Gender and Citizenship under New Labour

Abstract To what extent has citizenship been transformed under the New Labour government to include women as equal citizens? This chapter will examine New Labour’s record in terms of alternative conceptions of citizenship: a model based on equal obligations to paid work, a model based on recognising care and gender difference, and a model of universal citizenship, underpinning equal expectations of care work and paid work with rights to the resources needed for individuals to combine both. It will argue that, while New Labour has signed up to the EU resolution on work-life balance, which includes commitment to a ‘new social contract on gender’, and has significantly increased resources for care, obligations to work are at the heart of New Labour ideas of citizenship, with work conceived as paid employment: policies in practice have done more to bring women into employment than men into care. Women’s citizenship is still undermined – though less than under earlier governments - by these unequal obligations and their consequences in social rights.

Representativeness, legitimacy and power in public involvement in health-care management

Public participation in health-service management is an increasingly prominent policy internationally. Frequently, though, academic studies have found it marginalized by health professionals who, keen to retain control over decision-making, undermine the legitimacy of involved members of the public, in particular by questioning their representativeness. This paper examines this negotiation of representative legitimacy between staff and involved users by drawing on a qualitative study of service-user involvement in pilot cancer-genetics services recently introduced in England, using interviews, participant observation and documentary analysis. In contrast to the findings of much of the literature, health professionals identified some degree of representative legitimacy in the contributions made by users. However, the ways in which staff and users constructed representativeness diverged significantly. Where staff valued the identities of users as biomedical and lay subjects, users themselves described the legitimacy of their contribution in more expansive terms of knowledge and citizenship. My analysis seeks to show how disputes over representativeness relate not just to a struggle for power according to contrasting group interests, but also to a substantive divergence in understanding of the nature of representativeness in the context of state-orchestrated efforts to increase public participation. This divergence might suggest problems with the enactment of such aspirations in practice; alternatively, however, contestation of representative legitimacy might be understood as reflecting ambiguities in policy-level objectives for participation, which secure implementation by accommodating the divergent constructions of those charged with putting initiatives into practice.

Policy Implications of Ageing Sexualities

This article aims to open up debate on the policy implications of ageing sexualities. The article begins by discussing the heteronormative perspective that frames current discourse on older people’s needs and citizenship. It then presents data from an empirical study to highlight the concerns that older lesbians and gay men have about housing, health and social service provision, work and job security, and relationship recognition. The article illustrates how the heterosexual assumption that informs policy making can limit the development of effective strategies for supporting older lesbians and gay men; and raises broader questions about policy making, social inclusion and citizenship.