ENABLE UK: ENABling Local authority Evidence-based decision-making across the UK.

英国ENABLE联盟的愿景、目标和目标：地方政府具有独特的地位，可以塑造从根本上影响非传染性疾病的环境和社会因素，从而影响我们的健康和福祉。我们的愿景是让地方政府在所有政策和实践决定中考虑到当地人口的健康，并尽可能有最好的科学证据来支持这些决定。我们将通过与英国五个不同的地方当局（LA）公共卫生系统合作来测试我们的愿景，了解哪些是最好的，哪些对英国所有的LA都有用。我们的财团汇集了学者，从业者，政策制定者和其他利益相关者来自英国各地在东北和西南英格兰，苏格兰，北爱尔兰和威尔士五个中心；每个国家都有不同的公共卫生服务模式。我们将开发和测试一种将研究能力和专业知识嵌入LAs的流程。我们将与每个地区的合作伙伴密切合作，确定当前的优先事项，以改善该地区人民的健康和福祉，减少不平等现象。通过在学者、从业者和政策制定者之间建立关系，我们将使洛杉矶能够获取并创造与优先问题决策相关的新证据。拟议研究的科学依据：循证决策旨在通过利用现有的最佳研究来改进决策。当前体制内的组织和文化障碍使得这种方法难以实现。需要新的方法和途径，把证据只是决策的一个促成因素的地方政府的研究人员、实践者和决策者聚集在一起。嵌入式研究人员和知识经纪人可以通过建立对背景的理解、获取现有证据和共同产生新证据来帮助确保使用证据。感兴趣的干预措施、潜在的应用和预期的工作效益：在项目结束时，我们将：1。增加每个LA的研究能力和“不知道如何”，重点关注当地的非传染性疾病优先问题，使获得证据为当地决策提供信息。我们将开发和分享在全英国推广的学习成果。与实践者、政策制定者和学术界建立并支持新的合作伙伴关系，以积极有效地利用研究成果。在地方政府和大学建立知识和技能，最大限度地利用不同类型的证据来制定政策、实践和公共决策。通过跨部门和学科合作，利用新颖的方法方法，包括复杂的系统模型，共同创造证据，解决地方政府的优先事项，重点是预防。制定一系列健康和系统干预措施，这些措施已在洛杉矶地区共同生产和测试。在地方政府和学术界的研究文化中创造持续的变化，使证据的使用嵌入到地方政府中。评估这种新方法和方法，看看我们是否对生活在每个地区的人们的健康产生了影响，与他们的优先主题相关，以及这种方法是否/如何在整个英国推广。我们预计这项工作将改善人口的健康和福祉，并增加科学研究的使用。它旨在提高公共卫生干预措施和服务的质量、效率和效力，减少浪费，提高工作人员的士气和留任率。联盟管理：我们的跨英国学术领导汇集了来自四个UKCRC资助的公共卫生卓越中心的预防应用转化研究的经验。地方政府公共卫生部门的高级领导人带来了将证据付诸行动的实际经验。其他成员在系统思维、嵌入式研究、知识中介和其他对我们的成功至关重要的技能方面具有专长。

UK ENABLE Consortium vision, aims and objectives:Local government is uniquely placed to shape the environmental and social factors which fundamentally influence non-communicable diseases (NCDs) and thus our health and wellbeing. Our vision is for local government to consider the health of local populations in all policy and practice decisions and to have the best possible scientific evidence to support those decisions. We will test our vision by working with five different local authority (LA) based public health systems across the UK, learning what works best, and what can be useful for all LAs across the UK.Our consortium brings together academics, practitioners, policy makers and other stakeholders from across the UK in five centres in NE and SW England, Scotland, Northern Ireland and Wales; each with different models of public health delivery.We will develop and test a process that embeds research capacity and expertise in LAs. Working closely with our partners in each LA, we will identify a current priority for improving the health and wellbeing and reducing inequalities of people living in that area. By building relationships between academics, practitioners and policy makers we will enable the LA to access and create new evidence that is relevant for decision making about the priority issue. Scientific rationale for the proposed research:Evidence-informed policy-making aims to improve decision making by using the best available research. Organisational and cultural barriers within the current system have made this approach difficult to achieve. New methods and approaches are needed which bring together researchers, practitioners and policy makers in local government, where evidence is only one contributing factor to decision-making. Embedded researchers and knowledge brokers can help to ensure evidence is used by building understanding of the context, accessing existing, and co-producing new evidence.Intervention(s) of interest and the potential applications and anticipated benefits of the work:By the end of the project we will:1. Increase research capacity and 'no how' in each LA, focusing on a local NCD priority issue, enabling access to evidence to inform local decision-making. We will develop and share learning which is generalisable across the UK2. Build and support new partnerships for active and effective research use with practitioners, policy makers, and academia3. Build knowledge and skills in local government and universities to maximise use of different kinds of evidence for policy, practice and public decision-making 4. Co-create evidence that addresses local government priorities, with a focus on prevention, by working across sectors and disciplines, utilising novel methodological approaches, including complex systems models5. Develop a range of health and system interventions that have been co-produced and tested across LA areas6. Create sustained change in research culture in LAs and academia so that evidence use is embedded across local government7. Evaluate this new approach and methods to see if we made a difference to the health of people living in each area, related to their priority topic, and whether/how this approach could be rolled out across the UKWe anticipate that this work will improve population health and wellbeing and increase the use of scientific research. It aims to improve quality, efficiency and effectiveness of public health interventions and services, reduce waste, and improve staff morale and retention.Consortium management:Our across-UK academic leadership brings together experience of applied translational research in prevention from four of the UKCRC funded Centres of Excellence in Public Health. Senior leaders in local government public health, bring practical experience of putting evidence into action. Other members have expertise in systems thinking, embedded research, knowledge brokerage and other skills essential to our success.