sciences

ADAMS, L., ALCOCK, P. and BROWN, G. (2002)
Wakefield and District Health Action Zone:
partnerships and learning, in: L. BAULD and K.
JUDGE (Eds) Learning from Health Action
Zones, pp. 85–94. Chichester: Aeneas Press.
ASHWORTH, R. (2003) Toothless tigers? Councillor
perceptions of new scrutiny arrangements
in Welsh local government, Local Government
Studies, 29(2), pp. 1–18.ASTHANA, S., RICHARDSON, S. and HALLIDAY, J.
(2002) Partnership working in public policy
provision: a framework for evaluation, Social
Policy and Administration, 36(7), pp. 780–795.
BACHE, I. (2001) Different seeds in the same plot?
Competing models of capitalism and the incomplete
contracts of partnership design, Public
Administration, 79(2), pp. 337–359.
BARNES, M. and SULLIVAN, H. (2002) Building
capacity for collaboration in English Health
Action Zones, in: C. GLENDINNING, M.
POWELL and K. RUMMERY (Eds) Partnerships,
New Labour and the Governance of Welfare,
pp. 81–96. Bristol: The Policy Press.
BARNES, M., SULLIVAN, H. and MATKA, E. (2003)
The development of collaborative capacity in
health action zones: a final report from the
national evaluation. Birmingham: University
of Birmingham.
BAULD, L. and JUDGE, K. (Eds) (2002a) Learning
from Health Action Zones. Chichester: Aeneas
BAULD, L. and JUDGE,K. (2002b) The development
of Health Action Zones, in: L. BAULD and
K. JUDGE (Eds) Learning from Health Action
Zones, pp. 1–13. Chichester: Aeneas Press.
BEETHAM, D. andWEIR, S. (1999) Auditing British
democracy, The Political Quarterly, 70(2),
pp. 128–138.
BENYON, J. and EDWARDS, A. (1999) Community
governance of crime control, in: G. STOKER
(Ed.) The New Management of British Local
Governance, pp. 145–167. London: Macmillan.
BHATTI, S., CUTHBERT, V. and LUNT, J. (2002)
The pampering gang project, in: L. BAULD and
K. JUDGE (Eds) Learning from Health Action
Zones, pp. 251–262. Chichester: Aeneas Press.
BOYNE, G. and COLE, M. S. (1996) Fragmentation,
concentration and local government structure:
top-tier authorities in England and Wales,
1831–1996, Government and Policy, 14(4),
pp. 501–514.
BOYNE, G. and COLE, M. S. (1998) Revolution,
evolution and local government structure: an
empirical analysis of London, Urban Studies,
35(4), pp. 751–768.
BRUCE, A. and MCCONNELL, A. (1996) Accountability
in local government and the NHS, in:
R. PYPER (Ed.) Aspects of Accountability
in the British System of Government, pp. 119–
157. Wirral: Tudor.
BUTT, R. (1969) The Power of Parliament.
London: Constable.
CASTLE, B. (1980) The Castle Diaries 1974–76.
London: Book Club Associates.
CLARKE, C., JONES, D., CARR, S. ET AL. (2002)
Tyne and Wear Health Action Zone evaluation:
patterns of engagement and entrenchment.
Newcastle: University of Northumbria.
CLARKE, J. and GLENDINNING, C. (2002) Partnership
and the remaking of welfare governance,
RUMMERY (Eds) Partnerships, New Labour
and the Governance of Welfare, pp. 33–50.
Bristol: The Policy Press.
COLE, M. S. (1999) Accountability and quasigovernment:
the role of parliamentary questions,
The Journal of Legislative Studies, 5(1),
pp. 77–101.
COLE, M. S. (2000) Quangos: UK ministerial
responsibility in theory and practice, Public
Policy and Administration, 15(3), pp. 32–45.
COLE, M. S. (2001) Executive and scrutiny
reforms: the agenda and its impact at Devon
County Council, Local Government Studies,
27(4), pp. 19–34.
COLE, M. S. (2003a) The Health Action Zone
initiative: lessons from Plymouth, Local
Government Studies, 29(3), pp. 99–117.
COLE, M. S. (2003b) Learning Communities
report—HAZ: a project evaluation. Department
of Sociology, University of Plymouth.
COLE, M. S. (2004) Consultation in local government:
a case study of practice at Devon County
Council, Local Government Studies, 30(2), pp.
CONSIDINE, M. (2002) The end of the line?
Accountable governance in the age of
networks, partnerships and joined-up services,
Governance, 15(1), pp. 21–40.
COPPEL, D. (2002) Learning from theory-driven
evaluations across local Health Action Zone
initiatives in Nottingham: using or losing?, in:
L. BAULD and K. JUDGE (Eds) Learning from
Health Action Zones, pp. 199–207. Chichester:
Aeneas Press.
COTTERILL, L. (2002) Developing capacity for
theory-based evaluation, in: L. BAULD and K.
JUDGE (Eds) Learning from Health Action
Zones, pp. 117–127. Chichester: Aeneas Press.
Modernisation and Health Action Zones: the
search for coherence, in: L. BAULD and K.
JUDGE (Eds) Learning from Health Action
Zones, pp. 221–230. Chichester: Aeneas Press.
DABBS, C. (2002) Taking the risk to blossom: the
Salford Social Entrepreneurs Programme, in:
L. BAULD and K. JUDGE (Eds) Learning from
Health Action Zones, pp. 49–60. Chichester:
Aeneas Press.
DALY, G. and DAVIS, H. (2002) Partnerships
for local governance: citizens, communities
and accountability, in: C. GLENDINNING, M.
POWELL and K. RUMMERY (Eds) Partnerships,
New Labour and the Governance of Welfare,
pp. 97–112. Bristol: The Policy Press.
DAVIES, J. (2001) Partnerships and Regimes.
Aldershot: Ashgate.DAVIS, J. (1988) Reforming London. Oxford:
Clarendon Press.
DAY, S. and KLEIN, R. (1987) Accountabilities:
Five Public Services. London: Tavistock.
Index of Local Deprivation (Regeneration
Research Summary, No. 15). London: DETR.
DETR (1998b) Modern local government: in touch
with the people. London: The Stationery Office.
DETR (1999) Single Regeneration Budget Round
5: Regional Framework for Yorkshire and the
Humber. London: DETR.
Education Action Zones, in: C. GLENDINNING,
M. POWELL and K. RUMMERY (Eds) Partnerships,
New Labour and the Governance of
Welfare, pp. 183–198. Bristol: The Policy Press.
DOH (Department of Health) (1997) The new
NHS: modern, dependable. London: The
Stationery Office.
DOH (1998) Modernising social services. London:
The Stationery Office.
DOH (2000) The NHS plan. London: The
Stationery Office.
DOWDING, K. (1995) Model or metaphor? A
critical review of the policy network approach,
Political Studies, 43(1), pp. 136–158.
DUNLEAVY, P. (1980) Urban Political Analysis.
London: Macmillan.
ELCOCK, H. (1998) The changing problem of
accountability in modern government: an
analytical agenda for reformers, Public Policy
and Administration, 13(3), pp. 23–37.
ELCOCK, H. and HAYWOOD, S. (1980) The buck
stops where? Accountability and control in the
National Health Service. Institute for Health
Studies, University of Hull.
FARRELL, D. and WORTMANN, M. (1987) Party
strategies in the electoral market: political
marketing in West Germany, Britain and
Ireland, European Journal of Political
Research, 15, pp. 297–318.
FEARNLEY, R. (2000) Regenerating the inner city:
lessons from the UK’s City Challenge experience,
Social Policy and Administration, 34(5),
pp. 567–583.
FINER, S. (1956) The individual responsibility
of ministers, Public Administration, 34(4),
pp. 377–396.
FLINDERS, M. (2001) The Politics of Accountability
in the Modern State. Aldershot: Ashgate.
FRANKLIN, B. (1994) Packaging Politics: Political
Communications in Britain’s Media Democracy.
London: Edward Arnold.
(2002) A role for Health Action Zones within
local strategic partnerships: lessons from the
South-West, in: L. BAULD and K. JUDGE (Eds)
Learning from Health Action Zones, pp.
95–105. Chichester: Aeneas Press.
HARROP, M. (1990) Political marketing, Parliamentary
Affairs, 43(3), pp. 277–291.
HEWART, LORD (1929) The New Despotism.
London: Benn.
HIGGINS, J. (1998) HAZs warning: the white
paper debate, Health Service Journal, 16 April,
pp. 24–25.
WICKS, M. (1983) Government and Urban
Poverty. Oxford: Blackwell.
HILL, D. (1994) Citizens and Cities. Hemel
Hempstead: Harvester Wheatsheaf.
HILL, D. (2000) Urban Policy and Politics in
Britain. London: Macmillan.
HOOD, C. and SCHUPPERT, G. (Eds) (1988) Delivering
Public Services in Western Europe.
London: Sage.
HOOD, C., SCOTT, C., JAMES, O. ET AL. (1999)
Regulation Inside Government: Wastewatchers,
Quality Police and Sleaze-busters.
Oxford: Oxford University Press.
JENNINGS, I. (1936) Cabinet Government.
Cambridge: Cambridge University Press.
JOHN, P. (1998) Analysing Public Policy. London:
KANE, B. (2002) Social capital, health and
economy in South Yorkshire coalfield communities,
in: L. Bauld and K. Judge (Eds) Learning
from Health Action Zones, pp. 187–198.
Chichester: Aeneas Press.
KASSIM, H. (1994) Policy networks, networks and
European Union policy-making: a sceptical view,
Western European Politics, 17(4), pp. 15–27.
(Eds) (1997) Managing Complex Networks:
Strategies for the Public Sector. London: Sage.
KING, A. (1998) Why Labour won—at last, in: A.
Labour Triumphs: Britain at the Polls,
pp. 177–207. Chatham: Chatham House.
KOTLER, P. and LEVY, S. (1969) Broadening the
concept of marketing, Journal of Marketing,
33(1), pp. 10–15.
LABOUR PARTY (1997) New Labour: because
Britain deserves better. London: Labour Party.
LEES-MARSHMENT, J. (2001) Political Marketing
and British Political Parties: The Party’s Just
Begun. Manchester: Manchester University
LOUGHLIN, M. (1996) Understanding central–
local government relations, Public Policy and
Administration, 11(2), pp. 48–65.
LOVELOCK, C. and WEINBERG, C. (1977) Public
and Nonprofit Marketing: Cases and Readings.
New York: Scientific Press.
LOW, S. (1904) The Governance of England.
MACKINNON, J. (2003) National evaluation of
Health Action Zones: Merseyside HAZ—a case
study: final report. Glasgow: University of
MARSH, D. and RHODES, R. (Eds) (1992a) Policy
Networks in British Government. Oxford:
Clarendon Press.
MARSH, D. and RHODES, R. (Eds) (1992b) Implementing
Thatcherite Policies. Buckingham:
Open University Press.
OATLEY, N. and LAMBERT, C. (1998) Catalyst for
change: the City Challenge Initiative, in: N.
OATLEY (Ed.) Cities, Economic Competition
and Urban Policy, pp. 109–126. London: Paul
Chapman Publishing.
PAINTER, C. and CLARENCE, E. (2001) UK Local
Action Zones and changing urban governance,
Urban Studies, 38(8), pp. 1215–1232.
PATON, C. (1999) New Labour’s health policy:
the new healthcare state, in: M. Powell (Ed.)
New Labour, New Welfare State?, pp. 51–75.
Bristol: The Policy Press.
PATON, C. (2002) Cheques and checks: New
Labour’s record on the NHS, in: M. Powell
(Ed.) Evaluating New Labour’s Welfare
Reforms, pp. 127–143. Bristol: The Policy Press.
PIKE, M. (2003) Can Do Citizens. London: Social
Enterprise Services.
PLYMOUTH HAZ (2002) HAZ project file.
Plymouth: Plymouth Health Action Zone.
POWELL, M. (Ed.) (2002) Evaluating New
Labour’s Welfare Reforms. Bristol: The Policy
RHODES, J., TYLER, P. and BRENNAN. A. (2003)
New developments in area-based initiatives
in England: the experience of the Single
Regeneration Budget, Urban Studies, 40(8),
pp. 1399–1426.
RHODES, R. (1986) The National World of Local
Government. London: Allen and Unwin.
RHODES, R. (1988) Beyond Westminster and
Whitehall. London: Unwin Hyman.
RHODES, R. (1996) The new governance: governing
without government, Political Studies,
44(4), pp. 652–667.
ROBINSON, F., SHAW, K. ET AL. (2000) Who runs
the North-East now?: a review and assessment
of governance in North East England. Department
of Sociology and Social Policy, University
of Durham.
RODRIGO, L. and MUNTON, R. (2002) Addressing
inequalities in health: education and training as
a catalyst for change and innovation, in: L.
BAULD and K. JUDGE (Eds) Learning from
Health Action Zones, pp. 273–284. Chichester:
Aeneas Press.
ROUSE, J. and SMITH, G. (1999) Accountability, in:
M. POWELL (Ed.) New Labour, New Welfare
State?, pp. 235–255. Bristol: The Policy Press.
South Yorkshire Coalfields: interim evaluation
1999–2002—Overview. Published on the
South Yorkshire Coalfields HAZ website.
SIMON, E. (1926) A City Council from Within.
London: Longman.
SKELCHER, C. (2000) Changing images of the
state: overloaded, hollowed-out, congested,
Public Policy and Administration, 15(3),
pp. 3–19.
SMITH, B. and HAGUE, D. (Eds) (1971) The
Dilemma of Accountability in Modern Government.
London: Macmillan.
SMITH, M. (1993) Pressure, Power and Policy.
Hemel Hempstead: Harvester Wheatsheaf.
SMITH, M. and BEAZLEY, M. (2000) Progressive
regimes, partnerships and the involvement of
local communities: a framework for evaluation,
Public Administration, 78(4), pp. 855–878.
STEWART, J. (2003) Modernising British Local
Government. London: Palgrave.
STOKER, G. (1995) Regime theory and urban politics,
(Eds) Theories of Urban Politics, pp. 54–71.
London: Sage.
STOKER, G. (2004) Transforming Local Governance.
London: Palgrave.
STOKER, G. and MOSSBERGER, K. (1994) Urban
regime theory in comparative perspective,
Government and Policy, 12(2), pp. 195–212.
STONE, C. (1993) Urban regimes and the capacity
to govern: a political economy approach,
Journal of Urban Affairs, 15, pp. 1–28.
SULLIVAN, H. (2003) New forms of local accountability:
coming to terms with ‘many hands’?,
Policy and Politics, 31(3), pp. 353–369.
SULLIVAN, H. and SKELCHER, C. (2002) Working
across Boundaries: Collaboration in Public Services.
Basingstoke: Palgrave.
SULLIVAN, H., BARNES, M. and MATKA, E. (2002)
Building capacity for collaboration in English
Health Action Zones, in: L. BAULD and
K. JUDGE (Eds) Learning from Health Action
Zones, pp. 17–26. Chichester: Aeneas Press.
TAM, H. (1998) Communitarianism. London:
TAYLOR, M. (2003) Public Policy in the Community.
London: Palgrave.
WALDEGRAVE, W. (1978) The Binding of
Leviathan. London: Hamish Hamilton.
WEIR, S. and BEETHAM, D. (1999) Political Power
and Democratic Control in Britain: The Democratic
Audit of the United Kingdom. London:
WEIR, S. and HALL, W. (Eds) (1994) EGO trip.
London: Charter 88 Trust.
WILSON, D. and GAME, C. (2002) Local Government
in the United Kingdom, 3rd edn. Basingstoke:

Depositing User: Sara Taylor
Date Deposited: 03 Aug 2007
Last Modified: 02 Dec 2016 05:45


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