Professor Sheena Asthana - ()
Qualifications & background
BA (Hons) in Geography. First Class (Congratulatory); St John’s College, Oxford, 1986
PhD in Community Medicine, London School of Hygiene and Tropical Medicine, 1991
Roles on external bodies
Council Member, Royal Society for Public Health, 2012-
Board Member, Commission for Rural Communities, 2006-11
Member, Policy and Management Group, Devon Rural Network, 2006-08
Member, Rural Practice Standing Group, Royal College of General Practitioners. 2006-08
Board Member, Countryside Agency, 2005-06
Advisory Editor, Social Science and Medicine, 2003-06
Technical Advisor on Resource Allocation to the Rural Health Allocations Forum Project Team, 2001-03
Member, Cornwall & Isles of Scilly Health Action Zone Steering Group, 2000-03
Chair, Geography of Health Research Group of the Royal Geographical Society and the Institute of British Geographers, 1999-2002
Visiting Lecturer, University of Turkku, Finland, 1999
Member, Plymouth Health Action Zone Evaluation & Research Board, 1998-2002
Book Reviews Editor, Health and Place, 1997-2000
Secretary & Treasurer, Geography of Health Research Group of the Royal Geographical Society and the Institute of British Geographers, 1996-99
Member, Editorial Board, Health and Place, 1995-2008
Health policy; Social Justice; International Social Policy; Globalisation and health; Sustainability
Staff serving as external examiners
External Examiner (PhD), IDS, University of Sussex, 2013.
External Examiner (PhD), Northumbria University, 2011.
External Examiner (PhD), Department of Geography & Geosciences, University of St Andrews, 2008.
External Examiner (PhD), Department of Geography, Queen Mary and Westfield College, University of London, May, 2000.
External Examiner (PhD), Dept of Urban Planning and Development, South Bank University, May 1999.
Health services research; rural health & health care; health resource allocation; health inequalities policies; community-based strategies in health development (including HIV/AIDS); and equity and education.
UoP Research group membershipCentre for Health and Social Care Innovation (CHeSCI)
Social and Public Policy
Research degrees awarded to supervised students
P. Evans: Urban Mosquitoes and Measures for their Control in Dar es Salaam, Tanzania. Awarded 1995; ESRC funded.
P. Vong-Ek. Factors Affecting the Incidence and Duration of Breastfeeding in Thailand: Implications for Health Promotion. Awarded 2000. WHO funded.
S. Burley. Changing Childbirth: the Role of Antenatal Services. Awarded 2004. University Scholarship, University of Plymouth.
S. Richardson.The Challenge of Interagency Information Sharing. A Systemic Analysis of Two Sure Start Children's Centres. Awarded 2007, ESRC funded
E. Williams. Non-Governmental Organizations and HIV/AIDS in Kolkata, India: A Discursive Analysis of Policy and Programming. Awarded 2009. ESRC funded.
Grants & contracts
R. Sheaff, J. Ovretveit, S, Peckham. R. Byng, M. Exworthy, S. Asthana. Integation and continuity in primary care: polyclinics and alternatives. NIHR (SDO), £414, 950, 2011-2014
S. Asthana, A. Gibson, T. Bailey, P. Hewson, C. Dibben, G. Moon. Equity of Access to Cardiac and Mental Health Services in England. NIHR Health Services Research Programme, £279,517, 2011-2014.
S. Asthana and J. Halliday. Evaluation of the Peninsula Cancer Network Project for raising Skin Cancer Awareness and Prevention. Peninsula Cancer Network, £29,643, 2009-10
S. Asthana, A. Gibson, J. Halliday, P. Hewson. Resource Allocation in Statutory Service Provision: an Assessment of the Police and Fire Formulae. Rural Services Partnership, £20,222, 2008.
S. Asthana, A. Gibson, T. Bailey, C. Dibbens. Developing a resource allocation formula at General Practice level based on individual patient characteristics (Person-Based Resource Allocation): Mental Health. NIHR, Policy Research Programme, £191,216, 2008
A. Gibson and S. Asthana. Resource Allocation through the Local Government Finance Settlement: How Do Rural Areas Fare? Rural Services Partnership, £18,850, 2008.
C. Hyde, C. Meads, S. Bryan, P. Barton, D. Moore, C. Davenport, J, Parry, J. Deeks, J. Hawker, A. Fry-Smith, S. Bayliss, K. Stein, R. Andersen, N. Britten, R. Garside, S. Asthana, M. Somerville. National Institute for Health and Clinical Excellence (NICE) Centre for Public Health Excellence (CPHE) Public Health Collaborating Centre, National Institute for Health and Clinical Excellence, £2,212,000; 2008-2011.
S. Asthana, A. Gibson, T. Bailey, C. Dibbens. The feasibility of developing an approach to Person Based Resource Allocation (PBRA) based on epidemiological data. NIHR, Policy Research Programme, £121,269, 2007.
A. Gibson and S. Asthana. NHS resource allocation: does West Sussex get its ‘fair share’? West Sussex County Council, £8,998, 2007.
A. Gibson, S. Asthana, J. Flowers. A review of the weighted capitation formula and its funding impact on Primary Care Trusts in the East of England SHA. East of England Strategic Health Authority, £16,171, 2007.
S. Asthana. Meeting Health Needs in Rural Areas, Research Councils UK (Academic Fellowship), £125,000, 2005-10.
S. Asthana. Our City’s Health: developing Practical Tool-kits for policies to address Health Inequalities. Plymouth PCT Public Health Department, £20,000, 2003-2004.
S. Asthana, P. Brigham, J. Halliday, A. Gibson, I. Mackenzie, J. Dicker, G. Floyd, G. Moon. Review of the Effectiveness of measuring Rural Deprivation. South West Public Health Observatory, £24,934. 2001.
S. Asthana, A. Gibson, G. Moon, P. Brigham and J. Halliday. Health Resource Allocation: What Case can be made for Rurality? Rural Health Allocations Forum, £59,214. 2001-2002.
S. Asthana, A. Gibson, J. Halliday, J. Dixon, G. Moon. Evaluation of the Cornwall and Isles of Scilly Health Action Zone, £438,751, 2000-2002.
S. Asthana, J. Chandler, J. Dixon and J. Halliday, Partnership Working in Plymouth HAZ, Plymouth HAZ, £65,000, 2000-2002.
S. Asthana, G. Moon, J. Dicker and A. Gibson. Inequalities in Health Service Utilization at the General Practice Level. Economic and Social Research Council, £81,481. 1999-2001.
S. Asthana. The additional costs of delivering health and social services in remote and rural areas. Cornwall and Isles of Scilly Health Authority, £16,500. 1999.
S. Asthana. Health Needs and Service Deficiencies within Plymouth Health Action Zone. Plymouth Health Action Zone and University of Plymouth, £78,000. 1998-2001
A.. Gibson, S. Asthana and E. Wragg. Parental Choice, Selection by Ability and a ‘Free Market’ in Education: Raising Educational Standards or the Social Polarization of Schools? The Nuffield Foundation. £39,700. 1997-1999.
S. Asthana and A. Gibson. GP Fundholding and the Provision of Primary Health Care: A Socio-Spatial Analysis. University of Plymouth, QR Funds, £18,000. 1996-1997.
S. Asthana.. Community Participation in HIV Prevention and Care in Madras. Nuffield Foundation, £1,540. 1993.
(2013) 'Acute care: The real reason for 'failing' hospitals' Health Serv J 123 (6343), pp 20 - 22
(2013) 'Francis and funding: an explanation for ‘failing’ hospitals' Health Services Journal ,
(2013) 'Playing with fire: Limitations of the Big Society for an emergency service' Public Policy and Administration 28 (3), pp 290 - 305 Publisher Site
(2013) 'Playing with fire: Limitations of the Big Society for an emergency service' Public Policy and Administration 28 (3),
(2013) 'Policy Analytics Need More Than A Spreadsheet: A case study in funding formulae' Annals of Operational Research , , DOI
(2012) 'Lansley is right: age trumps poverty' Health Serv J 122 (6306), pp 16 - 17
(2012) 'Tensions between healthcare equity and health equity must be debated' BMJ 344, p e4133
(2012) 'The medicalisation of health inequalities and the English NHS: the role of resource allocation' Health Economics, Policy and Law , , DOI
(2011) 'General practitioner commissioning consortia and budgetary risk: evidence from the modelling of 'fair share' practice budgets for mental health' J Health Serv Res Policy 16 (2), pp 95 - 101 , DOI
(2011) 'Resource allocation for English local government: a critique of the four block model' Journal of the Royal Statistical Society, Series A 174 (3), pp 1 - 18
(2011) 'Resource allocation for English local government: a critique of the four-block model' JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES A-STATISTICS IN SOCIETY 174, pp 529 - 546 , DOI
(2011) 'Setting health care capitations through diagnosis-based risk adjustment: a suitable model for the English NHS' Health Policy 101, p 133 , DOI
(2010) 'Liberating the NHS? A Commentary on the Langley White Paper, “Equity and Excellence”' Social Science and Medicine 72 (6), pp 815 - 820 , DOI
(2009) 'Social exclusion and social justice: a rural perspective on resource allocation' Policy and Politics 37 (2), pp 201 - 214 , DOI
(2008) 'Deprivation, demography and the distribution of general practice: challenging the conventional wisdom of inverse care' British Journal of General Practice 58 (555), pp 718 - 727
(2008) 'Deprivation, demography, and the distribution of general practice: challenging the conventional wisdom of inverse care' Br J Gen Pract 58 (555), pp 720 - 728 , DOI
(2008) 'Health care equity, health equity and resource allocation: towards a normative approach to achieving the core principles of the NHS' Radical Statistics 96, pp 6 - 26
(2006) 'A formula for unfairness' Health Serv J 116 (6032), pp 18 - 19
(2006) 'Developing an evidence base for policies and interventions to address health inequalities: the analysis of "public health regimes"' Milbank Q 84 (3), pp 577 - 603 , DOI
(2006) 'Inter-agency information sharing in health and social care services: The role of professional culture' BRITISH JOURNAL OF SOCIAL WORK 36 (4), pp 657 - 669 , DOI
(2005) 'Policy at the margins: developing community capacity in a rural Health Action Zone' AREA 37 (2), pp 180 - 188 , DOI
(2005) 'Rationing in response to NHS deficits: rural patients are likely to be affected most' BRITISH MEDICAL JOURNAL 331 (7530), pp 1472 - 1472 , DOI
(2004) 'The demographic and social class basis of inequality in self reported morbidity: an exploration using the Health Survey for England' J Epidemiol Community Health 58 (4), pp 303 - 307
(2004) 'The emergent role of the link worker: a study in collaboration' J Interprof Care 18 (1), pp 17 - 28 , DOI
(2004) 'The pursuit of equity in NHS resource allocation: should morbidity replace utilisation as the basis for setting health care capitations?' Soc Sci Med 58 (3), pp 539 - 551
(2004) 'What can rural agencies do to address the additional costs of rural services? A typology of rural service innovation' Health Soc Care Community 12 (6), pp 457 - 465 , DOI
(2003) 'Allocating resources for health and social care: the significance of rurality' Health Soc Care Community 11 (6), pp 486 - 493
(2002) 'Geographies of need and the new NHS: methodological issues in the definition and measurement of the health needs of local populations' HEALTH & PLACE 8 (1), pp 47 - 60 , DOI
(2002) 'Partnership working in public policy provision: A framework for evaluation' SOCIAL POLICY & ADMINISTRATION 36 (7), pp 780 - 795 , DOI
(2002) 'Themes in British health geography at the end of the century: a review of published research 1998-2000' Soc Sci Med 55 (1), pp 167 - 173
(2001) 'The social construction of male 'homosexuality' in India: implications for HIV transmission and prevention' Soc Sci Med 52 (5), pp 707 - 721
(2000) 'Estimating the socioeconomic characteristics of school populations with the aid of pupil postcodes and small-area census data: An appraisal' Environment and Planning A 32 (7), pp 1267 - 1285
(2000) 'Local markets and the polarization of public-sector schools in England and Wales' Transactions of the Institute of British Geographers 25 (3), pp 303 - 319
(1998) 'School performance, school effectiveness and the 1997 white paper' Oxford Review of Education 24 (2), pp 195 - 210
(1996) 'AIDS-related policies, legislation and programme implementation in India' Health Policy Plan 11 (2), pp 184 - 197
(1996) 'Community participation in HIV prevention: problems and prospects for community-based strategies among female sex workers in Madras' Soc Sci Med 43 (2), pp 133 - 148
'A Tangled Web: Complexity and Inequality in the English Local Government Finance Settlement' Local Government Studies ,
'Devolved commissioning, population size and budgetary risk: evidence from the modelling of ‘fair share’ practice budgets for mental health' Journal of Health Services Research and Policy ,
(2006) What Works in Tackling Health Inequalities?. The Policy Press
(2009) 'Health and Development' in Kitchin R; Thrift N (ed.) International Encyclopedia of Human Geography Oxford: Elsevier pp 28 - 34
(2012) Variations in Access to Social Care for Vulnerable Older People in England: Is there a Rural Dimension?. Variations in Access to Social Care for Vulnerable Older People in England: Is there a Rural Dimension? Commission for Rural Communities. London: Commission for Rural Communities
(2009) Developing a Person Based Resource Allocation Formula for Setting Practice-Level Mental Health Budgets: 2009/10 and 2010/11. Department of Health, Policy Research Programme.
(2009) Resource Allocation in Statutory Service provision: an assessment of the police and fire formulae. Rural Services Partnership.
(2008) Person Based Resource Allocation (PBRA): The Feasibility of Developing a Need-Based Approach to PBRA. Department of Health, Policy Research Programme.
(2010) Funding Implications for Rural PCTs of the new NHS Resource Allocation Methodology.
Convenor, ‘Tackling Health Inequalities, an examination of current policy and practice’, Annual Conference of the Royal Geographical Society and Institute of British Geographers, University of Plymouth, January, 2001.
Convenor, 'International Perspectives on the Geography of Health’. 9th International Medical Geography Symposium, Montreal, 3rd-7th July 2000.
Convenor, 'Reflections on Health Geography on the Millennium'. Annual Conference of the Royal Geographical Society and the Institute of British Geographers, University of Sussex, January, 2000.
Convenor, ‘Gender, Health and Development’, Annual Conference of the Royal Geographical Society and the Institute of British Geographers, University of Leicester, January, 1999.
Convenor, ‘Geographical Implications of the NHS Reforms’, Annual Conference of the Royal Geographical Society and the Institute of British Geographers, University of Exeter, January 1997.
Convenor, ‘New Perspectives on the Geography of Health in a Changing World’, Annual Conference of the Royal Geographical Society and the Institute of British Geographers, University of Exeter, January 1997.
Convenor, Medical Geography, Annual Conference of the Royal Geographical Society and the Institute of British Geographers, 3-6th January, 1996, University of Strathclyde.
Convenor, Workshop on 'Current Debates in Health and Development', held at the Midsessional Conference of the IBG Medical Geography Study Group and the IGU Commission on Health, Environment and Development. 13-15th July, 1993, Crossmead Conference Centre, Exeter, UK.
Convenor, Midsessional Conference of the IBG Medical Geography Study Group and the IGU Commission on Health, Environment and Development. 13-15th July, 1993, Crossmead Conference Centre, Exeter, UK.
Other academic activities
Expert witness or consultancy work
Presented oral evidence to the Health Select Committee’s Inquiry on NHS Deficits, 19th October, 2006 and to the All Party Parliamentary Group on Rural Services on 10th January, 2010.