Evidence into Delivery Towards an Evidence Into Action EIA strategy for health improvement in Scotla

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Evidence into Delivery Towards an Evidence Into
Action (EIA)strategy for health improvementin
Scotland

• Andrew Tannahill
• Head of Evidence for Action

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Evidence
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on health and its determinants issues, causes,
population and trends ? priorities for attention
PHO
PHO
Evidence
related to effectiveness whether and
how/why things work/do not work ? priorities for
action
PEA EfA
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on health and its determinants issues, causes,
population and trends ? priorities for attention
Evidence
related to effectiveness whether and
how/why things work/do not work ? priorities for
action
Evidence focus of the EIA strategy
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The evidence-action cycle
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Evidence Into Action

• Capacity building, and design of
• policies/programmes/activities

• Stakeholders discussions,
• and prioritisation of needs

Evidence

• Evidence base

Action

• Delivery of policies/
• programmes/activities

• Reporting

• Monitoring

• Evaluation

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Why an EIA strategy?

• Health improvement is everybodys business
• Demands for effectiveness evidence huge and
  growing
• Need to prioritise/harmonise needs as far as
  possible
• Need sustainable and systematic approach to
  managing evidence
• so that Health Scotland and other stakeholders
  can make best possible use of combined resources
  to deliver more effective health improvement
  policies, programmes, and activities on the ground

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Developing the EIA strategy

• In discussion with partner stakeholders
• Suggested main emphasis Into Action
• Why?
• Theres a lot of evidence about
• that hasnt yet been fully applied in policy
  and practice
• Unused is useless

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EIA stakeholders include

• Scottish Executive
• Health Scotland
• NHS Boards
• Community Health Partnerships
• Councils
• Community and voluntary sector
• Business and enterprise sector

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EIA strategy proposed steps

• Map existing evidence and evidence-based
  recommendations
• Present overviews of mapped material to
  stakeholders
• Match mapped material with stakeholders needs
• Identify extent of/gaps in/barriers to/enablers
  of application/implementation prioritise gaps
  for filling
• Identify/prioritise resources/actions to fill
  gaps (user-friendly briefings, learning and
  development activities, other capacity building
  action)
• Deliver the capacity building needed to fill the
  gaps
• Fill the gaps through policy/practice
• Monitor/review progress/needs adjust/update as
  necessary
• Programme to be set out in a strategic action
  plan for EIA

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The evidence staircase
Guidelines/guidance
Evidence briefings
Reviews of reviews
Reviews
Single evaluations
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Mapping sources of evidenceand evidence-based
recommendations
Guidelines/guidance
Scottish policies and strategies citing evidence
base
Evidence briefings
Reviews of reviews
Reviews
Major Scottish evaluations
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Framework to guide mapping
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Cross-cutting themes

• of relevance to health in general, and across a
  range of health issues/problems - eg
• Life circumstances/fundamental health
  determinants
• Inequalities/equity and diversity
• Cultural influences
• Public/community engagement/involvement
• Partnership working
• Organisational issues
• Upstream vs downstream action
• General health and wellbeing
• Mental health and wellbeing

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Framework for detailed mappingusing Tobacco as
an example
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Framework for stakeholders discussions
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In addition...

• When considering mapped material, stakeholders
  will be able to input to identifying/prioritising
  gaps in evidence base
• Health Scotland should seek to play part in
  selection and commissioning/execution of new
  evidence reviews as part of a confederation of
  evidence agencies
• In so doing, Health Scotland should promote and
  contribute to further development of evidence
  review methods that reflect wide spectrum of
  health improvement

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Your thoughts?

• Does this seem a sensible approach?
• If not, what should we be doing instead?
• If so, how should we take the work forward?