1. Health Trainers: Evidence Base and Value for Money Health Trainers: Evidence Base and Value for Money 06/07/20161 www.yhtphn.co.uk/health-trainers

2. Sources  Data Collection and Reporting System  Case Stories  Local evaluations  National Evaluation  Client Satisfaction Survey  Workforce Survey 06/07/20162 www.yhtphn.co.uk/health-trainers

3. Behaviour change 06/07/20163 www.yhtphn.co.uk/health-trainers The primary issue clients making a personal health plan wanted to work on: The primary issue clients making a personal health plan wanted to work on:  Diet 59.82%  Exercise 25.12%  Emotional wellbeing 5.43%  Smoking 7.83%  Alcohol 1.80%

4. 06/07/20164 www.yhtphn.co.uk/health-trainers   Clients are either given information, sign- posted or supported to develop and implement a personal health plan   Nearly 75% overall achieve or part achieve their health plan   75% for diet, 79% for exercise, 81% for emotional health, 64% for smoking

5. 06/07/20165 www.yhtphn.co.uk/health-trainers   BMI down 4.36%   69.43% increase in fruit and veg consumption   60.39% reduction in high fat snack consumption   62.03% reduction in units of alcohol per week   74.83% reduction in smoking   209.62% increase in vigorous exercise   72.14% increase in moderate exercise

6. 06/07/20166 www.yhtphn.co.uk/health-trainers Reaching ‘hard to reach’   67% of clients were from deprivation quintiles 2 and 3   30% were from BME communities   9% were not registered with a GP (only.44% of the population are not registered)

7. 06/07/20167 www.yhtphn.co.uk/health-trainers Working with GPs An evaluation with health professionals in 3 practices in NE Lincs found that health trainers were liked and valued by health professionals and were perceived as ‘adaptable, hands on and tenacious’ Health trainers are funded by PBC in Bradford S & W GP alliance and are in 21 out of 23 practices.

8. 06/07/20168 www.yhtphn.co.uk/health-trainers Supporting people with long term conditions   Kirklees model   Pre operative support in North Lincs   Pilots in Sheffield and Bradford with community health champions and health trainers working with GP practices to support people with diabetes – RIF funding

9. 06/07/20169 www.yhtphn.co.uk/health-trainers Health trainer champions   Outreach into ‘target’ communities   Support at events   Case finding   Being a buddy   In prisons   Working with health trainers as part of diabetic care pathway in Sheffield & Bradford – RIF funding

10. 06/07/201610 www.yhtphn.co.uk/health-trainers What clients think Clients appreciate:   Meeting at a location to suit them   Having someone ‘ordinary’ to talk to   Someone with time to spend with them   Being accompanied to a group, or shopping   Being able to determine their own actions They grow in self esteem and confidence.

11. 06/07/201611 www.yhtphn.co.uk/health-trainers Value for Money   Professor Graham Lister’s VFM tool – based on what we know makes a difference to morbidity and mortality outcomes   Uses DCRS figures   Weighted for disadvantage   Services build in their own assumptions   Every service is different –not bench marking

12. 06/07/201612 www.yhtphn.co.uk/health-trainers The Future?   Health trainers feature in the PH White paper?   GP consortia commission to support self care for people with LTCs, pre op and post op care, those needing social support?   LAs commission as part of health improvements, community engagement, reaching most marginalised, social care?   Lay PH workforce becomes the norm?