The Aim of MECC Training Sessions

2. ‘To increase the number of brief health advice discussions offered to individuals by front-line staff in Tameside' The Aim of MECC Training Sessions HDC Health Development Consultancy 9

3. ‘strengthening self-esteem, confidence and personal responsibility; positively promoting healthy behaviours and lifestyles…Protecting the population from health threats should be led by central government, with a strong system to the frontline.’ Healthy Lives, Healthy People ‘…every contact must count as an opportunity to maintain, and where possible, improve their mental and physical health and wellbeing’ NHS Future Forum Summary Report – Second Phase This is has now been written into Tameside’s Health and Wellbeing Strategy Why are we doing this?

4. Healthy Life Expectancy, England, North-West and Tameside

5. Health Behaviours: Non smoker Alcohol <14 units/wk Not inactive Blood vitamin C >50 mmol/l (5 servings fruit and vegetables daily). Overall impact: 14 year difference in life expectancy!! 100 Number of prudent health behaviours 90 4 % still alive 3 80 2 1 0 70 -2 0 2 4 6 8 10 12 Year of study Khaw et al. PLoS Med 2008 Jan 8: 5 (1): e12 Survival in 20,244 healthy adults aged 40-79 by healthy behaviours

6. There is a need for a culture change amongst organisations towards prevention, to bring the promotion of mental and physical health and wellbeing into the mainstream – doing this has become known as MECC Offering simple advice via a leaflet and sign posting to appropriate lifestyle services for support can really make a difference! Making Every Contact CountTurning ambition into action!

7. MECC means making the best of every appropriate opportunity to raise the issue of healthy lifestyles Systematically promoting the benefits of healthy living within an organisation and to local residents Raising the issue of lifestyle change with individuals Responding appropriately to the lifestyle issues that may be raised Taking appropriate action by either offering information or signposting to relevant services What is MECC?

8. It is not about telling people what to do and how to live their lives. It is about frontline staff taking opportunities to raise the issue of healthy lifestyles and offering the client booklet and signposting if appropriate. Its about being the first link in the chain in helping to improve people’s health and wellbeing. What MECC is not

9. Public Health Messages Quiz

10. Adults should eat no more than 6g of salt a day. Children should have even less. Most of the salt we eat is already in everyday foods such as bread, breakfast cereal, pasta sauce and soups. Multiply Sodium by 2.5 to find out salt level. Messages - Salt HDC Health Development Consultancy

11. Eat a wide variety of fruit and vegetables and aim for at least five portions a day. If you eat one or two portions with each meal and have the occasional fruit snack you might be surprised at how easy it is to eat five-a-day. Fruit and Vegetables HDC Health Development Consultancy

12. At least 150 minutes of mod activity spread over each week At least 30 minutes of mod activity on 5 or more days of the week Vigorous activity is very beneficial 75 minutes or more. UK guidelines 2011 Dept of Health Start Active Stay Active

13. 5 Steps: Connect Be Active Take Notice Keep Learning Give No Health Without Mental Health HDC Health Development Consultancy 34

14. Alcohol health risks How much is too much? Men who regularly drink Women who regularly drink Harmful drinking Over 8 units per day (over 50 units per week) Over 6 units per day (over 35 units per week) Over 3 - 4 units per day Over 3 - 4 units per day Over 2 - 3 units per day Hazardous drinking No more than 3 - 4 units per day No more than 2 - 3 units per day Sensible Drinking Possible Dependence Harmful drinking Hazardous drinking Sensible drinking

15. HDC Health Development Consultancy

16. To reduce weight aim to: Reduce total calories by 500 per day A 5% to 10% weight loss offers important health benefits. Healthy Weight HDC Health Development Consultancy

17. Smoking • Stop!!!

18. How best to support people to change their lifestyles? Be non judgemental and supportive Remember any enquiry into a persons lifestyle can be seen as a judgement, about the choices they are making.Be sensitive but don’t miss the opportunity! ‘Has anyone already asked you about your ……….smoking, drinking, physical activity etc before?’ Supporting People to Change HDC Health Development Consultancy

19. ASK -Raise the issue - take the opportunity, be brave!! ADVICE - Provide the leaflet or signpost. ACT -Be supportive and offer follow up. The MECC ApproachKeep it Short and Simple KISS!

20. During any day to day contact with a resident When you hear them mention a lifestyle problem When you can see that support with a lifestyle issue may be of help As part of existing information gathering arrangements Other……. When can you raise an issue?

21. Discuss the case studies and your opportunities to raise the issue and offer the leaflet What might MECC look like for you?

22. What next • Impact Evaluation will be emailed in 6 weeks please complete, thanks • Update days 13th February 13th March 13th • 11.0am-12.30pm with lunch! - please book with Jasia info@healthdc.co.uk • Look out for MECC Champions Training and Training Trainers Opportunities contact Jasia for dates

23. More Resources? Ring 0161 366 2000

24. Thank you for your time!