Option appraisal can be a lengthy and complex process. Economists and other specialists may be comfortable with the techniques and concepts, but NHS staff, Integration joint Board staff, people and communities of people can find it very difficult to understand. This can add considerably to the challenges which are involved in the process, particularly if the proposed changes are contentious.

This guide has been written primarily for NHS boards and Integration Joint Boards who are planning to involve people and communities in the option appraisal process, particularly in weighted scoring events. However, it may also be of interest to local community groups who may be asked to take part in option appraisal.

Our guide does not provide a model process for boards and Integration Joint Boards to follow. Instead, it highlights points for boards and Integration Joint boards to consider when planning weighted scoring events, building on learning from the experiences of boards and Integration Joint Boards who have grappled with the challenges of involving people and communities throughout the process, and of people and communities of people who have taken part.