Developing Public Health
Capacity across Wigan Borough
Making Health Everyone’s Business
Andi Sizer, Health Improvement Service Co-ordinator
Claire Roberts, Assistant Director, Health Improvement
Local Challenges
• Good partnerships but history of training
that didn’t translate to increase in referrals
• Numerous topic based training
programmes- competing demands/ uncoordinated
• Staff confidence in raising issues
• Public health ‘not our business’
• Additional & time consuming- not seen as
integral to existing role
Making Health Everyone’s Business: The Approach
Staff Health &
Wellbeing
Developing
staff skills
& confidence
Community
Development
For Health
Maximising
Health Gain
Developing
Public Health
Leadership/
Culture
change
Investment
in health &
wellbeing
services
Commissioning
levers
Staff Health & Wellbeing
Staff Health &
Wellbeing
Community
Development
For Health
Developing
staff skills
& confidence
Improving local
health outcomes
Developing
Public Health
Leadership/
Culture
change
Investment
in health &
wellbeing
services
Commissioning
levers
• RSPH training
delivered to admin
teams
• Cascade training
within workplaces
• Workplace Health
Champions
• Primary care
Investment in services
Staff Health &
Wellbeing
Community
Development
For Health
Developing
Public Health
Leadership/
Culture
change
Developing
staff skills
& confidence
Improving local
health outcomes
Investment
in health &
wellbeing
services
Commissioning
levers
• Helping people to access
the right support
• Health Trainer service with
capacity to work with over
(3,500 capacity)
• Industrial scale weight
management programme
(11,000 capacity)
• Stop Smoking services
• Find & Treat
• ‘DIY Health Guides’
Commissioning Levers
Staff Health &
Wellbeing
Community
Development
For Health
Developing
staff skills
& confidence
Improving local
health outcomes
Developing
Public Health
Leadership/
Culture
change
Investment
in health &
wellbeing
services
Commissioning
levers
• Least developed area
• CQUIN
• Starting to use
competency
framework within
service specifications
Leadership & Culture Change
Staff Health &
Wellbeing
Community
Development
For Health
Developing
staff skills
& confidence
Improving local
health outcomes
Developing
Public Health
Leadership/
Culture
change
Investment
in health &
wellbeing
services
Commissioning
levers
• RSPH training- voluntary
sector leads, Youth
Forum members,
Teaching Assistants
• Workplace Health
Champions
• Briefings/ training for
elected members
Foundation Trust
members & governors
(proposed)
• Primary Care Staff
Community Development for Health
Staff Health &
Wellbeing
Community
Development
For Health
Developing
Public Health
Leadership/
Culture
change
Developing
staff skills
& confidence
Improving local
health outcomes
Investment
in health &
wellbeing
services
Commissioning
levers
• ‘Connecting
Communities to
Health’ programme
• RSPH delivered in
community settingssupport for NHS
Lifecheck
• Community Health
Advocates
Developing Staff Skills & Confidence
Staff Health &
Wellbeing
Community
Development
For Health
Developing
staff skills
& confidence
Improving local
health outcomes
Developing
Public Health
Leadership/
Culture
change
Investment
in health &
wellbeing
services
Commissioning
levers
• Use of Yorks &
Humber Competency
Framework
• Essential Public
Health programme
• Topic based training
where appropriate
Local Implementation Model
for Skills Development
Level 3
City &
Guild
HT
award
Topic specific brief
intervention
Level 2
Level 1
Level 1
Level 0
Advance
behaviour change
Health Trainer Qualification- Health
Trainers & Health Trainer Champions
Thematic training, e.g. smoking, alcohol, mental health.
Advanced behaviour change techniques. Target frontline staff
Essential Public Health
(EPH)
RSPH Level 2 award
Connecting Communities to Health
Practical skills & tools to raise health issues. Delivered to all
frontline staff who regularly work with patients/clients on a 1:1
basis
Develops knowledge & understanding of health improvement.
Local health priorities covered. Covers aspects of self
care/awareness of own health & well being. Delivered to
support cultural change in organisations & as part of staff
health & well being programmes. Developing health
leadership
Self Care. Understanding impact of own
behaviours/lifestyle on health & well being. Delivered
to local community groups, local people. Supports
community Health Advocates.
EPH Quick Facts
• Developed by NHS Stockport
• Evidence based content and approach
• Reduces training time from 2 days to 2.5 hours (can be
more flexible)
• Improved knowledge & confidence by at least 30% in
Stockport
• Increased lifestyle service referrals
• Winner of 2009 North West Public Health Award
• Roll out of EPH in Wigan starting with ALW Community
Healthcare
• Programme to be rolled out to acute trust and non-NHS
organisations e.g. adult social care staff, Wigan Leisure
& Culture Trust and Housing staff
Training Objectives
1. Increase frontline staff knowledge of local
public health issues
2. Increase individuals understanding of role
3. Increase confidence in addressing lifestyle
issues through conversations with clientsdelivering ‘health chats’
4. Increase referrals into lifestyle support
services
Key Public Health & Lifestyle Issues
1.
2.
3.
4.
5.
Smoking
Obesity (inc Breastfeeding)
Alcohol & Substance Misuse
Sexual Health
Ageing (falls & fuel poverty)
For both staff & patients
Health Chats
•
•
•
•
•
•
•
•
Practical
Very Brief Intervention!
Raise Issue
Assess Patient Motivation
Practical Not ‘Fact Packed’
Aim to Signpost
Start Positive Change
Evidence Based (NICE etc)
Embedding EPH Locally: Case Study
from ALW CH
• Preparing the Ground
– Presentation to Board in April 2010- senior level
support for the programme
– Kickstart event in May 2010- engaging staff from all
Care Groups
– Involvement of training & development leads
– Identification of ‘Public Health Champions’ to cascade
EPH training and support staff teams in each Care
Group
Embedding Essential Public Health
• ALW CH agreed to adopt EPH as part of
mandatory training
• Communication strategy
• 15 staff trained as trainers for EPH
• Support and additional resources provided
through the Health & Wellbeing Care Group
• Performance metrics agreed using existing
monitoring systems where possible
• Implementation programme for roll out agreed
Performance Framework
Collection of metrics to assess:
• No of staff/ individuals trained
• Improvement in staff confidence to raise issues
• Increased knowledge about local health issues and how
to access to information/ services
• Evidence of health chats being incorporated within
interventions
• Improved patient/ client experience
• Increase in uptake of key health improvement services
Future Developments
• Delivery of RSPH level 2 award to promote staff
health & wellbeing
• Use of Yorks & Humber Competency Framework
to inform staff learning & development plans
• Secondment of Public Health Analyst to improve
data collection and analysis which will support
workforce and service planning