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Health promotion for older people in Wales: preliminary evaluation of the National Service Framework for Older People

Aim. In this preliminary study, the health promotion activities for older people in Wales were evaluated with a view to form initial conclusions and research areas. The study drew on a dataset that is collated on an all-Wales basis. Background. The National Service Framework for Older People is a 10-year strategy concerned with the effective delivery of health and social care for individuals over the age of 50 years. It has 10 standards and number 3 of these relates to health promotion. The health promotion standard covers a wide range of issues, including alcohol, smoking, exercise, diet and vaccination. Methods. Information was extracted from an all-Wales Self-Assessment Audit Tool. A ‘realist review’ methodology was used to further extract information, using a combination of note taking and a questionnaire protocol. A further analysis was undertaken using a theoretical framework of six policy factors. Results. Health promotion in Wales is being implemented in locally sensitive ways and this has strengths. Weaknesses include measurement and comparison. Conclusions. This study illustrates that the health promotion agenda has a considerable amount of activity in Wales. Future research might include detailed evaluations of some areas, perhaps with health economic analysis included.