Supporting health promotion in primary care 2018 - 2020

Mandate “58 Functions, duties, and powers of HPA “(1) HPA must lead and support activities for the following purposes: “(a) promoting health and wellbeing and encouraging healthy lifestyles: “(b) preventing disease, illness, and injury: “(c) enabling environments that support health and wellbeing and healthy lifestyles: “(d) reducing personal, social, and economic harm. Slide 2 HPA started operating on 1 July 2012. It is a Crown Entity with legislated functions iunder the NZ Public Health and Disability Act 2000. These functions include: Leading and supporting activities that: promote health and wellbeing and encourage healthy lifestyles; prevent disease, illness, injury and death; enable environments that support health and reduce personal, social and economic harm. Quite a wide brief! But there is more. We also have some further responsibilities related specifically to alcohol. These come from our history – HPA was born out of a merging of ALAC (the Alcohol Advisory Council) and HSC (the Health Sponsorship Council)

Development of current work programme Building on 2014 strategy Taking into account government priorities, new and developing models of care, technological advances, etc Stakeholder engagement with small sample of the broader primary health care sector Focus on current health promotion opportunities and challenges Name 20 organisations, networks and individuals including: PHOs primary health care providers rural and urban localities Maori, Pacific and Youth services national organisations, networks and alliances.

Themes Demand management Sector engagement and communication Community development Digital solutions Wellbeing of health professionals Training and capability building Resources Demand management The key challenge for the primary health care sector is demand management and sustainability. New models of care have (and are) being developed to address this. The challenge is how to educate the public about the new models, change expectations, and transform the way people interact with the health system. National leadership around winter planning is also needed, as well as messages about childhood illnesses, how to manage these, and when to see a health professional. Engagement, communication and responsiveness A number of stakeholders commented on the need to improve how HPA engages and communicates with the primary health care sector. The development of a more structured engagement strategy that includes Māori, Pacific and community providers (not just GPs), PHOs, DHBs and national organisations and networks was suggested. Community development There is a need to improve health literacy and focus on helping people to take ownership of their own health. A big issue is the loss of community connections and social cohesion. Public services can’t do everything and we need to rebuild community connections, resilience and a culture of helping your neighbour. Digital solutions Primary health care providers need support to maximise the use of social media and other digital channels eg, Facebook and texting for sharing information and health resources in order to improve outreach. National leadership is needed in the form of training, guidance, and sharing of resources. Wellbeing of Health Professionals Supporting primary health care with their own self-care and wellbeing would contribute to improved primary care capacity and capability to improve the health of their populations. Burn-out is a big issue. Training and capability building There is a need for training and capability development in cultural competency, mental health and attitudes, behaviours and language. Resources There is an overwhelming amount of information resources, brochures, websites etc. that service providers are sent by multiple organisations. More self-management and health literacy tools would help reduce demand and there is potential to explore how these could be integrated into Patient Management Systems. Targeted resources are needed for different population groups.

Actions – 2018/19 Development of engagement and communications strategy Promotion of resources and tools Contact based mental health education programme focused on attitudes and behaviours Development of screening and brief intervention tools and integration with primary care systems Development of engagement and communications strategy Promotion of resources and tools to primary care practitioners Contact based mental health education programme for health professionals focused on attitudes and behaviours Development of screening and brief intervention tools and integration with primary care systems, e.g. health pathways

2019/20 Building on the foundations Development of a national awareness campaign to improve health literacy Supporting wellbeing through resilient communities/community cohesiveness and connectedness Develop routine and opportunistic wellbeing screening and brief intervention tools Support the expansion of school based health services through the development of tools and resources Development of a national awareness campaign to improve health literacy around keeping well, self-care and managing common illnesses What to do and where to go when you’re sick (including self-care, healthline, pharmacist, nurse, GP etc.) What to do when your child is sick/running a fever. Messages to help with winter demand (keep warm, get a flu jab, how to know if you need to see a health professional) National leadership role in supporting wellbeing through resilient communities/community cohesiveness and connectedness, increasing community assets/social capital. Develop routine and opportunistic wellbeing screening and brief intervention tools for use by existing health and social care workforce in the appropriate place/touchpoint for the target groups, covering mental distress and addiction, sleep, nutrition, and physical activity. Support the expansion of school based health services through the development of tools and resources

Next steps Feedback from the wider sector to help shape and refine the recommendations Implementation of 2018/19 actions Further scope and refine 2019/20 recommendations