Action Plan - NHS Dumfries and Galloway

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JOINT HEALTH & WELLBEING UNIT
Action Plan
October 2011
1
Foreword
The concept of Dumfries & Galloway Council and NHS Dumfries & Galloway pooling resources to form a joint unit that would be responsible for
taking forward and commissioning actions to improve health and wellbeing, and to reduce inequalities was first raised in the spring of 2010.
Further discussions led to joint agreement in principle from both organisations. A period of consultation followed, and ultimately both
organisations agreed in April 2011 to the practical arrangements with regard to transfer of staff and resources that allowed the establishment of
the Joint Health and Wellbeing Unit in June 2011.
Staff in the unit worked quickly since then to produce this first Joint Health and Wellbeing Unit action plan. In its development it draws on all
the key national and local frameworks, policies and strategies which have focused on health improvement and reducing health inequalities, for
example Equally Well Implementation Plan, Towards a Mentally Flourishing Scotland, The Early Years Framework and Getting it Right for
Every Child. Due to the extensive list of key documents these have not been specifically listed. The desired high level outcomes are long term
aspirations. The actions included in the plan designed to achieve these high level outcomes are, however, to be taken over a shorter period.
Many of them will have been achieved by March 2012 but, equally there are actions that will extend over a period of a few years. The plan is
being produced only in an electronic format and this will allow the plan to grow and develop over the ensuing three years as actions are
completed and new actions emerge.
Improving health and wellbeing; and reducing inequalities is a highly complex matter. There are no simple „magic bullet‟ solutions, and
achieving the outcomes requires close partnership working. As a consequence of this the action plan is very long and complex and because of
this it has been produced in an electronic format that allows navigation up and down from high level outcomes down to detailed actions and
back again. It is hoped that in this way the logical links between individual actions and their intermediate and high level outcomes is readily
apparent.
The very important public health issues of cigarette smoking and alcohol and drug use are not covered in detail in this plan since there are
other strategies and mechanisms already in existence for addressing these.
Despite the large number of disparate actions outlined in this plan, all of which are designed to achieve a variety of high level outcomes, these
are all linked by an overarching theme of encouraging and enabling people to take control over their lives. This theme is entirely consistent
with the person centred approach which is at the heart both of the NHS quality framework and the report of the Christie Commission on the
future delivery of Public Services. The health and wellbeing of the population of Dumfries & Galloway will be improved only if our public
services allow people to take control of their lives by continuously putting the person at the centre of everything they deliver.
Dr Derek Cox
Director of Public Health - Head of the Joint Health and Wellbeing Unit
Go to children and young people plan
October 2011
Go to adults and older people plan
2
Children and Young People‟s
Action Plan
Team:
Michele McCoy (Consultant in Public Health)
Valerie Whyte (Consultant in Public Health)
Laura Gibson, Veronica King, Jo Kopela, Chris Topping (Health & Wellbeing Specialists)
Back to forward
3
Introduction
Improving the outcome for children and young people is a priority, both locally and nationally. Addressing the health and safety of
children and young people, their education and socialisation all need to be prioritised. “Getting it Right for Every Child” provides
the context for working in partnership to ensure that all children and young people reach their potential. National policy has also
recognised the importance of action in the early years and early intervention to reduce the risk of problems escalating.
The action plan for the Joint Health and Wellbeing Unit builds on existing work across the region and has identified key priority
areas which aim to ensure better outcomes for all our children and young people. It recognises the different environments that all
our children live in. The Joint Health and Wellbeing Unit ensures that there is focus placed on addressing the needs of all children
and young people, and that there is a co-ordinated approach to multi-faceted interventions which are designed to improve
outcomes. The high level strategic outcome is:
Children and young people enter adulthood with optimum levels of health and wellbeing
Child development may be grouped into 5 domains:
Physical health and well being
Social competence
Emotional maturity
Language and cognitive development
Communication skills and knowledge
Each of these domains have to be addressed so that our children and young people are equipped with the skills and capabilities to
make their transition into adult life. Actions to address these domains have to be revisited throughout the life course of children
from pre-conception to adult life.
Working in partnership is a basic premise of the action plan and team members will work with local staff and partner agencies to
ensure the best possible use of all local resources.
4
The action plan does not stand in isolation, and should be viewed in association with local action plans and those of partner
agencies (including the third sector). It is intended to be a working document with high level actions which put in place the
direction of travel. The indicators noted are to be progressed by March 2012 and will be built on when further actions and
anticipated outcomes are identified for the next three years.
A number of key priority areas have not been specifically highlighted in this action plan because they are already prioritised and
being progressed elsewhere, for example, addressing smoking in children and young people. This is progressed regionally
through Smoking Matters.
The Joint Health and Wellbeing Unit, Children and Young People, sets out three high level outcomes to be delivered over the next
year:
1.
Children enter primary school with optimum levels of health and wellbeing
2.
Children enter secondary school with optimum levels of health and wellbeing
3.
Young people enter adulthood with optimum levels of health and wellbeing
5
High level outcome
Children and young people
enter adulthood with optimum
levels of health and wellbeing
Outcome 1
Outcome 2
Outcome 3
Children enter
primary school with
optimum levels of
health and wellbeing
Children enter
secondary school with
optimum levels of
health and wellbeing
Young people enter
adulthood with optimum
levels of health and
wellbeing
Outcome 1 details
Outcome 2 details
Outcome 3 details
Back to foreword
6
Outcome 1
Children enter primary
school with optimum levels
of health and wellbeing
Back to high level outcome
Outcome 1.1
All children will have access to health and wellbeing
experiences, learning, support and services to make
safe and healthy choices
Outcome 1.1 details
Outcome 1.2
All parents and carers will have access to
learning, support and services to achieve the
best possible outcomes for their children
Outcome 1.2 details
7
Outcome 1.1
All children will have access to health and wellbeing
experiences, learning, support and services to make
safe and healthy choices
Back to Outcome 1
Outcome 1.1.1
All children will have
positive mental health
and wellbeing
Outcome 1.1.7
All children have access
to high quality physical
activity
Outcome 1.1.7 details
Outcome 1.1.1 details
Outcome 1.1.2
Early years services
meet the needs of
children and families
Outcome 1.1.6
All children will have
good oral health
Outcome 1.1.2 details
Outcome 1.1.6 details
Outcome 1.1.3
All pre-schools
incorporate health and
wellbeing experiences
and outcomes in
planning, learning,
teaching, assessment
and reporting
Outcome 1.1.3 details
Outcome 1.1.4
Improved child
nutrition-related health
& wellbeing
Outcome 1.1.4 details
Outcome 1.1.5
Healthy weight is
maintained among the
target population
Outcome 1.1.5 details
8
Action
Research and identify
potential wellbeing tools e.g.
PEDS QL, EDI and
Strengths and Difficulties
and in partnership, agree a
shared wellbeing tool for
children
Action
Commission and
administer wellbeing
measurement tool(s) in
identified pilot clusters
over a specified period
Action
Establish mechanisms
to measure the
wellbeing of children
over time
Performance Indicator: Wellbeing tool pilot commissioned
Action
Work in partnership to support the
implementation in Priority One of Towards
a Mentally Flourishing Scotland: Policy
and Action Plan
Action
Complete mapping
exercise to identify gaps
in ante-natal and postnatal service provision
and develop full report
with associated
demographic information
Action
Review 0-3 year services
as part of implementation
of Scottish Government
(2008) Early Years
Framework and the five
domains of Childhood
Development
Action
Develop a
business case for
service
improvement in
partnership with
the Early Years
Planning and
Delivery Group
Outcome 1.1.1
All children will have
positive mental health
and wellbeing
Back to Outcome 1.1
Outcome 1.2.2a
Improved availability of
and access to early
years services to
improve HWB in line
with the five domains
of Childhood
Development
Outcome 1.1.2
Early years services
meet the needs of
children and families
Back to Outcome 1.1
Performance Indicator: Business case developed
9
Action
Identify and work with X
number of pre-schools
providers/school clusters
on health and wellbeing
moderation
Action
Develop moderation
process and
exemplars for health
and wellbeing (across
six HWB areas)
Action
Improve confidence
and skills among preschool staff to plan for
health and wellbeing
Performance Indicator: Health and wellbeing moderation exemplars on Glow.X Number
Action
Work with partners in
education to agree two
whole cluster pilot sites
that will integrate HWB
across the entire
curriculum and the day to
day life of the school
Action
Commission,
implement and monitor
two whole
school/cluster HWB
plans
Outcome 1.1.3
All pre-schools
incorporate health and
wellbeing experiences
and outcomes in
planning, learning,
teaching, assessment
and reporting
Back to Outcome 1.1
Action
Review learning from
pilots through sharing
emerging practice to
inform continuous
improvement
Performance Indicator: Two pilots commissioned
Further PI‟s to be determined
10
Outcome 1.1.4
All parents receive full information
they can understand on infant feeding
to enable them to make an informed
choice on how they will feed their
infant
Outcome 1.1.4b details
Outcome 1.1.4
All women receive the support
they need to initiate and continue
breastfeeding for as long as they
wish
Outcome 1.1.4c details
Outcome 1.1.4
Women entering pregnancy
are a healthy weight, in good
nutritional health and this
continues throughout their
pregnancy and beyond
Outcome 1.1.4a details
Outcome 1.1.4
Improved child
nutrition-related health
& wellbeing
Back to Outcome 1.1
Outcome 1.1.4
Infants are given appropriate and timely
complementary foods and continue to have a
wide and varied healthy diet throughout early
childhood
Outcome 1.1.4d details
Outcome 1.1.4
Children are supported to have good
eating habits to enable healthy
growth and development
Outcome 1.1.4e details
Outcome 1.1.4
Children are offered a range
of food and health learning
experiences
Outcome 1.1.4f details
11
Action
Improve knowledge and
skills of practitioners
Outcome 1.1.4a
Women entering pregnancy are a healthy weight, in good
nutritional health and this continues throughout their
pregnancy and beyond
Back to Outcome 1.1.4
Action
Distribute maternal and infant nutrition
publications and resources universally
as per nationally agreed early years
information pathway
Action
Incorporate
actions to
implement the
Improving
Maternal and
Infant Nutrition: A
Framework for
Action into the
Refreshed
Framework for
Maternity Care
Services
Action
Commission
Women and
Children‟s
Directorate to
facilitate and
co-ordinate
the agreed
D&G Action
Plan
Outcome 1.1.4b
All parents receive full information they can
understand on infant feeding to enable them to
make an informed choice on how they will feed
their infant
Action
Accredited Breastfeeding Peer Support Programme will
continue to be provided
Action
Achieve and maintain UNICEF UK BFI accreditation for
Community Healthcare Services (Seven Point Plan) as
minimum standard
Action
Improve knowledge and skills of all those
working with families and young children
Outcome 1.1.4c
All women receive the support
they need to initiate and
continue breastfeeding for as
long as they wish
Outcome 1.1.4d
Infants are given appropriate and
timely complementary foods and
continue to have a wide and varied
healthy diet throughout early
childhood
Action
Work in partnership with pre-schools to support the implementation of
national guidance for provision of a nutritionally balanced diet
Outcome 1.1.4e
Children are supported to have good eating habits to enable
healthy growth and development
Action
Work in partnership to support pre-schools and communities to provide food
and health learning experiences for children and families
Outcome 1.1.4f
Children are offered a range of food and health learning
experiences
Back to outcome 1.1.4
12
Performance Indicator: Action Plan Developed. Service will be commissioned (PI‟s as per SLA to be added)
Action
Commission East and West Directorate to deliver the
Child Healthy Weight interventions
Co-ordinate delivery of „Raising the Issue of Child
Healthy Weight‟ training to a minimum of 200
participants
Maintain and update Think4urself website
Action
Deliver target number
of Child Healthy
Weight interventions
Performance Indicator: Achieve Child Healthy Weight Interventions target (413 by 2014),
200 people trained, Number of website hits
Action
Deliver in partnership with
localities, best practice from
the experience of Healthy
Weight Communities
Programme
Action
Implementation in each
locality of a Healthy
Weight Communities
model
Outcome 1.1.5
Healthy weight is
maintained among the
target population
Back to Outcome 1.1
Performance Indicator: Each locality has a plan that incorporates Healthy Weight
Communities ethos
Action
Consult with key stakeholders
to inform development of lifecourse approach to tackling
overweight & obesity
Action
Commission community
based life-course
approach to healthy
weight within a pilot area
Performance Indicator: Pilot commissioned. Consultation report
Action Evaluate pilot to assess
transferability and roll out potential
Develop a delivery framework to
establish a life-course approach to
healthy weight
13
Outcome 1.1.6a
Increased knowledge and
skills of children, parents and
carers regarding positive oral
health
Outcome 1.1.6a details
Outcome 1.1.6
All children will have
good oral health
Back to 1.1
Outcome 1.1.6b
All children aged 0-5 years
have access to preventive
dental care services
Outcome 1.1.6b details
14
Action
Work with partners to offer
supervised tooth brushing in all
partnership and local authority
nursery schools
Outcome 1.1.6a
Increased knowledge and skills
of children, parents and carers
regarding positive oral health
Back to 1.1.6
Action
Issue of Oral Health Packs to all
children 5 times by age 5
Performance Indicator: 75% of nurseries participating in supervised tooth brushing
programme (available July 2012)
15
Action
All targeted nursery schools are
participating in nursery fluoride
varnish programme
Action
Preventative dental services are
available in target schools
Performance Indicator: 60% of eligible children receiving fluoride varnish application in
nursery school (6 monthly, Fluoride varnish HEAT target is on trajectory
Action
All priority children receive oral health
intervention from a Dental Health Support
Worker (DHSW)
Performance Indicator: Number of referrals per year to DHSWs, 95% of children referred to DHSW
successfully contacted, 100% of children referred to a DHSW register with a dental practice or
receiving ongoing support
Action All local dental practices offer the
Childsmile Practice Programme
Outcome
1.1.6b
All Children
aged 0-5 years
have access to
preventive
dental care
services
Back to 1.1.6
Performance Indicator: 100% of Dental Practices participating in Childsmile practice, 40% of children
0-2 years 11months and 86% of children aged 3-5 years are registered with a dentist
Action
Link with Looked After Children
with key stakeholders to further
develop oral health support
pathway for LAC
Action
Oral health
Support Pathway
for LAC in place
Action
Looked After Children are
supported to achieve good oral
health and regularly attend a
dentist
Performance Indicator: Baseline for % of LAC participating in dental services annually and 6 monthly to be obtained,
link with key stakeholders to further develop oral health support pathway for LAC
16
Action
Work with identified partners to
increase the awareness and
use of parents [email protected]
resources
Action
Deliver the
[email protected] training to
identified partners
including third sector
Action
Monitor and evaluate the number of
certified trainers, training courses
delivered and uptake and usage of
[email protected] resource by families
Outcome 1.1.7
All children have access
to high quality physical
activity
Performance Indicator: Number of people trained
Back to Outcome 1.1
Action
Establish an evidence base for
targeted parent/toddler water
based play
Action
Work in partnership to develop
additional/targeted parent/toddler
water based play where need
identified from evidence base
Action
Commission additional
opportunities for
parent/toddlers to participate
in water based play
Performance Indicator: Evidence base established, additional opportunities available
17
Outcome 1.2
All parents and carers will have access to
learning, support and services to achieve the
best possible outcomes for their children
Back to Outcome 1
Outcome 1.2.1
All parents and carers
will have been offered
support in positive
parenting skills
Outcome 1.2.1 details
Outcome 1.2.2
Improved availability of
and access to early
years services to
improve health &
wellbeing in line with
the five domains of
childhood development
Outcome 1.2.2 details
Outcome 1.2.3
Improved maternal
nutrition-related health
& wellbeing
Outcome 1.2.3 details
18
Action
Work in partnership with
maternity services and other
key services locally to
develop a multi agency
approach to deliver antenatal
parent education that target
specific parents
Action
Facilitate elements
within parent education
core syllabus that is
flexible and responsive
to the priorities of
participating parents and
carers
Action
Delivery of specific parent
education programmes
(antenatal and early postnatal
provision) in order to build the
capacity of vulnerable parents
in preparation for transition to
parenthood
Outcome 1.2.1a
Provide quality parent education
services that meet the needs of
all parents based on the
principles underpinning Getting
it Right For Every Child (2008)
and using asset based
approaches
Performance Indicator: Written syllabus of parent education with resources to support the delivery and training to
increase staff skills and confidence in facilitation and delivery of the syllabus
Action
Develop and agree a business plan to expand the
Parents as First Teacher (PAFT) Programme to
increase the numbers of families offered parenting
support
Action
Commission the Women
and Children‟s Directorate to
extend the PAFT
programme
Outcome 1.2.1b
Parents and parents to be will
have access to parenting
interventions and support
according to need
Performance Indicator: 50% of families who participate in 10 or more personal visits will feel more confident and
competent in parenting practice, including reduced anxiety (insert target – X num of families)75% of families who
participate in a minimum of 10 personal visits will show an increase in parenting knowledge and skills
Action
In conjunction with key partners in NHS psychology
services, Educational psychology services CAMHS
and Health Visiting/Public Health Nursing establish
the evidence base and develop business case for
conduct disorder pilot
Action
Commission identified
partners to pilot
intervention to manage
conduct disorder in
young children
Action
Evaluate pilot to
assess
transferability and
roll out potential
Outcome 1.2.1
All parents and
carers will have
been offered
support in
positive
parenting skills
Back to 1.2
Outcome 1.2.1c
Reduce the number
of children
manifesting with
conduct disorders
Performance Indicator: Pilot commissioned
Action
Work in partnership to support the implementation of Positive About Parenting:
A Framework for Developing Parenting Support Services 2009-12
19
Action
Complete mapping
exercise to identify gaps
in ante-natal and postnatal service provision
and develop full report
with associated
demographic information
Action
Review 0-3 year
services as part of
implementation of
Scottish Government
(2008) Early Years
Framework and the five
domains of childhood
development
Action
Develop a business
case for service
improvement in
partnership with the
Early Years
Planning and
Delivery Group
Outcome 1.2.2
Improved availability of and
access to early years
services to improve health
& wellbeing in line with the
five domains of childhood
development
Back to 1.2
Performance Indicator: Business case developed
20
Action
Improve knowledge
and skills of
practitioners
Action
Incorporate
action to
implement the
Improving
Maternal and
Infant Nutrition: A
Framework for
Action into the
Refreshed
Framework for
Maternity Care
Services
Action
Commission
Women and
Children‟s
Directorate to
facilitate and
co-ordinate
the agreed
D&G Action
Plan
Action
Distribute maternal and infant
nutrition publications and
resources universally as per
nationally agreed early years
information pathway
Outcome 1.2.3a
Women entering pregnancy are a
healthy weight, in good nutritional
health and that this continues
throughout their pregnancy and
beyond
Outcome 1.2.3b
All parents receive full information they
can understand on infant feeding to
enable them to make an informed choice
on how they will feed their infant
Action
Achieve and maintain UNICEF UK BFI accreditation
for Community Healthcare Services (Seven Point
Plan) as minimum standard
Outcome 1.2.3c
All women receive the
support they need to
initiate and continue
breastfeeding for as
long as they wish
Outcome 1.2.3
Improved maternal
nutrition-related
health & wellbeing
Back to 1.2
Action Accredited Breastfeeding Peer Support
Programme will continue to be provided
Action
Improve knowledge and
skills of all those working
with families and young
children
Outcome 1.2.3d
Infants are given appropriate and
timely complementary foods and
continue to have a wide and varied
healthy diet throughout early
childhood
Performance Indicator: Action Plan Developed. Service will be commissioned (PI‟s as per
SLA to be added)
21
Outcome 2
Children enter secondary
school with optimum levels of
health and wellbeing
Back to high level outcome
Outcome 2.1
All children will have access to health and
wellbeing experiences, learning, support and
services to make safe and healthy choices
Outcome 2.2
All parents and carers will have access to
learning, support and services to achieve the
best possible outcomes for their children
Outcome 2.2 details
Outcome 2.1 details
22
Outcome 2.1.1
All children will have
positive mental health
and wellbeing
Outcome 2.1
All children will have access to health and
wellbeing experiences, learning, support and
services to make safe and healthy choices
Outcome 2.1.1 details
Outcome 2.1.9
All children will
have good oral
health
Outcome 2.1.9
details
Back to Outcome 2
Outcome 2.1.8
All children have
access to high
quality physical
activity
Outcome 2.1.8
details
Outcome 2.1.2
Increase access to up to
date, accurate and
appropriate health and
wellbeing information
advice and support via
digital technology
Outcome 2.1.2 details
Outcome 2.1.3
All schools incorporate health and
wellbeing experiences and actions
in planning, learning, teaching,
assessment and reporting
Outcome 2.1.3 details
Outcome 2.1.7
Children make safe
and healthy choices to
maintain their sexual
wellbeing
Outcome 2.1.7 details
Outcome 2.1.4
Improved child
nutrition-related health
& wellbeing
Outcome 2.1.4 details
Outcome 2.1.5
Healthy weight being
maintained among
the target population
Outcome 2.1.5 details
Outcome 2.1.6
Reduce culture of stigma
and discrimination among
children around LGBT
issues and mental health
Outcome 2.1.6 details
23
Action
Research and identify potential
wellbeing tools e.g. PEDS QL,
EDI and Strengths and
Difficulties and in partnership,
agree a shared wellbeing tool
for children
Action
Commission and
administer wellbeing
measurement tool(s) in
identified pilot clusters
over a specified period
Action
Establish
mechanisms to
measure the
wellbeing of children
over time
Outcome 2.1.1
All children will have
positive mental health
and wellbeing
Back to Outcome 2.1
Performance Indicator: Wellbeing tool identified for use in commissioned pilot
Further indicators to be identified
Action
Work in partnership to support the
implementation in Priority One of
Towards a Mentally Flourishing
Scotland: Policy and Action Plan
Action
Prepare brief for commissioning
research and consultation for
digital communication as a means
of increasing communication of
health and wellbeing information to
children
Action
Commission research
and consultation about
digital communication
and resources.
Develop a business
case for ongoing
provision
Action
Develop a range of
digital health and
wellbeing information
and resources for
children and young
people
Outcome 2.1.2
Increase access to up
to date, accurate and
appropriate health and
wellbeing information
advice and support via
digital technology
Back to Outcome 2.1
Performance Indicator: Business case for digital communications
24
Action
Identify and work with X
number of
schools/school clusters
on health and wellbeing
moderation
Action
Develop moderation
process and x
exemplars for health
and wellbeing (across
six HWB areas)
Action
Improve confidence and
skills among school
staff to plan for health
and wellbeing
Performance Indicator: Health and wellbeing moderation X number of exemplars on
Glow
Action
Work with partners in education
to agree two whole cluster pilot
sites that will integrate health
and wellbeing across the entire
curriculum and day to day life of
the school
Action
Commission, implement
and monitor two whole
school/cluster HWB
plans
Action
Review learning
from pilots and
share emerging
practice to inform
continuous
improvement
Outcome 2.1.3
All schools incorporate
health and wellbeing
experiences and actions
in planning, learning,
teaching, assessment
and reporting
Back to Outcome 2.1
Performance Indicator: Two pilots established
25
Action
Work in partnership with schools to
support the implementation of
national guidance for provision of a
nutritionally balanced diet
Outcome 2.1.4a
Children are supported to have good
eating habits to enable healthy
growth and development
Outcome 2.1.4
Improved child nutritionrelated health &
wellbeing
Back to Outcome 2.1
Action
Work in partnership to support
schools and communities to provide
food and health learning
experiences for children and families
Outcome 2.1.4b
Children are offered a range of food
and health learning experiences
Performance Indicator:
26
Action
Commission East and West Directorate to deliver the Child
Healthy Weight interventions
Coordinate delivery of „Raising the Issue of Child Healthy
Weight‟ training to a minimum of 200 participants
Maintain and update Think4urself website
Action
Deliver target number
of CHW interventions
Performance indicator: Achieve Child Healthy Weight Interventions target (413 by
2014), 200 people trained, Number of website hits
Action
Deliver in partnership with
localities, best practice from
the experience of Healthy
Weight Communities
Programme
Action
Implementation in each
locality of a Healthy
Weight Communities
model
Outcome 2.1.5
Healthy weight being
maintained among the
target population
Back to Outcome 2.1
Performance Indicator: Each locality has a plan that incorporates Healthy Weight
Communities ethos
Action
Consult with key stakeholders
to inform development of lifecourse approach to tackling
overweight & obesity
Action
Commission community
based life-course approach
to healthy weight within a
pilot area
Action Evaluate pilot to assess transferability
and roll out potential
Develop a delivery framework to establish a
life course approach to healthy weight
Performance Indicator: Pilot commissioned. Consultation report
27
Action
Work with partners to identify specific
learning experiences and campaigns
to challenge the culture of stigma and
discrimination among children
Action
Increase children‟s
knowledge and
understanding of LGBT
issues and mental health
Outcome 2.1.6
Reduce culture of stigma and
discrimination among children
around LGBT issues and
mental health
Back to Outcome 2.1
Performance Indicator: Ten actions of „see me‟ pledge delivered. Ten schools engaged in Challenging
Homophobic Together project. Further indicators according to campaigns to be established
Action
Undertake consultation
with key stakeholders to
identify key sexual health
priorities
Action
Develop a revised Sexual
Health Action plan in line
with the national Sexual
Health and BBV
Framework 2011-15
Action
Implement action
plan and
commission key
actions as
required
Outcome 2.1.7a
Children have
increased knowledge
and confidence to
maintain their sexual
wellbeing
Outcome 2.1.7
Children make safe
and healthy choices to
maintain their sexual
wellbeing
Back to Outcome 2.1
Performance Indicator: Action Plan produced and indicators prioritised
28
Action
Research and identify
monitoring tool for PA.
Consult and agree method of
measurement with key
stakeholders
Action
Establish a mechanism for
implementing physical activity
measurement tool across two
school clusters
Action
Commission delivery of
physical activity
measurement tool in
identified school clusters
Outcome 2.1.8a
Measurement tool informs
number of children
accumulating minimum
physical activity national
guidelines
Performance Indicator: Two pilots and baseline established
Action
Undertake consultation with
key stakeholders to identify
key PA priorities
Action
Develop a revised PA
prioritised Action Plan
using PHIT indicators
Action
Implement action plan
and commission key
actions as required
Outcome 2.1.8b
Children have increased
opportunities to participate in
physical activity
Performance Indicator: Action Plan produced
Action
Establish an Active Travel Group.
Research and identify mechanisms for
delivering active travel in schools
Action
Develop a business
case for ongoing
provision
Action
Commission delivery of key
active travel programmes in
schools with focus on building
community capacity
Outcome 2.1.8d
Increase the number
of children walking
and cycling to school
Outcome
2.1.8
All children
have access
to high
quality
physical
activity
Back to
Outcome 2.1
Performance Indicator: Active Travel develop a business case.(0.5%)
Finalise a delivery mechanism for Schools and
Community Sport Plans incorporating themes
detailed in Leisure and Sport Strategy including
e.g Active Start 0-9 years
Link to Context ?
Action
Agree local, regional
and national School
and Community Sport
plans
Action
Implement the action
plan and commission
identified programmes
Performance Indicator: Achieve actions in 2011/12 School and Community Sport Plan
Outcome 2.1.8c
School and Community
Sport plans delivered
29
Action
Work with partners to offer
supervised tooth brushing in all
primary schools to at least P1 and
P2 classes
Outcome 2.1.9a
Increased knowledge and
skills of children, parents and
carers regarding positive oral
health
Performance Indicator: 95% of priority target primary schools participating in supervised Tooth
brushing (July 2012), 75 % of primary schools participating in supervised tooth brushing (July 2012),
Resources and processes developed for teachers
Action
Link with key stakeholders to
further develop oral health support
pathway for LAC
Action
Oral health support
Pathway for Looked After
Children in place
Action
Looked After Children are supported to
achieve good oral health and regularly
attend a dentist
Performance Indicator: Baseline for % of Looked After Children participating in dental services
annually and 6 monthly to be obtained, 95% of 6 to 12 year old children are registered with an
NHS Dental Practice
Action
All target primary schools are
participating in the school fluoride
varnish programme
Action
Preventive dental services
are available in targeted
primary schools up to P4
Performance Indicator: 60% of eligible children receiving fluoride varnish application in
school (6 monthly), Fluoride Varnish HEAT target on trajectory
Outcome 2.1.9
All children will have
good oral health
Back to Outcome 2.1
Outcome 2.1.9b
All Children aged 6-12
years will have access to
preventive dental care
services
Action
All priority children receive oral health
intervention from a DHSW
Performance Indicator: Number of referrals per year to Dental Health Support Workers, 95% of children referred to DHSW successfully
contacted, 100% of children referred to a DHSW registering with a dental practice or receiving ongoing support
30
Action
Work in partnership to support the
implementation of Positive About Parenting: A
Framework for Developing Parenting Support
Services 2009-12
Outcome 2.2
All parents and carers will have access to
learning, support and services to achieve the
best possible outcomes for their children
Back to Outcome 2
31
Outcome 3
Young people enter adulthood
with optimum levels of health
and wellbeing
Back to high level outcome
Outcome 3.1
All young people will have access to health
and wellbeing experiences, learning, support
and services to make safe and healthy choices
Outcome 3.1 details
Outcome 3.2
All parents and carers will have access to
learning, support and services to achieve the
best possible outcomes for their children
Outcome 3.2 details
32
Outcome 3.1.1
All young people will have
positive mental health and
wellbeing
Outcome 3.1.1 details
Outcome 3.1.11
Improved nutrition-related
health & wellbeing of young
people
Outcome 3.1
All young people will have
access to health and
wellbeing experiences,
learning, support and
services to make safe and
healthy choices
Back to Outcome 3
Outcome 3.1.2
Increase access to up to date,
accurate and appropriate health
and wellbeing information advice
and support via digital
technology
Outcome 3.1.2 details
Outcome 3.1.11 details
Outcome 3.1.10
Healthy weight being
maintained among the target
population
Outcome 3.1.10 details
Outcome 3.1.3
All schools incorporate health
and wellbeing experiences and
outcomes in planning, learning,
teaching, assessment and
reporting
Outcome 3.1.3 details
Outcome 3.1.4
Reduce risk taking behaviour
and offending among young
people, e.g. substance
misuse, risky sexual
behaviour, problem gambling,
crime
Outcome 3.1.4 details
Outcome 3.1.9
Reduce culture of stigma
and discrimination among
young people around LGBT
issues and mental health
Outcome 3.1.9 details
Outcome 3.1.5
Young people will feel
more confident when
leaving school/care and
more able to make
positive transition
decisions
Outcome 3.1.5 details
Outcome 3.1.6
Young people make
safe and healthy
choices to maintain
their sexual wellbeing
Outcome 3.1.6 details
Outcome 3.1.7
All young people
have access to high
quality physical
activity
Outcome 3.1.7
details
Outcome 3.1.8
All young people will have
good oral health
Outcome 3.1.8 details
33
Action
Research and identify potential
wellbeing tools e.g. PEDS QL,
EDI and Strengths and
Difficulties and in partnership,
agree a shared wellbeing tool for
young people
Action
Commission and
administer wellbeing
measurement tool(s) in
identified pilot clusters
over a specified period
Action
Establish
mechanisms to
measure the
wellbeing of young
people over time
Performance Indicator: Wellbeing tool identified for use in commissioned pilot
Further indicators to be identified
Outcome 3.1.1
All young people will
have positive mental
health and wellbeing
Back to Outcome 3.1
Action
Work in partnership to support the
implementation in Priority One of
Towards a Mentally Flourishing
Scotland: Policy and Action Plan
Action
Prepare brief for commissioning
research and consultation for
digital communication as a means
of increasing communication of
health and wellbeing information
to young people
Action
Commission research
and consultation about
digital communication
and resources. Develop
a business case for
ongoing provision
Action
Develop a range of
digital health and
wellbeing information
and resources for
young people
Performance Indicator: Business case for digital communications
Outcome 3.1.2
Increase access to up to date,
accurate and appropriate
health and wellbeing
information advice and support
via digital technology
Back to Outcome 3.1
34
Action
Identify and work with X
number of
schools/school clusters
on health and wellbeing
moderation
Action
Develop moderation
process and exemplar
materials for health and
wellbeing (across six
HWB areas)
Action
Improve confidence
and skills among
school staff to plan
for health and
wellbeing
Performance Indicator: X number of Health and wellbeing moderation exemplars on
Glow
Action
Work with partners in
education to agree two
whole cluster pilot sites
that will integrate HWB
across the entire
curriculum and day to
day life of the school
Action
Commission,
implement and monitor
two whole
school/cluster HWB
plans
Action
Review learning from
pilots and share
emerging practice to
inform continuous
improvement
Outcome 3.1.3
All schools incorporate
health and wellbeing
experiences and outcomes
in planning, learning,
teaching, assessment and
reporting
Back to Outcome 3.1
Performance Indicator: Two pilots commissioned. Further PIs to be determined
35
Action
Work with key partners to research,
establish the evidence base,
identify and agree a holistic health
behaviour change approach to
tackling risk taking behaviours and
offending. Consult young people
about their experiences and needs
Action
Develop
programme/approach
that can be delivered
across a range of
settings and by range of
partners.
Provide necessary
capacity/skills building
Action
Monitor, evaluate and
track progress of young
people who participate
in order to improve
quality and content of
service delivery
Outcome 3.1.4
Reduce risk taking
behaviour and offending
among young people,
e.g. substance misuse,
risky sexual behaviour,
problem gambling,
crime
Back to Outcome 3.1
Performance Indicator: Establishing the evidence base, Screening tool identified,
Pilot commissioned
Action
In partnership with young people,
education, care providers, further
education providers, employers etc
identify key health and wellbeing
needs to support the transition for
young people leaving school.
Identify actions required to enable
young people‟s needs to be met
Action
In partnership agree
responsibilities for
implementing and
monitoring processes
for improving health
and wellbeing aspects
of transition
Action
Young people leaving
school/care will have best
advice on developing mental
resilience, sexuality and
sexual health, substance
misuse, healthy lifestyles,
financial management and
debt, working life and
preparing for parenthood
Performance Indicator: An agreed programme
Outcome 3.1.5
Young people will feel
more confident when
leaving school/care and
more able to make
positive transition
decisions
Back to Outcome 3.1
36
Action
Undertake consultation
with key stakeholders
to identify key sexual
health priorities
Action
Develop a revised Sexual
Health Action plan in line
with the national Sexual
Health and BBV
Framework 2011-15
Action
Implement action
plan and
commission key
actions as
required
Outcome 3.1.6a
Young people have
increased
knowledge and
confidence to
maintain their sexual
wellbeing
Outcome 3.1.6
Young people make
safe and healthy
choices to maintain
their sexual wellbeing
Back to Outcome 3.1
Performance Indicator: Action Plan produced and indicators prioritised
Action
Work in partnership to
achieve actions in
2011 reducing teenage
pregnancy action plan
Action
Review progress against
self-assessment. Refresh
current reducing action
plan with actions for 201215
Action
Provide regional
leadership for
implementing
actions and
ongoing monitoring
Outcome 3.1.6b
Reduce number of
teenage
pregnancies by
10% (3 year
rolling average –
see SOA)
Performance Indicator: Teenage pregnancy rate
37
Action
Research and identify monitoring
tool for PA. Consult and agree
method of measurement with key
stakeholders
Action
Establish a mechanism for
implementing physical
activity measurement tool
across two school clusters
Action
Commission delivery of
physical activity
measurement tool in
identified school clusters
Outcome 3.1.7a
Measurement tool informs
number of young people
accumulating minimum physical
activity national guidelines
Performance Indicator: Two pilots and baseline established
Action
Undertake consultation with
key stakeholders to identify
key PA priorities
Action
Develop a revised PA
prioritised Action Plan
using PHIT indicators
Action
Implement action plan and
commission key actions as
required
Outcome 3.1.7b
Young people have increased
opportunities to participate in
physical activity
Performance Indicator: Action Plan produced
Action
Establish an Active Travel Group.
Research and identify
mechanisms for delivering active
travel in schools
Action
Develop a
business case for
ongoing provision
Action
Commission delivery of key active
travel programmes in schools with
focus on building community capacity
Outcome 3.1.7c
Increase the number of
young people walking
and cycling to school
.Outcome 3.1.7
All young people
have access to
high quality
physical activity
Back to Outcome
3.1
Performance Indicator: Achieve actions in 2011/12 School and Community Sport Plan
Finalise delivery mechanism for Schools and
Community Sports Plans incorporating themes
identified in Leisure & Sport Strategy
Agree local, regional and
national School and
Community Sport plans
Implement the action
plan and commission
identified programmes
Outcome 3.1.7d
School and Community
Sport plans delivered
Performance Indicator: Achieve actions 2011/12 School and Community Sport Plan
Action
Establish the evidence base and identify
programme to increase the number of girls and
women participating in physical activity
Action
Commission delivery of targeted
women and girls programme from
social marketing research findings
Performance Indicator: one pilot programme delivered
Outcome 3.1.7e
Increase the number of women and
girls participating in sustainable
physical activity programmes
38
Action
Registration with an NHS
Dentist is available
Outcome 3.1.8
All young people will have
good oral health
Back to Outcome 3.1
Performance Indicator: 95% of young people aged 13 to 17 years are registered with
an NHS Dentist
Action
Work with partners to identify specific
learning experiences and campaigns
to challenge the culture of stigma and
discrimination among young people
Action
Increase young
people‟s knowledge and
understanding of LGBT
issues and mental
health
Outcome 3.1.9
Reduce culture of stigma and
discrimination among young
people around LGBT issues
and mental health
Back to Outcome 3.1
Performance Indicator: Ten actions of „see me‟ pledge delivered. Ten schools engaged in Challenging
Homophobic Together project. Further indicators according to campaigns to be established
39
Action
Commission East and West Directorate to deliver the
Child Healthy Weight interventions
Coordinate delivery of „Raising the Issue of Child
Healthy Weight‟ training to a minimum of 200
participants
Maintain and update Think4urself website
Action
Deliver target number
of CHW interventions
Performance Indicator: Achieve Child Healthy Weight Interventions target (413 by
2014), 200 people trained, Number of website hits
Action
Deliver in partnership with
localities, best practice from
the experience of Healthy
Weight Communities
Programme
Action
Implementation in each
locality of a Healthy
Weight Communities
model
Outcome 3.1.10
Healthy weight being
maintained among
the target population
Back to Outcome 3.1
Performance Indicator: Each locality has a plan that incorporates Healthy Weight
Communities ethos
Action
Consult with key stakeholders
to inform development of lifecourse approach to tackling
overweight & obesity
Action
Commission community
based life-course approach
to healthy weight within a
pilot area
Performance Indicator: Pilot commissioned. Consultation report
Action Evaluate pilot to assess
transferability and roll out potential
Develop a delivery framework to
establish a life course approach to
healthy weight
40
Action
Work in partnership with schools to
support the implementation of
national guidance for provision of a
nutritionally balanced diet
Outcome 3.1.11a
Young people are supported to have
good eating habits to enable healthy
growth and development
Outcome 3.1.11
Improved nutritionrelated health &
wellbeing of young
people
Action
Work in partnership to support
schools and communities to provide
food and health learning
experiences for young people and
families
Outcome 3.1.11b
Young people are offered a range of
food and health learning
experiences
Back to Outcome 3.1
41
Action
Work in partnership to support the
implementation of Positive About Parenting: A
Framework for Developing Parenting Support
Services 2009-12
Outcome 3.2
All parents and carers will have access to
learning, support and services to achieve the
best possible outcomes for their children
Back to Outcome 3
42
Adults and Older People‟s
Action Plan
Back to foreword
43
The Joint Health and Wellbeing Unit, Adults and Older People (A&OP) Work Plan sets out a number of high level outcomes which will be
delivered over the next year. Health Improvement outcomes are usually long term therefore a number of performance indicators are included
to help gauge progress.
The high level strategic Outcome of the Adults and Older People Team is:‘All adults and older people living and working in Dumfries and Galloway will have the opportunity to achieve optimum levels of
health and wellbeing’
Specific programme outcomes are:
1. The health improvement culture of workplaces in Dumfries and Galloway is improved while supporting individuals to seek and remain in
work
2. People in our local communities will experience good mental health and wellbeing
3. Promote and improve healthy living
4. To build capacity within communities that will improve levels of social capital, safety and security of region
5. Protect and sustain our environment
An * denotes new areas of work.
The strategic direction of the Adult and Older People Team is aligned to a number of national and local policy drivers including the Equally Well
Action Plan Implementation Plan 2008, the Change Fund 2010, Single Outcome Agreement (draft) 2012-14 and the NHS Quality Strategy
2010. The Work Plan is also aligned to a number of local strategies and action plans for example for food and health, physical activity, sexual
health and locality health improvement plans. Two new local indexes are included to measure health improvement for physical activity and,
food and health; these have been developed because of the lack of measurement tools available.
In order to meet these outcomes partnership working with the Council, D&G NHS, Third Sector and Independent Sector, and the Private Sector
is both necessary and valued.
Team:
Elisabeth Smart (Consultant in Public Health)
Thomesena Lochhead, Linda McFarlane, Phil Myers, Linda Owen (Health & Wellbeing Specialists)
Claire Thirlwall, Richard Smith (Health & Wellbeing Officers)
.
44
High Level Outcome
‘All adults and older people living and working in Dumfries and Galloway
will have the opportunity to achieve optimum levels of health and
wellbeing’
Workplace
Sustaining the environment
Mental Health & Wellbeing
Adults & Older People
Themes
Community Resilience
Healthy Living
45
Adults and Older People’s (A&OP) Action Plan
High Level Outcome
All adults and older people living and working in
Dumfries and Galloway will have the opportunity to
achieve optimum levels of health and wellbeing
Outcome 1
Workplace
Improve
the
health
improvement culture of
workplaces in Dumfries
and Galloway while
supporting individuals to
seek and remain in
work
Outcome 2
Mental Health &
Wellbeing
People in our local
communities
will
experience
good
mental health and
wellbeing
Outcome 3
Healthy Living
Promote
and
improve healthy
living in adults and
older people
Outcome 4
Community
Resilience
To build capacity
within communities
that will improve
levels of social
capital, safety and
security of region
Outcome 5
Sustaining the
Environment
Protect and
sustain our
environment
Back to foreword
46
Outcome 1
Workplace
Improve the health improvement culture of
workplaces in Dumfries and Galloway while
supporting individuals to seek and remain
in work
Back to High Level Outcomes
1.1 Through the HWL
programme workplaces
will be supported to
become healthy working
environments (improved
and supportive working
conditions)
Outcome 1.1 details
1.6 Actions
associated with
Health Promoting
Health Service
implemented
Outcome 1.6 details
1.2 Increase in mentally
healthy workplaces
(reduced mental health
stigma and inequalities)
Outcome 1.2 details
1.3 Improved health of
public (including Police,
rd
Fire and Rescue) and 3
Sector staff
1.4 More people in
work, well and more
productive
1.5 More workplaces
supported to engage
with the sustainability
and environmental
agenda
Outcome 1.5 details
Outcome 1.4 details
Outcome 1.3 details
47
Outcome 1.1
Through the HWL programme workplaces
will be supported to become healthy working
environments (improved and supportive
working conditions)
Back to High Level Outcome 1
Outcome1.1.1
Increase in number of
HWL award
registrations and
HWL Awards
achieved
Outcome1.1.2.
Workplaces supported
to undertake HNA and
develop action plans
Outcome 1.1.3
Workplaces
supported to
implement sickness,
absence,
management and
welfare policies
Outcome 1.1.2 details
Outcome 1.1.3 details
Outcome *1.1.4
Health Promoting
Prison Framework
supported and
implemented
Outcome 1.1.4 details
Outcome 1.1.1 details
48
Action 1.1.1a
Delivery model
implemented to
increase
communication,
support and
assessment of
HWL Awards
Performance
Indicator:
Link to outcomes and
Level 4 and 5 Actions
1.1.1a
1.1.1a
1.1.1a
1.1.a
1.1.1e
Action 1.1.2a
Support workplaces to
undertake HNA‟s and
develop action plans
Action1.1.1b
Produce localised
HWL
communication
plan for employers
(„HWL Offer‟)
Action1.1.1c
Provide regular
updates on HWL
activity on NHS
D&G websites
Key Performance
Indicators
KPI - baseline
Number of HWL Award
registrations
Number of HWL Award
achieved
Number of health
improvement visits to non
registered organisations
Number of HWL awareness
raising or training sessions
organised as one to many
sessions
HWL Award ceremony held
Action 1.1.2b *
Develop assessment
tool to measure
aspects of job control,
satisfaction and stress
Action1.1.1d
Engage with
D&G Chamber
of Commerce
and FSB to
promote HWL
Programme
Action1.1.1e
Deliver HWL
Award
ceremony
Action1.1.1f
Work to ensure
links are
maintained with
the HWL
OH&S agenda
Outcome 1.1.1
Increase in number
of HWL Award
registrations and
HWL awards
achieved
Back to Outcome 1.1
KPI target
2011 - 2012
KPI target
2012 - 2013
Links to SOA, HEAT
and other targets
2
8
5
10
17
24
SCHWL Service Level
Agreement
SCHWL Service Level
Agreement
SCHWL Service Level
Agreement
N/A
6
SCHWL Service Level
Agreement
October 2011
Action 1.1.2c *
Work with identified
workplaces to pilot
assessment tool to
measure job control
satisfaction and stress
October 2012
Action 1.1.2d *
Influence local NHS/DGC
Managers to include
measures of job control, job
satisfaction and stress in
future staff surveys/audits
SCHWL Service Level
Agreement
Outcome 1.1.2
Workplaces
supported to
undertake HNA and
develop action plans
Back to Outcome 1.1
Performance
Indicator:
Link to outcomes and
Level 4 and 5 Actions
1.1.2b
1.1.2c
1.2.1a
1.2.2b
1.1.2b
1.1.2c
1.1.2d
1.2.1a
1.1.2b
1.1.2c
Key Performance Indicators
Assessment tool to measure aspects of job
control, satisfaction and stress in pilot phase
by March 2012
% level of job control and job satisfaction
(NHS D&G)
KPI - baseline
KPI target
2011 - 2012
KPI target
2012 - 2013
Links to SOA, HEAT
and other targets
Pilot complete
Pilot complete
49
% level of job control and job satisfaction
rd
(Private and 3 Sector)
Pilot complete
Action 1.1.3a
Action 1.1.3b
Action 1.1.3c
Audit of SME‟s to assess
requirement of support
needed to develop
Sickness Absence
Management (SAM)
policies
Support SME‟s to develop
and implement SAM
policies and other Staff
Welfare Policies
Deliver awareness raising
sessions for SME‟s on
SAM and mental health in
the workplace
Back to Outcome 1.1
Action1.1.4a
Action 1.1.4b
HMP Dumfries
supported to maintain
HWL Gold Award
status
HMP Dumfries
supported to achieve
HWL Mentally
Healthy Workplace
Commendation
Award
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
1.1.4a
1.1.4b
Outcome 1.1.3
Workplaces supported to
implement sickness,
absence, management and
welfare policies
Action1.1.4c*
Action1.1.4d *
Investigate opportunities
to pilot an AHP
supported return to work
service within HMP
Dumfries (to be
identified)
Explore opportunities
to work in partnership
with HMP Dumfries
to provide support to
those engaged with
Criminal Justice
System
Key performance indicators
HMP Dumfries HWL Gold Award maintained
HMP Dumfries HWL Mental Health Commendation Award
achieved
KPI - baseline
HWL Gold Award
achieved August
2011
Nil
KPI target
2011 - 2012
Outcome 1.1.4
Health Promoting Prison
Framework supported and
implemented
Back to Outcome 1.1
KPI target
2012 - 2013
Health Promoting
Prison Framework
Gold Award
achieved
Plan agreed
Links to SOA,
HEAT and other
targets
Commendation
Award achieved
Health Promoting
Prison Framework
50
Outcome 1.2
Increase in mentally healthy workplaces
(reduced mental health stigma and
inequalities
Back to High Level Outcome 1
Outcome 1.2.1
Assessment tool
developed and used to
measure levels of job
control and job
satisfaction
Outcome 1.2.2
Increase in number of
workplaces with policies
supporting mental health
and wellbeing
Outcome 1.2.3
Increase in number of
workplaces receiving
HWL Mentally Healthy
Workplace training
Outcome 1.2.1 details
Outcome 1.2.2 details
Outcome 1.2.3 details
51
Action 1.2.1a
*Develop
assessment tool to
measure aspects of
job control
satisfaction and
stress
Action 1.2.2a
Undertake audit to
assess number of
workplaces with
policies supporting
mental health and
wellbeing
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
1.2.2e
Action 1.2.1b *
Work with identified
workplaces to pilot
assessment tool to
measure job control
satisfaction and
stress
Action 1.2.2 b
Deliver policy
development
sessions and
information sessions
to workplaces
Outcome 1.2.1
Assessment tool developed
and used to measure levels
of job control and job
satisfaction
Action 1.2.1c *
Influence local NHS /
DGC Managers to include
measures of job control,
job satisfaction and stress
in future staff
surveys/audits
Action 1.2..2c
Support workplaces to
implement
organisational
statements of intent for
physical activity,
healthy eating etc
Key performance indicators
Number of organisations referred to Keep Well Programme
through HWL
Back to Outcome 1.2
Action 1.2.2d
Support workplaces
to engage with
training programmes
delivered under the
Mental Health
strategy eg suicide
prevention
KPI - baseline
Action 1.2.2e
Support
workplaces to
engage with the
Keep Well
programme
KPI target
2011 - 2012
Outcome 1.2.2
Increase in number
of workplaces with
policies supporting
mental health and
wellbeing
Back to Outcome
1.2
KPI target
2012 - 2013
Links to SOA,
HEAT and other
targets
SOA HEAT
52
Action 1.2.3a
Establish programme
of training for HWL
Mentally Healthy
Workplace training
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
Action 1.2.3b*
Investigate opportunities
to deliver joint / cross
border training eg: in
partnership with
neighbouring NHS
Boards
Action 1.2.3c
Promote HWL Mental
Health Commendation
Award to HWL clients
Key performance indicators
Action 1.2.3d
Evaluate the impact of
HWL Mentally healthy
Workplace training
through auditing changes
in behaviour and practice
Outcome 1.2.3
Increase in number of
workplaces achieving the
HWL Mental Health
Commendation Award
Back to Outcome 1.2
KPI - baseline
KPI target
2011 - 2012
1.2.3a
Number of Mentally Healthy Workplace Training sessions
delivered
2
1.2.3c
Number of workplaces achieving the HWL Mental Health
Commendation Award
1
KPI target
2012 - 2013
Links to SOA,
HEAT and other
targets
53
Outcome 1.3
We will have improved the health of
public (including Police, Fire and
Rescue) and 3rd Sector staff
Back to High Level Outcome 1
Outcome1.3.1
Public sector
organisations will have
embraced the concept
of the Public Sector
Mandate
Outcome1.3.2
Capacity to deliver
health improving
interventions increased
across public sector
Outcome 1.3.3
Increase in awareness
of mental health and
wellbeing issues among
rd
public and 3 sector
managers
Outcome 1.3.1 details
Outcome 1.3.2 details
Outcome 1.3.3 details
Outcome 1.3.4
Increase in number of
joint health improving
activities delivered
Outcome 1.3.4 details
Action 1.3.1a
Public sector working
towards achievement of
Healthy Working Lives
Award (Gold Award for
NHS by 2014)
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
Action 1.3.1b *
Public sector supported to
implement healthy vending
policies and achieve
Healthyliving Award Plus
Action 1.3.1c
Public sector
suppliers/contractors to
be encouraged to
participate in HWL Award
Key performance indicators
1.3.1a
NHS D&G Primary and Community Care Directorates to
achieve HWL Silver Award by April 2012
1.3.1a
NHS D&G Acute Sector to achieve HWL Bronze Award by
April 2012
Action 1.3.1d
Work in partnership to
encourage public sector
sustainable food
procurement
KPI - baseline
HWL Bronze
Award achieve by
PCCD‟s
September 2011
KPI target
2011 - 2012
2
Plan in place
Outcome1.3.1
Public sector
organisations will have
embraced the concept of
the Public Sector
Mandate
Back to 1.3
KPI target
2012 - 2013
Links to SOA,
HEAT and other
targets
HPHS CEL?
Safe and Well at Work
OHS Framework for
NHS Scotland
HPHS CEL?
Safe and Well at Work
OHS Framework for
NHS Scotland
54
Action 1.3.2a
Undertake audit of public
sector to ascertain
opportunities to deliver a
range of health
improvement training
sessions
Action 1.3.3a
Audit of public sector
organisations to
ascertain level of mental
health improvement
activity
Action 1.3.2b
Through existing learning
and development networks
establish a programme of
health improvement
training for public sector
staff
Action 1.3.3b
Public sector working
towards the HWL
Mental Health
Commendation Award
Action 1.3.2c
Undertake evaluation of
training programme to
ascertain effectiveness in
terms of knowledge,
application and future
training needs
Action 1.3.3c
Mental health
awareness training
delivered to managers
and staff in public sector
organisations
Outcome 1.3.2
Capacity to deliver
health improving
interventions increased
across public sector
Back to Outcome 1.3
Action 1.3.3d
Public sector to be
encouraged and
supported to
participate in the Keep
Well programme
Outcome1.3.3
Increase in awareness
of mental health and
wellbeing issues among
rd
public sector and 3
sector managers and
staff
Back to Outcome 1.3
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
Key performance indicators
1.3.3b
NHS D&G achieved HWL Mental Health Commendation Award
by 2013
1.3.3d
Number of Public Sector employees receiving Keep Well
checks
KPI – baseline
KPI target
2011 – 2012
Plan in place
KPI target
2012 – 2013
Links to SOA,
HEAT and other
targets
HPHS CEL?
Safe and Well at Work
OHS Framework for
NHS Scotland
55
Action 1.3.4a*
Explore opportunity
to establish joint
public sector health
improvement
activity group
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
1.3.4d
1.3.4e
1.3.4e
Action 1.3.4b
Based on HNA
deliver a
programme of joint
activities and
campaigns across
the public sector eg
active travel,
alcohol etc
Action 1.3.4c
Investigate
opportunities to
maximise public
sector
communication
mechanisms to
provide health
improvement
information/
messages
Key performance indicators
Model of delivery for healthy weight groups in Public Sector
developed
Active Nation - % of NHS staff meeting physical activity level
guidelines
% of NHS staff aware of the Active Nation brand
Outcome1.3.4
Increase in number of
joint health improving
activities delivered
Action 1.3.4d*
Explore
opportunities to pilot
Healthy Weight
groups within NHS
and DGC (based on
Obesity Route Map
Action 4.6)
KPI – baseline
KPI target
2011 – 2012
Back to Outcome 1.3
KPI target
2012 – 2013
0
2
23%
25%
27%
17%
30%
50%
Links to SOA,
HEAT and other
targets
Boorman Report
Obesity Route Map
HPHS CEL? Common
Health Legacy
Common Health
Legacy
56
Outcome 1.4
More people in work, well and
more productive
Back to High Level Outcome 1
High Level Outcome
Actions detailed in NHS D&G Health Works
strategy being implemented
Outcome 1.4.1
NHS D&G will
embrace the
employability and
vocational
rehabilitation agenda
Outcome 1.4.2
Community Planning
Partners understand
the links between
work and health
Outcome 1.4.3
Individuals involved
with criminal justice
system will be
supported to find
employment
opportunities
Outcome 1.4.4
The employability
needs of carers will
be explored and
supported
Outcome 1.4.5
Those with physical
and learning
disabilities will be
supported to find
employment
opportunities
Outcome 1.4.1 details
Outcome 1.4.2 details
Outcome 1.4.3 details
Outcome 1.4.4 details
Outcome 1.4.5 details
57
Action 1.4.1a
Promote and
implement the
concepts of the
„Scottish Health
Offer‟‟
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
1.4.1a
1.4.1b
1.4.1c
Action 1.4.1b
Deliver Health
and
Employability
training to
health
professionals
Model of delivery for implementing the Scottish Health Offer
tested
Number of health professionals receiving Health and
Employability Awareness training
Model proposed for implementing an NHS Health Academy
Action 1.4.1a
Engage with
Work
Programme
providers to
access health
input to Work
Programme
KPI - baseline
Action 1.4.2b
Ensure that the role of
health in relation to
employability
continues
to
be
actively promoted at
the D&G Employability
Partnership
Key performance indicators
NHS D&G engaging actively with D&G Employability
Partnership
KPI target
2011 - 2012
Outcome1.4.1
NHS D&G will embrace
the employability and
vocational rehabilitation
agenda
Back to Outcome 1.4
KPI target
2012 - 2013
Draft model
20
NHS D&G engaging with Working Links and Life Skills (Work
Programme providers) to assess health input to Work
Programme
Action 1.4.2a
Continue to actively
promote
the
links
between
work
and
health to key strategic
groups
1.4.2b
Action 1.4.1d
In partnership with
DGC Employability
& Skills Service
explore
opportunities to
include „health‟ as
part of Work Clubs
activity programme
Key performance indicators
1.4.1e
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
Action 1.4.1c*
Explore
opportunities to
establish an
NHS Health
Academy
Links to SOA,
HEAT and other
targets
Health Works
80
Health Works
Draft model
HWL
Arrangements
in place for
quarterly
meetings
Health Works
Outcome1.4.2
Community Planning
Partners understand the
links between work and
health
Action 1.4.2c
Produce
Information
leaflet clearly setting out
the role of health in
relation to supporting
people
into
and
remaining in work
KPI - baseline
KPI target
2011 - 2012
4 meetings per
year
4 meetings per
year
Back to Outcome 1.4
KPI target
2012 - 2013
Links to SOA,
HEAT and other
targets
Health Works and
Equally Well
58
Action 1.4.3a*
Establish formal links
with
key
partners
involved
in
criminal
justice agenda in order
to
identify
common
areas of work
Action 1.4.4a*
Undertake
audit
of
carers to identify issues
/ barriers to employment
/ activity
Action 1.4.5a*
Undertake
audit
of
patients / clients with
physical
/
learning
needs
to
identify
potential
areas
of
support
Action 1.4.3b*
Work with employers to
overcome barriers to
providing employment
opportunities for those
engaged with criminal
justice system
Action 1.4.4b*
Undertake
audit
of
employers to assess
levels of support for
facilitating carers within
the workplace
Action 1.4.5b*
Work with Public Sector
to provide specified
number
of
work
placement opportunities
for those with complex
needs
Action 1.4.3c*
Set up planning group to
investigate opportunities
for
future
project
development
Outcome 1.4.3
Individuals involved with
criminal justice system will
be supported to find
employment opportunities
Back to Outcome 1.4
Action 1.4.4c*
Explore opportunities
to work with key
partners to develop a
pilot intervention which
supports carers in or
into employment
Outcome1.4.4
The employability needs
of carers will be explored
and supported
Back to Outcome 1.4
Outcome1.4.5
Those with physical and
learning disabilities will
be supported to find
employment
opportunities
Back to Outcome 1.4
59
Outcome 1.5
More workplaces supported to engage with the
sustainability and environment agenda
Back to High Level Outcome 1
Outcome 1.5.1
Workplaces
will
be
encouraged to contribute to
being a carbon neutral
region
Outcome 1.5.1 details
Action 1.5.1a
Deliver
policy
development
and
support around active
travel
including
promotion of the Cycle
Friendly
Employer
Initiative
Action 1.5.1b
Work
with
NHS
partners to „green‟ the
NHS estate
Action 1.5.1c
Promote the concept
that businesses should
seek to encourage sub
contractors to engage
with the HWL Award
Action 1.5.1d
Work in partnership to
encourage public sector
sustainable
food
procurement
Action 1.5.1e.
Workplaces
will
be
encouraged
to
contribute to being a
carbon neutral region
60
Outcome 1.6
Actions associated with Health Promoting Health
Service initiative implemented
Back to High Level Outcome 1
Outcome 1.6.1.
Framework for
implementing
HPHS
agreed
across
Acute
and
Primary
Care Sectors
Outcome 1.6.2
HPHS
actions
for
smoking
implemented
Outcome 1.6.3
HPHS
actions
for
alcohol
implemented
Outcome 1.6.4
HPHS actions
for
breastfeeding
implemented
Outcome 1.6.5
HPHS actions
for
Healthy
Working Lives
implemented
Outcome 1.6.6
HPHS
actions
for sexual health
implemented
Outcome 1.6.7
HPHS
actions
for
physical
activity
and
active
travel
implemented
Outcome 1.6.8
HPHS
actions
for food and
health
implemented
Actions
Implement framework and Action Plan for
HPHS actions
Performance
Indicator:
Link to Outcomes and
Level 4 and 5
Actions
1.6.1
1.6.2
1.6.2
1.6.3
1.6.3
1.6.4
1.6.5
1.6.8
1.6.8
Key performance indicators
KPI - baseline
KPI target
2011 - 2012
KPI target
2012 - 2013
Links to SOA, HEAT
and other targets
Framework and Governance protocol in place to respond to
HPHS Action in Acute settings CEL?
Evidence of full time equivalent (FTE) hours of Smoking
Cessation support available within Acute setting
NHS D&G Tobacco Policy reviewed and revised
HPHS CEL
NHS Quality Strategy
HPHS CEL
HEAT 6
HPHS CEL
Number of A&E attendances who are screened
opportunistically for alcohol misuse as a % of total attendances
NHS D&G Substance Misuse Policy reviewed and revised
HPHS CEL
HEAT 4
HPHS CEL
Subsistence
Misuse Policy
implemented
HPHS CEL
Achievement of UNICEF Baby Friendly initiative in Maternity
Unit
NHS D&G achieve HWL Gold Award by 2014
Number of NHS catering sights achieving the Healthyliving
Award Plus
Group established to develop NHS D&G Healthy Vending
Policy
HPHS CEL
Public Sector Mandate
HPHS CEL
Healthy
vending policy
implemented
HPHS CEL
61
Outcome 2
Mental Health & Wellbeing
People in our local communities
will experience good mental health
and wellbeing
Back to High Level Outcomes
Outcome 2.1
Will support the reduction
of suicide and common
mental health problem
Outcome 2.1 details
Outcome 2.2
People experiencing
challenging circumstances will
have an improved quality of life
Outcome 2.3
Social inclusion will be
improved within our services
and
communities
(With
Inclusion in Mind 2007)
Outcome 2.3 details
Outcome 2.2 details
62
Outcome 2.1
Will support the reduction of suicide and
common mental health problems
Back to Outcome 2
Outcome 2.1.1
Will co-ordinate the local delivery
of the Choose Life Strategy
Outcome 2.1.2
Will support access to self
help interventions
Outcome 2.1.1 details
Outcome 2.1.2 details
63
Outcome 2.1.1
Will co-ordinate the local delivery
of the Choose Life Strategy
Back to Outcome 2.1
Action 2.1.1a
Co-ordinate and deliver
training so that individuals
can provide initial support
to those displaying signs
and symptoms of distress
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
2.1.1a
Action 2.1.1b
Work with partners to
promote
marketing
on
available help via various
mechanisms
Key performance indicators
Number of training sessions deliver
Action 2.1.1c
Work with partners to
provide support to those
affected by suicide
KPI - baseline
12
KPI target
2011 - 2012
10
Action 2.1.1d
Work with partners to
research, develop and pilot
training around self harm
KPI target
2012 - 2013
Links to SOA,
HEAT and other
targets
10
HEAT 5
2.1.1b
Number of marketing campaigns delivered
0
1
1
2.1.1c
Number of partners supported
2
2
2
Stages of self harm training complete
0
Research and
Mapping
Exercise
complete
Develop pilot and
evaluate one
training session
2.1.1d
National target to
reduce suicide rates by
20%
64
Outcome 2.1.2
Will support access
interventions
Back to Outcome 2.1
Action 2.1.2a*
Support access to
interventions by
researching, planning and
developing a pilot to look
at social prescribing
within our communities
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
to
self
help
Action 2.1.2 b
Work with partners to
improve
knowledge
of
existing
self
help
interventions such as Living
Life to the Full, BHC and
LTC programmes
Key performance indicators
2.1.2a
Stages of social prescribing completed
2.1.2b
Increase number of issues of the healthy reading catalogue
Action 2.1.2c
Work with partners to
improve knowledge and
awareness of mental health
through the deliverance of
various
campaigns
and
activities
KPI - baseline
0
1400
KPI target
2011 - 2012
KPI target
2012 - 2013
Links to SOA,
HEAT and other
targets
Research and
Literature
Review
complete
Partnerships and
mechanisms
developed to
have at least one
activity delivered
Section 26 Mental
health Act 2003
Increase by
10%
Increase by 10%
Number of Scottish mental health First Aid training sessions
delivered
12
8
8
Support agencies / front line staff delivering support to
individuals through supervision, mentoring and training
Currently
supporting
Ongoing
support
Ongoing support
0
1
1
Link to 2.2, 2.3, and outcome 4
2.1.2c
Number of campaigns delivered
65
Outcome 2.2
People experiencing challenging circumstances will
have an improved quality of life
Back to Outcome 2
Outcome 2.2.1
Use a person centred approach to
support individuals with challenging
circumstances
Outcome 2.2.1 details
Outcome 2.2.2 Create opportunities
within local communities that will
empower
individuals and improve
their health and well being
Outcome 2.2.2 details
66
Outcome 2.2.1
Use a person centred approach to
support individuals with challenging
circumstances
Back to Outcome 2.2
Action 2.2.1a
Work with partners to increase
support to those experiencing
domestic
abuse
through
implementing routine enquiry
within
6
NHS
services
(community, drug emergency,
maternity,
mental
health,
sexual health)
Action 2.2.1b *
Work with partners to
improve or establish
self management
support for individuals
with LTC‟s and
challenging
circumstances ‟
Action 2.2.1c
Establish stronger links
with front line health
professionals, clinicians
and external agencies
who will signpost to
community development
programmes
Action 2.2.1d *
Work with partners to
engage with war
veterans around their
health and well being
Performance
Indicator:
Link to Outcomes and
Level 4 and 5
Actions
2.2.1a
2.2.1b
2.2.1c
Key performance indicators
KPI target
2011 - 2012
KPI target
2012 - 2013
0
0
3
0
6
Number of individuals who access health improving activities and/ or „one to one‟ support
Number of individuals who report improved health outcomes as a result of interventions
(link to 4.2.1d)
Number of partners working together on specific projects / initiatives ( link to 4.2.1c)
No of individuals referred / signposted to agencies / organisations e.g. the „Keep Well‟
rd
and LLTF, BHC and 3 sector programmes
400
250
30
600
450
900
550
Explore ways to establish and strengthen referrals from front line workers /agencies to
community development programmes
Ad hoc
Number of NHS services making routine enquires about gender based violence.
Training delivered to three NHS services
Stages of project complete
2.2.1d
KPI baseline
Links to
SOA, HEAT
and other
targets
CEL 41
Guan Yersel
LTCAS, SE
2008
100
To be
established
Pathways
established
Research and
evaluation of
needs
undertaken
Equally Well
To be
determined
67
Outcome 2.2.2
Create opportunities within local
communities that will empower
individuals and improve their health
and well being
Back to Outcome 2.2
Action 2.2.2a
Action 2.2.2c
Action 2.2.2.b
Provide training and ongoing
rd
support to partners ( inc 3 sector)
organisations and volunteers to
allow them to deliver initiatives/
activities that support those living
with challenging circumstances
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
2.2.2a
2.2.2b
2.2.2c
Key performance indicators
No of initiatives delivered that improve mental health and
wellbeing
No of training sessions / opportunities taken up by partners
on specific training
No of volunteers recruited, supported and undergoing
ricktering process.
No of volunteer placements taken up within the context of
individual personal development
No of awareness raising events
development programmes
Provide resources and develop
opportunities that will support
partners e.g. BHC to offer one
to one personal development
support of individuals.
(Linked to outcome 4)
Support partners in establishing
volunteering placements within
programmes, agencies and
organisations.
to support community
No of individuals who take up structured learning,
volunteering and or employment
KPI - baseline
KPI target
2011 - 2012
36
42
KPI target
2012 - 2013
Links to SOA,
HEAT and other
targets
----
40
60
2
8
10
10
6
10
68
Outcome 2.3
Social inclusion will be improved within our
services and communities (With Inclusion in
Mind 2007)
Back to Outcome 2
Outcome 2.3.1
Improve access and awareness of
current opportunities to remove
social exclusion through agencies
rd
i.e. 3 Sector, DGC and BHC
Outcome 2.3.2
Tackle
the
discrimination
health
Outcome 2.3.1 details
Outcome 2.3.2 details
stigma
and
around
mental
69
Outcome 2.3.1
Improve access and awareness of
current opportunities to remove
social exclusion through agencies
rd
i.e. 3 Sector, DGC and BHC
Back to Outcome 2.3
Action 2.3.1a
Carry out regular needs
assessments with local
communities and develop
local action plans to
establish outreach to local
communities
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
Action 2.3.1b
Support
effective
partnership working by
offering regular training
and support for local
people to engage with
their local communities.
Action 2.3.1c*
Will work with Partners i.e.
Personalisation Team to
explore ways to improve
access and awareness of
current opportunities that aim
to remove social exclusion
Key performance indicators
KPI baseline
Action 2.3.1.d*
Develop pilot with partners
that assist people involved
with the criminal justice
system to improve inclusion
KPI target
2011 - 2012
KPI target
2012 - 2013
2.3.1a
Acton planning sessions and bi annual reviews
4/ 4
4/4
2.3.1b
Regular training of partnership members and volunteers in PA skills and
refreshers
Regular evaluation training e.g. LEAP planning / monitoring and evaluation
methods
Number of community engagement activities (PA sessions, workshops etc)
1-2
4
0
10
10
0
2
0
2.3.1c
2.3.1d
Investigate new opportunities to improve access
Number of Partners supported
Number of activities supported
Develop „pilot‟ to assist people involved with the criminal justice system to
improve inclusion
Links to SOA,
HEAT and
other targets
4/4
70
Outcome 2.3.2
Tackle the stigma and
discrimination around
mental health
Back to Outcome 2.3
Action 2.3.2a
Work with partners to plan
and deliver appropriate
campaigns to tackle the
stigma of mental ill health
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
Key performance indicators
Action 2.3.2b
Deliver training to allow
individuals to have a
better understanding of
mental health issues
KPI - baseline
KPI target
2011 - 2012
KPI target
2012 - 2013
2.3.2a
Number of campaigns delivered
0
1
1
2.3.2b
Number of training sessions delivered
12
10
10
Links to SOA,
HEAT and other
targets
71
Outcome 3
Healthy Living
Promote and improve healthy
living in adults and older people
Back to high level outcomes
Adults and older people
increase
consumption
of
healthier food through:
3.1a increased demand and
3.1b increased supply of
healthier food
Outcome 3.1 details
3.6 Adults and older people
with additional support needs
have increased knowledge
and confidence to support
them in achieving good oral
health
Outcome 3.6 details
3.2a Adults and older people
have increased access to
physical opportunities
3.2b Adults and older people
have increased knowledge
confidence and skills to be
physically active
Outcome 3.2 details
3.3 Adults and older people
have increased knowledge,
skills and confidence to
maintain healthy weight
3.4 Adults and older people
have increased knowledge
and confidence to maintain
sexual wellbeing
Outcome 3.3 details
Outcome 3.4 details
3.5 Adults and older people
have increased knowledge
and confidence to make
healthy
choices
around
alcohol, tobacco and drugs
Outcome 3.5 details
72
Adults and older people increase consumption of
healthier food through:
3.1a increased demand and
3.1b increased supply of healthier food
Back to Outcome 3
Outcome 3.1.1
Support partners to deliver on
the Food and Health Index Tool
(FHIT)
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
3.1a; 3.1b; 3.1.1
Key performance indicators
KPI - baseline
KPI target
2011 - 2012
KPI is to increase the overall FHIT score, based on score of the
indicators below ie extent to which action has been taken to:
FHIT 1 : increase opportunities for people to learn how to
cook wholesome meals from scratch and how to budget and plan
for shopping
FHIT 2: increase number of allotments/community gardens /
growing fruit and veg
FHIT 3 : increase public sector procurement of sustainably
produced and sustainably packaged food
FHIT 4 : increase alternative food networks to ensure
availability of healthier and/or local food across the region
FHIT 5 : increase (commercial) fruit and vegetable production
FHIT 6 : increase the capacity of Volunteers, support
workers, carers and care staff in food and nutrition knowledge
and training
FHIT 7 : increase availability and affordability of fresh and or
healthy produce in convenience stores, corner shops etc.
FHIT 8 : increase number of outlets serving food across the
sectors (statutory, private, community and voluntary) with HLA
FHIT 9 : increase interventions to raise awareness of food
and/or nutritional issues amongst vulnerable groups
38.5/90
(September 2010)
TBC (*needs to
be revised due
to changes to
FHIT)
KPI target
2012 - 2013
Links to SOA,
HEAT and other
targets
Increased consumption
of fruit and veg
(Scottish Health
Survey, 2012)
73
Outcome 3.2
Outcome 3.2a Adults and older people have increased
access to physical opportunities
Outcome 3.2b Adults and older people have increased
knowledge confidence and skills to be physically
active
Back to Outcome 3
3.2.1
Support partners to deliver on
the Physical Activity Index Tool
(PHIT)
Performance
Indicator:
Link to
Outcomes
and Level 4
and 5
Actions
3.2a; 3.2b;
3.2.1
Key performance indicators
KPI baseline
KPI is to increase the overall FHIT score, based on score of the indicators below ie extent to
which action has been taken to:
PHIT 1 : increase % of Games for Scotland Legacy Plan outcomes being impacted upon
PHIT 2 : increase % of population within quarter mile of stock free, barrier free, maintained
paths
PHIT 3 : increase number of barriers to access on paths which are removed or improved
PHIT 4 : increase number of participants attending facilitated physical activities
PHIT 5 : increase number of attendance per 1000 population for swimming pools
PHIT 6 : increase number of attendances per 1000 population for indoor sports and leisure
facilities excluding pools in a combined complex
PHIT 7 : increase number of „hard to reach‟ groups participating in physical activity
PHIT 8 : increase number of participants in L&S Diversionary Activities
PHIT 9 : increase by 0.5% annually % children walking and cycling to school
PHIT 10 : increase number of Dumfries and Galloway residents participating in outdoor
opportunities
PHIT 11 : increase % of core paths maintained
PHIT 12 : increase % adults actively travelling to education/ work eg: walking, cycling
64.5/120
(September
2010)
KPI target
2011-2012
TBC
KPI target
2012-2013
Links to SOA, HEAT
and other targets
Increased % of A&OP
meeting
minimum
recommended levels
of physical activity
(Scottish
Health
Survey 2012)
74
3.3 Adults and older people have
increased knowledge, skills and
confidence to maintain healthy weight
Back to Outcome 3
3.3.1
Implementation of the Scottish Government
obesity route action plan through delivery of
regional and locality plans and programmes
Action 3.3.1a*
Support
implementation of
four healthy weight
community models
(HWC) across the
region
Action 3.3.1b
Support
the
development,
implementation and
monitoring and of
the GIRFEC Child
Healthy
Weight
Action Plan
Action 3.3.1c
Promote
and
encourage use of
social
marketing
good practice skills
and
social
marketing
campaigns
Action 3.3.1d
Work to ensure
sustainability of
Dumfries Healthy
Weight
Communities
ethos and practice
Action 3.3.1e
Promote Keep
Well services in all
communities
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
Key performance indicators
KPI - baseline
KPI target
2011 - 2012
KPI target
2012 - 2013
Links to SOA, HEAT and other
targets
1
2
4
SOA
3.3.1b
4 healthy weight communities are
developed
% of activities progressed in
GIRFEC plan
40%
60%
110%
GIRFEC
3.3.1c
Number of people supported to
deliver social marketing campaigns
2
3
3
No
Yes
3.3.1a
3.3.1d
3.3.1e
Ensure HWC ethos is embedded in
Nithsdale
community
planning
structures
Number of Keep Well services in
communities
SOA
SOA HEAT and Obesity Route Map
75
Outcome 3.4
Adults and older people have
increased knowledge and confidence
to maintain sexual wellbeing
Back to Outcome 3
Action 3.4.1a
Undertake consultation to key
stakeholders to identify sexual
health priorities
Action 3.4.1b
Develop a revised sexual health
action plan in line with the
national framework for BBV and
sexual health
Action 3.4.1c
Support implementation of sexual
health and commission key
actions as required.
Action 3.4.1d
In partnership with LGBT
Youth Scotland and
NHS Health Scotland
deliver a D&G HIV Wake
Up pilot
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
3.4; 3.4.1a; 3.4.1b;
3.4.1c
3.4.1d
Key performance indicators
Action Plan produced and indicators
prioritised
Delivery of the Men Who Have Sex
With Men HIV pilot project in
partnership with LGBT Youth Scotland
KPI - baseline
KPI target
2011 - 2012
KPI target
2012 - 2013
Links to SOA, HEAT and other
targets
HIV action plan action 8.
0
Action Plan complete
0
Pilot project delivered
HIV action plan action 8.
76
Outcome 3.5
Adults and older people have increased knowledge
and confidence to make healthy choices around
alcohol, tobacco and drugs
Back to Outcome 3
3.5.1
Work with partners to promote
healthy choices around alcohol
Action 3.5.1a
Deliver
policy
development,
support and training around
alcohol issues
3.5.2.
Work with partners to promote
healthy choices around tobacco
Action 3.5.2a
Deliver
policy
development,
support and training around
tobacco issues
3.5.3
Work with partners to promote
healthy choices around drugs
Action 3.5.3a
Deliver
policy
development,
support and training around drug
issues
3.5.4
Work with partners to address
problems of substance misuse of
people involved in criminal
justice
Action 3.5.4a*
Commission needs assessment to
find baseline data on substance
misuse issues of people involved
with criminal justice
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
3.5.1a
3.5.2a
3.5.3a
3.5.4a
Key performance indicators
KPI - baseline
KPI target
2011 - 2012
KPI target
2012 - 2013
Links to SOA, HEAT and other
targets
Number of policy development
sessions delivered - Alcohol
2
3
Number of training sessions
delivered
Number of initiatives delivered in
partnership
Number of policy development
sessions delivered - Tobacco
2
4
Work in Partnership D&G Alcohol
and Drugs Strategy 2011 with ADP
HEAT H4
D&G A&DS 2011
4
4
D&G A&DS 2011
4
4
Number of training sessions
delivered
Number of initiatives delivered in
partnership
Number of policy development
sessions delivered - Drugs
Commission needs assessment
with partner organisations
2
3
Work in Partnership with Smoking
Matters HEAT 6
D&G A&DS 2011
D&G A&DS 2011
2
3
D&G A&DS 2011
2
3
Work in Partnership with ADP
D&G A&DS 2011
D&G A&DS 2011
Commission needs
assessment
77
Outcome 3.6
Adults and older people with additional support needs have
increased knowledge and confidence to support them in
achieving good oral health
Back to Outcome 3
3.6 1*
Work with partners to incorporate
oral health outcomes within the HWL
Award
Action 3.6 1a*
Develop oral health outcomes for
inclusion in HWL Programme
3.6.3
Provide Oral Health Training and
ongoing oral health support groups /
individuals or those caring for people
with additional support
3.6.2
Implement
Caring
for
Smiles
Training Programme in Care Homes
for older people across the region
Action 3.6 2a
Revise current training package in
line with Caring for Smiles
Action 3.6 3
Revise oral health interventions to
priority
groups
in
line
with
forthcoming National Guidance
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
Key performance indicators
KPI - baseline
KPI target
2011 - 2012
Integration of oral health measurers
into HWL Programme
Oral Health measures
re
integrated
into
HWL
3.6.2a
Number and percentage of care
homes for older people receiving
Caring for Smiles training
New training package
Caring for Smiles is
implemented
3.6.3
Number of oral health training
sessions delivered to identified
groups annually
Revise oral health
interventions
to
priority groups in line
with
forthcoming
National
Guidance
and agreement of
number of sessions to
be delivered
3.6.1a
KPI target
2012 - 2013
Links to SOA, HEAT and other
targets
100%
of
care
Homes
receive
revised
annual
training
Delivery of agreed
number of annual
sessions
Ambition 3.7 – Older and vulnerable
adults will be supported to improve
their health
Ambition 3.7 – Older and vulnerable
adults will be supported to improve
their health
78
Outcome 4
Community Resilience
4 To build capacity within communities that will
improve levels of social capital, safety and
security of region
Back to
High Level Outcomes
4.1 The harm caused by crime, fear
of crime and antisocial behaviour
(including problem substance use)
will be reduced
Outcome 4.1 details
4.3 An assets approach to building
social capital will be taken across the
region
Outcome 4.3 details
4.2.Local people experiencing
challenging circumstances will have
opportunities to improve their life
circumstances and outcomes
Outcome 4.2 details
79
Outcome 4.1
The harm caused by crime, fear of crime and
antisocial behaviour (including problem substance
use) will be reduced
Back to Outcome 4
Action 4.1.1a
Work in partnership with
relevant Partners i.e.
CSP, Police, Criminal
Justice to improve
awareness of mental
health issues
Action 4.1.1b*
Work with HMP
Dumfries and
Samaritans to develop
listening services for
prisoners.
Action 4.1.1c
Work with advice /
benefits agencies to
improve services to
D&G prisoners on their
release
Acton 4.1.1.d
Work in partnership with
CSP and contribute to
joint working to reduce
injuries on the regions
roads
80
Outcome 4.2
Local people experiencing challenging circumstances
will have opportunities to improve their life
circumstances and outcomes
Back to Outcome 4
Action 4.2.1a
Individuals will be encouraged to
deliver activities through supervised
volunteering,
tailored
personal
individual development and 1 to 1
support
Action 4.2.1
Agencies and BHC staff will
encourage
and
support
individuals
and
communities
through HI interventions, new
learning and work experiences
Action 4.2.1d
The
impact
of
health
improvement interventions and
opportunities will be evaluated
and measured
Action 4.2.1c*
Support the „Putting you First
agenda for older people
Performance
Indicator:
Link to Outcomes
and Level 4 and 5
Actions
4.2.1a
4.2.1.b
4.2.1c
4.2.1d
Key performance indicators
Number of individuals taking up volunteering
Number of volunteers involved in facilitating local
initiatives across the region
Number of volunteers engaging with local communities
eg active citizenship / PA work
Number of individuals accessing new opportunities such
as learning / volunteering placement and work
experiences
Number of volunteers who progress to formal training,
retraining or paid work
Number of interventions that will support older people
and those with LTC‟s
No of „test of change „ interventions
Number of service users attending health improvement
activities/ opportunities reporting improvement of their
health and wellbeing ( link to 2.2.1b)
No of people taking up new opportunities e.g. training,
volunteering,
active citizenship, employment or
becoming formally involved in partnership working.
Number of volunteers who report improved health and
wellbeing as a result of their volunteering opportunity
(Rickter)
KPI - baseline
KPI target
2011 - 2012
KPI target
2012 - 2013
101
130
150
39
45
60
10
100
12
14
Links to SOA, HEAT and
other targets
SOA -4
7
10
280
45
81
Outcome 4.3
An assets approach to building social
capital will be taken across the region
Back to Outcome 4
Action 4.3.1a
Carry
out
regular
needs
assessments and a community
profile / assets mapping /
planning purposes
Performance
Indicator:
Link
to
Outcomes and
Level 4 and 5
Actions
4.3.1a
4.3.1.b
4.3.1c
Action 4.3.1b
Support Partners to carry out
PA studies by evaluation
training with individuals and
group work
Action 4.3.1c
Work in partnership with
rd
relevant agencies and 3
Sector to support and
address individual and
community issues
Key performance indicators
Action 4.3.1d
Work with partners to create
opportunities for individuals
that will
impact on both
individual and community
health and wellbeing
Action 4.3.1e
Work with partners to develop
community activities that will
improve the local environment
and have added benefits of
health improving outcomes
KPI - baseline
KPI target
2011 - 2012
Regular local needs assessment by local people (yearly)
4 carried out in BHC
areas bi annually
BHC will
continue to carry
out 4 bi annually
SOA
Explore, utilise and establish assessment tools to measure community assets /
social capital
Regular training and refreshers for PA training / evaluation / needs assessment is
provided
Explore
Carry out PA
training at least
1 per year and
include refresher
training.
Establish region
wide group
SOA
Establish a PA network / support group
Number of active partners working together to co-produce outcomes or on specific
activities / projects
1 session every 2
years
for
new
participants
BHC staff and
volunteers
BHC have 39 activities
across region where
co-produce outcomes
with other partners
KPI target
2012 - 2013
Links to SOA,
HEAT and
other targets
PYF agenda
SOA
Number of self help groups established and numbers self sustaining
Work with advice / benefits agencies to improve accessibility to correct
information and support
4.3.1d
4.3.1e
Number of small businesses being set up as a result of health improvement
support
Number of joined up health improvement activities to impact on individuals and
communities
Number of volunteers engaging, leading, facilitating local activities
Number of training, further education, employment opportunities made available
for local people
Number of health improvement initiatives that will improve the environment /
community
8
2
BHC have approx 40
across D&G
25
BHC has 1
2
82
Outcome 5
Sustaining the Environment
Protect and sustain our environment
Back to high level outcomes
Outcome 5.1
Individuals and communities will be
encouraged to protect, enhance and
enjoy our natural resources
Outcome 5.2
Individuals and communities will be
encouraged to contribute to being a carbon
neutral region
Outcome 5.1 details
Outcome 5.2 details
83
Outcome 5.1
Individuals and communities will be encouraged to
protect, enhance and enjoy our natural resources
Back to outcome 5
Action 5.1.1
Will work in partnership to take action
on PHIT‟s 2,3 and 11
Action 5.1.2
Where possible will green the NHS
estate
Performance
Indicator:
Link to Outcomes and
Level 4 and 5
Actions
5.5.1. : PHIT 2
PHIT 3
PHIT 11
5.1.2
5.1.3 PHIT 10
Key performance indicators
extent to which action has been taken to
increase % of population within ¼ mile of
stock free, barrier free maintained paths
extent to which action has been taken to
increase number of barriers to access on
path which are removed or improved
extent to which action has been taken to
increase % of core paths maintained
6 „greening‟ projects developed and
implemented across NHS Estates
Extent to which action has been taken to
increase number of Dumfries & Galloway
residents
participating
in
outdoor
opportunities
KPI - baseline
5
KPI target
2011 - 2012
KPI target
2012 - 2013
Links to SOA, HEAT and other
targets
TBC
7
Ambition 3.7 – Older and vulnerable
adults will be supported to improve
their health
3
0
3
3
4.5
84
Outcome 5.2
Individuals and communities will be
encouraged to contribute to being a
carbon neutral region
Back to Outcome 5
5.2.1
5.2.2.
Will work in partnership to
promote active travel and car
sharing opportunities
Will work in partnership to encourage
sustainable public sector food
procurement
Action 5.2.1a
Action 5.2.2a
Will work in partnership to take action on PHIT 12
Will work in partnership to take action on FHIT
3
Action 5.2.1b (Ref 1.5)
More workplaces supported to engage with the
sustainability and environment agenda
Performance
Indicator:
Link to Outcomes and
Level 4 and 5
Actions
5.2.1a
Key performance indicators
KPI - baseline
KPI target
2011 - 2012
PHIT12 : extent to which action has been taken to increase %
adults actively travelling to education / work eg walking, cycling
Ref 1.5
4
TBC
FHIT 3 : extent to which action has been taken to increase public
sector procurement of sustainably produced and sustainably
packaged food
2
TBC
KPI target
2012 - 2013
Links to SOA,
HEAT and other
targets
5.2.1b
5.2.2a
85
ABBREVIATIONS
A&OP
AHP
BHC
CEL
CSP
D&G
D&G ADS
FHIT
FSB
HEAT
HNA
HMP
HPHS
HWL
JHWU
KPI
LEAP
LLTF
LTC
NHS
OHS
PA
PCCD
PHIT
SAM
SMF
SOA
SCHWL
TBC
Adults and Older People
Allied Health Professional
Building Healthy Communities
Chief Executive Letter
Community Safety Partnership
Dumfries and Galloway
Dumfries and Galloway Alcohol & Drugs Strategy
Food & Health Index
Federation of Small Businesses
Health, Efficiency, Access Treatment
Health Needs Assessment
Her Majesty‟s Prison
Health Promoting Health Service
Healthy Working Lives
Joint Health & Wellbeing Unit
Key Performance Indicator
Learning Evaluation and Planning
Living Life to the Full
Long Term Conditions
National Health Service
Occupational Health Service
Participatory Appraisal
Primary & Community Care Directorate
Physical Activity Index Tool
Sickness Absence Management
Small Medium Enterprises
Single Outcome Agreement
Scottish Centre Healthy Working Lives
To be confirmed
86
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