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How to use the WHESP to inform successful development and change

The Stages of Policy Development

Step 1: Define the problem and its root causes

  • Clarify and frame the problem or issue in terms of the effect it has on population health.
  • Collect, summarise and interpret information relevant to the problem.
  • Define the characteristics of the problem.
  • Identify gaps in the data.
  • Frame the problem in a way that lends itself to potential solutions.
  • Make connections and integrate with other, non-health impacts.
  • Engage with those with a vested interest in the problem.

Step 2: Develop a long-term vision for the future

  • Develop (or refer to) a long term vision, in which the problem in question and its root causes are solved.
  • Consider what the long-term trends are that can be impacted by or impact your vision.
  • Think about the outcomes you want to achieve and what success looks like/how you can measure it.
  • Consider whether there are other visions of the future that can support or clash with yours.
  • Refer to the vision for Wales in the shape of the 7 well-being goals.
  • Undertake the appropriate impact assessments/HIA.
  • Build relationships, repeat your message and ask questions.

Step 3: Identify and develop options

  • Identifying potential policy options that could address your problem and help achieve your vision and that of Wales.
  • Comparing those options to chose the most effective, efficient and feasible one which helps unlock cross-cutting benefits.
  • Setting objectives, identifying the cost and estimating the effect of solutions, choosing from different policy options.    
  • Consultations are a key tool for informing policy development.
  • Developing relationships with policy-makers and other stakeholders.
  • Mobilising partners and building a movement around the issue so the message is heard loud and clear.
  • Examples of areas where similar policies have been delivered – lessons learned either way

Step 4: ‘Political’ decision making (political enactment, getting legislation passed)

  • Educate parliamentarians and the public and accumulate support.
  • Anticipate roadblocks.
  • If needed, continue to collect data and research.
  • Collaborate with partners, who can ‘lobby’ and build a movement around the issue (e.g. voluntary sector and commissioners).
  • Storytelling.

Step 5: Implement the policy (concept to reality)

  • Activities to increase the likelihood that the policy will achieve its intended outcomes.
  • Educating on changes, facilitating adoption of new practices.
  • Ensuring monitoring and enforcement

Step 6: Evaluate success and terminate, redefine or deploy appropriately

Process evaluation.

  • Was the policy implemented as planned?
  • Were there barriers or supportive factors to its implementation?
  • How well did you engage stakeholders, and did they feel included in the process?

Impact evaluation

  • Did the intended outcomes and impacts occur?
  • Are there any outcomes and impacts that can be attributed to the policy?
  • Were there any unintended consequences?