Bitesize BeSci December 2025 | Issue 05
The fifth issue of Bitesize BeSci features advice, case studies and resources on building behavioural science capability within teams and organisations.
Trade, Trade Agreements and Tariffs and the Impact on Health, Well-being and Equity in Wales
This briefing paper, developed by the Wales Health Impact Assessment Support Unit (WHIASU), discusses the potential health, well-being and equity impacts of trade tariffs on the Welsh population. It is aimed at stakeholders in Wales working in the areas of trade, public health and health services to support them to better understand the potential impacts that trade tariffs can have on population health.
It begins with a brief introduction to trade agreements and to tariff and non-tariff barriers to trade. It then outlines the most recent trade deals the United Kingdom (UK) has signed up to before discussing how tariffs can affect population health, well-being and equity in Wales. It concludes with some options on how health and well-being can be better considered in trade agreements and identifying the impacts of tariffs. Finally, it presents two case study examples of how trade can impact the people and economy in Wales.
Public Health Wales’ Business Travel Policy Infographic
An infographic summarising Public Health Wales’ staff Business Travel Policy.
It includes the key points of the policy, a simplified Travel Decision Tree, carbon emissions via different modes of transport for an example journey from Pontypridd to Cardiff, the health impacts of different modes of transport, and associated costs to the NHS.
Planning Healthy Places: A guide for local authorities in Wales for embedding health in planning policy
This guidance aims to support those working across urban and rural local authorities in Wales to consider, include and promote health and wellbeing through Local Development Plans (LDPs) and the planning system. It provides evidence and guidance about how this can be achieved and why the links between planning and health are so important. The guide can form the basis of an evidence background paper for LDPs or supplementary planning guidance (SPG) and includes five sections.
Urgent care components and their effectiveness: A rapid review of evidence and international insights
This report explores how different components of urgent care services can help reduce pressure on emergency departments and support patient independence. Drawing on the latest research through a systematic rapid review and international insights, it highlights best practices from across the UK and globally to inform urgent care service design in Wales. The review covers a range of urgent care service components, including:
• Task shifting strategies to optimise workforce capacity and efficiency
• Improved access to diagnostic services, such as radiology
• Smart tools like digital triage and decision-support systems for staff
• Expansion of urgent care/treatment centres for timely, appropriate care
• Virtual urgent care, including phone and video consultations for urgent advice
The findings suggest that well-designed urgent care services can deliver safer, faster, and more effective care. While further research is needed, the evidence highlights a promising opportunity to ease pressure on hospitals and ensure patients receive the right care, in the right place, at the right time.
About the review:
This work is a collaboration between the Evidence Service (Research, Data and Digital Directorate) and the International Health Insights team (Policy and International Health Directorate, WHO Collaborating Centre on Investment for Health and Wellbeing) within Public Health Wales.
Better Health Through Behavioural Science: An Enabling Plan for Wales
This plan describes a route map of important actions that can secure the conditions to enable the more routine and systematic use of behavioural science in services, improvement and innovation, communications, policy and systems approaches that that are aiming for better health and wellbeing.
Developed with a technical and strategic advisory group, and input from our Behavioural Science Community for Wales, the plan draws on regional and international approaches to behavioural science application in health and wellbeing, and describes how, through applying behavioural science in our work, we can get what we aim for more often, and in doing so realise a behavioural dividend that optimises our impact for better health and equity.
Childhood Poverty and ACEs
This study, published in the journal BMC Public Health, examined the role of adverse childhood experiences (ACEs) and childhood poverty in life course health and prosperity.
Using a sample of 5,330 adults from five local authorities in England, the study found that ACEs were significantly related to childhood poverty. Both ACEs and childhood poverty were associated with poorer life outcomes, including for self-rated health, chronic health conditions, mental well-being, employment and income.
The findings underscore the need for investment in interventions and policies to prevent intergenerational cycles of abuse and poverty.
Delivering public health and well-being priorities through Local Development Plans (LDPs) in Wales
This report presents a summary of the methods and key findings of a review of how health is included in case study Local Development Plans (LDPs) in Wales and the effectiveness of LDPs in supporting the delivery of health and well-being priorities. The report is intended to inform and support the Wales Health Impact Assessment Support Unit.
International Health Newsletter Issue 8: October 2025
The International Health Coordination Centre’s (IHCC) International Health Newsletter promotes and shares international news, events and initiatives with partners across Wales and beyond.
The newsletter was piloted in May 2023, thereon issued quarterly.
View the latest issue here.
Using Behavioural Science to Tackle Health Inequalities
This spotlight feature blog explores the critical challenge of designing health interventions. It introduces key behavioural science concepts and showcases how the BSU is supporting the application of them, along with reference to a suite of resources to support more equitable public health action.
Winter well-being: shared actions and impact
A new report by Public Health Wales brings together the latest evidence, behavioural insights and practical tools to support health and care colleagues and services in preparing for the winter months.
The report, Winter Well-being: Shared Actions and Impact, is designed to complement existing NHS and Welsh Government winter planning frameworks. It provides actionable guidance and checklists to help teams strengthen system resilience, maintain population health, and ease demand on services.
The report also highlights the importance of prevention, including protecting against winter viruses by getting vaccinated against flu, RSV and COVID-19, staying active, eating warm meals, checking in on neighbours, and taking vitamin D daily to stay healthy through the colder months.
Strengthening Health with Equitable International Partnerships: Key Learning and Best Practices
Wales has an enabling legislative and policy context for international health partnerships, illustrated by the Well-being of Future Generations Act goal of creating a ‘globally responsible Wales’.
This discussion paper explored how Welsh and international communities’ benefit from collaborative partnerships through a scoping review. The objectives were to identify current knowledge, evaluate advantages, and determine best practice.
Tackling Child Poverty: A Scottish Policy Model
Child Poverty rates in the UK have worsened in recent years, exacerbated by the cost-of-living crisis.
Scotland is the only nation in the UK where average year-on-year poverty rates are improving, with progress being underpinned by strategies that incorporate income, employment, and social protection, supported by targeted policy and investment.
This spotlight feature explores Scotland’s approach to solution-based action, combining policy, investment, and a public health perspective. Its experience offers valuable lessons for Wales and other countries.
Urban health policies of Wales’ local authorities
An investigation of public health considerations in the Local Development Plans of Wales’ 22 local authorities
Urban health policies of Wales’ national park authorities
An investigation of public health considerations in the Local Development Plans of Wales’s three national park authorities.
Time to Talk Public Health – June 2025 Survey Findings
Time to Talk Public Health is a nationally representative panel of Welsh residents established by Public Health Wales to enable regular public engagement to inform public health policy and practice. The panel is designed to be broadly representative of the Welsh population by age, sex, deprivation, ethnicity and health board. This report presents findings from the June 2025 Survey covering: Type 2 diabetes, use of gloves in healthcare settings, incontinence, dental health, climate change and public health policy.
Factors associated with childhood out-of-home care entry and re-entry in high income countries: A systematic review of reviews
Out-of-home care placements can profoundly impact children, families, and society. This systematic review synthesises findings from existing reviews on factors associated with entry and re-entry into out-of-home care.
The evidence highlights key factors associated with out-of-home care entry, including child-level factors (ethnicity, health, behaviour), family-level factors (parental socioeconomic adversities, substance use), community-level factors (neighbourhood conditions), and system-level factors (prior child welfare involvement). The review also identifies several factors associated with children remaining with their birth families and not entering out-of-home care.
Factors associated with childhood out-of-home care entry are multi-faceted and complex. There is opportunity for policymakers and practitioners to adopt preventative and holistic interventions to promote the wellbeing and stability of children and families.
Bitesize BeSci | August 2025 | Issue 04
The Fourth issue of the Bitesize BeSci e-bulletin features case studies and resources that look at behaviourally informed training.
Comparative relationships between physical and verbal abuse of children, life course mental well-being and trends in exposure: a multi-study secondary analysis of cross-sectional surveys in England and Wales
This study examined relationships between physical and verbal abuse in childhood and adult mental well-being. The study, published in the journal BMJ Open, used data from surveys conducted in Wales and England between 2012 and 2024. It found that childhood verbal abuse was associated with similar increases in risk of low mental well-being as childhood physical abuse. The study also measured trends in self-reported physical and verbal abuse across birth cohorts.
Shaping the future of healthy housing for children and families in Wales: A summary of stakeholder engagement
Our homes can significantly shape our physical and mental health and well-being.
This paper sets out the work that Public Health Wales has conducted alongside other housing stakeholders to envision a future of healthier of homes, especially for those living in poverty. It summarises insights drawn from stakeholder conversations and a futures-focused workshop, held in November 2024.
This work builds on two previous reports from Public Health Wales – an overarching report, homes for health and well-being, and a second on affordability. Here we go further and shine a light on housing quality, affordability, and security, and the impact this has particularly on the well-being of children and families.
Health in Planning: The role of health in Local Development Plans in Wales
The planning system in Wales operates at three levels: national, regional, and local. Local Development Plans (LDPs) guide land use and development at the local authority level. This report, commissioned by Public Health Wales, Wales Health Impact Assessment Support Unit (WHIASU), presents a summary review of how health is included in Local Development Plans (LDPs) across Wales. The primary aim of this report is to inform WHIASU’s approach to supporting local governments in integrating health considerations into LDPs. The findings will also add value for other stakeholders working to improve health and wellbeing as it highlights opportunities for strengthening the inclusion of health in local plans. The review of Local Development Plans across Wales revealed several opportunities to strengthen their role in promoting population health and reducing health inequities. Currently, most LDPs address health-related factors indirectly through planning policies such as housing, transportation, and environmental quality. Few plans explicitly define health or health inequalities, and none include specific health indicators or measures. While all LDPs incorporate elements that influence social determinants of health, such as access to services and quality of housing, these connections to health outcomes are often implicit rather than clearly articulated. Our analysis found that LDPs already contain many elements that can support population health and wellbeing. By making these health implications explicit, defining key health concepts clearly, and incorporating measurable health indicators, LDPs could more effectively advance their potential to improve health outcomes and reduce health inequities across Welsh communities.
International Health Newsletter Issue 7: July 2025
The International Health Coordination Centre’s (IHCC) International Health Newsletter promotes and shares international news, events and initiatives with partners across Wales and beyond.
The newsletter was piloted in May 2023, thereon issued quarterly.
View the latest issue here.
Social Value E-Guide for Public Health
The Social Value E-Guide for Public Health is a step-by-step resource that explains how to use socially focused approaches for decision-making and financial prioritisation.
It aims to support stakeholders including practitioners, researchers and decision-makers in understanding and capturing the social value of the interventions and services they design and deliver.
The E-Guide presents approaches and resources for adopting a social value approach including methods such as Social Return on Investment and Social Cost Benefit Analysis, tailored specifically to the public health context.
Time to Talk Public Health: Findings of Neath Port Talbot Regional Survey 2025
To support the response of the Community Relations and Wellbeing Workstream of the TATA Steel UK Transition Board, Public Health Wales commissioned a regional survey as part of Time to Talk Public Health to investigate the health, social and financial status of people living in Neath Port Talbot as the area experiences the changes at TATA Steel. The survey was completed between January and March 2025 with 301 people who were representative of the local area by age, sex and deprivation. This report presents the findings of the regional survey.
Behavioural Science for Better Health: How are we doing in Public Health Wales?
An Infographic summarising the evaluation and reporting of our progress across five World Health Organisation ‘Strategic Commitment’ areas, for working towards the routine application of behavioural science for better health in Wales.
IHCC Progress Report 2022-2024
This report describes activities of the International Health Coordination Centre (IHCC), and the wider international health activity and partnership working which took place within NHS Wales between 2022 and 2024. It outlines the IHCC’s progress in driving and enabling implementation of the Charter for International Health Partnerships in Wales (the Charter) across the NHS and demonstrates the tools used to enable shared learning, facilitate cross-NHS and cross-sector synergies, and maximise benefits to the health and well-being of the people in Wales and beyond.
Time to Talk Public Health: February 2025 Panel Survey Findings
Time to Talk Public Health is a nationally representative panel of Welsh residents established by Public Health Wales to enable regular public engagement to inform public health policy and practice. The panel is designed to be broadly representative of the Welsh population by age, sex, deprivation, ethnicity and health board. This report presents findings from the February 2025 Survey covering: Primary care and health inequalities; Delivery of primary care services; Social connectedness; Personal well-being; Financial security; Minimum unit pricing (MUP) for alcohol; Breast screening and artificial intelligence (AI).
Behavioural Science In Action | BeSci Unit @ Public Health Wales | 2024-25 Review
This report is for the staff, teams and services in Public Health Wales, and the wider public health system in Wales. It sets out the range of work which the BSU has undertaken over the last year, with a spotlight on some of our key activities. It acknowledges the partners who have worked with us, provides insight for those that are considering working with us and, reflects on our impact as well as delivery.
Bitesize BeSci | May 2025 | Issue 03
The third issue of the Bitesize BeSci e-bulletin features case studies and resources that look at the role of behaviours within complex systems
Identifying policy options to tackle health inequalities: policy analysis and opportunities for learning for Wales
The key findings from this report highlight the need for comprehensive and multi-faceted policy approaches to address health inequalities. The evidence highlights the importance of preserving equitable healthcare access, expanding the welfare state, and targeting health-related behaviours through coordinated intersectoral strategies. By learning from international examples and adapting successful policies, Wales can work towards effective actions to reducing health inequalities and improving overall population health and wellbeing.