While numerous accounts of policy frameworks associated with country-level support for social enterprise activity exist, explanations for when, why and how policy interventions in support of social enterprise have been adopted have been, to date, much more thin on the ground. This paper aims to contribute to addressing this perceived gap by presenting the case of Scotland, recently hailed by First Minister Alex Salmond as ''the most supportive environment in the world for social enterprise''. Historical Institutionalism is used to explain how such a 'supportive environment' might have come about and, looking at, in turn, when, why and how the conditions for social enterprise in Scotland have developed, we attempt to contribute to the ongoing international debate concerning the importance of the policy environment to fostering the conditions for social enterprise activity not only to emerge, but also to thrive.

In this article we attempt to make sense of recent policy directions and controversies relating to the 'social enterprise' and 'health' interface. In doing so, we outline the unrecognised potential of social enterprise for generating health and well-being improvement, and the subsequent challenges for government, the sector itself, and for the research community. Although we focus primarily upon the U.K. policy landscape, the key message--that social enterprise could represent an innovative and sustainable public health intervention--is a useful contribution to the ongoing international debate on how best to address the challenge of persistent and widening health inequalities.

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SummarySocial enterprises–businesses that work for social benefit rather than for the maximization of financial returns to shareholders or owners–could potentially prove to be an innovative and sustainable way of tackling ‘upstream’ social determinants of health. However, empirical work focusing upon how, and to what extent, social enterprise-led activity may impact upon health and well-being is still relatively scarce. This study examines how social enterprises portray their impact, and how such impacts may be considered in health and well-being terms. Through analysing evaluative reports of the work of social enterprises in Scotland (n = 17) utilizing a ‘process coding’ method, we investigate both the self-reported impacts of the work of social enterprises and the mechanisms by which these are said to be derived. Revisiting previous conceptualizations in the extant literature, this work allows us to present an ‘empirically-informed’ conceptual model of the health and well-being impacts of social enterprise-led activity, and thus presents a significant advance on previous hypothetical, theoretically-based conceptualizations. It is considered that these findings further improve our overall knowledge of ways in which social enterprise and other parts of the third sector could be considered as potentially valuable ‘non-obvious’ public health actors.

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