1. PHWAG Meeting 10.4.081 National Agenda - Local Delivery Health Trainers in the Yorkshire and Humber Region Presented by Judy White Strategic Lead, West and South Yorkshire Health Trainer Hub

2. PHWAG Meeting 10.4.082 Health Trainers - National Agenda  Target ‘hard to reach’ and disadvantaged groups  Increase healthier behaviour and uptake of preventative services  Provide opportunities for people from disadvantaged groups to gain skills and employment in health care  Reduce health inequalities  Emphasis on local delivery

3. PHWAG Meeting 10.4.083 Health Trainers - Local Delivery  Visible and accessible  Engage with people where they are to be found  Work on client’s agenda  Motivate, 1-1 support, set goals, overcome barriers, signpost  Initial focus adults  Target people in disadvantaged areas and groups

4. PHWAG Meeting 10.4.084 National achievements to date  Successful National Hub and spoke model covering all regions  1282 Health Trainers trained to date,115 Health Trainer services  National Agenda for Change banding and profile  Underpinned by national set of competencies and the Health Trainer Behavioural Change Handbook  National awards in Place - City & Guilds [Level 3] and Royal Institute for Public Health [Level 2]  National Evidence Base including – Activity and outcome reports, national data collection system and national evaluations.  Offender Health - 80 prisoners trained as health trainers  The Army 450 Physical Training Instructors trained 2007/8.  Other 3 rd party interests; Royal Mail, Asda, Marks & Spencer, National Pharmacies, Football Foundation and IFI

5. PHWAG Meeting 10.4.085 National agenda – local delivery 2008/9  To work with existing NHS Health Trainer Partnerships and PCTs, to continue implementation in their areas  To work through the regional structures and the implementation team to bring the remainder of the NHS into the Health Trainer project  To work with selected third party organisations to introduce the Health Trainer concept into their environments

6. PHWAG Meeting 10.4.086 National agenda – local delivery 2008/9 cont  To support further development of awards for the health trainer workforce in the areas of the public health skills and career framework  To support national evaluation of the effectiveness of the NHS Health Trainer initiative in delivering its White Paper objectives  To roll out Data Collection System  To link with the Lifecheck project, particularly around the mid-life Lifecheck

7. PHWAG Meeting 10.4.087 HTs in the Yorkshire and Humber Region 2007-8 210 HTs £3.5m invested (NB. approx figs )

8. PHWAG Meeting 10.4.088 Back to the beginning 3 early adopters 3 different models Bradford: Sessional workers, 15 day Open College Network accredited course specifically for HTs plus monthly training days for 6 months plus assessment in practice. Generic workers focus on deprived communities Kirklees: Selection of people with competencies closest to HT, gap analysis, plus 2 day fast track training course then assessment via portfolio and 1:1 interview two services developed one focused on long term conditions Hull: Service model focused on neighbourhoods, as well as local prison, acute trust, learning disability, children and young people and BME populations. Training drew on local existing courses e.g. Community Wardens ODPM accredited training in community working, existing specialist health promotion training modules. Foundation level for all + basic health modules on key health priorities Top-up training provided to reflect speciality area of work

9. PHWAG Meeting 10.4.089 Two Health Trainer Hubs No. of PCTs Spear- head Non- Spearhead West and South Yorkshire Hub 954 Humber, N.Yorkshire and York Hub 523 Total1477 Everyone’s on Board

10. PHWAG Meeting 10.4.0810 Early Development First Recruit- mentTraining Service Delivery Second year of operation North Yorkshire & YorkBarnsleyCalderdale North East Lincolnshire Bradford and Airedale Sheffield North Lincs LeedsRotherham Hull East Riding of York Doncaster Kirklees Wakefield Current stages of development

11. PHWAG Meeting 10.4.0811 Funds and Figures 2006-72007-8 Funding NHS £1.228m Other £0.263 NHS £1.900m Other £1.615 Total£1.490m£3.516m 2006-72007-8 Numbers Level 3Level 2Level 3Level 2 Total NB All figures are approximate only 117_200 100+ Volunteers & Associate HTs for 2008

12. PHWAG Meeting 10.4.0812 Health Trainer Host Sites W&SY Hub  GP surgeries  Community centres  Black and Ethnic Minority community venues  Day centres  Job centre  Libraries  Resource centres  Healthy living centre  Women's refuge  Faith buildings  Schools  Gym  Clients home Humber NY&Y Hub  Children’s centres  Prison  Community warden shop  GP surgery  local acute trust  Supermarket  Community Centres  Church Halls  College community buildings  Women’s Refuge  Links to Chlamydia Screening and dietician services  Men’s Health

13. PHWAG Meeting 10.4.0813 Key features of service delivery  PCT Led – provider or commissioned from voluntary sector  General structure – full time manager or coordinator, locality team leads or senior health trainers admin. support  Strong partnership working  Focus – local/national health priorities.  Signposting – All  Community Development – All  Behaviour Change – All  Main method of intervention – 1-1  Feedback on community experience of existing services (NB Based on responses in End Year reports 2006-7)

14. PHWAG Meeting 10.4.0814 A Regional Approach  Developing and delivering a regional strategy for Health Trainers 2008/9  Focus on the sustainability of Health Trainers in the Region  Regional Health Trainer Development Group connecting into the region

15. PHWAG Meeting 10.4.0815 -Designing a good service & employment model -Quality assurance & governance -Performance management -Coordination of activity -Information sharing, -Supporting new developments -Building sustainable networks - Evidencing what works - Data collection and analysis - Contribution to National indicators and inequality targets - Evaluation - Cost effectiveness and performance Marketing strategy targeted at: - Regional bodies, - Interested 3rd Parties - Practice based commissioning - Community Mental Health & LD services and others Training development and delivery Workforce development ( PHWAG) Accreditation and career progression Access to funding (LSC) Developing a Regional Strategy for Health Trainers 2008/9 - Links to key regional bodies e.g. Yorkshire Forward, GOYH,YHSHA - Links into regional activity e.g. LAA’s, Working Neighbourhood funds - Development of regional Health Trainer programmes e.g. Offender Health, Inclusive Fitness Initiative, Altogether Better, TGWU.