This article discusses the experiences of women and children who become homeless as a result of domestic violence and assesses the extent to which their need for housing, both temporary and permanent, is being met within Wales. It explores women's experiences of living in and moving on from refuges. Refuge provision in Wales is not sufficient to meet the demand for refuge spaces. However, for those women and children who are accommodated in refuges, the experience is significant in supporting them through a highly stressful period of their lives. This is related to the communal nature of refuge living and the high levels of support from refuge workers and from other women. The availability of suitable and affordable move-on accommodation for women and children leaving refuges is also insufficient to meet need. This results in long stays in refuges for women and children who have been accepted as officially homeless and are waiting to be rehoused by local authorities and may lead to their returning to violent domestic situations. It also exacerbates the shortage of refuge provision for women and children in need of temporary, crisis accommodation. Women and children who have survived domestic violence need access to housing which is safe and affordable where support is available if wished for. These needs are not being met.

The article emphasises the urgent need for a reconsideration of potential sources of income for the National Health Service which could supplement rather than replace those from general taxation. They include local taxation, earmarked taxes, patient charges (hotel, prescription and other charges for non-clinical items), a lottery, income generation, charitable donations and patient ‘opting out’ of the NHS with private insurance. Analysis is set within the position statement provided by the 1989 White Paper Working for Patients and within a more general analytical framework paying attention to equity, accountability, value for money, management incentives and other criteria.

Each funding method is considered in terms of its consistency with the criteria of both the analytical framework and the White Paper. The differences between some of the alternative sources are found to be more apparent than real. Rather than providing a panacea for the perceived funding and rationing problems of the NHS, the danger is that new supplementary sources of finance may simply replace one set of problems with another. The new set may pose even more intractable problems and involve considerable short to medium term disruption of NHS finances. The inescapable fact is that decisions about the levels and quality of public service provision and their financing are ultimately matters of democratic accountability, decisions which cannot and should not be sidestepped by the convenience of income sources.

Recent government policy in the UK National Health Service (NHS) has carried with it an implicit assumption that greater consumer involvement in health care is both desirable and beneficial. This may be the case in theory, but in practice there are substantial barriers to consumers becoming more involved in health care. Following a consideration of the role the government envisages for consumers in the NHS, the extent to which it is possible for consumers to fulfil this role, and more fundamentally whether they want to fulfil it, are discussed. It is argued that because of the extent of the breakdown of consumer sovereignty in health care, the doctor–patient (agency) relationship assumes a particularly important role. The theory of agency and its application to health care is then discussed and a number of important issues highlighted. A review of the literature on the extent of consumer involvement in health care precedes the conclusion in which the key issues raised in the article are brought together.

This article highlights some of the issues raised by incomplete coverage of the 1991 census in Britain, illustrating how far-reaching are its implications across the spectrum of social statistics. The origins and the current state-of-play of the debate over the distribution of the non-response are summarised and the implications then assessed. For many census variables, non-response reduces the observed variation between areas, with consequences for the distribution of resources for local services. The implications for the reliability of the most basic of health statistics are raised through mortality rates. A rough estimate is made, and supporting evidence presented, of the possible numbers of households which were missed by the census. Some implications for housing needs assessments are illustrated along with the effect of the sudden upwards revision of official estimates of the dwelling stock and the resulting overall great uncertainty over the number of vacant dwellings in the country. Finally, recent research on the electoral implications of people's choice not to be registered is discussed as this may well help to understand census non-response. Such a pervasive degree of uncertainty across almost all figures concerning people has not been experienced in Britain since the last century. There is little reason to expect this uncertainty and the importance of its social policy implications to diminish in the future, without significant changes to census procedures and to the relationship between government and governed.