The role of providers delivering the Health Promotion and Disease Prevention agenda 1Presentation title - edit in Header and Footer Dr Raymond Jankowski

The role of providers delivering the Health Promotion and Disease Prevention agenda

1 Presentation title - edit in Header and Footer

Dr Raymond Jankowski National Lead for Population Healthcare

Immense opportunities for health improvement and disease prevention!

• 5 year forward view – greater emphasis on prevention

• PHE priorities: From evidence to action


PHE - 7 priorities (1)

Tobacco

Obesity

Alcohol

Early start for children

Dementia

Antimicrobial resistance

TB

……..AND


PHE priorities (2) - two relevant specific actions

• To support the setting up a NHS Prevention Board

• To support the setting up of a Diabetes Prevention Programme


PHE’s 7 priorities: behavioural strategySupport development of the knowledge base and insights within social and behavioural science for tackling PHE’s seven priorities

For example, on Alcohol, developing a new whole system approach:

• establishing effective delivery models and what works

• clarifying return on investment enabling government, local authoritiesand the NHS to invest with confidencein evidence based policies, preventionand treatment interventions


Delivering NHS Five Year Forward View

A national Preventative Services Programme to:

•Establish a National Prevention Board

•Assess the evidence, design interventions and support implementation of proven approaches to prevent disease

• Design and implement at scale a national diabetes evidence-based prevention programme (PHE, NHS England and Diabetes UK)


• Patients, staff and the public

• Policy and strategy

• Trust environment


Healthcare providers as Public Health organisations to delivery Health Improvement and Disease Prevention

• Includes health improvement advice and behaviour change in all care pathways ( e.g. MECC)

• Behaviour change interventions such as smoking cessation interventions for in-patients and pre-op

• Referral to health improvement service such as smoking cessation and weight management

• Promotes mental and physical health of its staff


Patients, staff and the public

• Public health strategy

• Organisational culture to support health improvement and prevention

• Clinical leaders as champions of health improvement


Policy and strategy

• Trust food, nutrition policies to support healthy eating for patients, staff and visitors

• Smoke-free organisation

• Trust healthy employment practices

• Trust transport policies aimed to encourage physical activity and reduce impact of transport on environment.


Trust environment

The NHS Workforce• The headcount of the NHS was 1,210,894 in

September 2014.

• Impact of health on work is well established, and the impact of the health and wellbeing of staff on patient outcomes and patient safety is also established.

• NHS Staff survey shows improvements in engagement but sickness absence rates lag behind other sectors.

• The workforce is diverse, multi-professional, with varied working environments and shift patterns.

11 Improving the health of the NHS Workforce

10%

29%

13%

2%

29%

17%

All HCHS doctors (incl locums)

Qualified nursing, midwifery & health visiting staff

Total Qualified scientific, therapeutic & technical staff

Qualified ambulance staff

Support to clinical staff

NHS infrastructure support (inc. managers)

Areas for actionWe would recommend focusing on the following areas:

• Participate in the Workplace Wellbeing Charter, which provides a roadmap to implementing NICE guidance and best practice for workplace wellbeing, and helps align the support from NHS Employers into a publically recognised benchmark and accreditation.

• Take part in a standardised NHS staff health and wellbeing survey which would run every 2-3yrs to benchmark progress, PHE is working with NHSE on this currently, and it helps identify where to prioritise action.

• Work towards accreditation as a Living Wage employer across the whole of the NHS (good pay is a key part of good work = healthy work).

• Full implementation of HSE guidance on health and safety and stress management standards.

• Integrate a requirement for evidence of investment in staff wellbeing into the commissioning process in Pre-qualifying questionnaire for contract tenders.


Support availableWorkplace Wellbeing Charter http://www.wellbeingcharter.org.uk

• Where there isn’t a local provider you can buy in the process from another local authority funded provider, local authorities provide the QA

Staff Wellbeing Survey

• PHE is currently developing a standardised staff wellbeing survey tool for businesses and should be launched in Q1 15/16

Living Wage http://www.livingwage.org.uk

• Accreditation requires paying directly paid staff the living wage and working towards including this as a procurement requirement.

Health and Safety Executive

• Stress Management standards are a very good place to start and provide a good framework to approaching the issue. http://www.hse.gov.uk/stress/standards/

Procurement integration

• PHE is working to develop guidance to support this in 2015/16


http://www.wellbeingcharter.org.uk/



http://www.livingwage.org.uk/

http://www.hse.gov.uk/stress/standards/




HI delivery area Provider PH Network member

Smoking cessation Blackpool, Bolton, Royal Free, South Tees

Tackling alcohol misuse Salford, Royal Free, Morecambe Bay

Health of homeless people Royal Free

Health of people with mental Illness

South Essex, Nottingham Healthcare, Leeds & York

Health Promoting Hospitals:achieved or working towards accreditation

Alder Hey, Merseycare, Liverpool Heart & Chest

Health Improvement delivery

Health protection- disease prevention

• Infection control

• Emergency planning

• Screening and immunisation


Provider Public Health NetworkEstablished autumn 2013 following a review of PH leads in provider trusts

Membership

40+ members working in provider trusts

PH Consultants

Health Improvement/PH Specialists

Trainees

Roles

Public Health: HCPH and Health Improvement

Other roles: e.g. Medical Management

Settings

Acute, Community, Mental Health, Learning Disability trusts


Contacts

Provider Public Health Network webpage:

http://phnetwork.org.uk/ucp.php?mode=login

PHE contact: Mandy [email protected]

Network Chair: [email protected]




mailto:[email protected]

mailto:[email protected]

Documents

The role of providers delivering the Health Promotion and Disease Prevention agenda 1Presentation title - edit in Header and Footer Dr Raymond Jankowski