making every contact count sarah mccormack 20 th october, 2015
TRANSCRIPT
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Making Every Contact Count
Sarah McCormack 20th October, 2015
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Healthy Ireland Framework 2013 - 20251
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1 Healthy Ireland Framework Goals
• Increase the proportion of people who are healthy at all stages of life
• Reduce health inequalities
• Protect the public from threats to health and wellbeing
• Create an environment where every individual and sector of society can play their part in achieving a healthy Ireland
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Healthy Ireland in the Health Services National Implementation Plan
2015 - 20172
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2 Identification of Priorities
Focuses on the biggest risk to
our population’s health – the
burden of chronic disease
Capitalises on our large size, workforce and relationships with service
users
Builds on what we are
already doing –– bringing
people together
Will use exciting external
partnerships and structures
Focuses on what will make this
sustainable over 5 – 10 years
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2 Three Strategic Priorities
Our Biggest Challenge
…………
Chronic Disease
Prevention &
Management
Best Assets………...
Workforce Health & Wellbeing
Opportunities to embed approach
through…………
Health Service Reform
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Health Service Reform 3
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3 Health Service Reform
New Corporate Plan 2015–2017
Structural Reform
Financial Reform
Knowledge, Information and e-health
Clinical Care Integrated Programmes and Models of Care
National Policy Priority Programmes
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Burden of Chronic Disease4
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4 The Burden of Chronic Disease
• Half of all people over 50 have at least one chronic disease
• Chronic Disease will rise by 4% each year
• 1 in 5 of all of us will experience mental health problems in our lifetime
• 1 in every 10 people over 50 years of age has diabetes
• 1 in 5 children is overweight
• 36,000 new cases of cancer diagnosed each year
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Known preventable key risk factors
Chronic Disease is largely preventable
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4. Healthy Ireland Survey 2015 7,539 interviews – Nov 2014 – Aug 2015 • Fewer than 1 in 5 people now smoke but 23% are smokers
• 85% have good health but 28% have a long-standing condition
• Obesity levelling out but 60% of people still overweight • Two thirds of people not getting enough exercise
• Four out of ten people binge when drinking - alcohol consumption in Ireland is 5th highest in Europe
• Good levels of mental health but better among men than women
• 50% of people know someone with dementia
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Workforce health & wellbeing 5
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5 Our Workforce
100,000 staff working in 2,594 workplaces
Create healthy environments – smoke-free, healthy eating and encourage physical activity
Include staff as target group in social marketing campaigns
Create a culture of HI champions within the health service and retired staff
Implement The People Strategy
Implement a Staff Health and Wellbeing Strategy
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Making every contact count 5
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Remarkable reach available to the healthcare system each year
4.6m people
1.8m have medical cards
68,000 babies born
3m clinical
consultations
10.3m home help hours
20m prescriptions
1.43m procedures
1.3m Dental visits
1.2m ED visits
5m Public Health Nurse contacts
290,000 Emergency Calls
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5 Behaviour Change Model
• Developing a Framework for Brief Intervention Behaviour Change Methods
• Developing a method of recording risk factors and health behaviour intervention data through the Hospital In Patient Enquiry (HIPE/ PAS) system
• Developing a National Framework for self care in consultation with Clinical Programmes, other HSE divisions and Service Users
• Develop training programmes for all appropriate staff
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Proposed Model for HBC
Level 2 Very Brief Intervention
Level 3 Brief Intervention
Level 4 Extended BI
Adapted from NHS Yorkshire & Humber Prevention & Lifestyle Behaviour Change Competence Framework
Level 5
Level 1 Brief Advice
Specialist Interventions
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Thank you