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Leadership in Health Impact Assessment (HIA) in Wales: Empowering Change for Better Health

Explore the leadership provided by Public Health Wales Setting and the Wales Health Impact Assessment Support Unit (WHIASU) in Wales. Discover their expertise, proactive approach, training, resources, and research, as well as their transformational, democratic, and transactional leadership styles. Gain insights into the strengths, weaknesses, and opportunities, and find out how they are working towards a whole-system approach to achieve better health outcomes in Wales.

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Leadership in Health Impact Assessment (HIA) in Wales: Empowering Change for Better Health

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  1. HIA Leadership Provided by PHW Liz Green Wales HIA Support Unit/ Public Health Wales

  2. Setting the Scene • Devolved Government – focus on health, well-being, inequalities and sustainability • Health challenges – increasing levels of obesity, air quality focus • Public Health (Wales) Act 2017 – HIA to be statutory in specific circumstances • Public Health Wales (PHW) - Public Health Institute for Wales • Wales Health Impact Assessment Support Unit (WHIASU) - HIA and ‘health in all policies’. Part of World Health Organisation (WHO) Collaborating Centre for Investment on health and well-being’

  3. HIA Leadership in Wales – WHIASU/PHW • Expert Unit – strategic direction and leadership for HIA (and HiAP) in Wales • Proactive approach with ‘Development Officers’ • Remit to provide: • Clear direction, advice and guidance • Training – in house/formal/’learning by doing’/online • Resources – website, HIA guides, HiAPresources • Support – facilitation, use of rapid methods • Research and dissemination – papers and book chapters

  4. Welsh Approach • ‘Transformational’ leadership,  i.e. leadership which pushes thinking and practice outside the comfort zone in order to go beyond established (through e.g. guidelines) practices Guides and resources – HIA and HiAP; Health and land use Planning; Quality AssuranceFramework • ‘Democratic’ leadership, i.e. leadership which considers opinions of different experts / leaders in their fields and on that basis to continuously developing IA further to achieve best practice Feedback and process evaluation; workshops and events; engagement to develop Quality Assurance Framework; HIA Training Strategy; Planning for Better Health and well-being; Brexit HIA • ‘Transactional’ leadership, i.e. leadership which sets clear roles and tasks and rewards those that fulfill them best; e.g. through accreditation Knowledge and Skills Framework for HIA - roles defined with competencies/actions attributed to these. HIA Competency Coursesin collaboration with the Chartered Institute of Environmental Health in Wales; Provides a Certificate post passing an assignment and reflecting on this

  5. SWOT Analysis of WHIASU Model of Working - Strengths • Values and principles the Unit works to including sustainable development principle enabled by WG policy • Provides strategic direction/creates strategic advocates nationally and locally • Values - input from stakeholders; participatory • Flexible and adaptable - willing to evolve/evaluate • Guidance and practical tools development • Mobilization and capacity building/training and ‘learning by doing’ • PHWs 10 year strategy and plans – strategic priority • Lead by example - Brexit HIA

  6. SWOT Analysis of WHIASU Model of Working - Weaknesses/threats • Lack of capacity in team to deliver to demand/opportunities i.e. training; writing resources; • Loss of key personnel a threat – vision/driving force for leadership • Translating all the Unit’s leadership ideas/opportunities into practice can be challenging • Over reliance on PHW/WHIASU – due to the existence of Unit means that others don’t lead • Work on a range of IAs – HIA/P; MWIA; SEA – expected to lead on these too

  7. the future Short term • Lack of capacity in WHIASU and public health system – new model of working for HIA? Stakeholder engagement • Provide vision and direction for HIA via a new HIA Guide to support the Public Health Act 2017 and resources • WG HIA Statutory Regulations – PHW consistency in message, practice and leading by example • Implications of the Act not understood widely – only a few PBs are prepared for the HIA duty. • Strong leadership essential in all present forms. Long term • A whole system approach is needed with joined up working, flexibility and resources • Evolution and evaluation

  8. Diolch yn fawr! Liz.Green@wales.nhs.uk www.whiasu.wales.nhs.uk

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