Recommended
More Related Content
What's hot
What's hot (20)
Viewers also liked
Viewers also liked (13)
Similar to AHP's an integral part of the public health workforce - Linda Hindle
Similar to AHP's an integral part of the public health workforce - Linda Hindle (20)
More from SHUAHP
More from SHUAHP (8)
Recently uploaded
Recently uploaded (20)
AHP's an integral part of the public health workforce - Linda Hindle
- 1. AHPs an integral part of the public health workforce Linda Hindle, Allied Health Professions Lead Follow me on twitter @hindlelinda
- 2. My conversation with you • Our shared ambition • Why we need to take action now • Our collective priorities • How I am supporting our ambition • What more you can do AHPs Autumn 2014AHPs Summer 2015
- 3. OurAmbition –AHPs are recognised as an integral part of the public health workforce • Well over 170,000 AHPs in UK • Over 4 million contacts per week • AHPs work across NHS, social care, education, private and voluntary sectors • We work across the life course in a wide range of specialities AHPs have the potential to add to virtually every public health priority AHPs Autumn 2014AHPs Summer 2015
- 4. Why we need to act now The scale of the challenge – sustainability of our health and social care system We are reducing premature mortality but not as fast as many other high income countries Rising prevalence of most chronic diseases Inequalities remain wide: a 10 year difference in life expectancy between least and most deprived 10% of population. Worrying trends (e.g.: cases of diabetes increasing, increase in childhood obesity) AHPs Autumn 2014AHPs Summer 2015
- 5. The major killers are well-known AHPs Summer 2015 0 5 10 15 20 25 30 Ischaemic heart disease Lung cancer Stroke COPD Colorectal cancer Breast cancer Cirrhosis Lower Respiratory… Pacreatic cancer other cardio Top causes of under 75 mortality – 2010 Raised blood pressure accounts for 50% of all heart disease Around 86% of lung cancer deaths in the UK are caused by tobacco smoking
- 6. …as are the main forms of disability 1) Musculoskeletal disorders 2) Mental illness 3) Diabetes 4) Chronic respiratory diseases 5) Neurological disorders 6) Unintentional injuries 7) Cardiovascular disorders 8) Cancer AHPs Summer 2015
- 7. 11 risk factors that account for 65% of the burden AHPs Autumn 2014AHPs Summer 2015
- 8. AHPs Autumn 2014 AHPs Summer 2015
- 9. Wicked Problems: Health Inequalities Life expectancy and healthy life expectancy, and premature mortality rates vary across the country – higher rates strongly linked to socioeconomic deprivation 0 10 20 30 40 50 60 70 80 90 100 Least deprivedMost deprived Life expectancy Disability-free life expectancy Age Neighbourhood income deprivation AHPs Autumn 2014AHPs Summer 2015
- 10. AHPs Autumn 2014AHPs Summer 2015
- 11. AHPs Autumn 2014AHPs Summer 2015
- 12. So what needs to happen Urgent need to shift focus towards prevention We need to take every opportunity to create the environment, information and support to help people and communities change their behaviour and to enjoy better health and wellbeing. Evidence based approached Appreciation of health inequalities AHPs Autumn 2014AHPs Summer 2015
- 13. WhyAHPs are well placed to be public health practitioners We routinely incorporate questioning around healthy lifestyles and wellbeing within our assessments. Many of us have skills in motivational interviewing and cognitive behavioural therapy. Many of our interventions are geared towards encouraging patient’s to change. We have a good understanding of the implications of poor health and lifestyle choices. We care about our local population and community. We all can incorporate the ‘Make Every Contact Count’ agenda into a current working day. AHPs Autumn 2014AHPs Summer 2015
- 14. Are we working as public health practitioners already? AHPs Autumn 2014AHPs Summer 2015
- 15. What do we mean by public health? Improving the wider determinants of health Health improvement – making every contact count Health protection Healthcare public health – preventing premature mortality AHPs Autumn 2014AHPs Summer 2015
- 16. All HCPs Primary and Community care Public health Patient Family Community Population Population health outcomes Good patient outcomes Patients and the Public Health Care Professionals (HCP) Roles The relationships for care and practice that bring opportunities to improve health and wellbeing Prevent Illness & Complication Protect Health & Safety Promote Positive Health & Well-Being
- 17. We are doing public health already AHPs Autumn 2014AHPs Summer 2015
- 18. AHPs and Healthy Conversations o 9 in 10 AHPs agree their role should include prevention o Over four fifths already incorporate health improvement or prevention into their daily practice o Almost 9 in 10 members of the public would trust healthy lifestyle advice from and AHP. This compares favourably with other professionals including doctors, nurses and pharmacists AHPs Autumn 2014
- 19. Could we do more? AHPs Autumn 2014AHPs Summer 2015
- 20. It’s not always easy Commissioners Leadership and Service redesign Training Evidence AHPs Autumn 2014AHPs Summer 2015
- 21. Challenges and opportunities forAHPs Challenges Do we have the skills? Do we have the time / resources Are we able to influence commissioning decisions Opportunities We can use public health as a tool to raise our profile We are doing public health already We may appeal to a wider group of commissioners AHPs Autumn 2014AHPs Summer 2015
- 22. So what needs to change Allied health professionals need to talk about their public health role, evaluate it and think about how to do more Service planners and commissioners need to consider how to get public health value from their AHP contracts Public health commissioners could consider whether AHPs should be part of commissioning plans Educators need to ask if their curriculum includes proper attention to public health and prepares the future workforce for a wider role. Researchers need to ask if they can publish more on the potential impact of AHPs on public health. AHPs Autumn 2014AHPs Summer 2015
- 23. The time is right forAHPs in public health PH leaders see potential of AHPs Professional bodies support shift Academics are preparing workforce Policy shift towards prevention Commissioning for prevention AHPs Autumn 2014
- 24. Empowerment to achieve our ambition National Local AHPs Autumn 2014
- 25. My role To achieve our collective ambition of AHPs being recognised as an integral part of the public health workforce AHPs Autumn 2014AHPs Summer 2015
- 26. How Will We Know We’ve Got There? 1. AHPs are enthused about public health 2. All AHPs can describe the public health element of their role 3. Commissioners recognise the value and impact of AHPs on public health AHPs Autumn 2014AHPs Summer 2015
- 27. Achieving theAmbition 1. Engage and attract AHPs to public health 2. Sell AHP contribution to commissioners 3. Increase public health component of training and research 4. Improve communication 5. Focus our collective efforts to make a visible impact AHPs Autumn 2014AHPs Summer 2015
- 28. Agreed Priorities Children ready for school / early years (language development, nutrition, physical skills, emotional development, vision) Making every contact count (particular emphasis on obesity, physical activity, smoking and alcohol) Improving health for older adults (nutrition, falls, maintaining independence, dementia, social isolation, mobility) Emotional wellbeing (achieving parity of esteem of emotional wellbeing in line with physical health, holistic care) AHPs Autumn 2014AHPs Summer 2015
- 29. Alignment ofAHP public health priorities to PHE’s 7 priorities AHPs Autumn 2014AHPs Summer 2015 Parity of Esteem Health Inequalities
- 30. PHEAHP Project Boards • Clarity about current AHP contribution • Increasing strategic connections • What could we do more at scale • How we measure our impact • How we communicate our public health role within our professions • Communicating our role to wider stakeholders • Influencing research AHPs Autumn 2014AHPs Autumn 2014
- 31. Forthcoming work examples 1. Development of an AHP public health strategy with AHP Federation 2. Mapping of evidence of AHP contribution to public health 3. Developing our understanding of public health component of education 4. Specific tools e.g. AHP contribution to the Healthy Child Programme 5. AHP MECC videos 6. Championing AHP public health role at local level AHPs Autumn 2014
- 32. Local Focus Promote what you do already Can you do more Evaluate and write up what you do Support the priorities Develop conversations about public health with commissioners AHPs Autumn 2014AHPs Summer 2015
- 33. How – understand local priorities and pressures • Sources of information - Joint strategic needs assessment, health and wellbeing board strategy, CCG delivery plans, DPH annual report, Health scrutiny committee reports • Follow local organisations and leaders on twitter • Sit in on Health and Wellbeing Board meetings AHPs Autumn 2014
- 34. How – Can you do more? • Seek and take opportunities • Plan for the future • Don’t assume your contribution is obvious • Use examples of good practice from elsewhere • Focus on re-design rather than just new money AHPs Autumn 2014
- 35. How -Measure your impact • Take time to plan evaluation • Do short term data collection if necessary • Partner with universities AHPs Autumn 2014
- 36. How – develop conversations with decision makers • Be helpful – solutions not problems • Don’t assume those in leadership positions have all the answers • Develop your elevator pitch • Raise your profile and make connections via social media • Attend networking opportunities AHPs Autumn 2014
- 37. How – promote what you do already • Most AHPs are already doing public health • Take the time to write up what you do - this will have many uses • Don’t assume everyone else is doing what you are doing / ‘it’s not good enough’ • Apply for awards • Liaise with your communications teams so they have your good news stories • Share your work via twitter • Join in the next DH/PHE week of action AHPs Autumn 2014
Editor's Notes
- Talk about my role
- Scale of challenge including aging population, increased demands on healthcare and limited resources
- Chart from GBD data 2010 for UK after cause of death processing, PHE / GBD team analysis Blood pressure figure - World Health Report 2002. Reducing risks, promoting healthy life. World Health Organisation, 2002. Lung cancer figure – Cancer Research UK
- Source – Global Burden of disease, DWP administrative data
- Ask for a show of hands – who is already doing some form of public health work? What form does this take? Make the point that we are doing a lot already. Some of our core work is actually public health, we just don’t call it that
- The following model presents the opportunity all healthcare professionals possess in establishing their individual comprehension and application on how their role supports the overall Health Promoting Practice of Public Health England. This model should serve as a guide and roadmap on how to understand the weight each individual has in distinguishing how to best to define the aims and objectives of their role, as they correspond to improving an overall commitment to the health and well-being of the patient. Furthermore, this model should be assessed in conjunction with the 6 Domains for Population Health, and how each and every Healthcare Professional can establish and measure clear actions around their role to support the Health Promoting Practice across all touchpoints and areas of responsibility. Every Healthcare Professional can benefit from assessing how their role and individual objectives align with successful Population Health Outcomes, and how applying the following models aids in defining a more concise portrait of how every role can impact all facets of the Health Promoting Practice.
- Get a view from the room on this including the barriers