Highlighting the need for holistic and sustainable health improvement, this paper starts by reviewing the origins, history and conceptualization of the settings approach to health promotion. It then takes stock of current practice both internationally and nationally, noting its continuing importance worldwide and its inconsistent profile and utilization across the four UK countries. It goes on to explore the applicability and future development of settings-based health promotion in relation to three key issues: inequalities and inclusion; place-shaping and systems-based responses to complex problems. Concluding that the settings approach remains highly relevant to 21st century public health, the paper calls on the new “Royal� to provide much-needed leadership, thereby placing settings-based health promotion firmly on the national agenda across the whole of the UK.
World Health Organization.Ottawa Charter for Health Promotion. Adopted at an International Conference on Health Promotion - The Move Towards a New Public Health (co-sponsored by the Canadian Public Health Association, Health and Welfare Canada and the World Health Organization); 17-21 November. Geneva: World Health Organization, 1986
2.
Grossman R., Scala K.Health Promotion and Organizational Development: Developing Settings for Health. Copenhagen: World Health Organization Regional Office for Europe, 1993
3.
World Health Organization.Sundsvall Statement on Supportive Environments for Health. Adopted at the 3rd International Conference on Health Promotion; 09-15 June. Geneva: World Health Organization, 1991
4.
World Health Organization.Jakarta Declaration on Leading Health Promotion into the 21st Century. Adopted at the 4th International Conference on Health Promotion , 21-25 July. Geneva: World Health Organization, 1997
BarÃc L.The settings approach - implications for policy and strategy. Journal of the Institute of Health Education1993; 31: 17-24
7.
Dooris M.Joining up settings for health: A valuable investment for strategic partnerships?Critical Public Health2004; 14: 37-49
8.
Dooris M.Healthy settings: Challenges to generating evidence of effectiveness. Health Promotion International2006; 21: 55-65
9.
Dooris M., Dowding G., Thompson J., Wynne C.The settings-based approach to health promotion. In Tsouros A, Dowding G, Thompson J, Dooris M (eds). Health Promoting Universities: Concept, Experience and Framework for Action, p21-32. Copenhagen: World Health Organization Regional Office for Europe, 1998
10.
Kickbusch I.An overview to the settings-based approach to health promotion. In Theaker T, Thompson J (eds). The Settings-Based Approach to Health Promotion: Report of an International Working Conference; 17-20 November 1993, Preston, p3-9. Welwyn Garden City: Hertfordshire Health Promotion, 1995
11.
Kickbusch I.The contribution of the World Health Organization to a new public health and health promotion. American Journal of Public Health2003; 93: 383-388
12.
Poland B, Green L, Rootman I (eds). Settings for Health Promotion: Linking Theory and Practice. London: Sage, 2000
13.
Whitelaw S. , Baxendale A., Bryce C., Machardy L., Young I., Witney E.Settings-based health promotion: A review . Health Promotion International2001; 16: 339-353
14.
Dooris M., Poland B., Kolbe L., de Leeuw E., McCall D., Wharf-Higgins J.Healthy settings: Building evidence for the effectiveness of whole-system health promotion - challenges and future directions. In McQueen D, Jones C, (eds). Global Perspectives on Health Promotion Effectiveness , p327-352. New York: Springer Science and Business Media, 2007
15.
Antonovsky A.Unravelling the Mystery of Health. San Francisco: Jossey-Boss, 1987
16.
Antonovsky A.The salutogenic model as a theory to guide health promotion. Health Promotion International1996; 11: 11-18
17.
Paton K., Sengupta S., Hassan L.Settings, systems and organization development: The Healthy Living and Working Model. Health Promotion International2005 ; 20: 81-89
18.
Pratt J., Gordon P., Plamping D.Working Whole Systems: Putting Theory into Practice in Organizations. London: King's Fund, 1999
19.
Dooris M., Hunter D.Organizations and settings for public health. In Lloyd C, Handsley S, Douglas J, Earle S, Spurr S (eds). Policy and Practice in Promoting Public Health, p95-125. London: Sage/Milton Keynes : Open University, 2007
20.
Kickbusch I.The move towards a new public health. Promotion & Education2007; 14 (Suppl 2): 9
21.
St Leger L.Declarations, charters and statements - their role in health promotion. Health Promotion International2007; 22: 179-181
22.
Catford J. Ottawa1986: The fulcrum of global health development Promotion & Education2007; Supplement 2: 6-7
23.
Kickbusch I.Responding to the health society. Health Promotion International2007; 22: 163-169
24.
Catford J., St Leger L.Moving into the next decade - and a new dimension?Health Promotion International1996; 11: 1-3
25.
World Health Organization.Healthy Settings. www.who.int/healthy_settings/en
26.
International Union for Health Promotion and Education.Resolutions presented at the IUHPE General Assembly: 7. Settings-based health promotion. Promotion & Education2007; 14: 166-167
27.
World Health Organization.Health21 - The Health For All Policy for the WHO European Region. European Health for All Series, No6. Copenhagen, World Health Organization Regional Office for Europe, 1999
28.
Orme J., de Viggiani N., Naidoo J., Knight T.Missed opportunities? Locating health promotion within multidisciplinary public health. Public Health2007; 121: 414-419
29.
Ashton J.Rising to the challenge. Health Service Journal1988; 98: 1232-1234
30.
Tsouros A (ed). World Health Organization Healthy Cities Project: A Project Becomes a Movement. Review of Progress 1987-1990. Copenhagen: FADL Publishers/Milan: SOGESS , 1991
31.
Barnekow Rasmussen V., Rivett D.The European network of health promoting schools - an alliance of health, education and democracy. Health Education2000; 100: 61-67
32.
Groene O, Garcia-Barbero M (eds). Health Promotion in Hospitals: Evidence and Quality Management. Copenhagen: World Health Organization Regional Office for Europe, 2005
33.
Baybutt M., Hayton P., Dooris M. Prisons in England and Wales: An important public health opportunity? In Douglas J, Earle S, Handsley S, Lloyd C, Spurr S (eds). A Reader in Promoting Public Health: Challenge and Controversy, p237-245. London: Sage/Milton Keynes: Open University Press, 2006
34.
Tsouros A, Dowding G, Thompson J, Dooris M (eds). Health-Promoting Universities: Concept, Experience and Framework for Action. Copenhagen : World Health Organization Regional Office for Europe , 1998. www.euro.who.int/document/e60163.pdf
35.
Restrepo H., Llanos G., Contrera A., Rocabado F., Gross S., Suárez J. et al. The PAHO/WHO experience: Healthy municipalities in Latin America . In Price C, Tsouros A (eds). Our Cities, Our Future: Policies and Action Plans for Health and Sustainable Development, p203-215. Copenhagen: World Health Organization Regional Office for Europe, 1996
36.
Galea G., Powis B., Tamplin S.Healthy islands in the Western Pacific - international settings development . Health Promotion International2000; 15: 169-178
37.
World Health Organization.Healthy Marketplaces in the Western Pacific: Guiding Future Action. Applying a Settings Approach to the Promotion of Health in Marketplaces. Manila: World Health Organization Regional Office for the Western Pacific, 2004. www.wpro.who.int/publications/pub_9290611707.htm
38.
World Health Organization.Integrated Management of Healthy Settings at the District Level. Report of an Intercountry Consultation; 7-11 May 2001, Gurgaon, India. New Delhi: World Health Organization Regional Office for South-East Asia, 2002. http://whqlibdoc.who.int/searo/2002/SEA_HSD_260.pdf
39.
World Health Organization.Healthy Environments for Children Alliance Inter-Regional Consultation: Improving Children's Environmental Health in Settings - Experiences and Lessons for Policies and Action. Report of meeting held in Entebbe, Uganda from 29 November to 2 December 2005. Geneva: World Health Organization (Healthy Environments for Children Alliance Secretariat ), 2006. www.who.int/heca/activities/entebbe_report.pdf
40.
Department of Health, Welsh Assembly Government.Shaping the Future of Public Health: Promoting Health in the NHS. London: Department of Health , 2005
41.
Department of Health, Social Services and Public Safety.Investing for Health. Belfast : DHSSPS, 2002
42.
Health Promotion Agency for Northern Ireland. www.healthpromotionagency.org.uk
43.
The Scottish Government.Better Health, Better Care. Edinburgh: The Scottish Government, 2007
44.
Health Scotland.Healthy Settings. www.healthscotland.com/topics/settings/index.aspx
45.
Department of Health.Health-Promoting Prisons: A Shared Approach. London: Department of Health, 2002
46.
Department of Health.Choosing Health: Making Healthy Choices Easier. London: The Stationery Office, 2004
47.
Department for Innovation, Universities and Skills.Press Release: Healthy FE Programme Launched to Improve Health and Well-Being of Staff and Students. London : Department for Innovation, Universities and Skills , 2008
48.
World Health Organization.Commission on Social Determinants of Health. www.who.int/social_determinants/en
49.
International Union for Health Promotion and Education, Canadian Consortium for Health Promotion Research. Shaping the Future of Health Promotion: Priorities for Action. Paris: International Union for Health Promotion and Education, 2007
50.
Department of Health.Health Inequalities: Progress and Next Steps. London: Department of Health, 2008
51.
Green L., Poland B., Rootman I.The settings approach to health promotion. In Poland B, Green L, Rootman I (eds). Settings for Health Promotion: Linking Theory and Practice, p1-43. London: Sage, 2000
52.
Dooris M.Healthy settings and healthy cities - Fragmentation or holism?UK Health for All Network News1993; Summer: 9
53.
Jones M.Healthy settings - healthy scepticism (a personal view). UK Health for All Network News1995/1996; Winter/Spring: 11
54.
St Leger L.Health-promoting settings: From Ottawa to Jakarta . Health Promotion International1997; 12: 99-101
55.
Baum F.The New Public Health. Second edition. Oxford: Oxford University Press, 2002
56.
Kjellstrom T.Our Cities, Our Health, Our Future. Acting on Social Determinants for Health Equity in Urban Settings. Report to the WHO Commission on Social Determinants of Health from the Knowledge Network on Urban Settings. Kobe City, Japan: World Health Organization Centre for Health Development, 2008. www.who.int/entity/social_determinants/resources/knus_final_report_052008.pdf
57.
Dooris M.The challenge of developing corporate citizenship for sustainable public health: An exploration of the issues, with reference to the experience of North West England. Critical Public Health2006; 16: 331-343.
58.
Dooris M.The "health-promoting university": A critical exploration of theory and practice . Health Education2001; 101: 51-60
59.
Kickbusch I.Health-promoting environments: The next steps . Australian and New Zealand Journal of Public Health1997; 21: 431-434
60.
Galbally R.Health-promoting environments: Who will miss out?Australian and New Zealand Journal of Public Health1997; 21: 429-430
61.
HM Prison Service.Prison Service Order (PSO) 3200 on Health Promotion. London: HM Prison Service, 2003
62.
National Children's Bureau.Healthy Care Programme Handbook. London: National Children's Bureau, 2005
63.
Lyons M.Lyons Inquiry into Local Government. Place-Shaping: A Shared Ambition for the Future of Local Government - Executive Summary. London : The Stationery Office, 2007
64.
Department of Health.High-Quality Care for All: NHS Next Stage Review Final Report. London: The Stationery Office, 2008.
65.
Butland B., Jebb S., Kopelman P., McPherson K., Thomas S., Mardell J. et al. Tackling Obesities: Future Choices - Project Report. London: Foresight Programme, Government Office for Science, 2007
66.
Adshead F.Foreword. In Griffiths J, Stewart L.Sustaining a Healthy Future, p1. London: Faculty of Public Health, 2007
67.
Hodgkins M.Taking a health-promotion approach to the problem of bullying. International Journal of Psychology and Psychological Therapy2008; 8: 13-23
68.
Lazenbatt A., Taylor J., Cree L.A healthy settings framework: An evaluation and comparison of midwives' responses to addressing domestic violence. Midwifery2008 (in press)
69.
Jackson S., Perkins F., Khandor E., Cordwell L., Hamann S., Buasai S.Integrated health-promotion strategies: A contribution to tackling current and future health challenges. Health Promotion International2006; 21(Suppl 1): 75-83
70.
Bronfenbrenner U.Ecological models of human development. In Husen T, Postlethwaite T (eds). International Encyclopedia of Education, Volume 3. Second edition, p1643-1647. Oxford, Pergamon Press/Elsevier Science, 1994
71.
Black C.Dame Carol Black's Review of the Health of Britain's Working Age Population: Working for a Healthier Tomorrow. London: The Stationery Office, 2008
