1. 8 th 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

2. www.hee.nhs.uk www.em.hee.nhs.uk 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’.

3. 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

4. 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

5. 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. 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.

6. www.hee.nhs.uk www.em.hee.nhs.uk 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)

7. 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

8. 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

9. 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.

10. www.hee.nhs.uk www.em.hee.nhs.uk Making Every Contact Count

11. www.hee.nhs.uk www.em.hee.nhs.uk The health promoting workforce in Derbyshire Community Health Services NHS Trust

12. 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.pdfwww.kingsfund.org.uk/pdf/publicattitudesreport.pdf Opinion Leader Research survey.

13. 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

14. 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.

15. 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