
1 

(1) The title of these Regulations is the Health Impact Assessment (Wales) Regulations 2025.
(2) These Regulations come into force on 6 April 2027.
2 
In these Regulations—
 “health impact assessment” (“asesiad o’r effaith ar iechyd”) means an assessment of the likely effect, both in the short term and in the long term, of a proposed action or decision on the physical and mental health of the people of Wales or of some of the people of Wales;
 “HIA” (“AEI”) means a health impact assessment;
 “public body” (“corff cyhoeddus”) means a person listed in section 110(1) of the Public Health (Wales) Act 2017.
3 
A public body must carry out a HIA when it proposes to make a decision of a strategic nature about how to exercise its functions.
4 

(1) In carrying out a HIA specified in regulation 3, a public body must—
(a) identify the decision to which the HIA relates;
(b) identify any groups of the population whose physical or mental health the public body reasonably considers may be affected by the decision;
(c) identify and assess—
(i) any intended effects of the decision, and any unintended effects of the decision that the public body reasonably considers are likely, on the physical and mental health of any groups of the population identified under sub-paragraph (b),
(ii) in relation to any effects identified under paragraph (i), any measures that the public body reasonably considers may prevent, reduce or mitigate any negative effects or increase any positive effects, and
(iii) anything else the public body considers to be relevant to the carrying out of the HIA.
(2) In identifying and assessing any effects for the purposes of paragraph (1)(c)(i), a public body must have regard to the wider determinants of health and any health inequity factors.
(3) In this regulation—
(a) “health inequity factors” means any differences in health outcomes and health opportunities that may reasonably be explained, or may reasonably be caused, by any ground including—
(i) socio-economic status,
(ii) geographic location, and
(iii) the presence of a protected characteristic within the meaning of Chapter 1 of Part 2 of the Equality Act 2010;
(b) “health opportunities” means access to publicly available opportunities that the public body carrying out the HIA reasonably considers promote or improve physical or mental health or are intended to do so;
(c) “wider determinants of health” means the social, economic, cultural and environmental factors that may affect people’s health.
5 
The Public Health Wales National Health Service Trust must publish guidance to assist public bodies carrying out a HIA.
6 
As soon as is reasonably practicable after carrying out a HIA, a public body must publish the HIA in such manner as the public body considers appropriate.
7 

(1) Section 110(1) (meaning of “public body”) of the Public Health (Wales) Act 2017 is amended as follows.
(2) After paragraph (b) insert—“
(ba) a corporate joint committee established by regulations made under Part 5 of the Local Government and Elections (Wales) Act 2021 (asc 1);”.
(3) After paragraph (d)(ii) insert—“
(iii) Welsh Ambulance Services University National Health Service Trust;”.
(4) After paragraph (d) insert—“
(da) the following special health authorities established under section 22 of the National Health Service (Wales) Act 2006 (c. 42)—
(i) Digital Health and Care Wales;
(ii) Health Education and Improvement Wales;”.
(5) After paragraph (l) insert—“
(m) Social Care Wales;
(n) Welsh Revenue Authority;
(o) Transport for Wales (company number 09476013);
(p) Centre for Digital Public Services Limited (company number 09341679);
(q) Qualifications Wales.”
Jeremy Miles
Cabinet Secretary for Health and Social Care, one of the Welsh Ministers
19 November 2025