This paper analyses the micro-scale geographies of care within newly devolved social services in The Netherlands. Across Europe, welfare reforms have reconfigured the spatial organisation of care, shifting responsibilities to municipalities and expecting closer collaboration between citizens, civil-society organisations and local governments. We analyse how these spatial and institutional transformations shape the everyday negotiation of care responsibilities within Buren Helpen Elkaar, a locally organised initiative that mobilises volunteers to support residents (primarily elderly people) to continue living independently at home. Drawing on Tronto's political ethics of care, we investigate how care is interpreted, allocated and enacted across local actors. The analysis is based on qualitative data from thirty-six interviews, participatory observations and policy and organisational documents. Our findings show that, despite its promise of fostering more cooperative citizen-state relations, the initiative is marked by dynamics of 'privileged irresponsibility'. Professionals and volunteers withdraw from particular tasks by claiming to be 'too busy', by narrowing definitions of legitimate need or by shifting responsibility to other actors. By tracing how responsibility is negotiated and redistributed in place, the paper offers a micro-scale account of devolved welfare that foregrounds the relational dynamics shaping local care provision. It also shows how everyday practices can undermine the intentions of welfare reforms and contribute to uneven outcomes across communities.

Introduction: Integrated Care Systems (ICSs) in England seek ever-closer collaborative relationships between health and social care providers, local authorities, and the Voluntary, Community, Faith and Social Enterprise (VCFSE) sector to deliver public services in place. However, ICSs present significant challenges for VCFSEs. Methods: In-depth qualitative case study of VCFSEs in an ICS contiguous with a Unitary Authority in England. Results and Discussion: i) the role of the ‘microbiome’ of smallest VCFSE in the ICS is unclear; ii) current commissioning models work against the effective participation of VCFSEs in ICSs; iii) short-term and under-funded contracts threaten VCFSEs; iv) substitution and appropriation represent tangible threats to VCFSEs through increased demand and bureaucratisation; v) the degree to which ICS support a vibrant, heterogeneous, and sustainable VCFSE sector depends on ‘system maturity’. Conclusions: Integration is a process, not an event. The evolving landscape of service design presents both opportunities and challenges for VCFSEs, requiring careful management to harness strategic advantages while addressing operational risks.

Citizen participation and empowerment are high on the political agenda of Western European welfare states. They are often pursued through processes of decentralisation with an appeal to 'place-based' working. Existing research focuses on citizen experiences or policymaker motivations, neglecting the perspectives of (municipal) public servants as mediators. Using an ethics of care framework, we examine the concept of 'privileged irresponsibility' within the context of local decision-making processes to help us understand how public servants negotiate local initiative within the spaces of local decision-making. Drawing on semi-structured in-depth interviews with twenty-three municipal public servants and managers, we show that they frequently experience an absence of care and eschew joint responsibility for concerns voiced by citizens. We show how 'privileged irresponsibility' depends on invisibility and normativity and is the outcome of local political relations and institutional pressures. 'Tokenist' forms of participation make it difficult for municipal public servants to take up 'caring' responsibilities towards citizens, with effects on their job satisfaction.

This commentary paper welcomes calls for widening participation amongst ethnic minorities in research that aims to understand well-being. However, we demonstrate how a history of exclusion in the daily routines of communities render such calls limited in their ability to address inclusion fully. The absence of ethnic minorities from spaces and dialogues that define what constitutes good well-being is highlighted. We use life-courses that align with Western norms as an example to develop our arguments. Overall, exclusion is rooted in colonial histories and the discrimination experienced by ethnic minorities during day-to-day, routine living. Additionally, relational ontologies of well-being are overwhelmed by individualised constructs. We outline how the suppression of marginalised values in everyday spaces and activities has limited meaning-making in relation to well-being amongst ethnic minority individuals and groups. We characterise this marginalisation as an epistemic injustice in defining well-being. In our conclusions, we call for dialogues and developments in critical race theory (CRT) to be considered in research commissioning processes. Spaces and dialogues that are owned and shaped by ethnic minorities should be supported before we can widen participation in well-being research meaningfully. Values that are practised and developed in such spaces can then contribute to how communities define well-being and the appropriate ways in which it can be studied. It should be acknowledged that we use the term ethnic minority throughout this paper for brevity. The diverse experiences and perspectives that this term covers should be engaged with when considering the recommendations that we make.

This paper aims to stimulate debate around the development of a place-based research review methodology. We present place-based reviews as a potential source of support for wellbeing-related local policymaking. Our introductory discussions highlight an ever-growing need for insights about specific localities and a lack in resources-including time-for local policymakers to engage with research. Additionally, increasing demands for local insights have been driven by devolution shifts, which redistribute policymaking responsibilities to local authorities. Hence, we explore the challenges and opportunities that arise when places are considered in reviewing research relevant to wellbeing. We build a case study around two related places of different scale: Truro, a small cathedral city in the United Kingdom's Southwest; and Cornwall, the regional county that contains Truro. We use these places as search terms in combination with terms concerning health and social care (HSC) services. HSC services are included as a component of our case study, as the topic is a consistent concern for wellbeing-related policies. In our findings, we report a lack of papers on our smaller scale of place (Truro). One might expect this outcome. Nonetheless, we reflect on current research practices and processes that might have further limited our ability to generate insights about Truro. Encouragingly, our findings on Cornwall demonstrate the potential of place-based reviews in supporting local policymaking more broadly. We make initial judgements around knowledge gaps-including the exclusion of perspectives from certain groups and identities-and topological insights, that is, those that are relevant to Cornwall as a whole. Our discussions also consider how place-based reviews can be enhanced via the retrieval and inclusion of non-academic studies. Finally, key questions to induce debate on this subject are posed in the conclusion. We aim to induce debate around the development of a place-based review methodology. Such reviews have the potential to be useful tools for local policymakers and the establishment of place-based policies around wellbeing.

Memories are crucial to our sense of identity and emotional response to place, providing an anchor point from which we can tell different stories of our temporal encounters in the world. Through memory, we embed different spaces, pasts, and futures of ourselves in particular locales. These identities are not fixed, timeless, or geo-specific; they are the spontaneous assemblages of meaning, drawn from a multiplicity of memories, emotions, and thoughts that represent an “outpouring” of being in place. The mechanisms and processes by which meaning is articulated in these encounters are fundamental to our understandings of ourselves and places. This chapter brings together research on young people and identity to examine critically how rural youth tell stories to define themselves in the world through three themes. First, the role of memory in creating a sense of identity. Second, how individuals create memory images that are woven through with understandings of place. Finally, the chapter reconciles the inherent inconsistencies and flux of the selfhood project through the concept of pluritemporal memories of place.

This study examines the feasibility of using an indoor environment sensor system to improve property management and health in social housing. Over a 6-year period, sensors were installed and maintained in 280 homes to monitor temperature, humidity, and air quality, with the sensor data provided to residents and the Housing Association (HA) through co-designed dashboards. Employing a mixed method sequential research design, feasibility was evaluated using the RE-AIM model. From the residents' perspective, monitoring the indoor environment was acceptable, but adoption rates of the dashboard were low and there was minimal evidence of its effectiveness in prompting changes in behavior. From the HA perspective, the system proved effective in identifying high-risk homes, prompting the HA to reach out to vulnerable residents, and provide more timely support and maintenance. The system also facilitated long-term monitoring, planning, and helped the HA achieve its social objectives and legislative responsibilities. Despite initial technical challenges, HA staff expressed a desire to continue using the system, integrate it with existing infrastructure, and expand its deployment to more homes. However, scaling the intervention would require careful planning. In conclusion, sensor systems are a feasible intervention that holds promise in helping to address health risks in underserved communities.

We critically explored the use of Normalisation Process Theory (NPT) in the evaluation of a co-designed intervention toolkit for Healthy Ageing through Innovation in Rural Europe (HAIRE). The toolkit was co-designed and implemented in rural communities in Belgium, France, the Netherlands and the United Kingdom. NPT was applied as a novel analytical framework to shed light on key practices and processes that supported implementation. Further, the paper discusses how social innovation research helps frame co-designing such interventions with local communities. During the study, 25 semi-structured interviews were conducted with project partners and volunteers who were involved in toolkit co-design and implementation. A need for co-designing toolkits that explore ageing holistically was identified. Holistic understandings of ageing can be developed by paying attention to person-centred and place-based (context-specific) aspects of ageing. Finally, we illustrate how NPT can guide future evaluation frameworks as it offers the flexibility required to understand context-specific implementation.

As part of the NHS long-term strategy to meet the medical and non-medical needs of patients, there is growing acceptance that the traditional model of service delivery can no longer meet current challenges. This has led to the co-creation of services with patients and other stakeholders such as the voluntary and community sector to help deliver these. Social prescribing, which is now available through the NHS, is one such option that allows individual patients with a social need to access local health resources and social support outside the NHS.

Austerity and welfare reforms -such as Universal Credit (UC) -are changing the ways in which care is delivered in the UK, increasing the precarity of individuals and the organisations who care for them.New cultures of care are emerging as a result.We show how an emplaced affect of 'edgy-ness' shaped a culture of care within third sector organisations and housing associations working in Cornwall, UK.Drawing on a collaborative project consisting of four housing associations and four VCSOs, we explore 'edgy-ness' as one specific affect of precarity through an analysis of practitioners' narratives of the project and its success.

Background Living in poor quality housing is a significant contributor to public health problems, and represent a considerable societal and economic burden worldwide. However, detecting and responding to a poor home environment remains a challenge, as the causes are often invisible and the impact on health is cumulative and long term. Smart homes are residences augmented with sensors to observe the environment and devices to provide proactive services. Evidence indicates that smart technology can improve home environment management and has potential health benefits. User perspectives on factors for adoption of a smart technology systems are under researched. In response this research examines the factors for adoption, and non-adoption, of a smart technology system to support home environment management for social housing tenants. Methods 221 social housing tenants were recruited. Participant homes were fitted with sensors to monitor temperature, humidity, and air quality. Participants were provided with a digital dashboard to access their sensor data. Data was collected on participant health, dashboard use, and subsequent changes in home environment. A mixed method sequential research design was employed. Quantitative methods were used to understand determinants and patterns of technology use. Qualitative interviews (n20, strategically sampled) were used to understand factors of feasibility and acceptability. Results From a user perspective, this study found little evidence of interaction with the sensor data, and almost no evidence of changes in the sensor data as a result of viewing. Ease of use and usefulness were found to be the most important barriers to technology adoption. Both these factors related to how the information was communicated and how effective the dashboard was in converting data into insight. We found that the Housing Association provided important facilitating conditions to the adoption of the smart home technology, specifically for participant trust regarding how the data will be used. We also found that the Housing Assocation were using the dashboard to successful intervene with high-risk properties and provide wellbeing support for their tenants. Conclusion It is clear from this study that smart home technology is not a panacea. While smart technology was useful for identifying risk, the technology could not identify the exact cause of the risk nor instigate an acceptable intervention. Human intervention was required to fully identify and subsequently offer solutions that addressed the problems. We argue that to improve the home environment for tenants, smart technology capacity must be matched to human capacity for intervention. In sum, this study has shown the potential of smart home technology, which is integrated with a Housing Association tenant support programme, to improve health and wellbeing.

BackgroundPersonas, based on customer or population data, are widely used to inform design decisions in the commercial sector. The variety of methods available means that personas can be produced from projects of different types and scale. ObjectiveThis study aims to experiment with the use of personas that bring together data from a survey, household air measurements and electricity usage sensors, and an interview within a research and innovation project, with the aim of supporting eHealth and eWell-being product, process, and service development through broadening the engagement with and understanding of the data about the local community. MethodsThe project participants were social housing residents (adults only) living in central Cornwall, a rural unitary authority in the United Kingdom. A total of 329 households were recruited between September 2017 and November 2018, with 235 (71.4%) providing complete baseline survey data on demographics, socioeconomic position, household composition, home environment, technology ownership, pet ownership, smoking, social cohesion, volunteering, caring, mental well-being, physical and mental health–related quality of life, and activity. K-prototype cluster analysis was used to identify 8 clusters among the baseline survey responses. The sensor and interview data were subsequently analyzed by cluster and the insights from all 3 data sources were brought together to produce the personas, known as the Smartline Archetypes. ResultsThe Smartline Archetypes proved to be an engaging way of presenting data, accessible to a broader group of stakeholders than those who accessed the raw anonymized data, thereby providing a vehicle for greater research engagement, innovation, and impact. ConclusionsThrough the adoption of a tool widely used in practice, research projects could generate greater policy and practical impact, while also becoming more transparent and open to the public.

This article offers critical insights into new digital forms of citizen-led journalism. Many communities across western society are frequently excluded from participating in newsgathering and information dissemination that is directly relevant to them due to financial, educational and geographic constraints. News production is a risky business that requires professional levels of skill and considerable finances to sustain. Hence, ‘hyper-localised news’ are often absent from local and national debates. Local news reportage is habitually relegated to social media, which represents a privileged space where the diffusion of disinformation presents a threat to democratic processes. Deploying a place-based, person-centred approach towards investigating news production within communities in Cornwall, UK, this article reflects on a participatory action research project called the Citizen Journalism News Network (CJNN). The CJNN is an overt attempt to design disruptive systems for agenda setting through mass participation and engagement with social issues. The project was delivered within four communities via a twelve-week-long journalism course, and a bespoke online app. CJNN is a platform for citizen journalists to work collaboratively on investigating stories and raising awareness of social issues that directly affect the communities reporting on them.

Electric vehicles (EVs) are the most popular alternative to petrol and diesel vehicles and are becoming a central part of climate change mitigation strategies. This paper draws attention to how publics engage with communication strategies relating to EVs. By focusing on the interlinked relationships between an individual's location, socio-demographic characteristics and their experiences with media sources, the paper demonstrates how EV-related knowledges are publicly engaged with. By using systems thinking as a critical analytical lens, we examine how these individuals use knowledges and/or refer to hegemonic framings of alternative technologies to discuss EVs. These constructs focus predominantly on consumerist framings of EVs and how they compare to petrol and diesel vehicles as a commodity. In this context, the paper provides an understanding of how to improve public engagement with EV-related communications by using a systems thinking approach. In doing so, the paper further offers a critical perspective on the relevance of EVs to publics beyond being a consumer product. These considerations can provide researchers with valuable insights into effective and more engaging communication strategies for particular contexts.

This paper examines how young people come to be enrolled and engaged in programmes of unpaid environmental conservation in rural areas. Set within a theoretical debate regarding the nature of unpaid work and its relationship to voluntary and coercive forms of environmental action, the paper identifies four pathways and two types of recipient organisations through which young people become involved in efforts to protect and enhance rural landscapes and locales. Drawing on a combination of extended survey and in-depth qualitative research in the west and south of rural England, the paper considers the systems of governance that surround the organisation of these unpaid activities and shows how these are rationalised and designed as practical and embodied experiences of citizenship. The paper argues that enhancing participation rests less on how to foster more young participants into the conservation sector than how to structure these activities in more productive ways that go beyond simple ‘sweat equity’. The findings have implications for the training and organisation of volunteers in other sectors.

Social prescribing (SP) is an increasingly popular means of enabling medical professionals to refer people to social activities. However, how individuals accommodate activity groups into their routines has been neglected by studies exploring SP. This paper uses qualitative approaches to explore how place and sociability influence the experiences of individuals with type-2 diabetes in a social prescription walking group. Using in-situ conversations and in-depth interviews, we demonstrate how place and sociability extends beyond a group via storytelling, and allows individuals to become part of a group. Understanding place, sociability and storytelling is critical in characterising the benefits of social prescription.

In general, research demonstrates that deprivation, education, health, and well-being are determinants of volunteering, and that volunteering can play an important role in building stronger communities and provides many benefits for individual health and well-being. This study concentrates on the effects of physical and mental health and well-being as predictors when the aspect of socio-economic impact has been minimised. It utilises a unique data set from a UK Housing Association community with generally high levels of deprivation. Data were analysed using bivariate probit regression. In contrast to previous findings, physical health and mental health were not significantly related to volunteering. The key finding was that mental well-being was significantly related to informal volunteering.

Digital technology is seen as a panacea to meeting the financial and operational challenges faced by voluntary and community sector organisations (VCSOs), through delivering efficiencies and cost-saving, alongside improving quality of service. However, according to recent assessments in the UK, the rate of digital adoption is slow compared with other sectors. This article identifies how a VCSO in a period of austerity prioritises its social mission over functionality and efficiency gains from digital technology. Employing the heuristic of phronesis, we argue that VCSOs seeking to implement digital innovations need to strike a balance between instrumental rationality (that is, what is possible to achieve with technology) and value rationality (that is, what is desirable to pursue by VCSOs). Our key argument is that theories of value rationality provide a new explanation for the slow adoption of digital technology among VCSOs.