This paper presents findings from the qualitative arm of the Warm Homes Project, a programme of research concerned with the nature of fuel poverty, its alleviation and its relationship to family health. Much of the research into fuel poverty, which results from various combinations of low income and fuel inefficiency, has drawn upon quantitative paradigms. Experiences of, and coping with, fuel poverty have not been well explored. Data for the present study were obtained through qualitative interviews with household members about the above issues. The findings suggest that the expectations of those in fuel poverty about staying warm, and their beliefs about the relationship between warmth and health, vary considerably. Fuel poverty often had wider ramifications, impacting on quality of life in complex ways. The respondents took steps to alleviate cold, but their strategies varied. Coping was affected by informational limitations as well as cost constraints. Measures designed to alleviate fuel poverty should take into account its wider social meaning within the lives of household members.

This article considers the background to one of the projects in the UK Economic and Social Research Council's Public Services Programme: a major; three-year investigation of how health inequalities are being framed for intervention at a local level in post-devolution England, Scotland and Wales. A particular interest is in the difference that performance assessment makes as it engages to a greater or lesser extent with health inequalities.

Abstract:Since the advent of political devolution in the UK, it has been widely reported that markedly different health policies have emerged. However, most of these analyses are based on a comparison of healthcare policies and, as such, only tell part of a complex and evolving story. This paper considers official responses to a shared public health policy aim, the reduction of health inequalities, through an examination of the national policy statements produced in England, Scotland and Wales since 1999. Our findings differ from existing analyses, raising some important questions about the actuality of, and scope for, policy divergence since devolution.

A randomised controlled trial of an energy efficiency intervention for families living in fuel poverty. Housing Studies, 26, 117-132. ABSTRACTThis paper discusses a pragmatic randomised controlled trial of a fuel poverty intervention undertaken in NE England over a four year period, starting in 2000/2001. Home energy efficiency was measured through Standardised Assessment Procedure (SAP) ratings in each year of the trial. The trial group received an energy efficiency intervention package in year three, and the control group in year four. Year three room temperature data for a sub-sample of 100 households were obtained. A comparison group of households not living in fuel poverty were also surveyed in all four years of the study. The intervention improved SAP ratings by 12 points, generating room temperature increases of about one degree Celsius. Families did not respond to energy efficiency gains by reducing their heating expenditure. The intervention generated improvements in satisfaction with household warmth. Its receipt was not associated with gains in self-reported health. However, modest correlations between room temperatures and better social functioning, as measured by the SF36, was found.

This article explores how health inequalities are constructed as an object for policy intervention by considering four framings: politics, audit, evidence and treatment. A thematic analysis of 197 interviews conducted with local managers in England, Scotland and Wales is used to explore how these framings emerge from local narratives. The three different national policy regimes create contrasting contexts, especially regarding the different degrees of emphasis in these regimes on audit and performance management. We find that politics dominates how health inequalities are framed for intervention, affecting their prioritisation in practice and how audit, evidence and treatment are described as deployed in local strategies.