Organisational systems |
m Politicians and public perceived as thinking in terms of short term electoral payback |
m Policies perceived to have limited shelf life |
m Commissioning framework is short term |
m Evidence-based policy making leads to a focus on short term interventions evaluated by randomised control trials (RCTs) |
m Disruption caused by reorganisations |
m System set up (the NHS and the government) |
m European legislation |
Difficulty of long term forecasting |
m Service reorganisations |
m Perceived poor quality evidence for long-term intervention |
m Research not produced in a timely fashion to inform decisions |
m Focus on short term targets and deadlines |
m Accuracy of forecasting limited |
m Uncertainty of effects of major long term processes like climate change and global food shortages on public health |
m Public heath professionals perceived to have limited influence on long term planning process |
m Lack of long-term perspective think tank |