The role of providers delivering the Health Promotion and Disease Prevention agenda 1Presentation title - edit in Header and Footer Dr Raymond Jankowski National Lead for Population Healthcare

Immense opportunities for health improvement and disease prevention! 5 year forward view – greater emphasis on prevention PHE priorities: From evidence to action 2Presentation title - edit in Header and Footer

PHE - 7 priorities (1) Tobacco Obesity Alcohol Early start for children Dementia Antimicrobial resistance TB ……..AND 3Presentation title - edit in Header and Footer

PHE priorities (2) - two relevant specific actions To support the setting up a NHS Prevention Board To support the setting up of a Diabetes Prevention Programme 4Presentation title - edit in Header and Footer

PHE’s 7 priorities: behavioural strategy Support development of the knowledge base and insights within social and behavioural science for tackling PHE’s seven priorities For example, on Alcohol, developing a new whole system approach: establishing effective delivery models and what works clarifying return on investment enabling government, local authorities and the NHS to invest with confidence in evidence based policies, prevention and treatment interventions 5Presentation title - edit in Header and Footer

Delivering NHS Five Year Forward View A national Preventative Services Programme to: Establish a National Prevention Board Assess the evidence, design interventions and support implementation of proven approaches to prevent disease Design and implement at scale a national diabetes evidence-based prevention programme (PHE, NHS England and Diabetes UK) 6Presentation title - edit in Header and Footer

Patients, staff and the public Policy and strategy Trust environment 7Presentation title - edit in Header and Footer Healthcare providers as Public Health organisations to delivery Health Improvement and Disease Prevention

Includes health improvement advice and behaviour change in all care pathways ( e.g. MECC) Behaviour change interventions such as smoking cessation interventions for in-patients and pre-op Referral to health improvement service such as smoking cessation and weight management Promotes mental and physical health of its staff 8Presentation title - edit in Header and Footer Patients, staff and the public

Public health strategy Organisational culture to support health improvement and prevention Clinical leaders as champions of health improvement 9Presentation title - edit in Header and Footer Policy and strategy

Trust food, nutrition policies to support healthy eating for patients, staff and visitors Smoke-free organisation Trust healthy employment practices Trust transport policies aimed to encourage physical activity and reduce impact of transport on environment. 10Presentation title - edit in Header and Footer Trust environment

The NHS Workforce The headcount of the NHS was 1,210,894 in September Impact of health on work is well established, and the impact of the health and wellbeing of staff on patient outcomes and patient safety is also established. NHS Staff survey shows improvements in engagement but sickness absence rates lag behind other sectors. The workforce is diverse, multi-professional, with varied working environments and shift patterns. 11Improving the health of the NHS Workforce

Areas for action We would recommend focusing on the following areas: Participate in the Workplace Wellbeing Charter, which provides a roadmap to implementing NICE guidance and best practice for workplace wellbeing, and helps align the support from NHS Employers into a publically recognised benchmark and accreditation. Take part in a standardised NHS staff health and wellbeing survey which would run every 2-3yrs to benchmark progress, PHE is working with NHSE on this currently, and it helps identify where to prioritise action. Work towards accreditation as a Living Wage employer across the whole of the NHS (good pay is a key part of good work = healthy work). Full implementation of HSE guidance on health and safety and stress management standards. Integrate a requirement for evidence of investment in staff wellbeing into the commissioning process in Pre-qualifying questionnaire for contract tenders. 12Improving the health of the NHS Workforce

Support available Workplace Wellbeing Charter Where there isn’t a local provider you can buy in the process from another local authority funded provider, local authorities provide the QA Staff Wellbeing Survey PHE is currently developing a standardised staff wellbeing survey tool for businesses and should be launched in Q1 15/16 Living Wage Accreditation requires paying directly paid staff the living wage and working towards including this as a procurement requirement. Health and Safety Executive Stress Management standards are a very good place to start and provide a good framework to approaching the issue. Procurement integration PHE is working to develop guidance to support this in 2015/16 13Improving the health of the NHS Workforce

14Presentation title - edit in Header and Footer HI delivery areaProvider PH Network member Smoking cessationBlackpool, Bolton, Royal Free, South Tees Tackling alcohol misuseSalford, Royal Free, Morecambe Bay Health of homeless peopleRoyal Free Health of people with mental Illness South Essex, Nottingham Healthcare, Leeds & York Health Promoting Hospitals: achieved or working towards accreditation Alder Hey, Merseycare, Liverpool Heart & Chest Health Improvement delivery

Health protection- disease prevention Infection control Emergency planning Screening and immunisation 15Presentation title - edit in Header and Footer

Provider Public Health Network Established autumn 2013 following a review of PH leads in provider trusts Membership 40+ members working in provider trusts PH Consultants Health Improvement/PH Specialists Trainees Roles Public Health: HCPH and Health Improvement Other roles: e.g. Medical Management Settings Acute, Community, Mental Health, Learning Disability trusts 16Presentation title - edit in Header and Footer

Contacts Provider Public Health Network webpage: PHE contact: Mandy Network Chair: 17Presentation title - edit in Header and Footer