8th October 2013
Making Every Contact
Count in practice
Linda Saxe
Workforce Health and Wellbeing Manager
Derbyshire Community Health Services NHS Trust
Di Roffe
Faculty Advisor Public Health
Health Education East Midlands
Future forum summary
report
• ‘…every contact must count as an opportunity to
maintain, and where possible, improve their
mental and physical health and wellbeing’
• ‘…preventing poor health and promoting healthy
living is essential to reduce health inequalities
and sustain the NHS for future generations’.
www.hee.nhs.uk
www.em.hee.nhs.uk
The Midlands and East needs
to change
•
•
•
•
•
•
•
•
19% - 25% of the population smoke
15% - 18% drinking at increasing risk and;
4% - 6% drinking at high risk levels
61% of men do not meet recommended Physical Activity
levels
71% of women do not meet recommended Physical
Activity levels
22% - 26% of men are obese
24% - 28% of women are obese
75% of men and 71% of women do not eat 5 a day
www.hee.nhs.uk
www.em.hee.nhs.uk
The value of self-care and preventative
approaches to ill health
• 70% of the health demands made on the NHS
are preventable
• 90% of illness and injury is self treated
• 90% of NHS interventions are primary care
• 1% of all illnesses and injuries require hospital
care.
G Lister 2008
www.hee.nhs.uk
www.em.hee.nhs.uk
Benefits of MECC
For staff
• Improved and quicker outcomes
from treatment e.g. wounds
healing
• Staff have greater ownership of
lifestyle change
• Develop a sense of self-efficacy
through educating the public
• Satisfaction in improving overall
outcomes for the patient.
www.hee.nhs.uk
www.em.hee.nhs.uk
For the organisation
•Increased staff knowledge and
competence
•Improved service quality as more
engaged staff
•Links to QIPP and other national and
regional strategies
•Direct cost savings
•Less staff sick days through improved
health.
Benefits of MECC
‘After the presentation on Behaviour Change,
I decided that I seriously needed to lose
weight. I have joined Weight Watchers and
feel really positive about that’’ (Individual)
As a result of the initiative and the success of the pilot,
we have embedded it within our physical activity
provision. We have improved relationships with partner
organisations and are continuing to offer a consistent
approach to improving lifestyles (Organsation)
www.hee.nhs.uk
www.em.hee.nhs.uk
Reproduction of materials
These materials may be reproduced for educational or training
purposes.
Tony Connell, Learning and Development Consultant and the East
Midlands Health Trainer Hub should be acknowledged.
http://www.midlandsandeast.nhs.uk/OurAmbitions/Everycontactcounts/
MeccTraining.aspx
www.hee.nhs.uk
www.em.hee.nhs.uk
East Midlands LETB MECC
project
To review the current readiness of Medical and
Health Education Institutions across the East
Midlands to deliver training which supports the
development of therapeutic relationships to
enhance health and wellbeing of the individual and
those that care about them
A Coventry University & University of Northampton Partnership
www.hee.nhs.uk
www.em.hee.nhs.uk
Identify students and medical trainees’ perceptions on their responsibility in
learning to create these relationships.
Identify educators’ perceptions on their responsibility in helping learners
create these relationships.
Identify at organisation board level the Education Provider perception of their
role in:
Providing the environment where students and medical trainees can really
practice their skills and demonstrate empathy.
Providing a culture which enables these relationships to flourish.
Report on findings to include recommendations to LETB on achieving its aim.
www.hee.nhs.uk
www.em.hee.nhs.uk
Making Every
Contact Count
www.hee.nhs.uk
www.em.hee.nhs.uk
The health promoting workforce
in Derbyshire Community Health Services
NHS Trust
www.hee.nhs.uk
www.em.hee.nhs.uk
The public believe that the NHS
should take a lead role in providing
information, advice and support to enable
everyone to lead healthier lives and prevent
illness.
We need to invest
in helping people to stay healthy.
www.kingsfund.org.uk/pdf/publicattitudesreport.pdf Opinion Leader Research survey.
www.hee.nhs.uk
www.em.hee.nhs.uk
But……
UK: One in five people has problems
with the basic skills needed to
understand simple information
that could lead to better health,
15% of adult population have
low health literacy
Kickbusch London Open University 2006
www.hee.nhs.uk
www.em.hee.nhs.uk
What is Health Promotion?
1. Health promotion is the process of enabling
people to increase control over, and to improve,
their own health.
2. It moves beyond a focus on individual behaviour
towards a wide range of social and
environmental interventions.
www.hee.nhs.uk
www.em.hee.nhs.uk
Ensuring that the one and a half million
contacts people have with the NHS every day
become opportunities for improving and
promoting health.
Choosing Health; Making Health Choices Easier
www.hee.nhs.uk
www.em.hee.nhs.uk