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8. Success Criteria
This plan for the second phase of
HaHP seeks to address the four Success
Criteria identified in the Scottish Executive Health
Department's Phase 2 commissioning letter of 13 April 2004
as follows:
i. Financial sustainability and ii. Senior level leadership
The commissioning letter indicates a requirement for
Phase 2 of
HaHP to be funded by a specified mix of
local and Executive funding. The partners remain committed
to
HaHP as a national health demonstration
project guiding future action locally and beyond. It is
not, however, possible for the partners to commit to make
up for the tapering off of Executive funding during
HaHP Phase 2, as might be represented
thus:
Instead, our intentions can be represented thus:
This means that specifically identified funding for
HaHP will be dependent on
SEHD funding, but as this tapers off,
the influence of
HaHP will be expected to increase
progressively through:
- local and national dissemination activities
- the legacy of changes achieved that will be
sustainable without funding from the
HaHP partners
- informing national policy, and future action
locally and beyond.
This approach not only reflects the reality of financial
and other challenges and responsibilities facing
HaHP partners, but will also aid
mainstreaming of
HaHP lessons in areas that have not had
the benefit of the special funding that has enabled
HaHP to be set up and developed.
HaHP partners are committed to ensuring
that approaches which have been seen to be effective and
value for money will influence local practice and service
implementation through the Joint Health Improvement
Planning mechanism (see Annex 6). The outcomes of Phase 2
of
HaHP will help inform decision-making in
NHS Argyll and Clyde in relation to
chronic disease management, new models of care and the
Cardiac Services
MCN. If the model proves successful in
increasing numbers, using Local Authority facilities in the
medium term, this will also help inform future Council
decision-making and community planning processes.
NHS Argyll and Clyde is currently
rolling out the
CDR through the
MCN. Should the targeted primary
prevention intervention prove successful, this will be
considered for roll out again within the
MCN.
iii. Applicability for the rest of
Scotland
The selection of the interventions within Phase 2 has
been made within the context of an evidence based approach.
The new evidence that will be generated through the
implementation of those interventions will be captured
through the evaluation framework that is being developed
with the support of
NHS Health Scotland (see Annex 4 and 5).
That new learning will highlight what does and does not
work, and what may be transferable and will be disseminated
nationally and internationally in conjunction with the
Heart Health Learning Network (see Annex 8).
iv. Tackling health inequalities
Have a Heart Paisley's activity is underpinned by the
need to address the health inequalities gap in Paisley (see
page 4) and the Phase 2 interventions will, where
appropriate, focus upon people living in
DEPCAT areas 6 and 7 who fall within the
target population for Phase 2. The use of the
CDR as a public health tool, the
targeted health coaching, the local community development
and unmet need activity, the consideration of deprivation
in calculating a risk score for
CHD and the promotion of positive mental
health will combine to help
HaHP tackle the socio-economic, gender
and disability inequalities in the target population.
Defining success
The need to track
HaHP's progress towards the achievement
of success, as defined by these four criteria, will guide
the development of the evaluation priorities with
NHS Health Scotland along with the
intended outcomes listed within the plan (see pages 6 and
7).
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