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Critical issues in practice development: localism and public health reforms
1University of Central Lancashire. pjregan@uclan.ac.uk
This study examines how localism in UK public health services, driven by the "Healthy lives, healthy people" White Paper, impacts practice development. It highlights the need for evidence-based practice and staff innovation to effectively reduce health inequalities.
Area of Science:
- Public Health Policy
- Healthcare Management
- Nursing Practice Development
Background:
- The UK's
- Healthy lives, healthy people
- White Paper advocates for localism to enhance public health.
- Localism aims to make public health services more responsive, resourced, rigorous, and resilient to reduce health inequalities.
Purpose of the Study:
- To explore practice development and policy reforms within UK public health.
- To analyze the effectiveness of localism in improving health outcomes and reducing inequalities.
- To identify challenges and facilitators for innovation in primary care under localism.
Main Methods:
- Exploration of practice development initiatives within a community service practice development unit.
- Analysis of policy reforms introduced by the
- Healthy lives, healthy people
- White Paper.
- Case study approach focusing on local change and innovation.
Main Results:
- Localism promotes responsive, resourced, rigorous, and resilient public health services.
- Challenges include integrating evidence-based practice and managing staff innovation amidst reforms.
- Professionally driven innovation within community services can encourage local change.
Conclusions:
- Localism presents opportunities for public health improvement but faces challenges in implementation.
- Effective application of evidence and staff motivation are crucial for successful innovation in nursing practice.
- Community service practice development units can foster local adaptation and innovation within public health reforms.
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