The equity implications of an expanded health and wellbeing role for housing associations

Hjelmskog, A. and Deas, I. (2023) The equity implications of an expanded health and wellbeing role for housing associations. Public Health in Practice, 5, 100355. (doi: 10.1016/j.puhip.2023.100355) (PMID:37346378) (PMCID:PMC10280050)

Abstract

Objectives: in light of the acknowledged relationship between housing circumstances and health outcomes, the research explored the implications of the diversifying role of housing associations, considering the extent and form of engagement with the health sector and the potential repercussions for inequalities. Study design: the research was based on a single case study of the Manchester city-region, chosen to provide a way of considering the role of recently agreed devolved governance and funding arrangements in respect of housing and health. Methods: primary qualitative data were assembled via a programme of semi-structured interviews with housing and health policy actors and direct observation of six quarterly meetings of a housing-health steering group established as part of new devolved governance arrangements. Results: the findings reveal a perception among housing managers that the reorientation of housing association services to offset the rationalisation of mainstream provision risks exacerbating inequalities. Interview and observational data suggest that the diversification of housing association activity may have begun to erode the sector's ability and willingness to provide affordable housing on a universal basis to those in need. Conclusions: The growing non-landlord functions of some housing associations can act as a deterrent to the allocation of housing to applicants with complex (and expensive) needs. This reinforces the increased selectivity in housing association stock allocations, linked to marketization and the increasingly commercial outlook of some providers. Further inequalities may be engendered because while tenants can benefit from the extended housing associations services, others continue to depend on a weakened statutory sector.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Hjelmskog, Dr Annika
• Authors: Hjelmskog, A., and Deas, I.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
• Journal Name: Public Health in Practice
• Publisher: Elsevier
• ISSN: 2666-5352
• ISSN (Online): 2666-5352
• Published Online: 14 January 2023
• Copyright Holders: Copyright © 2023 Crown Copyright
• First Published: First published in Public Health in Practice 5: 100355
• Publisher Policy: Reproduced under a Creative Commons License

Project Code	Award No	Project Name	Principal Investigator	Funder's Name	Funder Ref	Lead Dept
304823010	1	Systems science research in public health	Petra Meier	Office of the Chief Scientific Adviser (CSO)	SPHSU20	HW - MRC/CSO Social and Public Health Sciences Unit
304823005	1	Systems science research in public health	Petra Meier	Medical Research Council (MRC)	MC_UU_00022/5	HW - MRC/CSO Social and Public Health Sciences Unit