We take policy to refer to all those issues where governments, institutions or other organizations, including non-State Actors, seek to reach their goals. This has multiple forms, more or less wide-ranging, from a national intervention to a programme, a plan, a strategy, an institutional or administrative arrangement, or a procedure. We investigate these diverse aspects of policy as they relate to end of life issues in Japan and the UK.  In this context we are also interested in the notion of ‘policy transfer’ as a process by which knowledge of policies, administrative arrangements, institutions and ideas from one system or jurisdiction is used in the development of similar features in another.  We are particularly alert to areas where both countries appear to draw on similar policy narratives or approaches to address a particular end of life issue. We will also attend to the potential for cross-cultural analysis to highlight unintended consequences of policy and policy transfer between settings.

Dr Chao Fang and Miho Tanaka lead this aspect of the project.


Policy Brief

Mitori Project Policy Brief - March 2020

England and Japan are confronted with unprecedented challenges and opportunities in the face of population ageing and changing expectations about death and dying, which place heavy demands on health and social care systems.

In the past 12 months, Dr Chao Fang and Ms Miho Tanaka have worked jointly to explore policy discourses regarding end of life care between England and Japan.

An in-depth analysis has been undertaken to compare a set of key policy documents and legislation implemented and enacted in both countries. This policy brief summarises key findings from the analysis to report the commonalities and differences of end of life care, decision-making and bereavement support.

Four key messages have been identified:

1) emphasising individualised care and support

2) improving care access and inclusion

3) supporting informal carers and family members

4) promoting integrated and holistic approaches

The policy brief aims to be valuable for academics, policy-makers, practitioners, as well as the general public. It paints a comparative picture of end of life care policies and laws between the two post-industrial and rapidly ageing societies. This comparison enables mutual understanding, aiming to inform and reshape future policy-making and legislation in both countries.