Ahps an integral part of the public health workforce
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AHPs an integral part of the public health workforce. Linda Hindle, Allied Health Professions Lead. My conversation with you. Our shared ambition Why we need to take action now Our collective priorities How I am supporting our ambition Contribution of occupational therapists

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Ahps an integral part of the public health workforce

AHPs an integral part of the public health workforce

Linda Hindle, Allied Health Professions Lead


My conversation with you

My conversation with you

  • Our shared ambition

  • Why we need to take action now

  • Our collective priorities

  • How I am supporting our ambition

  • Contribution of occupational therapists

  • What more can you do?

Occupational Therapy Conference 2014


Our ambition ahps are recognised as an integral part of the public health workforce

Our Ambition – 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

Occupational Therapy Conference 2014


Why ahps are well placed to be public health practitioners

Why AHPs 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.

Occupational Therapy Conference 2014


Why we need to act now

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)

Occupational Therapy Conference 2014


The major killers are well known

The major killers are well-known

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

Occupational Therapy Conference 2014


As are the main forms of disability

…as are the main forms of disability

  • Musculoskeletal disorders

  • Mental illness

  • Diabetes

  • Chronic respiratory diseases

  • Neurological disorders

  • Unintentional injuries

  • Cardiovascular disorders

  • Cancer

Occupational Therapy Conference 2014


Risk factors for chronic disease

Risk factors for chronic disease

Overweight & obesity

Top 10 contributors to years of life lived with disability

Occupational Therapy Conference 2014


Wicked problems health i nequalities

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

Occupational Therapy Conference 2014


So what needs to happen

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

Occupational Therapy Conference 2014


Contribution of ahps recognised by phe

Contribution of AHPs recognised by PHE

Occupational Therapy Conference 2014


Are we working as public health practitioners already

Are we working as public health practitioners already?

Occupational Therapy Conference 2014


What do we mean by public health

What do we mean by public health?

Occupational Therapy Conference 2014


Are we working as public health practitioners already1

Are we working as public health practitioners already?

Occupational Therapy Conference 2014


We are doing public health already

We are doing public health already

Occupational Therapy Conference 2014


Could we do more

Could we do more?

Occupational Therapy Conference 2014


It s not always easy

It’s not always easy

Occupational Therapy Conference 2014


Opportunities for ahps

Opportunities for AHPs

  • 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

Occupational Therapy Conference 2014


My role

My role

  • To achieve our collective ambition of AHPs being recognised as an integral part of the public health workforce

Occupational Therapy Conference 2014


How will we know we ve got there

How Will We Know We’ve Got There?

  • AHPs are enthused about public health

  • All AHPs can describe the public health element of their role

  • Commissioners recognise the value and impact of AHPs on public health

Occupational Therapy Conference 2014


Achieving the ambition

Achieving the Ambition

  • Engage and attract AHPs to public health

  • Sell AHP contribution to commissioners

  • Increase public health component of training

  • Improve communication

  • Focus our collective efforts to make a visible impact

Occupational Therapy Conference 2014


Agreed priorities

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)

Occupational Therapy Conference 2014


So what needs to change

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 workforce for a wider role.

  • Researchers need to ask if they can publish more on the potential impact of AHPs on public health.

Occupational Therapy Conference 2014


Contribution of occupational therapists

Contribution of Occupational Therapists

  • OTs already get this agenda

Occupational Therapy Conference 2014


Where ots can support the ambition

Where OTs can support the ambition

Occupational Therapy Conference 2014


Ahps an integral part of the public health workforce

Thank-you

Linda Hindle

[email protected]

Occupational Therapy Conference 2014


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