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Public Health

Building well being into cross govt policy. The Welsh approach

This is part 3 of a short series.

Part 1 covered general notes

Part 2 covers building well being into budgeting.

Introduction

the Welsh Government have legislated through the Well Being of Future Generations (Wales) Act 2015 which places duties on a number of public bodies to set and publish objectives; to make reasonable steps to meet objectives; to publish a Well being statement & Annual report

One of the positive features of devolution – test bed of places where it’s possible to trial and evaluate different interventions and policy approaches.

The Welsh approach here and here. Principle of Sustainable Devt deeply enshrined.

guidance is here

The act places duties on a number of public bodies in Wales to

1) Set and publish objectives

2) make reasonable steps to meet objectives,

3) publish a Well being statement & Annual report.

If Govt don’t meet objectives must state why.

There are 7 goals – healthy pop sits alongside economy etc. 5 ways of working 1) be preventative, 2) long term investment, 3) HIA

Expectations on public bodies are set

Set and publish objectives 

Reasonable steps to meet objectives

Well being statement

Annual report

If don’t meet objectives must state why

This is basically the machinery to make change happen. Arguable a little beuracratic but without this would all be nice words

summary of Welsh approach Esp some of the mechanics

(Sounds remarkably like HWBB at local level with greater back up nationally)

The Well-being of Future Generations (Wales) Act is about improving the social, economic, environmental and cultural well-being of Wales.

It will make the public bodies listed in the Act think more about the long-term, work better with people and communities and each other, look to prevent problems and take a more joined-up approach. To make sure we are all working towards the same vision, the Act puts in place seven well-being goals

Prosperous

Resilient

More equal

Healthier

Cohesive communities

Culture, esp Welsh language

Globally responsible

Well-being Duty  

The action a public body takes in carrying out sustainable development must include:

a. setting and publishing objectives (“well-being objectives”) that are designed to maximise its contribution to achieving each of the well-being goals, and b. taking all reasonable steps (in exercising its functions) to meet those objectives. — 

The Act places a duty that the public bodies will be expected to carry out.

A duty means they have to do this by law

each public body listed in the Act must work to improve the economic, social, environmental and cultural well-being of Wales. To do this they must set and publish well-being objectives.  

There are 5 things that public bodies need to think about to show that they have applied the sustainable development principle.

Long term – The importance of balancing short-term needs with the need to safeguard the ability to also meet long-term needs.  

Prevention – How acting to prevent problems occurring or getting worse may help public bodies meet their objectives.

Integration – Considering how the public body’s well-being objectives may impact upon each of the well-being goals, on their other objectives, or on the objectives of other public bodies

Collaboration – Acting in collaboration with any other person (or different parts of the body itself) that could help the body to meet its well-being objectives

Involvement – The importance of involving people with an interest in achieving the well-being goals, and ensuring that those people reflect the diversity of the area which the body serves.  

Transparency  — 

The Act puts in place a number of steps to make sure that the public bodies listed in the

Well-being Statement  — Public bodies must publish a statement when setting their well-being objectives explaining why they feel the objective will help them achieve the goals and how it has applied the sustainable development principle.  They must also make sure that they involve people interested in achieving the goals and that those people reflect the diversity of their area.

Annual reporting – Each year public bodies must publish an annual report showing the progress they have made in meeting their objectives. 

Responding to future generation commissioner – Where the Future Generations Commissioner for Wales has made recommendations to a public body, they must publish their response.  If the public body does not follow a recommendation they must say why, and what alternative action they will take.  — 

Auditor General for Wales

The Auditor General for Wales may carry out examinations of the public bodies listed in the Act to assess:…

the extent to which a body has acted in accordance with the sustainable development principle when; 

a. Setting well-being objectives, and 

b. Taking steps to meet those objectives  — 

Future Generations Commissioner for Wales — 

Future Generations Commissioner for Wales has a range of actions they can carry out:

Advise, encourage and promote –  The Commissioner can provide advice to public bodies and Public Services Boards and promote and encourage them to work to meet their well-being objectives. 

research

Carry out reviews – The Commissioner may carry out research including into the wellbeing goals, the national indicators and milestones, and the sustainable development principle and how public bodies apply it. 

Make recommendations – The Commissioner can make recommendations to a public body about the steps it has taken or proposes to take to set and then meet its wellbeing objectives. Public bodies must take all reasonable steps to follow the recommendations made by the Commissioner. 

Future Generations Report – The Commissioner must publish, a year before an Assembly election, a report containing the Commissioner’s assessment of the improvements public bodies should make to achieve the well-being goals.

Advisory Panel–  The Commissioner will be supported by an Advisory Panel. The Panel includes the other Wales Commissioners, the Chief Medical Officer for Wales, a representative of Natural Resources Wales, Wales TUC and Welsh business — 

The Act establishes Public Services Boards (PSBs) for each local authority area in Wales. 

The Members of each Public Services Board must include:

a. The local authority;

 b. The Local Health Board for an area any part of which falls within the local authority area; 

c. The Welsh Fire and Rescue Authority for an area any part of which falls within the local authority area;

 d. The Natural Resources body for Wales  — 

Each PSB must improve the economic, social, environmental and cultural well-being of its area by working to achieve the well-being goals. 

It will do this by: 

• Assessing the state of economic, social, environmental and cultural well-being in its area; and

 • Setting objectives that are designed to maximise the PSBs contribution to the well-being goals.  — 

Each PSB must prepare and publish a plan setting out its objectives and the steps it will take to meet them. This is called a Local Well-being Plan.

 It must say:

 • Why the PSB feels their objectives will contribute within their local area to achieving the well-being goals, and

 • How it has had regard to the Assessment of Local Well-being in setting its objectives and steps to take.  — 

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