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It is over 20 years since the publication of the Wanless Report, “Securing our Future Health: Taking a Long-Term View”. The Wanless Report argued that the National Health Service (NHS) would survive in its current form only if the population became “fully engaged” with it.

In this discussion paper, the authors explored what “fully engaged” meant to Wanless, what it might mean now (allowing for the impact of the anti-vaxxer movement) and what policymakers could do to enhance public engagement.

Although the Wanless Report neatly fitted into other long-term thinking about the NHS, it was unique in that it built economic models to predict the costs and impact of different patterns of NHS performance. Wanless predicted that people’s poor levels of health would put considerable pressure on the NHS. This pressure could swamp efforts to meet healthcare targets and improve health outcomes, despite its sizeable investment of money. Wanless set out three possible scenarios for public engagement with the NHS: solid progress, slow uptake and fully engaged.

The authors pose questions for policymakers and practitioners. Would a reboot of the Wanless approach be worth the effort for policymakers? If yes, how would it differ from the original? The NHS faces the whole of society; could it be the vehicle for engaging the anti-vaxxer public with the truthfulness of medical science, and will it be this, that is, Wanless' enduring legacy?

The exploration of the Wanless Report is complicated (at least for the time being) by the rise of the anti-vaxxer movement’s resistance to health promotion and mistrust of part of the NHS.

Richard Bourne, Education correspondent of The Guardian, outlines a way of removing the present inequality in the education of girls.

Educational pressure groups, in the form of national bodies pushing a particular view which has nothing directly to do with politics, religion or trades unionism, seem to be a new phenomenon in Britain. Their arrival has to do with the peculiar federal structure of our education system, its increasing diversity, the increasing interest that individuals and groups of all sorts are taking in it, the recognition that it is crucially linked to both personal belief and group ideology, and its long march of cost. In this perspective such varied bodies as the Comprehensive Schools Committee, the Careers Research Advisory Centre, the Society of Teachers Opposed to Physical Punishment, and the Advisory Centre for Education, may each give an insight into causes and effects.

Nuffield Science — the transition from school to university. The London group of the Society for Research into Higher Education organized recently a seminar with the aim of relating Nuffield thinking on Physical Science to problems of transition from school to university. Dr J. E. Spice, Organizer of the Physical Science Group of the Nuffield Science Teaching Project, opened and guided discussion. The 25 or so university teachers present were mostly teachers of the physical sciences.

Effective refractive error (RE) coverage in a resource-constrained country such as Kenya could possibly be achievable if the current dominant commercial entrepreneurship is supplemented with alternative avenues such as social entrepreneurship. This study aims to explore the perceived impact of social enterprises (SEs) in scaling effective RE coverage in Kenya.

This was an exploratory study with data collected from representatives of SEs (n = 29), trainees of SEs (n = 112) and beneficiaries of eye care services provided by SEs (n = 674). Participants were recruited purposively with data collected through telephonic calls. Thematic analysis was carried out by categorizing the codes into categories and themes based on the semantic meaning of the codes.

The perceived impact of SEs from the representative perspective included entrepreneurship and livelihood (n = 3; 10.3%), skills development (n = 20; 69%), technology development (n = 7; 24.1%), access to specialized services (n = 7; 24.1%) and affordability, accessibility and availability of RE services (n = 27; 93.1%). From the perspective of trainees, the themes included economic empowerment (n = 99; 88.4%), improved quality of life (n = 84; 75.0%), sensitizing locals to RE during screening events (n = 112; 100.0%) and enhancing accessibility, availability and affordability (n = 107; 95.5%).

The perceived impact of SEs highlighted in this paper showcases that they are useful for integration into the eye health ecosystem in a resource-constrained country such as Kenya. Integration of SEs into the eye health ecosystem could potentially address the human resource challenge, scale RE service delivery, enhance awareness creation and address the cost barriers to current RE service delivery coverage.

The Jason Bourne series of films (2002–2016) are widely acknowledged with helping to successfully re-invent the action thriller genre in the 2000s by focusing more on motivation and plot than over-the-top spectacle. Featuring a profoundly wounded son figure in the titular character, the films are indicative of an awareness of the vulnerabilities and reactions of a fatherless masculinity within a post-Cold War political reality.

This chapter will argue that Bourne's onscreen pain and subsequent violent responses to his various narrative predicaments are a result of being repeatedly betrayed by a series of older males, in many cases, father surrogates. Bourne's experience of this paternal disruption and betrayal is the key psychological motivating factor, with the films and the story arc of the character only being resolved when both he and the audience finally discover and reconcile the role that his biological father played in shaping his destiny and his life. This ‘father hunger’ – in effect a need for a continuative masculinity – that Jason Bourne experiences, and that is arguably at the heart of the franchise, will be analysed and explored within the contexts of post-Jungian screen theory. Alongside the deliberately casting of ‘quality’ actors (such as Brian Cox, Joan Allen, Tommy Lee Jones, David Strathairn) and other formalist elements of the text, archetypal energies and symbolism are also rife throughout the film, and can be, in part, credited with the critical and commercial success of the films. Finally, the films are put in their cinematic context in terms of the influence they subsequently exerted on other action film franchises – particularly James Bond (1962 to present).

Nietzsche’s texts contain diverse and sometimes contradictory themes that defy singular summations and are open to divergent interpretations. He also often deployed puzzling and contradictory statements to provoke readers’ thoughts. Although not claiming to illuminate the one true Nietzsche, I contend that his sociocultural and social psychological arguments about German antisemitism and nationalism not only contradict alt right views but also theorize conditions that give rise to this distinctive type of demagoguery. Conflictive appropriations of Nietzsche have been part of the battle over capitalist crises and reactionary populist revivals for over a century, and unregulated growth and massive expansion of the global economy relative to the biosphere greatly increased material throughput and production of waste and generated a host of severe global environmental problems, including especially climate change. In this situation, the alt right contends that cosmopolitan people are deracinated, emptied of their cultural particularity, and spiritually lost. Progressives contend that cosmopolitans potentially benefit from more diverse people and perspectives, enhanced ability to empathetically play the role of the other, and consequent wider communicative capacities and refined powers of cooperation. Nietzsche too exhorted humans to “remain true to the earth” and its “garden joy,” and implied a naturalist esthetics and pacification of nature, and he should be rescued from alt right by reaching beyond his legacy to envision and forge new political-economic alternatives and collective actions capable of sustaining life on the planet and creating and perpetuating a more just democracy that favors cosmopolitan human flourishing.