centre for translational research in public health tuesday 31 st march 2009 alyson learmonth head of...
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Centre for Translational Research in Public Health
Tuesday 31st March 2009
Alyson Learmonth
Head of School of Public Health,
Director of Public Health Gateshead
North East Public Health Board
Policy
Com
missioning and delivery of
public health functions
Strategy Effector
Advisory & scrutinyR
egional Public H
ealth Delivery
(PC
Ts, LA
As etc)
Research &
Developm
entP
ublic Health C
entre of Research
Excellence P
HIN
E, P
HO
Social M
arketing Collaborative N
ELobbying functionsF
RE
SH
, OS
CA
, etc
Teaching &
learning, Workforce
planning,S
pecialist training
RDPH & Exec Directors of Public Health
RDPH team; PHNE Regional AdvisoryGroups
10 Themes
Conference of publichealth practitioners
Better Health, Fairer Health Structures
• Every contact a health improvement contact
• Every contract a health improvement contract
• All public sector services include health and wellbeing in their delivery
• Every neighbourhood includes public health in their plans
• Local policies and programmes include health impact assessment in decision making
What would success look like?
• All voluntary and community groups are engaged in health and wellbeing
• Every school, college, hospital, GP practice, university and workplace is a healthy setting
• All courses include health and wellbeing links and the academic sector is fully engaged
• Everyone interested in Public Health knows how to learn more
• Everyone working in Public Health feels confident, capable working to their maximum potential and acknowledged
educ
atio
n se
ctor
School of Public Health – What we do
Specialty
Training
Specialty Training Committee
To oversee the training of specialists who aim to be registered with the GMC or the UKPHR.
This encompasses those on the formal training scheme and those using a portfolio route.
Public health
workforce capacity building
To coordinate and lead the development of capacity to improve health and well being and reduce inequalities in health for the population of the north east in line with ‘Better Health, Fairer Health’
100% p
ub
lic health
roles
Teaching Public Health Network
Bring together education providers with the public sector workforce and workforce planners to increase capacity to improve health in its wider sense.
Level 9
Levels 1- 8
Building competencies
LEADERSHIPPARTNERSHIPSPOLICY &
STRATEGYSURVEILLANCEASSESSMENT OF EVIDENCE
HEALTH IMPROVEMENTPROTECTIONINTELLIGENCEQUALITYACADEMIC PUBLIC HEALTH
Health trainers
(Level 3)RSPH accredited
training
(Level 2)
Public health practitioners
(Level 5 and 7)
Leading for health
improvement and wellbeing
(Level 7, 8, 9)
Induction programme for NHS staff
• Theoretical base is still under construction!
Issues facing Practitioners developing new roles
Roles related to individual behaviour change
• ‘tiers’ from signposting to brief interventions (based on Prochaska and Diclemente’s cycle of change) to intermediate services but not used consistently
• Roles of 100% practitioner v part of role not clear
• Core and subject specific areas poorly defined: generic behaviour change skills plus subject specific areas
• Interface with social marketing poorly defined• Interaction with self care models not clear
Roles related to communities
• Community development
• Social norms work
• Peer education
• Cultural change
• Wider determinants of health
Issues facing practitioners in embedding new roles (100%)
• Professional resistance to change
• Accreditation processes are following the changes, slowly
• Evaluation of impact often not robust
• Culture of anxiety about risk, rather than empowerment
• Career pathway not clear
Issues facing practitioners (part of their role)
• Poorly co-ordinated eg RSPH level 2 (health at work award, local schemes e.g. domiciliary care assistants)
• Lack of capacity to deliver training
• Mentorship arrangements ad hoc
• Evaluation of impact often not robust
Research questions
• How can we map current and required competencies effectively?
• How can we identify and evaluate new roles so that their value is known in order to justify adequate investment?
• How can we work with professionals to lead innovation?
Research questions
• How can we work better with the Local Authorities e.g. Children’s Workforce Plan?
• How can we engage the 3rd sector in developing relevant roles?