Adaptation to extreme weather events in complex health and social care systems: The example of older people’s services in England

Curtis, Sarah, Oven, Katie, Wistow, Jonathan, Dunn, Christine and Dominelli, Lena (2018) Adaptation to extreme weather events in complex health and social care systems: The example of older people’s services in England. Environment and Planning C: Politics and Space, 36 (1). pp. 67-91. ISSN 2399-6544

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Our findings contribute to a growing international literature on how conceptual models from complexity theory may be relevant to inform planning in health and social care systems, helping to adapt and improve preparedness and resilience to extreme weather events. We focus on findings from two case studies in England and their relationship to national policy for adaptation. Complexity theory helped to frame strategies for planning for events that are emergent and unpredictable. We find from our case studies that, in spite of the uncertainty involved, some ‘principles’ derived from parts of the literature on complexity theory may provide a helpful framework for the development of more robust preparedness strategies in the health and social care sector. By viewing health and social care as a ‘system of systems’, adaptation planning recognises the interrelationships of built, institutional and social infrastructures. The idea of local systems, with variable, path-dependent attributes, which are partially closed, but permeable to other parts of the wider network, leads to an actionable model of adaptation which emphasises the potential value of local self-organisation, but also underlines the importance of co-evolution across the wider system and the vital role of national initiatives and support for adaptation strategies. The value of sharing experience from local case studies across the national system, as well as among local partners, is very apparent in the experience reported here.

Item Type: Article
Uncontrolled Keywords: Adaptation, environmental change, governance implementation, health and social care, local climate action
Subjects: F800 Physical and Terrestrial Geographical and Environmental Sciences
L500 Social Work
L700 Human and Social Geography
Department: Faculties > Engineering and Environment > Geography and Environmental Sciences
Depositing User: Elena Carlaw
Date Deposited: 05 Nov 2019 11:10
Last Modified: 31 Jul 2021 22:17

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