Healthier Horizons

Working together for smokefree first years – using systemic influence

Mary Bell, Assistant Director Maternity& Early Years

Better Care Better Health Better Life

CC – the community parenthood hub• Reaching those who aren’t parents

already• Who is visiting/ pick-ups/ accessing other

things• Social marketing -reinforcing messages

from health colleagues to change societal beliefs and values

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Admissions to hospital

• Most unscheduled are for gastric, respiratory, asthma problems

• Glue ear – being explicit about causation & SHS

• Meningitis

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Opt-out to smoking cessation

Opportunities in partner-sectors ?

Who/ state of readiness is referred and by whom ?

Brief intervention around SHS

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Overt messaging

http://www.youtube.com/watch?v=QHOaJSXr9HI&feature=player_embedded

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http://www.youtube.com/watch?v=Sm5UyrEqGhQ&feature=player_embedded

Covert/ unintentional messages

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Subliminal acceptance by systems

Smoking Smoking in hospital is discouraged. Within some ward areas there is a designated smoking area - FOR PATIENTS ONLY. It is dangerous to smoke near oxygen. SMOKING IS BAD FOR EVERYONE'S HEALTH Visitors are not permitted to smoke anywhere on the hospital premises. For safety do not give matches to patients or leave your relative/friend smoking unattended. (From an NHS Hospital Info website on 5th June 2010)

http://www.youtube.com/watch?v=tU97ktde_bg&NR=1

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Using systems to facilitate the change message

• Healthiest behaviour = easiest behaviour?• Easiest for whom? • Understanding the scale of opportunities

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Which systems • Any systems where public money is providing a

service • Any system where children might be present

accompanying an adult• Any system which is providing a service to a

child • Any system which is providing a service to a

woman of childbearing age• Any retailer selling tobacco • http://www.youtube.com/watch?v=JndtG8Y7yfw&feature=related