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?