Linking Health Outcomes to Other Community Planning Priorities

1. Linking Health Outcomes to Other Community Planning Priorities Avril Blamey Senior Public Health Advisor Policy Evaluation and Appraisal team NHS HS

2. Outline • Previous limitations in the planning process • What would better plans look like? • Starting with ”badged” health outcomes • Making the links to other CPP priorities • Identifying contributions for partners • Underlying values and rationales • Do-ability and testability • What does and doesn’t matter?

3. Previous limitations in the planning process Expected Consequences Interventions Problems Goals Interventions Targets Indicators

5. What would better plans look like? • Provide clarity about what you hope to achieve at start of intervention • Focuses activity on what must be done to achieve the outcome • Shows plausible links between inputs, activities and outcomes • Develops plausible, testable and do-able plans • Tools for outcome focussed planning (Logic models, RE-AIM Framework) • Does health need to be the primary or secondary outcome?

6. Why have we traditionally started with badged/topic outcomes? • It’s easier? • Partly organisational/professional boundaries (NHS led) • Individual rather than structural interventions easier to evaluate/research • Evidence/monitoring structures developed that way in health • Funding streams often support topic, disease approaches • Easier to control and predict? • Not necessarily more important • Not necessarily more effective

8. Making the links Topic Theme

10. Partner contributions Role Partner

11. Underlying values and rationales • Targeting is clear and appropriate (e.g ROA and reduced inequalities as target) and linked to clarity of equity outcome • Access to and experience of services/ interventions are appropriate to target groups re inequalities ( inequalities sensitive practices) • Commitments and successes are shared • Plans are plausible, testable and doable

13. Is it plausible? Consider some key assumptions being made • Will proof of age/test purchasing reduce underage drinking? • Do underage people buy their drink from on/off-sales? • If so will these venues implement proof of age as intended? • Do/will young people get their alcohol from parents/ older friends? • Will access from parents/ older adults increase?

15. Plausibility • Current alcohol plans focus on curbing binge and underage drinking not on price and general availability • Without such measure will overall consumption be addressed? • Overall consumption is strongest indicator of liver damage so will this outcome be achieved?

16. Do ability and Testability • Staff, resources, timescales, skills • SMART objectives • Programme monitoring • Use of existing data • New primary data • Prioritised and focused evaluation plans

17. Should health be the primary or secondary outcome? • Does the staring point matter if; • Outcomes are explicit, shared and specific (e.g. inequalities or population health) • Values and targeting is overt and appropriate • Interventions sensitive to excluded groups • Plans are plausible, testable and doable