title: A national health inequalities fund for Wales: concept, design and implementation.
abstract: OBJECTIVE
  To evaluate the potential for a national innovation fund, in the context of devolved health policy, to stimulate local action to deliver national priorities, using as a case study the conception, design and implementation of the £30m Welsh Assembly Government's (WAG) Inequalities in Health Fund (IiHF) 2001-08.
  
  
  METHODS
  Multi-method evaluation of the national and local conception, design and implementation of the Fund, using analysis of documentary evidence, interviews and focus groups with national (Wales) officials and more than 170 local managers and professionals. The field work was carried out between October 2004 and June 2007.
  
  
  RESULTS
  Different approaches at the three stages (concept, design, implementation) can reduce or enhance the effectiveness of funds like this one as a tool for achieving national objectives, and these are described.
  
  
  CONCLUSIONS
  National funds can be a useful lever for change, if appropriately conceived, designed and implemented. However, in the context of competing healthcare and other policy priorities, 'good practice' is often difficult to achieve, and somewhat simplistic incentives are often subverted locally, diluting the original purpose of the initiative.
authors.affiliation: University of Glamorgan, Pontypridd, UK. mlongley@glam.ac.uk
authors.forename: Marcus
authors.initials: M
authors.lastname: Longley
authors.forename: Mark
authors.initials: M
authors.lastname: Llewellyn
authors.forename: Tony
authors.initials: T
authors.lastname: Beddow
authors.forename: David
authors.initials: D
authors.lastname: Cohen
authors.forename: Jeremy
authors.initials: J
authors.lastname: Corson
authors.forename: Morton
authors.initials: M
authors.lastname: Warner
mesh_terms: D004059:Diffusion of Innovation; D005380:Financing, Government / Q000191:economics / Q000458:organization & administration*; D006077:Government Agencies / Q000191:economics / Q000458:organization & administration; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000191:economics* / Q000331:legislation & jurisprudence; D006801:Humans; D009937:Organizational Objectives; D016730:Program Development; D015397:Program Evaluation; D011634:Public Health / Q000191:economics; D014852:Wales