The UK Healthcare Crisis

The NHS is currently in crisis: record numbers of people are on waiting lists, there are serious staff shortages, buildings and equipment are outdated, and research indicates that patient satisfaction is at rock bottom. There does not seem to be much optimism about the UK’s current health system and the NHS’s public support may be waning. Beyond clinical shortcomings, we face a string of public health challenges in the UK, including persistent health inequalities and a slowing or even halted rate of increase in life expectancy. Is there a way out of the current crisis for the NHS – and a way forwards for public health more broadly? How much should the state do to promote our health? And can a look  at the values that ought to underpin public health strategies tell us how to do better? This week we are joined by Albert Weale, Emeritus Professor of Political Theory and Public Policy here in UCL Department of Political Science, and James Wilson, Professor of Philosophy in UCL Department of Philosophy. He is also co-director of the UCL Health Humanities Centre.Mentioned in this episode:Peter Littlejohns, David J. Hunter, Albert Weale, Jacqueline Johnson, Toslima Khatun. 2023 'Making Health Public: A Manifesto for a New Social Contract.'James Wilson. 2021 'Philosophy for Public Health and Public Policy: Beyond the Neglectful State.'James Wilson. 2023  ‘What makes a health system good? From cost-effectiveness analysis to ethical improvement in health systems.’ Medicine, Health Care and Philosophy. UCL’s Department of Political Science and School of Public Policy offers a uniquely stimulating environment for the study of all fields of politics, including international relations, political theory, human rights, public policy-making and administration. The Department is recognised for its world-class research and policy impact, ranking among the top departments in the UK on both the 2021 Research Excellence Framework and the latest Guardian rankings.

Armed conflict is all too common around the world today. One of the consequences of conflict is that civilians are harmed. Military forces – if they respect basic moral and legal standards – seek to avoid those harms so far as they can. But sometimes they will fail in that. So how should armed forces and governments respond when they cause unintended harm to civilians?Well that is a question that the United States and its allies are thinking about very carefully at the moment.One of the researchers whose work is shaping that process joins us today. She is Dr Kaleigh Heard. Kaleigh has advised multiple governments and NGOs around the world. She is also Lecturer in Human Rights here in the UCL Department of Political Science. Mentioned in this episode:Kaleigh Heard. The Price of a Life: The Confluence of Strategy and Legitimacy in Civilian Harm Compensation.  UCL’s Department of Political Science and School of Public Policy offers a uniquely stimulating environment for the study of all fields of politics, including international relations, political theory, human rights, public policy-making and administration. The Department is recognised for its world-class research and policy impact, ranking among the top departments in the UK on both the 2021 Research Excellence Framework and the latest Guardian rankings.

Protest is a fundamental part of democracy. From thousands attending pro-Palestine marches in London, to farmers driving their tractors into Paris, Berlin, and Cardiff, to Just Stop Oil spraying UCL’s famous portico orange – protests are rarely out of the spotlight.But what do protests actually achieve? Do they affect political debate and policy outcomes?A new study sheds light on that, focusing on the impact of climate protests here in the UK on what MPs talk about – both in parliament itself and online.One of the co-authors of that article is Tom Fleming, Lecturer in British and Comparative Politics, who joins us for this episode.Mentioned in this episode:Barrie, C., Fleming, T. G., and Rowan, S. S. (2023) ‘Does Protest Influence Political Speech? Evidence from UK Climate Protest, 2017-2019’, British Journal of Political Science. UCL’s Department of Political Science and School of Public Policy offers a uniquely stimulating environment for the study of all fields of politics, including international relations, political theory, human rights, public policy-making and administration. The Department is recognised for its world-class research and policy impact, ranking among the top departments in the UK on both the 2021 Research Excellence Framework and the latest Guardian rankings.

In the wake of the 1917 Russian Revolution, the new Bolshevik regime, keen to destroy the power of global capital, expropriated the commanding heights of the Russian economy and repudiated a mountain of foreign debt incurred by the Tsar. That action left thousands of international investors out of pocket. But addressing their claims proved exceptionally hard. Only in 1986, in the era of Thatcher and Gorbachev, did the British and Soviet governments finally reach a settlement. Other Western powers agreed resolutions later still.The story of this episode is fascinating in itself, but it also sheds new light on how disputes between states and international investors are resolved today. Those disputes rarely hit the headlines, however, that they can be incredibly important for all of us. How they’re resolved today is very different from in the 1980s, but the modern methods face severe criticism – not least from experts and campaigners who argue they can impede action on climate change and human rights. Lauge Poulsen joins us today. He is Professor of International Relations and Law here in the UCL Department of Political Science, is co-author of the study of the Russian case, and THE expert on disputes between states and investors.  Mentioned in this episode:Eileen Denza and Lauge Poulsen. 'Settling Russia's Imperial and Baltic Debts'. American Journal of International Law. UCL’s Department of Political Science and School of Public Policy offers a uniquely stimulating environment for the study of all fields of politics, including international relations, political theory, human rights, public policy-making and administration. The Department is recognised for its world-class research and policy impact, ranking among the top departments in the UK on both the 2021 Research Excellence Framework and the latest Guardian rankings.

Death threats, on the face it, appear to be exactly the sort of content that an online platform ought to censor – or ‘moderate’, as the preferred and obscuring term has it. Surely it is impermissible to threaten someone’s life and surely it is appropriate for online spaces like Facebook – or now Meta – to remove such speech. But what if the statement isn’t really an urge towards violence, nor a declaration of one’s intent to kill? Sometimes, when people make death threats, say to dictators, might that really be more of a political slogan or a form of critique? What if there is no intent behind the threat, and the target isn’t in danger? And ought online platforms care about such nuance when thinking about what to leave up and what to take down. We are joined by Jeffrey Howard, who is Associate Professor in Political Philosophy and Public Policy, and director of the Digital Speech Lab, and Sarah Fisher, a Research Fellow. Mentioned in this episode:Jeffrey Howard and Sarah Fisher. Ambiguous Threats: ‘Death-to’ Statements and the Moderation of Online Speech-Acts. Journal of Ethics and Social Philosophy (forthcoming) UCL’s Department of Political Science and School of Public Policy offers a uniquely stimulating environment for the study of all fields of politics, including international relations, political theory, human rights, public policy-making and administration. The Department is recognised for its world-class research and policy impact, ranking among the top departments in the UK on both the 2021 Research Excellence Framework and the latest Guardian rankings.

For around a decade, the EU – which was founded by the principles of freedom, democracy and the rule of law – has been struggling to contain anti-democratic developments in some member states. More broadly, the European Union faces a challenge of how to create unity, and yet accommodate the significant political, social, and economic diversity of its member states. Can it accommodate this diversity? And can it do so without risking being unfair or undermining its own legitimacy? Addressing these big questions is Professor Richard Bellamy, Professor of Political Science here at in the Department of Political Science and a Senior Fellow at the Hertie School in Berlin. He has recently co-authored a book on the subject, called Flexible Europe: Differentiated Integration, Fairness, and Democracy.Mentioned in this episode:Richard Bellamy. Flexible Europe: Differentiated Integration, Fairness, and Democracy.  UCL’s Department of Political Science and School of Public Policy offers a uniquely stimulating environment for the study of all fields of politics, including international relations, political theory, human rights, public policy-making and administration. The Department is recognised for its world-class research and policy impact, ranking among the top departments in the UK on both the 2021 Research Excellence Framework and the latest Guardian rankings.

One of the most remarkable transformations over recent decades has been the growing acceptance and celebration of LGBT+ rights. Here in the UK, for example, the proportion of respondents to the British Social Attitudes survey saying that same-sex relationships are not wrong at all has risen from just 11 per cent in 1987 to 67 per cent a generation later in 2022.Yet recent years have seen a backlash against such advances. Self-styled ‘family values’ movements have campaigned against the so-called ‘gay lobby’ or ‘gender ideology’ in many countries, often claiming threats not just to the family, but to the nation as a whole. In the UK and elsewhere, a backlash against trans rights has been especially prominent. We are joined by Phillip Ayoub, Professor of International Relations here in the UCL Department of Political Science. As well as marking LGBT+ History Month, this is a special inaugural episode for Prof Ayoub touching on his career journey and research influences. Mentioned in this episode:Phillip M. Ayoub and Kristina Stoeckl. The Global Fight Against LGBTI Rights: How Transnational Conservative Networks Target Sexual and Gender MinoritiesPhillip Ayoub. When States Come Out. Europe's Sexual Minorities and the Politics of Visibility UCL’s Department of Political Science and School of Public Policy offers a uniquely stimulating environment for the study of all fields of politics, including international relations, political theory, human rights, public policy-making and administration. The Department is recognised for its world-class research and policy impact, ranking among the top departments in the UK on both the 2021 Research Excellence Framework and the latest Guardian rankings.

How parliaments hold ministers (particularly prime ministers) to account is a fundamental part of parliamentary democracy. And one of those mechanisms of accountability involves asking questions. We take a good hard look at how – and how effectively – parliaments question prime ministers.We are joined by Dr Ruxandra Serban, Associate Lecturer in Democratic and Authoritarian Politics here in the UCL Department of Political Science. Her research focusess directly on parliamentary questioning processes. Mentioned in this episode:Ruxandra Serban. Conflictual behaviour in legislatures: Exploring and explaining adversarial remarks in oral questions to prime ministers. The British Journal of Politics and International Relations.Ruxandra Serban. Is confrontational questioning bad for parliaments and democratic politics? The Constitution Unit Blog. UCL’s Department of Political Science and School of Public Policy offers a uniquely stimulating environment for the study of all fields of politics, including international relations, political theory, human rights, public policy-making and administration. The Department is recognised for its world-class research and policy impact, ranking among the top departments in the UK on both the 2021 Research Excellence Framework and the latest Guardian rankings.

Peace in Northern Ireland is widely recognised as one of the leading achievements of politics in recent decades.  The Good Friday, or Belfast Agreement, reached in 1998 by the British and Irish governments and most of the main Northern Ireland political parties brought an end to thirty years of violent conflict in which over three and a half thousand people were killed.It did so in part by establishing a system of power-sharing government.  A new Northern Ireland Assembly would be elected by proportional representation, so no one group could dominate. Within the new Northern Ireland Executive, representatives of Northern Ireland’s two political traditions would have to work together.Over the years since the Agreement was reached, the power-sharing institutions have worked well some of the time. But for others they have worked badly or not at all. Since February 2022 their functioning has once again been suspended. Public anger at this situation is intense. Negotiations for restoring the institutions are ongoing. But, as yet, there has been no breakthrough.Indeed, the situation has become so grave that many think the future viability of power-sharing government is now in doubt. And there are suggestions that the settlement reached in 1998 may need to be revisited.In this episode we’re joined by two experts:Alan Whysall is an Honorary Senior Research Associate at the Constitution Unit here within the UCL Department of Political Science. He was previously a senior civil servant in the Northern Ireland Office, where he worked for many years on the Northern Ireland peace process – including the talks that led to the Belfast/Good Friday Agreement.Conor Kelly is a Research Assistant at the Constitution where he has worked on multiple projects relating to Northern Ireland, most recently examining perceptions of the Belfast/Good Friday Agreement among politicians and the public in Northern Ireland.  Mentioned in this episode:Alan Whysall’s reports: 'Report 1: Northern Ireland's Political Future' and 'Report 2: The Agreement at 25' https://www.ucl.ac.uk/constitution-unit/northern-irelands-political-futureConor Kelly and Alan Renwick, Perspectives on the Belfast/Good Friday Agreement  UCL’s Department of Political Science and School of Public Policy offers a uniquely stimulating environment for the study of all fields of politics, including international relations, political theory, human rights, public policy-making and administration. The Department is recognised for its world-class research and policy impact, ranking among the top departments in the UK on both the 2021 Research Excellence Framework and the latest Guardian rankings.

The quality of public services – whether health, education, water supply, or sewage disposal – has a big impact on all of our lives. How to enhance that quality is therefore one of the big questions for political studies.Professor Marc Esteve is one of the leading experts on exactly that issue. We have recorded this special episode of our podcast to coincide with his inaugural lecture as Professor of Public Management here in the UCL Department of Political Science.  Mentioned in this episode:Assessing the Effects of User Accountability in Contracting Out, Journal of Public Administration Research and Theory.Determinants Of Network Outcomes: The Impact Of Management Strategies. Public Administration.The Political Hourglass: Opportunistic Behavior in Local Government Policy Decisions. International Public Management Journal You can watch Marc's inaugural lecture on our YouTube channel, where it will be uploaded in January 2023. UCL’s Department of Political Science and School of Public Policy offers a uniquely stimulating environment for the study of all fields of politics, including international relations, political theory, human rights, public policy-making and administration. The Department is recognised for its world-class research and policy impact, ranking among the top departments in the UK on both the 2021 Research Excellence Framework and the latest Guardian rankings.