HEE current commitment and support for prevention

Professor Ged ByrnePopulation Health and Prevention, HEE

The challenges we face

Radical upgrade in prevention

Health and wellbeing

gap

11

New care models

Care and quality gap

22

Efficiency and investment

Funding gap

33

Context: closing the health gap..…..will require a stronger focus on effective interventions that influence behaviour /lifestyle – and a scientific /clinical workforce that can respond to the potential of new genomics.

The two Grand Challenges:

Number one: Making the population healthier

• Huge increase in ‘public health’ workforce?

• traditional workforce

• ‘wider’ workforce

The two Grand Challenges:

Number two: Changing population culture to reflect need to improve prevention, health and wellbeing

• Greater individual responsibility for staying well

• Improve understanding of how to stay healthy

• Access to knowledge

• Person-centred care

Old to new: a change in health discourseOld New

Population • ‘the patient’• ‘not sick…no

worries’• Little healthcare

knowledge/ little access

• Responsibility for staying well• Understanding how to stay healthy• Massive access to knowledge• A ‘right’ to personalised care’

Health Professional

• ‘diagnostic’• ‘paternal’• ‘curing’ the

‘problem’

• ‘Advocate’• Assimilates knowledge• Individual relationship• Focuses on prevention• Supported by ‘wider workforce’• Skills attitudes and behaviours to

deliver high quality personalised care

Landmark achievement: system wide working on Making Every Contact Count

@NHS_HealthEdEng #MECC

• System wide partnership working –national MECC Advisory Group

• National MECC tools

• Incorporation in NHS standard contract

• Mentioned in 50% of STP plans

• National Conference

• Regional events

• MECC Community of Practice

• MECC e-learning resources on national e-Learning for Health platform

• Re-launch of www.makingeverycontactcount.co.uk

Other national prevention resources

@NHS_HealthEdEng #MECC

• Action plan for public mental health resources, including national resource guide plus national roll-out of Connect 5 trainers

• Collaboration with PHE on e-learning, health economics, mental health community approaches, obesity and nutrition

• Scoping e-learning provision around a) immunisation and vaccination and b) screening

• Population health glossary

• Resources to support antimicrobial resistance and sepsis awareness

Demographics

Why do patients and public need health information?• There are powerful legal, moral, ethical and financial

incentives for providing quality information to enable people to better manage their health and wellbeing and make fully informed decisions about their treatment and care. (PiF Making the Case)

• Patients are being encouraged to self-manage, share decision-making and be partners in their own care

• Low literacy levels: 42% of working-age adults (aged 16-65) are unable to understand or make use of everyday health information

Health literacy:

• The personal characteristics and social resources needed for individuals and communities to access, understand, appraise and use information and services to make decisions about health.

WHO 2015

• A person’s language, literacy and numeracy skills have a huge influence on their ability to manage their health and wellbeing and therefore their health outcomes.

Health literacy:

• Currently in England, 43% of adults (18-65) do not have adequate literacy skills to routinely understand health information and 61% of adults (18-65) do not have adequate numeracy skills to routinely understand health information. (Rowlands, G. et al (2015) British Journal of General Practice 65 e379 -e386)

Library and Knowledge Services staff are…Uniquely positioned to provide healthcare information to the public and patients

• Play a key role in providing evidence for patient care as part of our service to healthcare staff

• Skills in finding the evidence, appraising it and making it readily available in formats needed by our healthcare colleagues.

• Can use these same skills in our interactions with the public, patients and carers

• Can act as signposts to the information that the public, patients and carers need to empower them to be active participants in their health and well-being

• Training skills can be utilised to facilitate health literacy awareness

Partnerships are central

Health Education England is committed to :

• learning from and partnering with other organisations across different sectors

• to strengthening working relationships across the library community

HEE

CILIP

PHE

HEIs

SCLNIHR

NICE

The Reading Agency

NHS England

@NHS_HealthEdEng @K4H_PPI #HEELKS

Current partnerships within Patient and Public Information

• Public Health England (PHE)

• NHS England

• NHS Digital

• Health Education England (HEE)

• Society of Chief Librarians (SCL)

• Reading Agency

• Patient Information Forum (PiF)

• Macmillan

• and many more...

Image courtesy of Ben Schonewille at FreeDigitalPhotos.net

Society of Chief Librarians• 'Public Library Health Offer' articulates the role that libraries can

play in promoting the health & wellbeing of local communities

• Public libraries are clear about their role in signposting the public to quality resources whilst not providing medical advice or guidance.

• Public library staff have customer service and enquiry skills to help the public find information but would value more specialised health training from NHS Librarians

• NHS librarians would value customer service skills used by public library staff

• Opportunities for joint working and sharing of expertise and resources

goscl.com/universal-offers/health-offer/

The Reading Agency

• Reading Well Books on Prescription and subsequent book lists

• Health benefits of reading and reading groups

• NHS Librarian involved in developing BoP Long Term Conditions list for July 2017

readingagency.org.uk

@NHS_HealthEdEng @K4H_PPI #HEELKS