The Prioritisation Framework: making the most of your budget

A flexible tool to support local authorities make transparent, evidence-based spending decisions across public health programmes | Public Health England


Local public health teams are facing increasingly complex and challenging decisions over what services to invest in and disinvest from. The Prioritisation Framework is designed to help local authorities conduct a systematic prioritisation exercise, by greatly reducing the burden and complexity of the task.

The approach is based on Multi Criteria Decision Analysis, a recognised decision support technique which has been successfully used in a variety of contexts.

Throughout the tool users are provided with extensive guidance and links to other relevant resources. A supporting materials pack is available from the PHE Health Economics team at

Housing and health

Housing and health: opportunities for sustainability and transformation partnerships | The King’s Fund


This short report, supported by the National Housing Federation, is intended to help those leading and contributing to sustainability and transformation partnerships (STPs) and emerging integrated care systems (ICSs) to make the most of the contribution that housing can make to health as they deliver and continue to develop. The authors suggest that housing is one of the core local services that STPs and ICSs need to engage with at a strategic level as they develop population health systems. In particular this report sets out:

  • why housing is important for STPs and emerging ICSs
  • how well housing is currently represented in STPs
  • three priorities: supporting discharge, the use of NHS estates and mental health
  • going further: the broader importance of housing to health across the life-course
  • recommendations for action: maximising opportunities in the short and long term.

Full report: Housing and health: opportunities for sustainability and transformation partnerships

See also: Improving health and care through the home: Memorandum of understanding | Public Health England


Social determinants of health

The Health Foundation has published What makes us healthy?  An introduction to the social determinants of health.  This guide explores how a person’s opportunity for health is influenced by factors outside the health and social care system.  It contains suggestions for further reading and, with the help of short case studies, highlights how action can create improvements in the health of the whole population, for the lasting benefit of individuals, society and the economy.

Health warning on high salt levels in Chinese takeaways and ready meals should be mandatory, say health specialists

Action on Salt, a group of specialists concerned with salt and its effects on health, has called on Public Health England (PHE) to take action to reduce the amount of salt in Chinese takeaways and ready meals. This follows surveys that demonstrate some Chinese takeaways contain as much salt as five Big Macs. 


Action on Salt also calls for  PHE to resuscitate the UK salt reduction programme, including the setting of new salt targets, making front of pack labelling mandatory and also requiring chain restaurants to put warning labels on high salt dishes.
The survey data can be found here
Full details about the survey can be read at Action on Salt 

In the media:

The Telegraph  Chinese takeaways contain five times more salt than a Big Mac – the worst dish revealed

Guardian Some Chinese ready meals found to have more salt than 11 bags of crisps

The Times Takeaway salt warning 

Substance misuse in older people

Our invisible addicts | The Royal College of Psychiatrists 

This report presents up-to-date evidence on the extent of substance-related health problems amongst older people and the services required to deal with the complexity of such problems which often involve co-morbid mental and physical health problems, polypharmacy and psychosocial adversity.

Image source:

The document seeks to build on the progress made over the past six years and to emphasise that including older people with substance problems in national policies is imperative and that there is a need for organisational reform to tackle this issue.

The authors consider and advocate the further development of a clinical workforce with the appropriate knowledge, skills and attitudes to provide identification, assessment, treatment, and assist in recovery and referral for substance misuse in an older population.

Included within the report are chapters on the following areas:

  • Public health and substance misuse in older people
  • Assessment of substance misuse
  • Treatment
  • Service delivery and development
  • Education and training
  • Ethical and legal considerations for older people with substance misuse

Full report: Our Invisible Addicts (2nd edition) 

Evaluating weight management interventions

Evidence-based guidance to support the evaluation of weight management interventions | Public Health England


This document is an update of the ‘Standard Evaluation Framework (SEF) for weight management interventions’, (2009) which was originally published by the National Obesity Observatory, and is now widely used across England.

It has been updated as a result of feedback from practitioners in the field following a consultation exercise, and to provide support for the Weight management: guidance for commissioners and providers collection.

The document contains a list of ‘essential’ and ‘desirable’ criteria for data required for a comprehensive and robust evaluation. Essential criteria are the minimum data and information recommended to perform a basic evaluation of a weight management intervention. Desirable criteria are additional data that would improve the quality of an evaluation; and enhance understanding about what has been achieved and the processes that have taken place during the intervention.

Full document: Standard evaluation framework for weight management interventions

Calorie reduction programme

Steps to cut people’s excessive calorie intake have been unveiled by Public Health England (PHE), as part of the government’s strategy to cut childhood and adult obesity.


This report sets out the evidence on children’s calorie consumption and the details of the calorie reduction programme.

In terms of the evidence the report includes details of:

  • recommendations around calorie intakes, sources of calories and reported levels of intake
  • calculated estimates for daily energy intakes and excess calories consumed by children and adults
  • evidence on reformulation and portion size reduction; and public perceptions and attitudes to calories
  • estimated health economic benefits of a calorie reduction programme

For the calorie reduction programme, the reports sets out:

  • the overall ambition and structure of the programme
  • the food categories included
  • suggested mechanisms for action
  • timeline and next steps for PHE

Full report: Calorie reduction: the scope and ambition for action

Additional link: PHE news story