Reversing the pipeline? Implementing public health evidence-based guidance in english local government

Implementation Science : IS
Lou AtkinsSusan Michie

Abstract

In the UK, responsibility for many public health functions was transferred in 2013 from the National Health Service (NHS) to local government; a very different political context and one without the NHS history of policy and practice being informed by evidence-based guidelines. A problem this move presented was whether evidence-based guidelines would be seen as relevant, useful and implementable within local government. This study investigates three aspects of implementing national evidence-based recommendations for public health within a local government context: influences on implementation, how useful guidelines are perceived to be and whether the linear evidence-guidelines-practice model is considered relevant. Thirty-one councillors, public health directors and deputy directors and officers and other local government employees were interviewed about their experiences implementing evidence-based guidelines. Interviews were informed and analysed using a theoretical model of behaviour (COM-B; Capability, Opportunity, Motivation-Behaviour). Contextual issues such as budget, capacity and political influence were important influences on implementation. Guidelines were perceived to be of limited use, with concerns expressed about ...Continue Reading

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Citations

Mar 2, 2018·The Proceedings of the Nutrition Society·Amelia A Lake
Nov 23, 2019·Health Research Policy and Systems·Mette Winge JakobsenArja R Aro
Apr 22, 2020·British Journal of Health Psychology·Chris KeyworthChristopher J Armitage
Jun 30, 2019·Health Research Policy and Systems·Dylan KnealeJames Thomas
Apr 4, 2021·International Journal of Environmental Research and Public Health·Vageesh JainPaula Lorgelly

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Software Mentioned

COM

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