What Supports and Constrains the Implementation of Robust and Rapid Evaluation Within Local Government Public Health...

Since 2013, local government in England has held statutory responsibility for public health and concurrently faced financial pressures and limited research capacity. The National Institute of Health and Care Research (NIHR) established Public Health Intervention Responsive Studies Teams (PHIRST) to bridge this gap, commissioning rapid, co-produced evaluations of complex interventions.

Drawing on 5 years of PHIRST South Bank experience and ten diverse evaluations, this paper explores what supports and constrains collaborative evaluation in politically responsive, resource-constrained local systems. Learnings from across evaluations include the dilemmas of balancing timeliness and rigour, the centrality of relationships and relational infrastructure, and the importance of building research and evaluation capacity in local government teams from the outset. We also consider the applicability and limits of existing evaluation frameworks for system-level interventions.

We argue that collaborative evaluation is both necessary and fragile: dependant on community engagement, adaptive design, balancing of demands, and building of intersectoral relationships.