Assessing local food systems in China for building healthy mega-cities

Despite the long-lasting concern for food security in China at the national level, policy attempts to cope with this issue have often resulted to be ineffective. More importantly, they have rarely addressed the question from a local perspective. International experiences of urban food strategies proved to be quite efficacious in enhancing the local provision of food and improving the overall city sustainability by shortening the supply chain, preserving peri-urban areas and improving the nutrition of citizens. By reviewing existing practices of city farming in China, mainly ascribable to urban agriculture experiences, the intention of this paper is to reflect upon the challenges of implementing more comprehensive local food systems. In the conclusion the paper argues that, given the current institutional, socio-economic, and environmental constrains of Chinese cities there is a need of introducing holistic planning tool to assess local food systems in order to ensure the building of real healthy cities.

The political economy of co-ordination challenges in the National Health Service: a postpositivist evaluation of diabetes policy and governance

The present PhD thesis develops and applies an evaluative methodology suited to the evaluation of policy and governance in complex policy areas. While extensive literatures exist on the topic of policy evaluation, governance evaluation has received less attention. At the level of governance, policymakers confront choices between different policy tools and governance arrangements in their attempts to solve policy problems, including variants of hierarchy, networks and markets. There is a need for theoretically-informed empirical research to inform decision-making at this level. To that end, the PhD develops an approach to evaluation by combining postpositivist policy analysis with heterodox political economy. Postpositivist policy analysis recognises that policy problems are often contested, that choices between policy options can involve significant trade-offs and that knowledge of policy options is itself dispersed and fragmented. Similarly, heterodox economics combines a concept of incommensurable values with an appreciation of the strengths and weaknesses of different institutional arrangements to realise them. A central concept of the field is coordination, which orientates policy analysis to the interactions of stakeholders in policy processes. The challenge of governance is to select the appropriate policy tools and arrangements which facilitate coordination. Via a postpositivist exploration of stakeholder ‘frames’, it is possible to ascertain whether coordination is occurring and to identify problems if it is not. Evaluative claims of governance can be made where arrangements can be shown to frustrate the realisation of shared values and objectives. The research makes a contribution to knowledge in a number of ways a) a distinctive evaluative approach that could be applied to other areas of health and public policy b) greater appreciation of the strengths and weaknesses of different forms of evidence in public policy and in particular health policy and c) concrete policy proposals for the governance and organisation of diabetes services, with implications for the NHS more broadly.