This paper examines the nature of public opinion concerning the National Health Service. Data from two series of national surveys covering the period 1983–92 are used to analyse trends in opinion. OPCS data for 1991–2 are examined in more detail to investigate the determinants of satisfaction with health services. A range of demographic, socio-economic and health status characteristics, as well as media coverage of health-related issues, are found to be significantly related to expressions of satisfaction with the NHS, in addition to recent experience of using health services. The complexity of the formation and expression of public opinion is acknowledged. In particular, the importance of taking note of the methodological implications and political context associated with expressions of public opinion is emphasised.

In Denmark, Norway and Sweden mothers of young children have a higher employment rate than have the mothers of other Western European countries. To make high quality childcare universally available is regarded as a national concern, and as part of the welfare state commitment. It is also often regarded as a precondition of mothers' employment. The modes of state intervention and the structure of child-care provision are basically the same in all three countries, yet this paper questions the commonly made assumption that Scandinavian reproduction policies are developed in accordance with one common model. The interrelationship between welfare state, market and family differs between the countries. While in Denmark and Sweden national policies supported the dual role of mothers in production and social reproduction, this was not the case in Norwegian policies in which the concept of the employed mother made only modest impact. Not surprisingly, Denmark and Sweden are more successful in approaching national aims for provision of childcare and also in facilitating mothers' labour market participation.

The social security structure has been seen as a serious disincentive to the employment of women married to unemployed men. The implied significance of this disincentive is not apparent from verbal accounts, where only a minority of such women cite social security considerations as having any direct relevance in their own labour force experience. Recent research, critical of the social security model, has been conducted with a view to exploring the employment strategies of couples. In such research, economic structure is seen as the context of household employment strategies but not, it appears, as part of their substance; household level processes and ‘external’ economic processes are separated. In this respect, such approaches parallel the social security model. The present paper is based on an analysis of the household circumstances and employment histories of 790 couples in Hartlepool. Our findings suggest that ‘strategies’ regarding household income maintenance are patterned in relation to labour demand and occupational opportunity. This association contributes to the coincidence of spouses' employment status and is indicative of the problems of separating employment demand and labour supply processes, a separation which leads the social policy literature to overstate the significance of social security disincentives to employment.

By 1985 community care, of which the home help service is one of the cornerstones, was on the brink of a major change which would fundamentally affect targeting. The new focus is a concentration on those in greatest need, responsiveness to the needs of carers, and to the potential for the self financing of care. The analysis given here indicates that huge changes in targeting of the service will have been needed from the situation in 1985 to meet these new policies, changes which might be expected to move the service away from its traditional role of monitoring the very old living alone. Analysis of the period between 1980 and 1985, using the General Household Survey, shows that the targeting effect of new policies is not easy to predict. The slight increase in home care during the period did not reflect an improvement in targeting on the demonstrably most needy, but instead apparently spread the service more widely. Re-examination of equity, territorial and gender issues shows that only limited progress had been made. Indeed, gender discrimination may even have increased.

While the UK may not wish to go as far as some other countries in allocating community care according to fixed eligibility criteria, come what may, targeting concepts will be increasingly salient for monitoring the community care policy's achievement.