Inter-sectoral Transfer of the Food for Life Settings Framework in England

Jones, Mathew; Gray, Selena; Means, Robin; Orme, Judy; Pitt, Hannah; Salmon, Debra

Abstract

© The Author 2017. Published by Oxford University Press. All rights reserved. Organisational settings such as schools, workplaces and hospitals are well recognised as key environments for health promotion. Whilst there is extensive literature on specific types of settings, little empirical research has investigated the transfer of frameworks between sectors. This study analyses Food for Life, an England-wide healthy and sustainable food programme that evolved in schools and is being adapted for children's centres, universities, care homes, and hospital settings. Following a case study design, we interviewed 85 stakeholders in nine settings. Food for Life's systemic framework of 'food education, skills and experience' 'food and catering quality', 'community and partnerships' and 'leadership' carried salience in all types of settings. These were perceived to act both as principles and operational priorities for driving systemic change. However, each setting type differed in terms of the mix of facilitating factors and appropriate indicators for change. Barriers in common included the level of culture-shift required, cost perceptions and organisational complexity. For settings based health promotion practice, this study points to the importance of 'frame-working' (the systematic activity of scoping and categorising the field of change) alongside the development and application of benchmarks to stimulate change. These processes are critical in the transfer of learning from between sectors in a form that balances commonality with sufficient flexibility to adapt to specific settings. Synergy between types of settings is an under-recognised, but critical, part of action to address complex issues such as those emerging from the intersection between food, health and sustainability.

• Journal Article Type: Article
• Acceptance Date: Feb 27, 2017
• Online Publication Date: Apr 11, 2017
• Publication Date: Oct 1, 2018
• Deposit Date: Apr 12, 2017
• Publicly Available Date: Apr 11, 2018
• Journal: Health Promotion International
• Print ISSN: 0957-4824
• Electronic ISSN: 1460-2245
• Publisher: Oxford University Press (OUP)
• Peer Reviewed: Peer Reviewed
• Volume: 33
• Issue: 5
• Pages: 781-790
• DOI: https://doi.org/10.1093/heapro/dax017
• Public URL: https://uwe-repository.worktribe.com/output/902071
• Publisher URL: http://dx.doi.org/10.1093/heapro/dax017
• Additional Information: Additional Information : This is a pre-copyedited, author-produced version of an article accepted for publication in Health Promotion International following peer review. The version of record Gray, S., Jones, M., Means, R., Orme, J., Pitt, H. and Salmon, D. (2017) Inter-sectoral transfer of the Food for Life whole settings framework. Health Promotion International. ISSN 0957-4824 is available online at: http://dx.doi.org/10.1093/heapro/dax017
• Contract Date: Apr 12, 2017