Good, homely, troublesome or improving? Historical geographies of drinking places, c. 1850–1950

This paper surveys historical geographies of drinking places designed for the consumption of alcohol between about 1850 and 1950, covering work published in English on sites in Europe, Russia, the Americas, and parts of Britain's empire. Five key aspects of drinking places are identified. The paper first considers them as significant social spaces associated with positive conceptions of both the public sphere and public space before exploring the ways in which drink became a spatial problem for contemporary observers, both in terms of their internal design and layout, and in their arrangements and concentrations in space. Histories and historical geographies of workers and patrons in these sites then suggest that the spatial problems associated with drink might also be classed, gendered, racialized, and sexualized. The last two sections of the paper review work on aspects of drinking places shared across many different social and geographical contexts: licensing and the provision of highly regulated ‘improved' sites for the consumption of alcohol. Similarities across many different contexts may reflect common social patterns or the development of shared strategies for reform. The conclusion suggests a few areas that might be developed

Making climate risks work: Governmentality and "foreign residence" in British life assurance, 1840–1940

Genealogies of life assurance have tended to focus on the governmental possibilities of actuarial calculations of mortality, but the case of foreign residence assurance draws attention to other ways in which British companies calculated climate risk between 1840 and 1940. Drawing on archival research, this paper demonstrates that the extra charges imposed on life assurance policies for foreign residence invited conversations about the risks of climate and mortality in countries beyond Britain, drawing on both contemporary climate science and other arguments about climate pathology. Climate risks, however, had to be made to work for both life assurers and policyholders through far‐reaching social‐material networks, and firms frequently tinkered with arrangements of people, ideas, and artefacts in ways that enabled a mapping and governing of such risks. Whether ideas of climate circulating in life assurance were believed or not, they had effects and policyholders submitted to them. Drawing on archival material from several British life assurance companies, including some detailed cases of assured migrant lives, the paper explores how companies made risk calculations in ways that had consequences for ordinary decisions and practices. In so doing, the paper contributes to debates about life assurance and governmentality, showing that foreign residence policies enabled businesses to secure their risks in an era of imperial expansion. But this is no simple story of power and imperialism. Businesses constantly tinkered with their policies, drawing on climate science and medical understandings, but only as part of an always messy, changing assemblage

A fragile network: effecting hail insurance in Britain, 1840-1900

Hail insurance in Britain emerged as a product by and for farming communities, expanding as wheat production rose in the mid-nineteenth century before declining in the latter decades of the century amidst wide-scale conversion from arable to livestock farming. Drawing on detailed research conducted in the remaining archives of the three major hail insurers in this period, we demonstrate the challenges of establishing a new insurance product for farmers. We argue that to make hail insurance effective, the insurance company’s central office collated and circulated information, rules, and paperwork to enable it to govern farmers, agents, and valuers at a distance. Such networks were fragile and required continual maintenance, whether to enhance reputation, manage farmers’ requests for new products, enforce rules, or tinker with rates in response to perceived risks and competitive pressures. Conceptualizing this emerging insurance business as a fragile network is a useful device demonstrating that paperwork, the governing of actors, and personal rivalries are as important as broader economic changes in explaining the development of a novel insurance product in this period

A scoping review characterising the activities and landscape around implementing NICE guidance

Clinical, public health and social care guidance provide evidence-based recommendations on how professionals and commissioners working within these fields should care for patients, service users and the wider public. Evidence-based clinical guidance aims to reduce variation in practice and improve levels of patient and service user care, while at the same time allowing clinical freedom for individual practitioners. The guidance produced by the National Institute for Health and Care Excellence (NICE) are not mandatory, although NICE does set out a business case in terms of the clinical and cost-effectiveness for implementation. Implementation in this sense signifies the active planned processes that take place to enable guidance-based best practice to become routinely embedded within day-to-day activity. There is growing recognition that getting evidence to influence and change practice is a complex undertaking. Despite a growth in the evidence base in this area, there remain gaps in understanding which types of implementation strategies are most effective for which types of guidance, for which audiences and in which circumstances. This review sought to investigate the strategies used to implement NICE guidance in routine practice, and particularly to examine the impact of implementation strategies operationalised by national level organisations and networks

Identifying and appraising promising sources of UK clinical, health and social care data for use by NICE

This report aimed to aid the National Institute of Health and Care Excellence (NICE) in identifying opportunities for greater use of real-world data within its work. NICE identified five key ways in which real-world data was currently informing its work, or could do so in the future through: (i) researching the effectiveness of interventions or practice in real-world (UK) settings (ii) auditing the implementation of guidance (iii) providing information on resource use and evaluating the potential impact of guidance (iv) providing epidemiological information (v) providing information on current practice to inform the development of NICE quality standards. This report took a broad definition of ‘real-world’ data and created a map of UK sources, informed by a number of experts in real-world data, as well as a literature search, to highlight where some of the opportunities may lie for NICE within its clinical, public health and social care remit. The report was commissioned by the NICE, although the findings are likely to be of wider interest to a range of stakeholders interested in the role of real-world data in informing clinical, social care and public health decision-making. Most of the issues raised surrounding the use and appraisal of real-world data are likely to be generic, although the choice of datasets that were profiled in-depth reflected the interests of NICE. We discovered 275 sources that were named as real-world data sources for clinical, social care or public health investigation, 233 of which were deemed as active. The real-world data landscape therefore is highly complex and heterogeneous and composed of sources with different purposes, structures and collection methods. Some real-world data sources are purposefully either set-up or re-developed to enhance their data linkages and to examine the presence/absence/effectiveness of integrated patient care; however, such sources are in the minority. Furthermore, the small number of real-world data sources that are designed to enable the monitoring of care across providers, or at least have the capability to do so at a national level, have been utilised infrequently for this purpose in the literature. Data that offer the capacity to monitor transitions between health and social care do not currently exist at a national level, despite the increasing recognition of the interdependency between these sectors. Among the data sources we included, it was clear that no one data source represented a panacea for NICE’s real world data needs. This does highlight the merits and importance of data linkage projects and is suggestive of a need to triangulate evidence across different data, particularly in order to understand the feasibility and impact of guidance. There exists no overall catalogue or repository of real-world data sources for health, public health and social care, and previous initiatives aimed at creating such a resource have not been maintained. As much as there is a need for enhanced usage of the data, there is also a need for taking stock, integration, standardisation, and quality assurance of different sources. This research highlights a need for a systematic approach to creating an inventory of sources with detailed metadata and the funding to maintain this resource. This would represent an essential first step to support future initiatives aimed at enhancing the use of real-world data