Presentation on theme: "Making Every Contact Count DH Nursing Policy and Vision"— Presentation transcript:
1 Making Every Contact Count DH Nursing Policy and Vision Pauline Watts – Professional Officer for Health Visiting, PH and Dementia Nursing
2 The Challenge: what we are facing and the rationale for change We face significant challenges to public health …England has one of the highest rates of obesity in the developed world.Two thirds of adults are overweight or obese, a leading cause of type 2 diabetes and heart diseaseIn , the gap between areas with the highest and lowest life expectancy was around 12 yearsSmoking claims over 80,000 lives a year.1.6 million people are dependent on alcohol.Over half a million new sexually transmitted infections were diagnosed in 2010Major health threats persist, ranging from risk of new pandemics to the potential impact of terrorist incidents.… with significant costs to health and to the economySoS prioritiesDrug related crime costs £13.9bn per yearSmoking costs the NHS £2.7bn a yearObesity costs the NHS £4.2bn a yearDementia costs the UK £17bn a yearSexual health treatment costs NHS £1.2bn a yearLong term conditionsCare – quality of careDementiaReducing mortality from preventablecauses
3 What does the PH system have to do? The new Public Health System will build on existing successVision / OutcomesHow do we see the future?Focused on outcomes: improve and protect health and wellbeing for all the people of England and reduce health inequalitiesWe will have succeeded if, as a nation, we are living longer, and in better health; and if the gap in health between rich and poor is reducing.Improving outcomes for all at all stages of the life-courseWe will improve and protect health and wellbeing – through:Empowering local leadership and encourage wide responsibility across society to improve health and wellbeing, and tackle the wider factors that influence itStrengthening self-esteem, confidence and personal responsibilityPositively promoting healthier behaviours and lifestylesAdapting environments to make healthy choices easierProtecting the public from health threats – with a strong nationally integrated system that offers expert advice to the NHS, local government and the publicMissionWhat does the PH system have to do?
4 Helping people to stay independent, maximising Improving care, improving outcomes for individuals families and communitiesHelping people to stay independent, maximisingwell-being and improving health outcomes
6 Nurses and midwives opportunities and responsibilities for ‘improving the public’s heath’ Public Health practitioners/SCPHNIncluding health visitors, school nurses,occupational health nurses, specialist midwivesIndividual/community/populationIndividual/caseload/registered listNurses and midwives with specific primary andsecondary prevention roles: practice nurses,mental health nurses, community nurses, sexual health nurses,IndividualAll nurses and midwives maximising their role in health and wellbeingEvery contact counts
7 Actions to maximise the nursing and midwifery contribution to improving health and wellbeing at individual levelCore Actions: - applicable to all nursing and midwifery groupsIndividual LevelProvide direct health care to individuals across in all settingsAdopting an holistic approach to the care of individuals, making “every contact count” to improve health and wellbeing at every opportunityOffer and provide accurate information on health and wellbeing on specific issues to others to individuals on how to improve health and wellbeingSignpost individuals to people and agencies that can help them improve their health and wellbeingCommunicate with people about their health and wellbeing and the actions they may take to achieve improvementListen to and support individuals to communicate their views of and concerns about health and wellbeing, refer others with consent.
8 A life course approach – initial priorities National Actions: Policy and ProgrammesMaking every contact countDeveloping accessible evidence based on NICE guidanceThe public health role of midwivesMaximising the leadership role of SCPHN including health visitor and school nursing programmes‘No health without Mental Health’Dementia ChallengeActively engaging across sectors, leading work effectively, integrating health, care and supportLocal Actions:• Make ‘every contact count’• Support nurses and midwives to maximise their contribution to the Dementia Challenge• Ensure practice is supported by appropriate technologyCall to Action:• Develop skills as ‘health promoting practitioners’ making every contact count
9 At the start of life : reducing health inequalities and variation in infant mortality Lifestyle indicatorsBreast-feeding ratesScreening (preconception, sexual health, baby checks)Maternal mental health generally (post-natal depression particularly - spotting the risk factors and early signs)Immunisation - mother (pertussis) and baby
10 Children, Families and Communities: Health Visiting and School nursing Health and wellbeing of children, young people familiesDelivery of the Healthy Child Programme and enabling positive public health outcomesAppropriate infant nutrition and lifestyle changes to tackle rising obesity and related illness in later lifeEnabling strong early attachment and infant emotional wellbeingConnecting children, families to resources Supporting children and families with additional or complex needsReducing formal safeguarding through early identification and interventionPartnership working
11 Children, Families and Communities: Health Visiting and School nursing ‘National model’ – delivering the HCP 0-19Delivering the HCP 0-19SAFEGURDINYour CommunityUniversal services :Healthy child programmeUniversal Plus services :Early identification and interventionUniversal Partnership PlusservicesOngoing multi agency support0-5Led by HV5-19Led by SN
12 Optimising health of the population within the community Working age adults and older adults: vision for practice nursesUsing knowledge to support and deliver care to individuals and local populationsSupporting all long term conditions management including through:supporting the expert patientdelivering health protection and health promotion e.g. providing immunisations, screening and adviceutilising data to ensure targeted care for groups within practice populationsOptimising health of the population within the community
13 No health without mental health Tackling stigma and discriminationSupporting positive maternal and infant mental health – midwives/HVSupporting positive parenting including Nurse Partnership and Health VisitingSupporting work to prevent suicide and manage self-harmImproving the mental health and wellbeing of people with long term physical conditionsIntegrating mental health and wellbeing into campaigns and communications
14 Services with strong foundations Services embracing innovation Older people : Vision for District NursingMaking every contact count Providing opportunistic public health interventions and supporting the health and wellbeing of carersSupporting patient choice Working with patients and carers to encourage active participation in care and decision-makingSupporting transition of care Working with partners to provide seamless support including discharge planning, transition to residential or hospice careRecognising risk Reducing social isolation through supportive care co-ordinationSupporting the needs of carersIntegrated working with health and social care Developing strengthened ways of working with partners to maximise resourcesNew technology to enhance care Use of tele-health and mobile technology to support complex care in the homeServices with strong foundationsServices embracing innovation
15 Providing excellent care throughout the care pathway The Dementia ChallengeMaking the importance of the nursing contribution to dementia care visible and valuedMaximising our contribution to the dementia challenge through:ensuring dementia awareness for all nursesraising public awareness and reducing social stigmaearly identification and signposting to appropriate services and resources to build community capacitydeveloping appropriate environment of carepromoting wellbeing and living well with dementiapromoting public health messages of the healthy heart and healthy head (vascular dementia)Providing excellent care throughout the care pathwayto the end of life
16 Nurses and midwives: pioneers in public health – again! What needs to happen?Generating the ‘will’ across the professions to embrace ‘wellness’ and to act as health promoting practitionersIncreasing confidence in nurses and midwives in their contribution to public healthIncreasing capacity and developing competence in new public health skills for specialist practitionersMaximising opportunities e.g. increase in health visitorsEffective leadership that builds and sustains partnershipsActive engagement e.g. health and wellbeing boardsMaking Every Contact Count