Devolution, evolution, and expectation: health impact assessment in Wales

Eva Elliott, Gareth Williams, Chloe Chadderton and Liz Green

in Health Impact Assessment

Published in print November 2012 | ISBN: 9780199656011
Published online January 2013 | e-ISBN: 9780191748028 | DOI:
Devolution, evolution, and expectation: health impact assessment in Wales

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This chapter describes the Wales Health Impact Assessment Support Unit (WHIASU) and the evolution of HIA in the context of Wales as a devolved nation with its particular approach to public health. The character of WHIASU can only properly be understood in terms of its history and the wider social, policy, and political context of which it is a part. WHIASU's emphasis on involving people potentially affected by a proposal in HIA mirrors the emphasis in Welsh policy documents on citizen engagement as a mechanism for policy and service development. This was intended to contrast markedly with individual choice as the driver for change in England as well as resonating with a sociological theory of knowledge that supports the value of deliberative processes that involve lay people in dialogue with professionals.

Keywords: Wales Health Impact Assessment Support Unit; HIA; public health; Welsh health policy; citizen engagement

Chapter.  3683 words. 

Subjects: Public Health and Epidemiology

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