Results of BACAPH priority setting questionnaire

The Executive discussed the BACAPH priority setting draft paper in September 2015. It was decided to canvass the opinion of the membership to check that Executive thinking was in line with priorities held by members. The aim of the survey was to determine what the day-to-day priorities for members were, in order to inform the work of BACAPH.

The survey ran between October and December 2015 with a response rate of approximately ¼ of the membership. 

Members were asked to prioritise options in three areas (accepting the overlap between 1 and 2):

1. clinical priorities

2. determinant priorities 

3. priority criteria

The ranked results are presented with highest priority first.

Table 1: Clinical priorities

1. Early years interventions
2. Nutrition/healthy weight 
3. Child and adolescent mental health 
4. Improving perinatal outcomes 
5. Long term conditions 
6. Injury prevention

 

Table 2: Determinant priorities

1. Understanding and reducing inequalities
2. Tackling social determinants 
3. Lifestyles, parenting and child health 
4. Poverty 
5. Sustainable development 
6. Environmental issues 

Additional suggestions included parenting, Vitamin D, PH approaches for school aged children.

The clinical priorities reflect the general themes of intervening early, effective interventions to prevent long-term morbidity; the determinant priorities reflect the importance of tackling poverty and inequalities and prioritising high risk groups using whole population approaches.

In terms of the priority setting criteria the ranking is described in table 3.

 

Table 3: Priority criteria

1. Health impact (both individual and family)

2. High incidence/prevalence
3. Significant burden on the healthcare system
4. Significant concern for society
5. Significant variations in treatments or outcomes
6. Good evidence for effectiveness
7. Potential for health promotion and protection

No additional criteria were proposed.

The ranking of criteria reflects public thinking which prioritises high impact interventions from which large numbers can benefit and tackling unacceptable variations in health or health outcomes.

Impact

In the first instance we will produce two policy frameworks to improve perinatal outcomes and reduce obesity to test the BACAPH Family Friendly Framework.

We will be looking to engage both trainees and experts to develop further policy frameworks in the future.

The BACAPH Executive will use revised priority criteria when deciding where to invest BACAPH time and energy. 

Proposals

1. Early years interventions to improve school readiness and reducing inequalities.

2. Interventions to improve mental health and reducing inequalities.

3. Injury prevention and reducing inequalities.

4. Sustainable development within the NHS.

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