The fourteen years of Tory rule constitute a stunning missed opportunity to seize on one of Britain’s few internationally renowned assets – its creativity. The government did step in to save organisations from disaster during the pandemic; it did, early on, extend its successful system of tax credits from film and TV to other cultural forms. It did the beat drum for extending demographic opportunities, even if in its actions it did not follow through. What mattered at least as much as specific decisions in this latest Tory era, particularly the latter part under May, Johnson, Truss and Sunak, was the manner of government engagement. Many in the sector are demoralised, having to raise private funds while being disparaged by ministers.

Four core communication skills are “Ask-tell-ask”, recognize and respond to emotion, ask permission to move forward, and “Tell me more…” “Ask-tell-ask” is asking what the patient or surrogate knows about the medical situation, telling them the headline (information and meaning), and asking what they are taking away from your conversation. Recognizing and responding to emotion, both verbal and nonverbal, can allow patients to discuss additional medical information, builds connection between clinician and patient, and can clarify what is important to the patient. Responding to emotion may be nonverbal or verbal (e.g., NURSE statements), and may include simple or complex reflections or “wish statements”. Asking permission to move the conversation forward signposts that there is a transition, allows patients control, and helps you judge if they are ready. Finally, “Tell me more…” helps clarify informational needs or allow a deeper view into a patient’s reasoning or emotional space, giving the clinician guidance on where to direct the conversation. In telemedicine, communication skills need to be adapted as some of the in-person nonverbal skills are less effective or impossible.

This chapter turns to the conception of ‘legitimate’ knowledge, first examining constructions of ‘legitimacy’, drawing on political, sociological, and philosophical conceptions. The construction of legitimate knowledge in relation to the conceptions of belief, truth, and justification are considered. In addition, debates pertaining to the recent discourses of the democratisation of knowledge, linked to the notion of ‘expertise’ and ‘stakeholders’, indigenous knowledge and decolonising knowledge are discussed; this entails a critical exploration of various types of factors complicit in the formulation of knowledge, including positionality, with respect to class, political interest, gender, race, and so on; university diversity initiatives; disciplinary quality; methodology and the ‘Canon’; skills, employment, and research assessment initiatives; funding and international partnerships; and global legitimating systems such as global university rankings, publication systems, and citation practices. Furthermore, it is argued that the production of research does not sit outside these positionalities and the politics of knowledge production.

Effective public health practice requires a combination of expertise and influence. Yet gaining expertise in the subject matter is only one element of practice: the ability to influence outcomes, policy, services and the people who make decisions is crucial. To deploy your expertise to have an impact, you must hone leadership and management skills to persuade, encourage and empower others. This chapter, therefore, aims to:

• offer a brief overview of different schools of thought in leadership;

• propose a simple framework of eight core domains for identifying skills and areas for professional development;

• introduce some popular theories for understanding others, which can enable you to work more effectively with individuals and influence within teams and organizations; and

• signpost to some key models of conceptualizing change and how to lead or manage change.

Public health cannot be understood or fully appreciated without some knowledge of its history, which this Introduction provides. Conventionally, this begins with the large body of work associated with Hippocrates (c. 460–370 BC). In these writings, health was viewed as resulting from a sound balance of the humours. Therapy included diet, exercise and other interventions tailored to the individual – akin to today’s emphasis on healthy living and lifestyle. The Hippocratics were, in addition, early exponents of environmentalism. In Airs, Waters, Places, the occurrence of disease was linked to such factors as climate, soil and water quality. Proposals for disease prevention were related to specific social and economic circumstances.

As we discussed with regard to leadership in Part 1, the context in which the public health tools are used has a bearing on the choice of tool and how it is implemented. In the second part of Essential Public Health: Theory and Practice, we consider a range of contemporary contexts in which public health is practised and illustrate how the tools we have described are applied.

Despite the rapid advance of technology which has been felt throughout society, the impact on healthcare delivery has taken much longer to be felt. The role of psychiatrists and clinical staff more widely in the design, delivery and development of clinical systems has similarly taken a long time to develop although there has been a significant shift in recent times. The development can be traced through a series of important events including several at national level. There are significant challenges to the current approach to training at all levels, and there remains an urgent need for a well-developed career pathway to make the most of the talent and experience which currently exists whilst providing opportunity for development and support of new staff interested in this work.

This chapter locates the Sophists within the context of earlier Greek wisdom traditions and efforts by a variety of individuals (from Hesiod to Parmenides and Pindar) to establish and communicate their own poetic and/or intellectual authority. The Sophists participated in long-standing debates over the relationship between sophia and technê, and over tensions surrounding physical versus intellectual skills, learning, and teaching. They also looked back to the practice of wisdom and maxim collection. There was no dominant tradition under which one could unify the manifestations of sophia in Archaic and early Classical Greece; this complexity was an important aspect of the sophistic inheritance, and is the background against which we must measure individual efforts to claim distinctive achievement. The analysis traces the importance of Hesiodic and quasi-Hesiodic wisdom collections, the emergence of the inquiry into nature and of intellectual and cultural experts known as “sages” (sophoi), and the representation of sophia in sympotic and epinician poetry.

Contemporary educational reformers strive to balance education for some (elite knowledge workers) with education for all. British and Danish policymakers resolve this conflict in different ways that resonate with long-term cultural frames. British politicians applaud vocational education but devote few resources to it. Efforts to equalize schooling focus on rewarding winners from the working class, but these interventions do little to develop skills for nonacademic learners. Denmark devotes more resources to vocational education, yet reformers have problems meeting the contradictory needs of high and low-skill workers, and immigrants are disproportionately represented in the ranks of the poorly educated. Cultural legacies echo in young people’s views of education in an internet survey of 2100 British and Danish young people. British respondents support national quality standards and uniform curricula more than Danish ones, who prefer individualized learning experiences. Danish students are happier with their educational experiences, support educational investments to strengthen society, and appreciate practical, real-life skills. Upper-secondary vocational education students are more likely to report obtaining useful skills than their British colleagues. Yet Danish NEETs feel shut out of the core economy and their exclusion may be more agonizing because it goes against the historical commitment to a strong society.

A growing number of researchers have focused on Africa’s capabilities in the Fourth Industrial Revolution. Some scholars have analyzed the impacts of mobile internet and broadband on the continent, while others have researched initiatives such as smart cities and the implications of the 4IR on development and manufacturing. Others have touched on the opportunities present in African development and the types of innovation that are already present or can take place. After reviewing the literature, the chapter dives into five critical domains on which the 4IR will change African states, industries, and society. These five domains are economic growth and structural transformation; labor, skills, production; poverty and inequality; power and governance; and peace and security. The chapter concludes with the five key domain summaries and strategies that can be employed in Africa.

In this chapter, we begin by examining the role of reflective practice in partnership work and in doing so highlight the importance of knowing yourself and who you are as person. In Chapter 7, we critically examine reflective practice and how it unfolds in partnership work. In this chapter, we introduce the notion of reflective practice and how it prepares educators to begin thinking about how to come together with families. As you commence this journey of self-reflection, you will come to understand the complexity of partnership work and the skills you might need to develop to effectively engage with difference. We then explore some of the key ideas underpinning the planning of partnership work, including the importance of communication and open and positive mindsets, as well as the idea of active engagement and development of intercultural knowledge and capabilities. Through this examination, you will come to understand the first premise of the TWINE Model of Partnership so that you can identify as well as learn how to draw on this premise of the model when planning for partnership work.

This chapter examines the multiple ways in which obtaining food was tied to labor in the ghetto. This includes trading labor for resources to purchase food as well as supplemental food which was provided for certain occupations. It explores different types of work in the ghetto including forced labor, work for the Judenrat, factory work, home-based piece work, as well as employment in the ghetto’s private sector. The chapter looks at ways in which people utilized their social networks to obtain better work as well as how hunger impacted productivity. This chapter also explores the tension between obtaining work that provided enough funds to meet one’s food needs versus positions which protected one against deportation and the strategies employed by individuals and households to meet their needs of adequate food and protection. This chapter also discusses the struggles of the Jewish communal leadership in providing labor to the Germans while feeding working and nonworking ghetto inhabitants. This chapter examines how the Germans took control of food distribution out of the hands of the communal leadership in order to prioritize labor.

Here I commence my explication of Merleau-Ponty’s theory of the body schema. Our skills are deployed through this sub-reflective schema, which lies behind our pre-reflective or proprioceptive awareness of posture. I focus on his interpretation of the phenomenon of the use-phantom limb as silhouetting our ordinary performances because it is continuous with the rest of the body. Ordinarily our skilled readiness-of-hand and readiness-of-leg are not represented or objectified, not being thematic or focal powers of action. Rather they are ‘regions of silence’ that we take for granted. I show what the schema can exclude (inoperative areas of the body), what it can incorporate (implements it uses proficiently), and why it is an a priori condition of cognitive distanciation and of reckoning with the possible. We reckon with imagined actions that are immediate possibilities for us, and in the process we also draw on a reservoir of sedimented concepts and convictions.