AI Article Synopsis
- The study assesses the impact of a £30m fund aimed at addressing health inequalities in Wales, focusing on how national innovation funds can promote local actions aligned with national health priorities.
- The evaluation utilized various methods, including analysis of documents, interviews, and focus groups involving both national officials and local managers, conducted over a period from 2004 to 2007.
- Findings reveal that varying approaches during the conception, design, and implementation stages can either enhance or hinder the fund’s effectiveness in reaching national goals, highlighting the challenges of maintaining focus amid competing policy priorities.
Article Abstract
Objectives: To evaluate the potential for a national innovation fund, in the context of devolved health policy, to stimulate local action to deliver national priorities, using as a case study the conception, design and implementation of the £30m Welsh Assembly Government's (WAG) Inequalities in Health Fund (IiHF) 2001-08.
Methods: Multi-method evaluation of the national and local conception, design and implementation of the Fund, using analysis of documentary evidence, interviews and focus groups with national (Wales) officials and more than 170 local managers and professionals. The field work was carried out between October 2004 and June 2007.
Results: Different approaches at the three stages (concept, design, implementation) can reduce or enhance the effectiveness of funds like this one as a tool for achieving national objectives, and these are described.
Conclusions: National funds can be a useful lever for change, if appropriately conceived, designed and implemented. However, in the context of competing healthcare and other policy priorities, 'good practice' is often difficult to achieve, and somewhat simplistic incentives are often subverted locally, diluting the original purpose of the initiative.
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| http://dx.doi.org/10.1016/j.healthpol.2011.08.001 | DOI Listing |
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