Rising to the Triple Challenge of Brexit, COVID-19 and Climate Change for health, well-being and equity in Wales, Spotlight on: Rural Communities

A new report published by Public Health Wales highlights how the combined influences of Brexit, Coronavirus and climate change will potentially see rural communities in Wales experience a time of great change, with both opportunities and negative impacts to navigate.

Authors: Liz Green, Kathryn Ashton+ 7 more
, Michael Fletcher, Laura Evans, Tracy Evans, Lee Parry-Williams, Sumina Azam, Adam Jones, Mark Bellis

Rising to the Triple Challenge of Brexit, COVID-19 and Climate Change for health, well-being and equity in Wales Spotlight on: Food Security

This paper highlights how the combined influences of Brexit, Coronavirus and climate change will potentially impact everyone through the food that is produced, accessed, available and consumed.

Authors: Liz Green, Kathryn Ashton+ 7 more
, Adam Jones, Michael Fletcher, Laura Morgan, Tom Johnson, Tracy Evans, Sumina Azam, Mark Bellis

Rising to the Triple Challenge of Brexit, COVID-19 and Climate Change for health, well-being and equity in Wales

This report provides a strategic overview of the impact, and interconnectedness, of the enormous events of Brexit, COVID-19
pandemic and climate change. It identifies the key determinants and population groups affected by the Triple Challenge and provides a key example against a determinant.

Authors: Liz Green, Kathryn Ashton+ 7 more
, Michael Fletcher, Adam Jones, Laura Evans, Tracy Evans, Lee Parry-Williams, Sumina Azam, Mark Bellis

‘Health in All Policies’—A Key Driver for Health and Well-Being in a Post-COVID-19 Pandemic World

The COVID-19 pandemic has raised the profile of public health and highlighted the links between health and other policy areas. This paper describes the rationale for, and principles underpinning, HiAP mechanisms, including HIA, experiences, challenges and opportunities for the future.

Authors: Liz Green, Kathryn Ashton+ 3 more
, Mark Bellis, Timo Clemens, Margaret Douglas

Using health impact assessment (HIA) to understand the wider health and wellbeing implications of policy decisions: the COVID-19 ‘staying at home and social distancing policy’ in Wales

This paper focusses on a HIA of the ‘Staying at Home and Social Distancing Policy’ or ‘lockdown’ in response to the COVID-19 pandemic in Wales conducted by the Welsh national public health institute. It describes the process and findings, captures the learning and discusses how the process has been used to better understand the wider health and well-being impacts of policy decisions beyond direct health harm. It also examines the role of public health institutes in promoting and using HIA.

Authors: Liz Green, Kathryn Ashton+ 4 more
, Sumina Azam, Mariana Dyakova, Timo Clemens, Mark Bellis

Adult support during childhood: a retrospective study of trusted adult relationships, sources of personal adult support and their association with childhood resilience resources

Adverse childhood experiences (ACEs) can affect health and well-being across the life course. Resilience is an individual characteristic that is known to help negate the effect of adversities and potentially transform toxic stress into tolerable stress. Having access to a trusted adult during childhood is critical to helping children build resiliency. This paper aims to understand the relationship between always having access to trusted adult support and childhood resilience resources, and examine which sources of personal adult support and the number of sources of adult support, best foster childhood resilience.

Authors: Kathryn Ashton, Alisha Davies+ 4 more
, Karen Hughes, Kat Ford, Andrew Cotter-Roberts, Mark Bellis

Welsh Health Equity Status Report – WHESRi

This report aims to help inform and support a sustainable response and recovery from Coronavirus (COVID-19) in Wales, placing health equity at its heart.
It reinforces our understanding of how interdependent individual and societal well-being, and the wider economy are, towards achieving prosperity for all. The report also contributes to strengthening the leading role of Wales at the forefront of the health equity and sustainable development agenda in Europe and globally.

Authors: Mariana Dyakova, Lauren Couzens (née Ellis)+ 10 more
, James Allen, Mischa Van Eimeren, Anna Stielke, Andrew Cotter-Roberts, Rajendra Kadel, Benjamin Bainham, Kathryn Ashton, Daniela Stewart, Karen Hughes, Mark Bellis

Process, Practice and Progress: A Case Study of the Health Impact Assessment (HIA) of Brexit in Wales

In 2018, the Health impact assessment (HIA) support unit in Wales carried out a comprehensive and unique HIA on the impact of Brexit in Wales. The aims were to understand the differential impacts that Brexit would have on the health and well-being of the population and to provide evidence to inform decision makers across a range of public bodies. This paper reflects on the process of carrying out the HIA and the methods used. It discusses the stages of the HIA, and shares the findings and reflections of implementation which will be beneficial to other HIA practitioners and policy makers.

Authors: Liz Green, Kathryn Ashton+ 2 more
, Nerys Edmunds, Sumina Azam

Health Impact and Social Value of Interventions, Services, and Policies: A Methodological Discussion of Health Impact Assessment and Social Return on Investment Methodologies

Assessing the positive and negative impact of policies, services and interventions on health and well-being is of great importance to public health. Health Impact Assessment (HIA) and Social Return on Investment (SROI) are established methodologies which assess potential effects on health and well-being, including social, economic and environmental factors, indicating synergies, and cross-over in their approach. Within this paper, we explore how HIA and SROI could complement each other to capture and account for the impact and social value of an assessed intervention or policy.

Authors: Kathryn Ashton, Lee Parry-Williams+ 2 more
, Mariana Dyakova, Liz Green

How to Make the Case for Sustainable Investment in Well-being and Health Equity: A Practical Guide

Health inequities are not inevitable. Coordinated policy action on the determinants of health combined with well designed and implemented governance approaches have a dual effect on reducing the health gap and improving overall population health. This guide is the first product developed under Public Health Wales’ WHO Collaborating Centre (WHO CC) on Investment for Health and Well-being work programme and outlines four key phases on how to synthesize, translate and communicate public health economics evidence into policy and practice. The interrelated four phases guide the reader through the process of developing evidence-informed products, which are context and target audience specific. The guide aims to (i) prevent disinvestment in health; (ii) increase investment in prevention (public health); and (iii) and mainstream cross-sectoral investment to address the wider determinants of health and equity, driving sustainable development for  prosperity for all. It has been developed based on a mixed-method approach including an evidence review, interviews with national and international experts, and a multisectoral stakeholder consultation which ensured relevance and transferability across sectors, contexts, settings and countries.

Authors: Mariana Dyakova, Kathryn Ashton+ 2 more
, Anna Stielke, Mark Bellis

Driving Prosperity for All through Investing for Health and Well-being – An Evidence Informed Guide for Cross-sector Investment

This guide identifies ten key evidence-informed policy opportunities for investment in Wales. Opportunities identified in the report address areas of high burden and cost in Wales, delivering economic as well as social and environmental returns, and supporting sustainable inclusive economic growth. The guide will help decision-makers to implement the Welsh Government’s Prosperity for All national strategy.

Authors: Mariana Dyakova, Mark Bellis+ 4 more
, Sumina Azam, Kathryn Ashton, Anna Stielke, Elodie Besnier

Do emotions related to alcohol consumption differ by alcohol type? An international cross-sectional survey of emotions associated with alcohol consumption and influence on drink choice in different settings

This article examines the emotions associated with drinking different types of alcohol, whether these emotions differ by socio demographics and alcohol dependency and whether the emotions associated with different drink types influence people’s choice of drinks in different settings.

Authors: Kathryn Ashton, Mark Bellis+ 3 more
, Alisha Davies, Karen Hughes, Adam Winstock

A Framework for Managing the Night Time Economy in Wales

The night time economy in Wales concerns the economic activity occurring between the hours of 6pm to 6am. This encompasses a range of activities from restaurants and establishments serving food, the on and off trade sale of alcohol, music venues and clubs with dancing and entertainment, cinemas and other leisure activities.

Authors: Kathryn Ashton, Janine Roderick+ 2 more
, Lee Parry-Williams, Liz Green

Developing a framework for managing the night-time economy in Wales: a Health Impact Assessment approach

This case study outlines the approach of a prospective Health Impact Assessment (HIA) to re-develop an existing reactive framework for managing the night-time economy in Wales. Inclusion of a range of stakeholders in the process enabled the reformulation of realistic proactive objectives which account for both health and well-being. This article highlights the benefits of HIA and can be used to inform future policy developments.

Authors: Kathryn Ashton, Janine Roderick+ 2 more
, Lee Parry-Williams, Liz Green

Investment for health and well-being: A review of the social return on investment from public health policies to support implementing the Sustainable Development Goals by building on Health 2020

There are growing public health, inequality, economic and environmental challenges across the WHO European Region that require urgent and priority-focused investment if sustainable development (meeting current needs without compromising the ability of future generations to meet their needs) is to be achieved and health and well-being ensured for present and future generations.

Authors: Mariana Dyakova, Christoph Hamelmann+ 6 more
, Mark Bellis, Elodie Besnier, Charlotte Grey, Kathryn Ashton, Anna Schwappach, Christine Charles