Table 1 Key factors for policy reform

Key factors for policy reform

Lived experience informed: those with lived experience lead reform planning and targets and voice the imperative

Building consensus & advocating: stakeholders voices supporting the same broad policy position, and the engagement of senior bureaucrats

Political will and leadership: a political ‘sponsor’ or supporter with access to the right levers needs to be engaged

Adequate resourcing: funding for a full program of change needs be achieved usually through the political advocate

Time: real policy and practice change takes time, is iterative and ongoing