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This article discusses the catalysts and constraints in the development of a High-Performing Hospitals (HPH) network in England, highlighting the role of the National HPH Network Co-ordinator and the promotion of healthy settings in the national public health agenda. The article also explores the constraints faced, such as the lack of national role for HPH and financial resources, and the priorities for the network's development, including increasing membership and developing the evidence base.
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Catalysts and Constraints Development of a HPH network Denise Morris English National HPH Network Co-ordinator
Catalysts • Free HPH membership for all English hospitals until March 2007 • National Co-ordinator role (Oct 2006) • Healthy Settings Development Unit • National Public Health Agenda • Choosing Health • Healthcare Commission (Public Health Domain) • Essence of Care (Promoting Health)
Source DH (2004) Choosing Health. Making Healthy Choices Easier
Constraints • Lack of national role for HPH • Reconfiguration of arms length bodies • Lack of financial resource • Lack of capacity • Short term funding • Restructuring of NHS • Inconsistent network co-ordination
Priorities • Identifying the network members! • Developing the regions • Securing national support • Securing network funding • Increasing the number of member hospitals • Developing the evidence base • Transferring learning from European partners
Positive Developments • Good response to invitation to join HPH network • Standards for Health Promotion in hospitals well received at a national and local level • Hospitals are to be assessed for their Public Health capacity