Edinburgh Research Explorer

Home level bureaucracy: Moving beyond the ‘street’ to uncover the ways that place shapes the ways that community public health nurses implement domestic abuse policy

Research output: Contribution to journalArticle

Related Edinburgh Organisations

Open Access permissions



  • Download as Adobe PDF

    Rights statement: This is the peer reviewed version of the following article: Cuthill, F. and Johnston, L. (2019), Home level bureaucracy: moving beyond the ‘street’ to uncover the ways that place shapes the ways that community public health nurses implement domestic abuse policy. Sociol Health Illn. doi:10.1111/1467-9566.12968, which has been published in final form at https://onlinelibrary.wiley.com/doi/full/10.1111/1467-9566.12968. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

    Accepted author manuscript, 320 KB, PDF document

Original languageEnglish
JournalSociology of Health and Illness
Early online date26 Jun 2019
Publication statusE-pub ahead of print - 26 Jun 2019


Street‐level bureaucracy is an increasingly useful way to understand how strategic policy is implemented in day‐to‐day practice. This approach has uncovered the ways that individual health and social care practitioners work within institutional constraints to influence policy implementation at the micro‐level. Nonetheless, despite the diversity of settings where these street‐level bureaucrats (SLBs) work, little attention has been focused on the impact of place on policy delivery. This paper draws on empirical research to examine the ways that delivering government domestic abuse policy in the intimate space of the family home shapes the delivery of strategic policy in the everyday. Drawing on qualitative research with Health Visitors (HVs) in the UK in 2016, the study findings illuminate the ways that the material, socio‐spatial and idealised boundaries of the family home shape the implementation of policy. Key themes in the HV's narratives emerged as they described themselves as both a danger and in danger in the family home. In challenging the ontological security of the home (Giddens 1990) – privacy, security and control are key concepts here – HVs described how they shape their actions to achieve policy outcomes while simultaneously managing threats to the home, to professional identity and to self.

    Research areas

  • domestic abuse, Health Visitors, public health, Street Level Bureaucracy, ontological security

Download statistics

No data available

ID: 100713284