Social welfare aspects of information with special reference to news.

The information society thesis, according to which economically advanced nations are undergoing transformation into post-industrial, information-based societies, can, with caveats, be taken as a premise. Essentially empirical or predictive, this influential set of claims quickly gives rise to major normative issues. The paper asks how, as part of a prospective normative theory of the information society, information may be shown to contribute to social goals in general and social welfare in particular. Given the diverse range of referents of the term 'information' in the context of the information society debate, the paper focuses on news as a form of information whose communication is widely held to be important to society. The problem is how to quantify or otherwise prove this intuition. It is suggested that a fusion of welfare economics and the economics of information may yield a solution. The paper is designed to be exploratory, offering a potential line of inquiry for the future research and policy agenda of information society studies.

Supporting the case for “progressive universalism” in health visiting: Scottish mothers and health visitors’ perspectives on targeting and rationing health visiting services, with a focus on the Lothian Child Concern Model.

Aims. To explore parents and professionals’ experience of family assessment in health visiting (public health nursing), with a focus on the Lothian Child Concern Model (LCCM). Background. Health visitors (HVs) currently assess families as requiring core, additional or intensive support, and offer support at a corresponding level. The majority of families are assessed as core and receive no pro-active support beyond the early days. Previous assessment tools, consisting of checklists, have been criticised as being ineffective in identifying a range of health needs and unacceptable to parents and HVs. The LCCM model was developed and introduced in the study area to promote a partnership approach with parents and assess strengths as well as difficulties in parents’ capacity to care for their child. Methods. Qualitative methods were used. Ten mothers and twelve HVs took part in individual semi-structured interviews. Results. Most mothers were aware of the assessment process but some felt that they were not involved in the decision making process. Explaining the assessment process to parents is problematic and not all HVs do so. The assessment process was stressful for some mothers. HVs find the model useful for structuring and documenting the assessment process. Many believe that most families benefit from some support, using public health approaches. Families are often assessed as core because there are insufficient resources to support all those who meet the criteria of the additional category, and managers assess caseloads in terms of families with child protection concerns. Conclusions. The study findings support the concept of “progressive universalism” which provides a continuum of intensity of support to families, depending on need. Mothers would like better partnership working with HVs. Relevance to clinical practice. The study endorses proposed policy changes to re-establish the public health role of HVs and to lower the threshold for families to qualify for support.