This suggests new models for educating public health personnel may be required to assist them in this. For example, the development of local indicators and objectives for assessing outcomes should originate in and by the communities affected and involve assessments of, for instance, enhanced local social capital, and greater involvement in the policy processes and decisions that affect local well-being and its place on the public health agenda. Whilst this will be undeniably influenced by national priorities and resources, the emphasis needs to be on research to define local concepts of well-being
and assess outcomes against or around them from a user
perspective.