English Regions Research Articles

Accent and the manifestation of spatialised class structure

There is long-standing interest within sociological debate to understand social class inequality spatially. We contribute to this debate by using a spatially differentiated understanding of accent, used here as a ‘window’ to observe the formation of socio-economic difference across space. From a spatial perspective, using the work of Doreen Massey, we draw on a unique multi-sited qualitative dataset, which contains the narratives of over 200 young people (aged 16/17) across 17 UK localities, spanning all nine English regions and the three ‘home’ nations of Wales, Scotland and Northern Ireland. It was a purposefully designed sample intended to capture the field of social relations across geographic space. Accent emerged as a signifier of the spatial manifestation in class boundaries and points of socio-economic difference. Diverse groups are complicit in the construction of normative accents, and the ‘othering’ of accents belonging to historically dominated places and regions. We observe here not only spatial differentiation within social class groups, but the ethnic solidarities that emerge as a consequence of marginalisation.

From EU Structural Funds to Levelling Up: Empty signifiers, ungrounded statism and English regional policy

This paper argues that EU structural policy administered through the European Regional Development Fund (ERDF) and the European Social Fund (ESF) had a relatively limited impact in addressing competitiveness and productivity weaknesses in the English regions due to the emphasis on supply-side policies and deficiencies within the institutional framework for governing economic development. By analysing projects supported by the ERDF and the ESF in England from 2007 to 2013, we demonstrate that funding was used to shape self-organising networks of private and public sector actors, notably local councils, to encourage the development of entrepreneurship, research and development, the creative industries, transport services, and universities and educational providers. In the absence of an overarching strategic vision, and given long-standing socio-economic and political weaknesses, the effect of EU structural funding on the English regions was nonetheless marginal at best. Our case-study highlights that England’s path-dependent and ungrounded statism combined with a neoliberal supply-side logic Structural Funds to create an empty signifier of regional development that failed to adequately respond to the structural needs of less affluent regions. Meanwhile, the post-Brexit approach to regional development, namely the levelling up agenda, represents a continuation of this empty signifier rather than a significant break with the past.

Young people, youth work & the ‘levelling up’ policy agenda

‘Levelling UP’ has taken on considerable significance in the policy discourses of the Johnson conservative government, particularly regarding the English regions. However, what is meant by Levelling up has been far from clear, although if it is to mean anything it must at least in part mean addressing the needs of disadvantaged and left behind communities. Key premises of this paper are that young people must be considered valued members of those communities; and that, to meet their expressed needs, youth work can be the best placed service for (re)investment, not least because it has demonstrated that it consistently enables a wide variety of outcomes in their lives. The investment required must be seen in the context of the huge austerity cuts to youth services in England which disproportionately affected disadvantaged communities. To make the case for ‘levelling up’ to completely rebuild as well as further develop those services. This paper brings together an analysis of past and current youth policies with a range of relevant empirical data.

Reading wars or reading reconciliation? A critical examination of robust research evidence, curriculum policy and teachers' practices for teaching phonics and reading

AbstractTeaching children to read is one of the most fundamental goals of early years and primary education worldwide, and as such has attracted a large amount of research from a range of academic disciplines. The aims of this paper are: (a) to provide a new critical examination of research evidence relevant to effective teaching of phonics and reading in the context of national curricula internationally; (b) to report new empirical findings relating to phonics teaching in England; and (c) examine some implications for policy and practice. The paper reports new empirical findings from two sources: (1) a systematic qualitative meta‐synthesis of 55 experimental trials that included longitudinal designs; (2) a survey of 2205 teachers. The paper concludes that phonics and reading teaching in primary schools in England has changed significantly for the first time in modern history, and that compared to other English dominant regions England represents an outlier. The most robust research evidence, from randomised control trials with longitudinal designs, shows that the approach to phonics and reading teaching in England is not sufficiently underpinned by research evidence. It is recommended that national curriculum policy is changed and that the locus of political control over curriculum, pedagogy and assessment should be re‐evaluated. The video abstract for this article is available at https://youtu.be/bJImJ79JKNI. Context and implicationsRationale for this studyTeaching children to read is one of the most important elements of primary education because it is fundamental to children's educational development. For this reason it is vital that the teaching of reading, and curriculum policies on reading, are informed by robust research.Why the new findings matterIf children are not being taught to read in the most appropriate way, because curriculum policy and teaching practices are not informed sufficiently by robust research evidence, then children's education will not be as effective as it should be.Implications for practitioners, policy makers, researchersThe outcomes of the survey of teachers in England, and the new analysis of systematic reviews and meta analyses, and randomised controlled trials with longitudinal designs, reported in the paper show the need for changes to the teaching of reading and to national curriculum policy on the teaching of reading.The teaching of phonics and reading in curriculum policy and practice should more closely reflect the evidence that contextualised teaching of reading, or balanced instruction, is the most effective way to teach reading.

THE POLITICS OF LEVELLING UP: DEVOLUTION, INSTITUTIONS AND PRODUCTIVITY IN ENGLAND

AbstractAfter the publication of the Government’s ‘Levelling Up’ White Paper, this paper reviews the role of institutions and governance structures across English regions in tackling spatial inequality and low productivity. It considers the recent history and changing roles of local and regional organisations and the overarching policy frameworks that oversee them as a key element of tackling spatial inequality and low productivity. Specifically, the paper looks at the frequent changes to institutional arrangements supporting economic development and the process of allocating competitive funds to local and regional bodies.

London Calls? Discrimination of European Job Seekers in the Aftermath of the Brexit Referendum.

The central question in this article is whether there was greater discrimination against European applicants in the labor market in those English regions where public opinion was more strongly in favor of Brexit. Using a field experiment conducted immediately after the Brexit Referendum, we provide causal evidence that applicants with EU backgrounds faced discrimination when applying for jobs in England. On average, applicants from EU12 countries and applicants from Eastern European member states were both less likely to receive a callback from employers than were white British applicants. Furthermore, in British regions where support for Brexit was stronger, employers were more likely to discriminate against EU12 applicants. This finding, though, is driven by the more favorable treatment reserved to EU12 applicants applying for jobs in the Greater London area. Eastern Europeans, on the other hand, did not benefit from this ‘London advantage’. Administrative and legal uncertainties over the settlement status of EU nationals cannot explain these findings, as European applicants, both EU12 and Eastern Europeans, faced the same legislative framework in all British regions, including London. Rather, London appears to exhibit a cultural milieu of ‘selective cosmopolitanism’. These findings add to the still limited literature on the relationship between public opinion on immigrants (here proxied by the referendum vote) and the levels of ethnic discrimination recorded in field experiments.

Household serial interval of COVID-19 and the effect of Variant B.1.1.7: analyses from prospective community cohort study (Virus Watch).

Introduction: Increased transmissibility of B.1.1.7 variant of concern (VOC) in the UK may explain its rapid emergence and global spread. We analysed data from putative household infector - infectee pairs in the Virus Watch Community cohort study to assess the serial interval of COVID-19 and whether this was affected by emergence of the B.1.1.7 variant. Methods: The Virus Watch study is an online, prospective, community cohort study following up entire households in England and Wales during the COVID-19 pandemic. Putative household infector-infectee pairs were identified where more than one person in the household had a positive swab matched to an illness episode. Data on whether or not individual infections were caused by the B.1.1.7 variant were not available. We therefore developed a classification system based on the percentage of cases estimated to be due to B.1.1.7 in national surveillance data for different English regions and study weeks. Results: Out of 24,887 illnesses reported, 915 tested positive for SARS-CoV-2 and 186 likely 'infector-infectee' pairs in 186 households amongst 372 individuals were identified. The mean COVID-19 serial interval was 3.18 (95%CI: 2.55-3.81, sd=4.36) days. There was no significant difference (p=0.267) between the mean serial interval for VOC hotspots (mean = 3.64 days, (95%CI: 2.55 - 4.73)) days and non-VOC hotspots, (mean = 2.72 days, (95%CI: 1.48 - 3.96)). Conclusions: Our estimates of the average serial interval of COVID-19 are broadly similar to estimates from previous studies and we find no evidence that B.1.1.7 is associated with a change in serial intervals. Alternative explanations such as increased viral load, longer period of viral shedding or improved receptor binding may instead explain the increased transmissibility and rapid spread and should undergo further investigation.

The East Anglian Dialect of English in the World

Abstract In the 17th century, the English region of East Anglia contained many of the major population centres of the British Isles, not least Norwich, England’s second city at that time. One might therefore predict that East Anglian dialects of English would have played a major role in determining the nature of the new colonial Englishes which were first beginning to emerge during this period. This paper considers some of the phonological and grammatical features of East Anglian English which can be argued to have been influential in this way.

Household serial interval of COVID-19 and the effect of Variant B.1.1.7: analyses from prospective community cohort study (Virus Watch)

Introduction: Increased transmissibility of B.1.1.7 variant of concern (VOC) in the UK may explain its rapid emergence and global spread. We analysed data from putative household infector - infectee pairs in the Virus Watch Community cohort study to assess the serial interval of COVID-19 and whether this was affected by emergence of the B.1.1.7 variant. Methods: The Virus Watch study is an online, prospective, community cohort study following up entire households in England and Wales during the COVID-19 pandemic. Putative household infector-infectee pairs were identified where more than one person in the household had a positive swab matched to an illness episode. Data on whether or not individual infections were caused by the B.1.1.7 variant were not available. We therefore developed a classification system based on the percentage of cases estimated to be due to B.1.1.7 in national surveillance data for different English regions and study weeks. Results: Out of 24,887 illnesses reported, 915 tested positive for SARS-CoV-2 and 186 likely ‘infector-infectee’ pairs in 186 households amongst 372 individuals were identified. The mean COVID-19 serial interval was 3.18 (95%CI: 2.55-3.81, sd=4.36) days. There was no significant difference (p=0.267) between the mean serial interval for VOC hotspots (mean = 3.64 days, (95%CI: 2.55 – 4.73)) days and non-VOC hotspots, (mean = 2.72 days, (95%CI: 1.48 – 3.96)). Conclusions: Our estimates of the average serial interval of COVID-19 are broadly similar to estimates from previous studies and we find no evidence that B.1.1.7 is associated with a change in serial intervals. Alternative explanations such as increased viral load, longer period of viral shedding or improved receptor binding may instead explain the increased transmissibility and rapid spread and should undergo further investigation.

Excess mortality in England during the COVID-19 pandemic

IntroductionExcess mortality monitoring is not dependent on completeness or consistency of coding of causes of death and captures deaths caused directly and indirectly by COVID-19. It takes account of existing inequalities in the baseline rates and shows the additional impact of COVID-19. We report weekly on excess mortality by age, gender, geographical area, deprivation, and ethnicity.MethodsA quasi-Poisson model was fitted to deaths data for 2015-2019 to estimate expected mortality in population sub-groups each week during the COVID-19 pandemic. This was compared with observed mortality reported each week. Information on deaths registered was obtained from death certificates. Ethnicity was obtained from hospital records linked to deaths data.ResultsEarly in the pandemic, excess deaths exceeded official reported COVID-19 deaths every week. Throughout the pandemic there were stark inequalities in excess death rates. Based on data from 21 March 2020 to 9 April 2021, people living in the most deprived areas in England experienced more excess (1.21 times; 95% CI 1.21-1.22) compared with people living in the least deprived areas (1.17; 1.16-1.18). Black (1.56; 1.53-1.58) and Asian groups (1.55; 1.53-1.56) experienced more excess than the White group (1.16; 1.16-1.17). There was wide variation between English regions.ConclusionsReporting overall excess mortality early in the pandemic is important to inform policy makers and public about the true scale of the death toll when coding is inconsistent and developing. This approach has highlighted the large increases in already established inequalities in mortality. It provides rapid surveillance of developing disparities for national and local decision makers. It has been used to inform policy around reducing disparities and to revise messaging to encourage hospital attendance for non- COVID-19 health problems.Key messages Excess deaths from all causes is a robust measure of overall impact, unaffected by coding consistency.COVID-19 has dramatically worsened established inequalities between ethnic groups and deprivation groups.

Was R < 1 before the English lockdowns? On modelling mechanistic detail, causality and inference about Covid-19.

Detail is a double edged sword in epidemiological modelling. The inclusion of mechanistic detail in models of highly complex systems has the potential to increase realism, but it also increases the number of modelling assumptions, which become harder to check as their possible interactions multiply. In a major study of the Covid-19 epidemic in England, Knock et al. (2020) fit an age structured SEIR model with added health service compartments to data on deaths, hospitalization and test results from Covid-19 in seven English regions for the period March to December 2020. The simplest version of the model has 684 states per region. One main conclusion is that only full lockdowns brought the pathogen reproduction number, R, below one, with R ≫ 1 in all regions on the eve of March 2020 lockdown. We critically evaluate the Knock et al. epidemiological model, and the semi-causal conclusions made using it, based on an independent reimplementation of the model designed to allow relaxation of some of its strong assumptions. In particular, Knock et al. model the effect on transmission of both non-pharmaceutical interventions and other effects, such as weather, using a piecewise linear function, b(t), with 12 breakpoints at selected government announcement or intervention dates. We replace this representation by a smoothing spline with time varying smoothness, thereby allowing the form of b(t) to be substantially more data driven, and we check that the corresponding smoothness assumption is not driving our results. We also reset the mean incubation time and time from first symptoms to hospitalisation, used in the model, to values implied by the papers cited by Knock et al. as the source of these quantities. We conclude that there is no sound basis for using the Knock et al. model and their analysis to make counterfactual statements about the number of deaths that would have occurred with different lockdown timings. However, if fits of this epidemiological model structure are viewed as a reasonable basis for inference about the time course of incidence and R, then without very strong modelling assumptions, the pathogen reproduction number was probably below one, and incidence in substantial decline, some days before either of the first two English national lockdowns. This result coincides with that obtained by more direct attempts to reconstruct incidence. Of course it does not imply that lockdowns had no effect, but it does suggest that other non-pharmaceutical interventions (NPIs) may have been much more effective than Knock et al. imply, and that full lockdowns were probably not the cause of R dropping below one.

Serial interval of COVID-19 and the effect of Variant B.1.1.7: analyses from prospective community cohort study (Virus Watch).

Introduction: Increased transmissibility of B.1.1.7 variant of concern (VOC) in the UK may explain its rapid emergence and global spread. We analysed data from putative household infector - infectee pairs in the Virus Watch Community cohort study to assess the serial interval of COVID-19 and whether this was affected by emergence of the B.1.1.7 variant. Methods: The Virus Watch study is an online, prospective, community cohort study following up entire households in England and Wales during the COVID-19 pandemic. Putative household infector-infectee pairs were identified where more than one person in the household had a positive swab matched to an illness episode. Data on whether or not individual infections were caused by the B.1.1.7 variant were not available. We therefore developed a classification system based on the percentage of cases estimated to be due to B.1.1.7 in national surveillance data for different English regions and study weeks. Results: Out of 24,887 illnesses reported, 915 tested positive for SARS-CoV-2 and 186 likely 'infector-infectee' pairs in 186 households amongst 372 individuals were identified. The mean COVID-19 serial interval was 3.18 (95%CI: 2.55 - 3.81) days. There was no significant difference (p=0.267) between the mean serial interval for VOC hotspots (mean = 3.64 days, (95%CI: 2.55 - 4.73)) days and non-VOC hotspots, (mean = 2.72 days, (95%CI: 1.48 - 3.96)). Conclusions: Our estimates of the average serial interval of COVID-19 are broadly similar to estimates from previous studies and we find no evidence that B.1.1.7 is associated with a change in serial intervals. Alternative explanations such as increased viral load, longer period of viral shedding or improved receptor binding may instead explain the increased transmissibility and rapid spread and should undergo further investigation.

Pandemics Initially Spread Among People of Higher (Not Lower) Social Status: Evidence From COVID-19 and the Spanish Flu

According to a staple in the social sciences, pandemics particularly spread among people of lower social status. Challenging this staple, we hypothesize that it holds true in later phases of pandemics only. In the initial phases, by contrast, people of higher social status should be at the center of the spread. We tested our phase-sensitive hypothesis in two studies. In Study 1, we analyzed region-level COVID-19 infection data from 3,132 U.S. regions, 299 English regions, and 400 German regions. In Study 2, we analyzed historical data from 1,159,920 U.S. residents who witnessed the 1918/1919 Spanish Flu pandemic. For both pandemics, we found that the virus initially spread more rapidly among people of higher social status. In later phases, that effect reversed; people of lower social status were most exposed. Our results provide novel insights into the center of the spread during the critical initial phases of pandemics.

Partnership or franchising to improve bus services in two major English urban regions? An institutional analysis

This paper analyses two differing approaches to the improvement of local bus services, using the analytical lens of formal and informal institutions. Both formal and informal institutions govern the behaviour of authorities and operators, but they do it in different ways and they have advantages and disadvantages. In so doing we seek to understand both how the informal institutional approach (e.g. voluntary partnership working) can be used effectively, but also to assess its limits; and to understand why a formal institutional approach (e.g. franchising), in spite of its strong underlying basis in law, may nonetheless not always function. Through doing so, this paper contributes to the current understanding of how to handle the unintended consequences of a deregulated market through the different (formal and informal) ways available.

An Appropriate Approach to Conflict Resolution: The Situation in Northwest and Southwest Regions of Cameroon

The concept of conflict resolution rests today on an impressive body of literature because of the serious consequences of conflicts in societies. In recent years, states have been faced with serious conflicts, ranging from strikes to armed conflicts. This has prompted various stakeholders including international organizations, state entities and non-governmental organizations to engage in systematic means of resolving these disputes. Sadly, despite the many measures taken to address conflicts, they continue to emerge and many of them turn violent. The crisis that has plagued the two English speaking regions of Cameroon (popularly called the “Anglophone crisis”) has brought about unanticipated deaths and disaster in the country. Although many steps have been taken to address the problem, it is still persistent. This paper utilizes a doctrinal study to arrive at the finding that addressing the root cause of the conflict, and considering the relevance of culture and religion in conflict resolution would increases the chances of resolving the conflict.

Impact of COVID-19 national lockdown on asthma exacerbations: interrupted time-series analysis of English primary care data

BackgroundThe impact of COVID-19 and ensuing national lockdown on asthma exacerbations is unclear.MethodsWe conducted an interrupted time-series (lockdown on 23 March 2020 as point of interruption) analysis in asthma cohort...

Provincial Merchants in Eighteenth-Century England: The ‘Great Oaks’ of Manchester

Abstract The importance of overseas trade to England’s national wealth and international reputation in the eighteenth century amplified the public discourse on the social value of merchants. Contemporary conduct books described a hierarchical occupational structure, where merchants enjoyed the highest prestige within the business community, with tradesmen and manufacturers performing distinct and progressively less valued professional functions. These conduct books focused on London, England’s premier port and the beating heart of Europe’s commodity and financial markets. Historians have also given much attention to London but have equally demonstrated the importance of merchants in the ‘outports’, whose participation in England’s foreign trade engendered significant wealth, status and political influence. This article considers a different type of eighteenth-century merchant, one based within English manufacturing regions, and one that has been largely overlooked in the historiography, not least because their businesses elided the separation of production and mercantile activities espoused by contemporary didacts. Focusing on Manchester, the article demonstrates that the town’s ‘Great Oaks’ challenged London’s commercial hegemony in a distinctive way, seeking not to replicate outport merchants’ entrepreneurial verve in risky, multilateral trades, but specialising, as both manufacturers and merchants, in exporting to commercially developed markets, where the ability to supply a precise assortment of locally produced textiles was more important than the capacity to sell imports or to provide financial services to overseas clients. Although little studied, provincial merchant communities were a general feature of the more dynamic English manufacturing regions in the years immediately before, and during the onset of, industrialisation.

Intensive therapy for moderate established rheumatoid arthritis: the TITRATE research programme

Intensive therapy for moderate established rheumatoid arthritis: the TITRATE research programme

Rates of turnover among general practitioners: a retrospective study of all English general practices between 2007 and 2019

ObjectiveTo quantify general practitioners’ (GPs’) turnover in England between 2007 and 2019, describe trends over time, regional differences and associations with social deprivation or other practice characteristics.DesignA retrospective study of...

Changing composition of SARS-CoV-2 lineages and rise of Delta variant in England.

BackgroundSince its emergence in Autumn 2020, the SARS-CoV-2 Variant of Concern (VOC) B.1.1.7 (WHO label Alpha) rapidly became the dominant lineage across much of Europe. Simultaneously, several other VOCs were identified globally. Unlike B.1.1.7, some of these VOCs possess mutations thought to confer partial immune escape. Understanding when and how these additional VOCs pose a threat in settings where B.1.1.7 is currently dominant is vital.MethodsWe examine trends in the prevalence of non-B.1.1.7 lineages in London and other English regions using passive-case detection PCR data, cross-sectional community infection surveys, genomic surveillance, and wastewater monitoring. The study period spans from 31st January 2021 to 15th May 2021.FindingsAcross data sources, the percentage of non-B.1.1.7 variants has been increasing since late March 2021. This increase was initially driven by a variety of lineages with immune escape. From mid-April, B.1.617.2 (WHO label Delta) spread rapidly, becoming the dominant variant in England by late May.InterpretationThe outcome of competition between variants depends on a wide range of factors such as intrinsic transmissibility, evasion of prior immunity, demographic specificities and interactions with non-pharmaceutical interventions. The presence and rise of non-B.1.1.7 variants in March likely was driven by importations and some community transmission. There was competition between non-B.1.17 variants which resulted in B.1.617.2 becoming dominant in April and May with considerable community transmission. Our results underscore that early detection of new variants requires a diverse array of data sources in community surveillance. Continued real-time information on the highly dynamic composition and trajectory of different SARS-CoV-2 lineages is essential to future control effortsFundingNational Institute for Health Research, Medicines and Healthcare products Regulatory Agency, DeepMind, EPSRC, EA Funds programme, Open Philanthropy, Academy of Medical Sciences Bill,Melinda Gates Foundation, Imperial College Healthcare NHS Trust, The Novo Nordisk Foundation, MRC Centre for Global Infectious Disease Analysis, Community Jameel, Cancer Research UK, Imperial College COVID-19 Research Fund, Medical Research Council, Wellcome Sanger Institute.