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Process, Practice and Progress: A Case Study of the Health Impact Assessment (HIA) of Brexit in Wales

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  • Liz Green

    (Policy and International Health, WHO Collaborating Centre on Investment for Health & Wellbeing, Public Health Wales, Cardiff CF10 4BZ, UK
    Faculty of Health, Medicine & Life Sciences, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands)

  • Kathryn Ashton

    (Policy and International Health, WHO Collaborating Centre on Investment for Health & Wellbeing, Public Health Wales, Cardiff CF10 4BZ, UK)

  • Nerys Edmonds

    (Policy and International Health, WHO Collaborating Centre on Investment for Health & Wellbeing, Public Health Wales, Cardiff CF10 4BZ, UK)

  • Sumina Azam

    (Policy and International Health, WHO Collaborating Centre on Investment for Health & Wellbeing, Public Health Wales, Cardiff CF10 4BZ, UK)

Abstract

Health impact assessment (HIA) is a systematic and flexible tool, which is advocated by the World Health Organisation as a method through which to consider the impact of policies on the health and well-being of a population, and the inequalities that may arise because of it. In 2018, the HIA support unit in Wales carried out a comprehensive and unique HIA on the impact of Brexit in Wales. The aims were to understand the differential impacts that Brexit would have on the health and well-being of the population and to provide evidence to inform decision makers across a range of public bodies. It followed a five-step process for HIA and utilised a wide range of evidence sources and health intelligence including both quantitative and qualitative evidence. This paper reflects on the process of carrying out the HIA and the methods used. It discusses the stages of the HIA, and shares the findings and reflections of implementation which will be beneficial to other HIA practitioners and policy makers. It does not concentrate on the findings of the HIA in detail, but focusses on what worked and any challenges encountered. It has been used to progress the practice of HIA in Wales and demonstrates the value of HIA as a method to inform and influence complex decisions.

Suggested Citation

  • Liz Green & Kathryn Ashton & Nerys Edmonds & Sumina Azam, 2020. "Process, Practice and Progress: A Case Study of the Health Impact Assessment (HIA) of Brexit in Wales," IJERPH, MDPI, vol. 17(18), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6652-:d:412666
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    References listed on IDEAS

    as
    1. Frieden, T.R., 2010. "A framework for public health action: The health impact pyramid," American Journal of Public Health, American Public Health Association, vol. 100(4), pages 590-595.
    2. Nunzia Linzalone & Giorgio Assennato & Adele Ballarini & Ennio Cadum & Mario Cirillo & Liliana Cori & Francesca De Maio & Loredana Musmeci & Marinella Natali & Sabrina Rieti & Maria Eleonora Soggiu & , 2014. "Health Impact Assessment Practice and Potential for Integration within Environmental Impact and Strategic Environmental Assessments in Italy," IJERPH, MDPI, vol. 11(12), pages 1-17, December.
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    Cited by:

    1. Liz Green & Kathryn Ashton & Mark A. Bellis & Timo Clemens & Margaret Douglas, 2021. "‘Health in All Policies’—A Key Driver for Health and Well-Being in a Post-COVID-19 Pandemic World," IJERPH, MDPI, vol. 18(18), pages 1-16, September.
    2. Liz Green & Kathryn Ashton & Lee Parry-Williams & Mariana Dyakova & Timo Clemens & Mark A. Bellis, 2022. "Facilitators, Barriers and Views on the Role of Public Health Institutes in Promoting and Using Health Impact Assessment—An International Virtual Scoping Survey and Expert Interviews," IJERPH, MDPI, vol. 19(20), pages 1-14, October.

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