Dr Sally Ruane

Job: Reader in Social Policy – Director of Health Policy Research Unit

Faculty: Health and Life Sciences

School/department: School of Applied Social Sciences

Address: De Montfort University, The Gateway, Leicester, LE1 9BH.

T: +44 (0) 116 207 8732

E: sruane@dmu.ac.uk

W: http://www.dmu.ac.uk/hpru

 

Personal profile

Dr Sally Ruane has worked at De Montfort University since 1992, contributing to a number of postgraduate and undergraduate courses. She is currently Director of the Health Policy Research Unit, Doctoral Training Programme Lead in Applied Social Sciences and programme leader for the Masters in Research.

Dr Ruane's research activity in recent years has included health service reconfiguration, the private finance initiative, political opposition to privatisation in health care and taxation. She has strong links with colleagues in Spain and has given lectures and presentations at Spanish universities, conferences and workshops.

Dr Ruane has a keen interest in the future of the health service, including political aspects of health service reform, and she is happy to speak at public meetings and to groups of non-specialists who would like to know more about changes in the health service.

Research group affiliations

  • Health Policy Research Unit
  • Centre for Reproduction Research

Publications and outputs 

  • The centrality of taxation to social policy
    The centrality of taxation to social policy Ruane, Sally; Collins, Micheal; Sinfield, Adrian The article reviews the limited existing social policy literature on taxation and sets out a case for the incorporation of the study of taxation into the accepted remit of social policy. Social policy has historically been concerned with the services and benefits which flow from public expenditure, and people’s experiences of them, rather than with taxation and the contributions by individual researchers have tended to remain marginal to the main focus of social policy. The article offers a speculative account as to why taxation has remained peripheral to social policy and presents three arguments for the mainstreaming of tax in social policy’s domain of study. These concern the role of taxation in shaping the distribution of resources, a fundamental pre-occupation of social policy; the contribution social policy scholars can make to shaping a new discourse surrounding taxation, foregrounding issues of equity and need; and how social policy’s engagement with taxation can influence the politics of the welfare state.
  • Data in Society: Challenging Statistics in an Age of Globalisation
    Data in Society: Challenging Statistics in an Age of Globalisation Evans, Jeff; Ruane, Sally; Southall, Humphrey Statistical data and evidence-based claims are increasingly central to our everyday lives. This book charts the recent explosion in sources of data, including those precipitated by global development and technological change. It sets out changes and controversies related to data harvesting and construction, dissemination and data analytics by a range of private, governmental and social organisations in multple settings.
  • Access to data and NHS privatisation: reducing public accountability
    Access to data and NHS privatisation: reducing public accountability Ruane, Sally Recent decades, shaped by powerful neoliberal forces, have witnessed a significant encroachment on the UK state sector with privatisation advancing over many social and economic sectors. The extension of private sector involvement has implications for the effective public accountability of UK ‘public’ services. This chapter examines, through case studies drawn from the past ten or fifteen years, selected aspects of this diminished accountability. The three case studies concern the availability of data in relation to different dimensions of privatisation in the NHS: performance data in the provision of care when NHS-funded care is provided by private companies; financial and ownership details in infrastructure procurement; and technical data allowing an assessment of the character and implications of proposals in the policy process.
  • The Value of Pharmacists in General Practice: Perspectives of General Practitioners. An Exploratory Interview Study
    The Value of Pharmacists in General Practice: Perspectives of General Practitioners. An Exploratory Interview Study Hampson, N.; Ruane, Sally Background NHS England has recently invested on a large scale in the development of the role of pharmacists in general practice. Despite this initial funding, the perpetuation of pharmacists’ roles ultimately relies on the funding and co-operation of GPs. Objective This study aimed to explore the perspectives of GPs with experience of fully funding a pharmacist in gen-eral practice, focussing on the value that GPs place on the role of the pharmacist. Setting General practice in the Midlands and East area of England. Method In-depth, face to face, semi-structured qualitative interviews were carried out with seven purposively sampled GPs. Interviews were audio recorded, transcribed verbatim and thematically analysed. Main outcome measure Main outcomes were defined themes in the data. Results GPs valued the medication expertise of the pharmacist, which enabled the pharmacists to unburden the GPs of workload. GPs also valued the capability of pharmacists to adapt their role to meet the changing needs of their individual practice. GPs supported the role of pharmacists in general practice but identified funding as a possible barrier to wider uptake of the role. Conclusion This study provides an initial insight into what GPs value in the role of pharmacists in general practice. It highlights the value of the medication-related expertise which pharmacists bring to the team. Heterogeneity in the role is necessary to meet the needs of individual practices. Sustained funding was identified as a possible barrier to wider implementation of the role. The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.
  • International experience of health service privatisation: the case of integrated services in the UK
    International experience of health service privatisation: the case of integrated services in the UK Ruane, Sally The use of market mechanisms in the NHS has long been associated with privatisation in the English National Health Service but there has been a marked shift in policy emphasis away from market competition towards ‘system integration’ since the 2012 Health and Social Care Act. This includes integration between the various parts of the health service and integration between the health care and social care sectors. The benefits of integration include greater patient satisfaction, improved access and improved quality of care but the approach to securing it in England has been riven with division and conflict. This chapter draws on documentary data to combine a critique of integrated care policies in the past five years in England, an investigation of their implications for the privatisation of clinical services and a contextual understanding of the broader international policy agenda. It argues that there are several ways in which integrated policies facilitate privatisation and applies Krachler and Greer’s 2015 privatisation framework to explore this further.
  • Integrated care systems in the English NHS: A critical view
    Integrated care systems in the English NHS: A critical view Ruane, Sally The article offers those working in child health care an examination of the evolution of the broader health policy context in England since 2012. While policy has attempted to transform the English NHS into what is described as a more integrated, less fragmented service, it has encountered numerous obstacles. The article traces the development of policy from the 2012 Health and Social Care Act, through Vanguard projects and Sustainability and Transformation Plans to Accountable Care Organisations and Integrated Care Organisations. The obstacles encountered include severe funding constraints, planning assumptions which lack a solid evidence base, a legislative framework antithetical to integration and the controversial character of a policy innovation which, it has been suggested, is derived from an international project under the auspices of the World Economic Forum. The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.
  • Report on University Hospitals of Leicester NHS Trust Full Business Case for relocating Intensive Care Unit Level 3 beds out of Leicester General Hospital
    Report on University Hospitals of Leicester NHS Trust Full Business Case for relocating Intensive Care Unit Level 3 beds out of Leicester General Hospital Underwood, Janet; Ruane, Sally; Reynolds, Kathy The report analyses proposals by University Hospitals of Leicester to relocate level 3 intensive care beds out of the Leicester General Hospital. The report identifies a number of concerns and recommends the proposals be submitted to scrutiny by the joint scrutiny committee of Leicester, Leicestershire and Rutland and be subject to full public consultation.
  • Submission to the House of Commons Health Select Committee in response to its Inquiry into Integrated Care: Organisations, Partnerships and Systems
    Submission to the House of Commons Health Select Committee in response to its Inquiry into Integrated Care: Organisations, Partnerships and Systems Ruane, Sally The submission outlines a number of concerns relating to Sustainability and Transformation Plans and Accountable Care Systems/Organisations.
  • Submission from the Leicester Mercury Patients' Panel to the House of Commons Health Select Committee in response to its Inquiry into Integrated Care: Organisations, Partnerships and Systems
    Submission from the Leicester Mercury Patients' Panel to the House of Commons Health Select Committee in response to its Inquiry into Integrated Care: Organisations, Partnerships and Systems Ruane, Sally The Leicester Mercury Patients' Panel submission to the Committee raises a number of concerns regarding engagement of the public in the STP process in Leicester, Leicestershire and Rutland.
  • Paying for the Welfare State in the 21st Century
    Paying for the Welfare State in the 21st Century Byrne, D.; Ruane, Sally What does the future hold for welfare in the post-industrial 21st century? Political and economic forces are threatening the taxation regimes of highly globalised, capitalist societies, prompting an urgent debate around the function of welfare and how we pay for it. In a challenge to current policy and thinking, David Byrne and Sally Ruane deploy the concepts and analytical tools of Marxist political economy to better understand these developments, and the possibilities they present for social change. Using the SNP in Scotland as an illustrative case study, current debates are related to a critical understanding of the relationship between taxation and spending, issues that are fundamental to early 21st century politics and the future of welfare.

Click here for a full listing of Sally Ruane's publications and outputs.

Research interests/expertise

  • Health service reform
  • Health service reconfiguration
  • Taxation 
  • Political aspects of, and alternative approaches to, health service reform
  • Public private partnerships 
  • Private Finance Initiative

  • Faculty Research and Innovation Committee member
  • School of Applied Social Sciences Research Committee member
  • University Research Training Committee, deputy delegate
  • REF coordinator Unit of Assessment 20
  • Applied Social Sciences Doctoral Training Programme Lead

Areas of teaching

  • Health Policy
  • Globalisation and health
  • Postgraduate dissertation supervision
  • PhD supervision

Qualifications

  • BA (Hons) Sociology and Social Policy (Dunelm) 1981
  • MA Latin American Studies (Liverpool) 1984
  • PhD Sociology and Social Policy – Adoption talk and the social construction of motherhood (Dunelm) 1991

Courses taught

  • Applied Social Sciences Doctoral Training Programme
  • MA Applied Health Studies
  • Masters in Research
  • BA (Hons) Health Studies

Membership of external committees

Conference attendance

(2017) The welfare state and the Christian response to reform. Nottingham RC Diocesan Justice and Peace Annual Assembly. Derby, November.

(2017) Taxation and the Middle Class - evidence from UK households and the political implications of taxation for welfare, ESPAnet annual conference, Lisbon. September. With D Byrne.

(2017) How ‘public’ authorities keep the public at bay: public engagement with NHS ‘reform’, Dilemmas in Human Services annual conference, LSHTM, London. September

(2016) Privatización en el Sistema Nacional de Salud Británico, XXXIV Congreso de la FADSP -III Jornades de Salut d' ACDESA-PV, Castellón, Spain. November.

(2016) El impacto de la Iniciativa Privada de Financiación en el sector sanitario en el Reino Unido, European Conference in Defence of Public Health, Vigo, Spain. October.

(2016) ‘Public views of fairness and the UK tax system’. Annual conference of the Social Policy Association, Belfast 2016.

(2016) Logros y fracasos de las campanas contra la privatización del Sistema Nacional de Salud en Inglaterra. Keynote Speaker, Annual Conference of FADSP, Santander. February.

(2016) Cuts and closures in the NHS, Health Campaigners Together Conference, London. January.

(2015) Large scale reconfiguration in the NHS: challenging the evidence base, NHS in Crisis conference, London. December.

(2014) The distribution of the UK tax burden 1977-2011/12, Annual Conference of the Social Policy Association, Sheffield. July.

(2013) The political economy of taxation in the 21st century UK. With David Byrne. Annual Conference of the Social Policy Association, Sheffield University. July.

(2013) Exclusion and inequality in the new English health system, Key speaker at a health conference in the national Congress of Deputies, Madrid, at the invitation of Gaspar Llamazares MP. February.

(2013) Costs, cuts and inflexibility in the UK Private Finance Initiative, Key speaker at a conference on health in the Regional Parliamentary, Madrid, at the invitation of the Gaspar Llamazares MP. February.

(2013) The 2012 Health and Social Care Act: the end of the NHS as we know it?, lecture to the Leicester Secular Society. January.

(2012) Key proposals and implications of the 2012 Health and Social Care Act, fringe meeting, UCU national Congress, Manchester, June.

(2011) The NHS: Evolution and current prospects. Workshop series on international health systems for health professionals from Spain and Latin America. Bilbao, Spain.

(2011) Key political institutions in the saga of the NHS reforms Annual Regional conference of Medical Sociology. De Montfort University. June.

(2010) Overview of NHS reforms and impact of devolving commissioning responsibilities: some implications for professionals. Health Educators Summit, hosted by UCU. London. November

(2010) The principles of a progressive health policy in a time of change. Invited lecture (funded by European Citizens Foundation). Madrid Complutense University. July.

(2010) Costs in services, finances and inflexibility: The Private Finance Initiative in the UK.  Guest lecture (invited and funded) by Ernesto Lluch Foundation. Valencia University, Spain. June.

(2010) Invited participant at roundtable discussion on alternative approaches to health service reform; chaired by Nick Timmins at BMA House, Tavistock Square

(2010) PFI in the UK.  Guest speaker - International Chamber, Congress of Deputies, Madrid, at the invitation of the President of the Parliamentary Committee on Health, Social Policy and Consumer Affairs. Funded by European Citizens Foundation.

(2009) Reform and Recommodification: The Modernisation of the National Health Service in England, paper presented at the annual conference of Historical Materialism, School of Oriental and African Studies, London. November. Funded by Historical Materialism.

(2009) Developing an alternative vision of the NHS, presentation at a public meeting of the Northampton Trades Union Council. Northampton. November. Funded by NTUC; attended by trade unionists.

(2009) What can the public sphere offer us?, paper presented at a conference of the Bretton Woods Project: Recovery towards what? Finance, justice, sustainability G20 Finance Ministers’ Alternative Conference. Congress Centre, London. November. Funded by Bretton Woods Project. Attended by international audience of academic teachers and students; development agency personnel.

(2009) Experiencias de las Reformas de los Sistemas Sanitarios en Europa: el Caso de Inglaterra, Invited by conference organisers at a conference of the International Association of Health Policy: Health and the Global Crisis. Ministry of Health, Madrid, September. Funded by conference organisers.

(2009) Save Our Hospital campaigns in England: Why do some hospital campaigns succeed?, paper presented at a conference of the International Association of Health Policy in Europe, Coventry. June. Self-funded and DMU funded.

(2009) Health Service Reform in the UK: Developing an Alternative Approach, invited presentation  at the House of Commons, London. June. (Funded by Keep Our NHS Public)

(2009) Health Service Reform in England: Consequences and Concerns, presentation to a meeting of the Secular Society, Leicester. April.

(2008) Private Finance Initiative and the hospital sector in the UK. Presentation to trade union conference, Madrid, Spain. November.

(2008) ‘The relevance of Marxism to health policy’, paper presented to the annual conference of the Social Policy Association, Edinburgh. July.

(2008) ‘La Iniciativa de Financiacion Privada (PFI) en el Reino Unido: El impacto sobre los trabajadores sanitarios y la comunidad sanitaria en general’ conference of the Federacion de Asociaciones de la Defensa de La Sanidad Publica, Santiago de Compostela, Spain. March

(2008) ‘Health briefing’, East Midlands National Pensioners Convenstion Regional Parliament, Leicester

Current research students

PhD students:

  • The impact of public and patient involvement on the outcomes of cancer research
  • Record keeping among pharmacists
  • The lived experiences of childbearing among obese women
  • Men's views of timings and circumstances of parenthood
  • The experiences of migrant surrogate mothers in Russia
  • The experiences of mothers who have been imprisoned
  • School Refusal: Investigating an International Model of Interventions to Support Children and Families

Externally funded research grants information

  • Social Policy Association Opportunity Grants Scheme, 2017
  • ACCEPT mental health charity – advisor for service evaluation research, 2009-10
  • Leicestershire County Council – training and report on service reconfiguration, 2008
  • Rochdale Metropolitan Borough Council – report on service reconfiguration for the Independent Reconfiguration Panel, 2007

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