developing the public health role of ahps - a north … the public health role of ahps - a north...
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Developing the Public Health
Role of AHPs - a North West
Perspective
Alison Farrar
Public Health Workforce Manager
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Our Vision
To ensure that all AHPs working in the NW have the
opportunity to contribute to the four nationally agreed
public health priorities of:
• Making Every Contact Count (MECC)
• Early Years
• Older Adults
• Emotional Wellbeing
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Together we can….
Understand the priorities
What is going on now?
What can we do better / more of?
How do we learn from each
other?
Demonstrate effectiveness / effort / added
value
www.nw.hee.nhs.uk
twitter.com/HENorthWest
The Potential…
• 11,500 allied health professionals working across the
North West
• Some AHP’s have a traditional public health role
• ALL AHP’s have an important contribution to make
• Make up 6 % of the total workforce in the NW
• Untapped workforce – unique therapeutic relationship
with patients / service users
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Why we need to act….
Public Health Outcomes
Framework England Average North West Data Locality Data
Emotional Wellbeing Suicide rate
Happiness
8.8%
10.4%
10.1%
11.3%
Blackpool 13.6%
Knowsley 15.8%
Older People Injuries due to falls
Hip fractures ( 65 yrs)
2,420
568.1
2,708
589.2
4,005
Knowsley 808.4
Early Years Poverty
School readiness
20.6%
51.4%
22.5%
50.4%
Manchester 36.4%
Halton 37%
MECC Smoking prevalence
Alcohol
Drinkwise
18.4%
£339 per head
20.1%
£439 per head
Blackpool 26.5%
Costs NHS / wider Economy
£3 billion per year
www.nw.hee.nhs.uk
twitter.com/HENorthWest
What you told us
Current Public Health Activity
Cheshire and Wirral Partnership NHS Trust
Smoking cessation training for AHPs
5 Boroughs Partnership NHS Trust
Personality Disorders - multi-disciplinary strategy
Lancashire Care NHS Foundation Trust
MECC pilot - Respiratory rehabilitation team
Pennine Acute Hospitals NHS Trust
Health chats – to increase physical activity
National Priorities
Adult / Older People / Emotional Wellbeing/
MECC
Emotional Wellbeing
MECC
Adults / Older People / MECC
www.nw.hee.nhs.uk
twitter.com/HENorthWest
GMPHN Work for Health
Programme
• Supporting people with long term health conditions to stay in
work – part of the treatment plan!
• Includes those in paid employment, unpaid, voluntary work
• Programme has developed toolkits, commissioning frameworks,
social marketing campaign, AND HOT OFF THE PRESS…….
• New Training Offer with Salford University
Free One Day Training for Public health Practitioners
http://www.gmphnetwork.org.uk/
www.nw.hee.nhs.uk
twitter.com/HENorthWest
• Lancashire Care Foundation Trust - trust wide MECC training
• Early pilot sites includes pulmonary rehabilitation team -
multidisciplinary team – physiotherapist, occupational therapist,
nursing staff.
• Results from focus group indicate a positive experience,
supported more health chats by the team – especially around
alcohol use in older patients.
• Has raised staff confidence and competence in raising the issue
Making Every Contact Count
www.nw.hee.nhs.uk
twitter.com/HENorthWest
• NW Elearning resource - flexible, accessible online resource - uses
local health data - a good start! www.walkgroveonline.com/healthchats
• Local health promotion team / public health department
• Contact your L&D lead locally - many trusts have health improvement
training included with other corporate training requirements
• RSPH - accredited health improvement training www.rsph.org.uk
• BMJ - new online motivational interviewing in brief consultations:
MECC Offer
www.nw.hee.nhs.uk
twitter.com/HENorthWest
• CPD APPLY www.cpd-applynw.nhs.uk
• Develop links with primary care, local service providers e.g.
health visitors, midwives, Surestart services
• Further actions required / NW examples and share?
• AHP led initiatives – e.g. Stoke Speaks Out – replicate here?
Early Years
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Older Adults
• CPD Apply - e.g. dementia awareness, end of life care, falls
prevention
• Locality based training - L&D, health improvement, voluntary
sector
• AHP led work?
• Gather examples / share good practice
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Emotional Wellbeing
• CPD Apply – physical & mental health – parity of esteem
• Health & wellbeing in the workplace
• Local activity – Mindfulness training
• Local Health Improvement teams offer training
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Making Sense of the System
• Public Health is now led by local authorities – support role to
CCG’s
• Commission across three domains of public health (e.g. sexual
health, school nursing, NHS health checks)
• Public Health England (previously HPA) Lead agency for health
protection
• NHS England – commission public health services (screening
and immunisation programmes)
• The Kings Fund Animation
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Next Steps
• Work with HENW education commissioners and providers – PH
content of curricula – undergraduate / post graduate offer
• Explore opportunity to develop public health leadership skills
• Opportunity to visit examples of good practice?
• Develop an agreed action plan with AHP network
• Share good practice – case studies on www.ewin.nhs.uk and
www.ahpnw.nhs.uk
www.nw.hee.nhs.uk
twitter.com/HENorthWest
In Summary
• There are some good examples out there…
• More education and learning opportunities required…
• AHP leadership required to champion this agenda…
• AHP network and PH regional team committed to develop a
work programme
• Collaborative and integrated effort required
