Southern England Research Articles

Clinical presentation of psychotic experiences in patients with common mental disorders attending the UK primary care improving access to psychological therapies (IAPT) Programme

BackgroundImproving Access to Psychological Therapies (IAPT) services address anxiety and depression in primary care, with psychotic disorders typically excluded. Our previous research found 1 in 4 patients report distressing psychotic experiences (PE) alongside common mental disorders, yet little is known about their clinical presentation and impact on recovery. MethodsWe used the Community Assessment of Psychic Experiences — Positive Scale (CAPE-P15) to assess the clinical presentation and symptomatic profile of PE within IAPT settings across three National Health Service (NHS) trusts, serving a diverse population in Southern England. We identified different classes based on the reported PE frequencies using latent class analysis. ResultsA total of 2042 IAPT patients completed the CAPE-P15. The mean age was 39.8 (±15.3) years. We identified five distinct classes of symptom profiles, findings that PE were common, especially self-referential and persecutory ideas. Prevalence and intensity increased across classes, extending to bizarre experiences and perceptual abnormalities in the fifth and least common class. Perceptual abnormalities were a strong indicator of symptom severity, with patients being the least likely to achieve recovery by the end of treatment. LimitationsData were collected during a service evaluation. Replication of these findings across other IAPT services could prove beneficial. We did not collect information on negative PE. ConclusionsPatients seeking treatment for anxiety and depression in primary care commonly experience a wide range of positive PE. Self-referential and persecutory ideation were prevalent; perceptual abnormalities were infrequent. Providing information about prevalence and tailoring therapy may help reduce patient distress.

Abrupt drought termination in the British–Irish Isles driven by high atmospheric vapour transport

During protracted dry spells, there is considerable interest from water managers, media and the public in when and how drought termination (DT) will occur. Robust answers to these questions require better understanding of the hydroclimatic drivers of DT than currently available. Integrated vapour transport (IVT) has been found to drive DT in Western North America, but evidence elsewhere is lacking. To evaluate this association for the British–Irish Isles, event coincidence analysis is applied to 354 catchments in the UK and Ireland over the period 1900–2010 using ERA-20C reanalysis IVT data and 7589 DT events extracted from reconstructed river flow series. Linkages are identified for 53% of all DT events across all catchments. Associations are particularly strong for catchments in western and southern regions and in autumn and winter. In Western Scotland, 80% of autumn DTs are preceded by high IVT, whilst in Southern England more than two thirds of winter DTs follow high IVT episodes. High IVT and DT are most strongly associated in less permeable, wetter upland catchments of Western Britain, reflecting their maritime setting and orographic enhancement of prevailing south-westerly high IVT episodes. Although high IVT remains an important drought-terminating mechanism further east, it less frequently results in DT. Furthermore, the highest rates of DT occur with increasing IVT intensity, and the vast majority of the most abrupt DTs only occur following top decile IVT and under strongly positive North Atlantic Oscillation (NAO) conditions. Since IVT and NAO forecasts may be more skilful than those for rainfall which underpin current forecasting systems, incorporating these findings into such systems has potential to underpin enhanced forecasting of DTs. This could help to mitigate impacts of abrupt recoveries from drought including water quality issues and managing compound drought–flood hazards concurrently.

From sacred place to outer space: Collective creativity and the iconographies of mid-twentieth century English modernity in Guildford Cathedral's kneelers

Between 1936 and 1969, around 1600 kneelers were produced for the new Anglican cathedral at Guildford in Surrey, southern England. This was a major collective devotional artwork, involving hundreds of embroiderers, mostly local women. The project was a distinctive form of community and collective artwork, that complicates established understandings of embroidery, craftwork, femininity and politics. It worked within guidelines for design and materials set by the interior designer Lady Prudence Maufe and her husband Sir Edward Maufe, the cathedral's architect. However, it also allowed for considerable autonomy and self-expression on the part of the volunteers. The kneeler collection has a rich and varied iconography that ranges from expected Christian symbolism to representations of modern technology and nuclear weaponry. What emerged over the length of the project was a complex expression of the worldview of post-war England, and particularly the England and Englishness of the Home Counties. This worldview attempted to combine faith in God with faith in technological progress, and to reconcile internationalism with confidence in British military power. The Guildford kneelers are best understood as a distinctive form of conservative modernity, an attempt to place the changes of the mid twentieth century into longer traditions of Christian worship and Englishness.

Carbon sequestration and geochronology in Southern England’s seagrass meadows

The aim of this study was to provide an evaluation of the current methods used to assess carbon sequestration (Cseq) rates from intertidal Zostera spp. meadows in central Southern England. This study evaluated the use of 210Pb dating methods to calculate sediment accretion rates from four intertidal seagrass meadows along the southern central coast of England. Results obtained were then used to determine Cseq rates, following different models. The mean rate of Cseq calculated in this study using the CRS model was 75.12 g m-2 year-1, comparable to other global regions and within the estimated global range. However, results revealed that other, conservative methods, provide much lower Cseq rates, highlighting the need for caution when choosing appropriate methods and reporting results related to seagrass carbon sequestration potential. Moreover, these results highlight the importance of local assessments of Cseq, and the need to create robust models that include the effects of mixing, erosion, and disturbance, to better understand the possible effects of extreme climate events and anthropogenic impacts on seagrass ecosystems' carbon sequestration potential.

Farming and feasting during the Bronze Age–Iron Age transition in Britain (ca. 900–500 bce): multi-isotope evidence for societal change

The Late Bronze Age saw the rise of a new site type in southern Britain, commonly termed a midden. These vast monumental mounds, some comprising tens of thousands of artefacts/ecofacts dominated by animal bone and ceramics, signal a societal refocus towards agricultural intensification and communal feasting on a grand scale. These sites point to agricultural produce being the mainstay of the economy, with bronze having a reduced social and economic importance. This likely created new regimes of managing landscapes and livestock and new networks and agricultural catchments anchored on the sites. Major questions remain surrounding the strategies employed to enhance agricultural productivity, how landscapes and livestock were managed, and how different sites and regions met these challenges at a time of climatic deterioration. This article employs multi-isotope analyses on domestic and wild fauna to address these questions. It presents carbon, nitrogen, and sulfur (δ13C, δ15N, and δ34S, respectively) isotope analyses on 235 animals from 6 midden sites in 2 major regions of midden accumulation: the Vale of Pewsey in Wiltshire and the Thames Valley. The results demonstrate distinct differences in approaches to maximising agricultural productivity, with varied strategies apparent at a site, species, and regional level. Some sites, such as Potterne and Runnymede, clearly drew domestic fauna from a wide catchment where wide-ranging management and foddering regimes were employed. Other sites, such as East Chisenbury, had a more restricted catchment but a tightly controlled, intensive management regime. These data provide new insights into regional responses to the reorganisation of the economy, landscape use, and developing agricultural networks during the Bronze Age–Iron Age transition in Britain, revealing dynamic and evolving societal change.

The Patterns of Intraspecific Variations in Mass of Nectar Sugar along a Phylogeny Distinguish Native from Non-Native Plants in Urban Greenspaces in Southern England.

To serve human needs, non-native species are selected based on an array of functional traits, which generally confer competitive advantages to these species in their recipient environments. Identifying non-obvious functional traits that indirectly inform human selection of non-natives to introduce into urban greenspaces is not yet part of common discussions in invasion biology. We tested whether functional traits integrated within a phylogenetic framework, may reveal those subtle criteria underlying the introduction of non-native plants into urban greenspaces. We found no differences in terms of functional traits between natives and non-natives. We also found no evidence that functional traits predict nectar production, irrespective of how nectar production was measured. Finally, we found that the mean sugar concentration of nectar per flower is evolutionarily shared both within closely related non-native plants as well as within close native plants. However, phylogenetically close species share similar intraspecific variation in mass of nectar sugar per flower, but this is true only for non-native plants, thus revealing a non-obvious selection criteria of non-native plants for urban greenspaces. Our results indicate that the phylogenetic patterns of intraspecific variation in mass of nectar sugar per flower is the major criterion distinguishing non-natives from native plants in urban greenspaces in Southern England.

Continental bookends—the arrival and departure of the Jurassic Sea in southern England

Rocks laid down during the Jurassic Period (201–143 Ma) in southern England are almost exclusively marine, but are sandwiched between continental deposits of the Late Triassic and Early Cretaceous. The transitions from fully continental to marine then back to continental, in response to continent movements and sea level change, mirror each other in important respects, taking place via intermediate environments which, although separated by approximately 60 million years, show remarkable similarities in their rocks and faunas.

Tracking wintering areas and post-breeding migration of a declining farmland bird – An indispensable basis for successful conservation

Many farmland birds, such as the Eurasian Curlew (Numenius arquata; here in after Curlew), are in steep decline. So far, decreased reproduction and, hence, an insufficient number of offspring to compensate for adult mortality has been considered the main driver of the recent population collapse. However, despite extensive conservation measures in most breeding areas, there are no signs of a general reversal of the population trend. Accordingly, conservation has to focus on decreasing adult mortality outside the breeding areas as well. For Curlews breeding in NW Germany, ring recoveries suggest that the main wintering areas are the coastlines of western France and southern England. However, such data are often biased in space and time. Here, we used GPS tracking to investigate the wintering areas and post-breeding migration of Curlews of the main German breeding population based on large sample size. Altogether, we tagged 86 adult breeding birds at 23 subareas across a transect of about 250 km (in length) in NW Germany. Curlews started post-breeding migration right after finishing breeding or attempting to breed, which was mainly in mid-June. We identified the coastlines of Great Britain/Ireland, western France and the Netherlands, in particular the Rhine-Meuse-Delta and the Wadden Sea, as the main wintering areas of Curlews breeding in NW Germany. We found a latitudinal structuration of migration, with birds nesting further north using more northerly wintering areas. However, in some cases, wintering areas of birds of the same subpopulation were located more than a thousand kilometres apart from each other. All three main stopover areas identified by our study (German/Dutch Wadden Sea, Dutch Rhine-Meuse-Delta, French Normandy) overlap in large parts with the main wintering areas. Since Curlews spend most of the year outside their breeding areas, and wintering and stopover areas also suffer from rapid environmental change, conservation has to additionally focus on these areas. Nearly one third (29%) of the tracked birds wintered in France or used French stopover areas. Accordingly, they might potentially be affected by a resumption of hunting, which is currently in discussion in France. Our study provides an important basis for the protection of wintering and stopover areas of the main German breeding population but also for other wader species migrating along the East Atlantic Flyway.

The Long-Term Impacts of an Integrated Care Programme on Hospital Utilisation among Older Adults in the South of England: A Synthetic Control Study.

Reducing hospital use is often viewed as a possible positive consequence of introducing integrated care (IC). We investigated the impact of an IC programme in North East Hampshire and Farnham (NEHF), in southern England, on hospital utilisation among older adults over a 55 months period. We used a Generalised Synthetic Control design to investigate the effect of implementing IC in NEHF between 2015 and 2020. For a range of hospital use outcomes, we estimated the trajectory that each would have followed in the absence of IC and compared it with the actual trajectory to estimate the potential impact of IC. Three years into the programme, emergency admission rates started reducing in NEHF relative to its synthetic control, particularly those resulting in overnight hospital stays. By year 5 of the study overall emergency admission rates were 9.8% lower (95% confidence interval: -17.2% to -0.6%). We found no sustained difference in rates of emergency department (ED) visits, and average length of hospital stay was significantly higher from year 2. An IC programme in NEHF led to lower than estimated emergency admission rates; however, the interpretation of the impact of IC on admissions is complicated as lower rates did not appear until three years into the programme and the reliability of the synthetic control weakens over a long time horizon. There was no sustained change in ED visit rates.

Persistent high prevalence of modifiable cardiovascular risk factors among patients with osteoarthritis in the UK in 1992–2017

ObjectivesTo compare the annual and period prevalence of modifiable cardiovascular risk factors (MCVRFs) between populations with and without osteoarthritis (OA) in the UK over 25 years.Methods215 190 patients aged 35...

Adam Smith revisited: the relationship between the English woollen manufacture and the availability of coal before the use of steam power

AbstractThe timing of textile de-industrialisation in eastern, southern, and western England and the concomitant shift of the woollen manufacture to the West Riding of Yorkshire is examined in temporal detail. The study shows that the manufacture was moving to settlements with cheap coal, low cost of living and running water as early as the sixteenth century. These settlements became key woollen manufacture centres and remained so until the nineteenth century. The industry was located on the West Riding of Yorkshire coal field long before the industrial revolution and the demand for coal to generate steam power.

The development of arable cultivation in the south-east of England and its relationship with vegetation cover: A honeymoon period for biodiversity?

The onset of prehistoric farming brought unprecedented changes to landscapes and their biodiversity. Past biodiversity patterns are broadly understood for different parts of Europe, and demonstrate trajectories that have been linked to prehistoric and historic demographic transitions, and associated land-use practices. To our knowledge, this paper is the first attempt to directly link evidence of agricultural practice from the archaeological record to biodiversity patterns. Records of fossil pollen are used to estimate plant and landscape diversity patterns, and novel approaches are employed to analyse 1194 harmonised archaeobotanical samples (plant macrofossil remains) spanning the prehistoric and Roman periods, from southern England. We demonstrate changes in the use of crops and gathered edible plants and non-linear trends in cultivation practices. Whilst, overall, cereal production is characterised by ever larger and extensive regimes, different trajectories are evident for most of early prehistory, the Middle Iron Age and the Late Roman period. Comparisons with the Shannon diversity of fossil pollen records from the same region suggest a positive relationship between developing agricultural regimes and landscape scale biodiversity during the prehistoric period. The Roman period represents a tipping point in the relationship between expanding agriculture and pollen diversity, with declining pollen diversity evident in the records from the region.

A climate perturbation at the Middle –Late Jurassic Transition? Evaluating the isotopic evidence from south-central England

The Jurassic greenhouse is punctuated by short cooling intervals. Some published oxygen isotope records of belemnite rostra and fish teeth have been interpreted to reveal a prominent decrease in seawater temperature during the Late Callovian–Early Oxfordian. This is in part the basis for a proposed an ice age at the Middle-Late Jurassic Transition. In contrast relatively constant oxygen isotope records and therefore seawater temperatures as well as carbon isotope values characterized by significant scatter but showing more positive values during the middle and late Callovian have been reported from elsewhere. This research has constructed a stable isotope stratigraphy (from belemnites, Gryphaea and oysters) principally from the Callovian-Oxfordian interval (from southern England) and integrated these data with existing data to assess the pattern of carbon and oxygen isotopic change. Our marine macrofossil record reveals isotopic patterns that are generally comparable with other European basins. Carbon isotopic trends are consistent with bulk carbonate carbon isotope records displaying systematic fluctuations, the largest of which (Middle Callovian, Calloviense/Jason Zones to Early Oxfordian, Mariae Zone) corresponds to previously identified phases of environmental perturbation. Such a trend may have resulted from enhanced burial and preservation of organic matter, leaving the seawater enriched in the heavy carbon isotope. Inferred cooling, derived from our oxygen isotope data from southern England, occurs within the Late Callovian and the Early Oxfordian (Athleta to Mariae zones). Cooling post-dates this positive carbon isotope excursion. Enhanced carbon burial and atmospheric carbon dioxide draw down may have induced cooling. In this study the analysis of a single region (southern England) allows critical factors controlling the oxygen isotopic composition of the carbonates (e.g. temperature and the oxygen isotopic composition of the solution from which the carbonates precipitated) to be more comparable. If Jurassic polar climates were truly warm such a degree of cooling would undoubtedly lead to cooler polar temperatures – but only with seasonal ice.

500 Years of Past Be in East Anglia: A Variationist Investigation

As it is widely known, the verb to be, in its different tense, person and number forms, is the most frequently used verb in both written and oral English. Additionally, at least in Standard English, it is the most irregular verb, with many different forms. However, this degree of irregularity is not universal across the English-speaking world—more regularised patterns are found in a number of non-standard varieties. Despite much empirical investigation in the variationist literature on past BE, and despite the considerable corpus of work examining East Anglian English, especially by Peter Trudgill (e.g. 2021), there has, as yet, been no variationist investigations of past BE from the core heartland of linguistic East Anglia. In this paper, we try to address this by examining datasets from East Anglia that are half a millennium apart. We begin with a historical sociolinguistic study of past BE forms in the Late Middle English stages of the history of English by observing, detecting, quantifying and analysing their presence in one of the most important linguistic corpora of the period: the Internet electronic edition of the (East Anglian) Paston Letters from the Virginia University Electronic Text Center. We then, much nearer to the present-day, scrutinise a more contemporary corpus of East Anglian English for variable patterns of past BE, namely Peter Trudgill’s own corpus of sociolinguistic interviews from Norwich in the 1960s (see Trudgill, 1974). While the data are (understandably) of very different kinds, our analysis enables us to broaden our understanding of past BE variability, both diachronically and synchronically, by adding East Anglia to the map.

Characterization of icing conditions using aircraft reports and satellite data

A sample of 115 aircraft icing events in the Western Europe and Northeastern Atlantic sector, identified in aircraft pilot reports (PIREPs), is assessed in terms of spatio-temporal distribution and cloud characteristics, using satellite observations and products. Within our database, most of the reported events occur between October and February, although a few cases were identified during late spring and even summer months. Icing conditions are generally reported at mid-troposphere, with 82.7% and 78.6% of moderate and severe icing, respectively, identified between FL100 and FL250 (≈ 3–7.6 km). Satellite observations allow the identification of icing-prone conditions and also provide an independent means of validating some of the data in the aircraft reports. It is shown that icing occurs mainly within opaque clouds, with ice cloud-tops, or mixed phase (ice and water), noting the severe events, take place mostly under mixed-phase cloud-tops. Accordingly, most events were associated with middle and high opaque clouds, with 10.8μm brightness temperatures (BT10.8) between −40 and − 8 °C. Moreover, a detailed analysis of three events, making use of model, satellite and synoptic observations, illustrates the occurrence of aircraft icing in precipitating clouds. Within those cases, one occurred below the upper layer of a thick nimbostratus associated with an occluded low centred in the Bay of Biscay. The second event, reported as severe, as in the former case, took place within low clouds over southern England in association with northwesterly winds driven by a complex low. Finally, a moderate event happened over southern Portugal in association with a cold front, near the cloud top of nimbostratus. In all cases, the icing index operational at the Portuguese Weather Service, based on the European Centre for Medium-range Weather Forecasts (ECMWF) model, was able to predict prone-icing conditions, with higher severity in the severe cases.

Assessing the exposure of UK habitats to 20th‐ and 21st‐century climate change, and its representation in ecological monitoring schemes

Abstract Climate change is a significant driver of contemporary biodiversity change. Ecological monitoring schemes can be crucial in highlighting its consequences, but connecting and interpreting observed climatic and ecological changes demands an understanding of monitored locations' exposure to climate change. Generalising from trends in monitored sites to habitats also requires an assessment of how closely sampled locations' climate change trajectories mirror those of wider ecosystems. Such assessments are rare but vital for drawing robust ecological conclusions. Focusing on the UK, we generated a metric of climate change exposure by quantifying the change in observed historical (1901–2019) and predicted future (2021–2080, pessimistic emissions scenario) conditions. We then assessed habitat‐specific climate change exposure by overlaying the resulting data with maps of contemporary (2019) land cover. Finally, we compared patterns of climate change exposure in locations sampled by ecological monitoring schemes to random samples from wider habitats. The UK's climate changed significantly between the early 20th century and the last decade, and is predicted to undergo even greater changes (including the development of Iberian/Mediterranean climate types in places) into the 21st century. Climate change exposure is unevenly distributed: regionally, it falls more in southern, central and eastern England; locally, it is greater at higher‐elevation locations than nearby areas at lower elevations. Areas with contemporary arable and horticulture, urban, calcareous grassland and suburban land cover are predicted to experience the greatest overall climatic change, though other habitats experienced relatively greater change than these in the first half of the 20th century. The extent to which locations sampled by ecological monitoring schemes represent broader habitat‐level gradients of climate change exposure varies. Monitored sites' coverage of wider trends is heterogeneous across habitats, time periods and schemes. Policy implications. UK ecological monitoring schemes can effectively, though variably, capture the effects of climate change on habitats. To improve their performance, climate change could be explicitly included in the design of such programmes. Additionally, our findings on how effectively different datasets represent wider patterns of climate change are crucial for informing syntheses of ecological change connected to shifting atmospheric conditions.

Pterosaur teeth from the Lower Cretaceous (Valanginian) Cliff End Bone Bed, Wadhurst Clay Formation, Wealden Supergroup of southern England, and their possible affinities

Until now there have been no formal descriptions of pterosaur remains from the Cliff End Bone Bed of the Lower Cretaceous (Valanginian), Wadhurst Clay Formation, Wealden Supergroup, of south-east England. This horizon yields abundant vertebrate material representing both aquatic and terrestrial taxa and recent examination of a large collection of vertebrate remains obtained by a private collector has led to the discovery of two isolated pterosaur teeth, both referable to the same taxon. Tooth crown morphology differs from that of teeth informally reported from the Wadhurst Clay Formation and attributed to ornithocheirids in being triangular in lingual and labial view, labiolingually compressed with well-defined carinae on the mesial and distal margins and with a low basal cingulum. Their possible affinities are discussed, and they are tentatively, but with some uncertainty, attributed to an istiodactylid. If this attribution is correct, they represent the earliest record of Istiodactylidae to date.

BT13 MySkinDoctor: lessons learnt from assessing 120 000 teledermatology patients

Abstract MySkinDoctor is a novel teledermatology platform that enables dermatologists to review images submitted directly by the patient via their smartphone, in addition to any metadata and the standard general practitioner referral. The three sets of data are used to triage or provide advice and guidance to National Health Service patients throughout the south east of England. Since its inception in 2019, the service has completed the assessment of > 120 000 cases. Analysis of the data shows that an unnecessary first appointment has been avoided in 48% of cases. This has led to a sharp reduction in waiting times in the areas in which it is being used (an average of 6 weeks) vs. neighbouring areas where waiting times remain between 27 and 50 weeks. Another benefit of the service is that, on average, each patient using it submits three digital images that are subsequently tagged inter alia with their age, sex, body location and the consultant’s diagnosis. This has resulted in a large, and growing, digital image library with associated dataset of patients that has been used to develop an artificial intelligence platform called ‘dermXai’. Using convolutional neural networks for image identification has produced an accuracy of determination of > 90% for the top 20 conditions seen. We will discuss the implementation schedule and regulatory challenges that need to be met in order for dermXai to support clinical decision-making. There are also environmental and economic benefits associated with using MySkinDoctor. Since its inception, it has saved > 40 000 road miles—over twice Earth’s circumference. This is a CO2 saving of 16 488 kg. The benefit to patients and their carers in terms of saving travel and regaining otherwise lost productivity time is difficult to quantify but could be studied prospectively. Patient-led digital dermatology is the obvious evolution of traditional teledermatology and our successful experience with MySkinDoctor and dermXai in southern England provides a template for a national service that will eliminate backlogs and significantly reduce patient waiting times. Conflicts of interest: Dr Bav Shergill is the Chief Medical Officer of MySkinDoctor Ltd and a Director of dermXai.

Spatial Evaluation of a Natural Flood Management Project Using SAR Change Detection

This study proposes an evaluation method using C-band Sentinel-1 synthetic aperture radar (SAR) data to provide evidence of flood characteristic changes after the restoration of a floodplain. A portable, flexible evaluation framework has replicated previous change detection research approaches to analyse a Natural Flood Management (NFM) project on the Sussex Ouse river in southern England, conducted by the Sussex Flow Initiative (SFI), to ascertain how control measures have helped mitigate flood risk. GIS operations were conducted on the mapped results of the change detection procedure to identify how flood area, form and compactness have been affected after the NFM installation restored a floodplain to slow river flow and how these changes relate to the overall aims of the project. Innovative means were employed to verify the change detection methodology by sampling flood records from internet-published drone footage. The overall accuracy achieved using the Change Detection and Thresholding (CDAT) technique was 75%. The use of SAR data provides evidence of how NFM features function during significant flood events, providing a mapped delineation of the actual flood extent. A comprehensive scorecard has been developed to evaluate the positive and negative outcomes of the spatial changes that have manifested in post-restoration floods, in comparison to inundation before the installation. Results from this study have been included in the annual report of the SFI project to demonstrate how key features have attenuated flood waters in accordance with design intentions.

Materialising Descent: Lineage Formation and Transformation in Early Neolithic Southern Britain

This paper builds on the recent aDNA results from Hazleton North chambered tomb to explore how people might have repeatedly negotiated kinship, descent, and affinity in Early Neolithic southern Britain. Hazleton North was constructed around 3700 cal bc, was in use for less than a century, and – unlike many other Cotswold-Severn tombs – was never modified to alter the arrangement of chambers. The aDNA analysis from 35 individuals whose remains were deposited at the site revealed that 27 were biologically related and represented five sequential generations. Here we explore changing practices across those generations. We argue that Hazleton North was constructed to demonstrate the vitality of a lineage at a specific moment in time while choices about who to entomb indicate an inclusive expansion of the lineage in the first two generations which is not evident during the remaining generations. We argue that by the third generation lineage members increasingly chose to dispose of the remains of their dead elsewhere. Hazleton North was built in a landscape rich in earlier tombs, many of which were modified to produce long cairns with multiple chambers: some of those formed opposed pairs similar to the chambered areas at Hazleton North. We argue this was part of a growing trend in ‘kinship work’ which accentuated lineal descent and sub-lineage distinctions in the centuries around 3700 cal bc. However, deposition at Hazleton North was short-lived. This can be set in the local context of not only the construction and use of further chambered tombs but also increasing investment in larger corporate projects like causewayed enclosures. These enclosures formed new arenas where negotiations of descent and community were played out with increased intensity and in different ways to activities at chambered tombs. Overall, we argue that kinship, affiliation, and belonging were repeatedly renegotiated among the monument building communities of Early Neolithic southern Britain.