Maniatopoulos, Gregory, Hunter, David J. and Gray, Joanne (2021) The art and science of priority-setting: assessing the value of Public Health England’s Prioritization Framework. Journal of Public Health, 43 (3). pp. 625-631. ISSN 1741-3842
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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.
| Item Type: | Article |
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| Additional Information: | Funding information: This study was funded by the National Institute for Health Research (NIHR) School for Public Health Research (Grant Reference Number SPHRFUS-PH104-SGS). The views expressed in this article are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Fuse is a UK Clinical Research Collaboration (UKCRC) Public Health Research Centre of Excellence. Funding for Fuse from British Heart Foundation, Cancer Research UK, National Institute of Health Research, Economic and Social Research Council, Medical Research Council, Health and Social Care Research and Development Office, Northern Ireland, National Institute for Social Care and Health Research (Welsh Assembly Government) and the Wellcome Trust, under the auspices of the UKCRC, is gratefully acknowledged. We would like to thank all the participants in the three LAs who gave so freely of their time in being interviewed and meeting requests for information. |
| Uncontrolled Keywords: | public health, priority-setting, Public Health England |
| Subjects: | B700 Nursing B900 Others in Subjects allied to Medicine |
| Department: | Faculties > Health and Life Sciences > Nursing, Midwifery and Health |
| Depositing User: | Elena Carlaw |
| Date Deposited: | 20 Mar 2020 12:29 |
| Last Modified: | 05 Oct 2021 10:15 |
| URI: | http://nrl.northumbria.ac.uk/id/eprint/42543 |
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