Leads: Prof Katy Roelich, Prof Mary Barker
This work stream addresses the research question “What changes in the values, processes and structures of policy organisations, practice partners and engagement with the public are needed to create an enabling environment in which interventions supporting transport decarbonisation and positive health outcomes can be implemented?”
Fundamental changes in the processes and structures of decision making are required to improve deeply embedded infrastructure and practices associated with transport and health. Researchers working on this theme of work will develop recommendations for modifying the processes and structures of the many organisations and individuals involved in implementing interventions to engage the public, accommodate uncertainty and ensure health co-benefits. Public engagement will be central to all activities, through deliberative workshops and inclusive methods, supported by our People’s Panel.
Using the conceptual framework and together with the Hubs stakeholders including the People’s Panel we will explore assumptions about policy and practice organisations’ motivations, processes, funding models, relationships, and practices as well as public perceptions affecting the links between transport, health environment and wellbeing.
We will use literature reviews on infrastructure and health governance and the findings of deliberative workshops with stakeholders and the public to analyse policy, practice and public systems. We aim to identify key causal pathways that are blocking system change and limiting the implementation of interventions.
Drawing on the Hub’s case study work, we will work with stakeholders and the public to identify identify perceptions of benefits and disbenefits or the potential to create new health inequalities.
We will involve the public and other stakeholders in co-designing aspects of each Pilot Intervention and in reflecting on the potential of interventions to scale up and address health inequalities.
Integrating across all of this work, we will review contemporary approaches for managing complexity and uncertainty in decision making and produce recommendations for changes to processes and structures of policy and practice organisations. These recommendations will identify how to accelerate and improve intervention implementation and citizen engagement in decision-making and realisation.