Abstract
ABSTRACTBackgroundFindings 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.MethodsSemi-structured interviews (n = 30) across three local authorities supplemented by participant observation of workshops.ResultsParticipants 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.ConclusionsThe 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.
Highlights
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
This paper presents the findings from a National Institute for Health Research (NIHR) School for Public Health Research (SPHR) study aimed at assessing the value and impact of the tool in three early adopter local authorities.[11]
The public health teams engaged with a process that facilitated how to get the best value for money from the public health budget
Summary
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. Each local authority has a public health team of varying size headed up by a director of public health (DPH). Working with other local authority service directors, elected members and the chief executive, these teams determine public health strategy and the priorities accorded different programmes. Understanding how public health priorities are determined in the local government, and how priority-setting tools might support decision-making, remains unclear.[8]
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