Lets work together! Professor Adrian Davis 22nd November 2018 - - PowerPoint PPT Presentation

United we stand, divided we fail. Let’s work together!

Professor Adrian Davis 22nd November 2018

Grey (1985) states that collaboration is: the result of mutual understanding between stake holders of the value of joint work to achieve common goals and overcome problems that may be encountered… “by collaboration we mean: the pooling of appreciations or tangible resources... by two or more stake holders, to solve a set

• f problems which neither can solve individually.”

Grey, B. 1985 Conditions facilitating inter-organisational collaboration, Human Relations, 38, 911- 936.

Collaboration is?

“It is only if public health practitioners can influence or deploy the resources of those in other sectors that truly effective activities can be developed.

Steensberg, J. 1997. Future directions in policy & research: a public health perspective, in Fletecher, T., McMichael, S. (eds) Health at the crossroads: Transport policy and urban health, Chichester: John Wiley & Sons.

“Sectors are often characterised by specialist discourses of knowledge and expertise in seeking their legitimation and maintenance”

Dageling, P. 1995. The significance of ‘sectors’ in calls for urban public health intersectoralism: An Australian perspective, Policy and Politics, 289-301

Collaboration is a challenge

Traffic In Towns: 1963 Ministry of Transport, London

• ften known as

‘The Buchanan Report’ Which health impact cited?

www.tri-napier.org

Road transport and health British Medical Association Board of Science and Education, 1997

The way we travel is making us a less healthy nation Coronary heart disease is the biggest killer of adults in the

• country. Part of the blame is that we drive too much when we

could walk or cycle.

DETR, 1998 A New Deal for Transport: Better for Everyone. London: TSO.

Official recognition of wider health impacts

The disease-burden from road transport

10000 20000 30000 40000 50000 60000 Road acc Cancer CHD/Str Climate c

Transport related premature deaths example: direct, indirect & future

Road acc Cancer CHD/Str Climate c

Premature deaths

Direct Indirect Indirect Future

Source: Cycling & Health – What’s the evidence? Cavill, N., Davis, A. 2007

www.tri-napier.org Page 8 01 October 2010

Road transport & health

www.tri-napier.org

Co-benefits

Page 10 01 October 2010

“Substantial evidence indicated that designing and creating parks, communities, transportation systems, schools and buildings that make physical activity attractive and convenient is also likely to produce a wide range of additional benefits”.

Sallis, J. et al, 2015 Co-benefits of designing communities for active living: an exploration of the literature, Int. J. of Behavioural Nutrition & Physical Activity, 12:30.

PH/medical evidence hierarchy

Policy-makers’ hierarchy of evidence

Expert Advice Ideological evidence – including party think tanks and manifestos Evidence from professional associations Opinion based evidence – including lobbyists/pressure groups Media evidence; Internet evidence Research evidence Lay evidence Street evidence: urban myths & conventional wisdom

(adapted from Davies 2005 with acknowledged from developments by Hunter, D. 2017, Health in All Policies: Making it Work in Practice Winter School, Durham University)

The bounded reality triad of government

Pragmatism/Business As Usual Scientific Evidence Politics/Ideology Best Practice

www.tri-napier.org Page 14 01 October 2010

Where do you look and without a paywall?

Accessible knowledge translation

Yet the knowledge stockpile of what works is significant

www.tri-napier.org

www.tri-napier.org Page 18 01 October 2010

Proposition: Using most robust available evidence as standard

Should not all transport departments have someone trained in evidence reviews... to ensure managers and politicians have the best available evidence?

Researchers need to have impact… they must connect with practitioners… “What is the point of universities that are just castles in the sky? The University people must have contact every single week with their City Hall”

Wulf Daseking, former Director of City Planning, Freiburg, 2014

A.DAVIS@NAPIER.AC.UK HTTPS://BLOGS.NAPIER.AC.UK/TRI/ESSENTIAL

• EVIDENCE-SCOTLAND/

WWW.TRAVELWEST.INFO/EVIDENCE WWW.EURO.WHO.INT/TRANSPORT WWW.EURO.WHO.INT/PHYSICAL-ACTIVITY WWW.THEPEP.ORG WWW.ELSEVIER.COM/LOCATE/JTH

Thank you