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- Title
art and science of priority-setting: assessing the value of Public Health England's Prioritization Framework.
- Authors
Maniatopoulos, G; Hunter, D J; Gray, J
- Abstract
Background Findings are presented from the evaluation of Public Health England's (PHE) Prioritization Framework (PF) aimed to assist local authority commissioners with their public health investment and disinvestment decisions. The study explored the take up of the PF in three early adopter local authority settings. Methods Semi-structured interviews (n = 30) across three local authorities supplemented by participant observation of workshops. Results Participants acknowledged that the PF provided a systematic means of guiding priority-setting and one that encouraged transparency over investment and disinvestment decisions. The role performed by PHE and its regional teams in facilitating the process was especially welcomed and considered critical to the adoption process. However, uptake of the PF required a significant investment of time and commitment from public health teams at a time when resources were stretched. The impact of the political environment in the local government was a major factor determining the likely uptake of the PF. Ensuring committed leadership and engagement from senior politicians and officers was regarded as critical to success. Conclusions The study assessed the value and impact of PHE's PF tool in three early adopter local authorities. Further research could explore the value of the tool in aiding investment and disinvestment decisions and its impact on spending.
- Subjects
ENGLAND; INVESTMENTS; RESEARCH methodology; LEADERSHIP; STAKEHOLDER analysis; PUBLIC health; INTERVIEWING; CONCEPTUAL structures; DECISION making; INTERPROFESSIONAL relations; RESEARCH funding; PARTICIPANT observation; POLITICAL participation; HEALTH planning; ADULT education workshops
- Publication
Journal of Public Health, 2021, Vol 43, p625
- ISSN
1741-3842
- Publication type
Article
- DOI
10.1093/pubmed/fdaa016