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Developing Public Health Capacity across Wigan Borough. Making Health Everyone’s Business Andi Sizer, Health Improvement Service Co-ordinator Claire Roberts, Assistant Director, Health Improvement. Local Challenges.

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Developing public health capacity across wigan borough

Developing Public Health Capacity across Wigan Borough

Making Health Everyone’s Business

Andi Sizer, Health Improvement Service Co-ordinator

Claire Roberts, Assistant Director, Health Improvement

Local challenges
Local Challenges

Good partnerships but history of training that didn’t translate to increase in referrals

Numerous topic based training programmes- competing demands/ unco-ordinated

Staff confidence in raising issues

Public health ‘not our business’

Additional & time consuming- not seen as integral to existing role

Making health everyone s business the approach
Making Health Everyone’s Business: The Approach

Staff Health &



staff skills

& confidence



For Health


Health Gain


in health &




Public Health






Staff health wellbeing
Staff Health & Wellbeing

RSPH training delivered to admin teams

Cascade training within workplaces

Workplace Health Champions

Primary care

Investment in services
Investment in services

Helping people to access the right support

Health Trainer service with capacity to work with over (3,500 capacity)

Industrial scale weight management programme (11,000 capacity)

Stop Smoking services

Find & Treat

‘DIY Health Guides’

Commissioning levers
Commissioning Levers

Least developed area


Starting to use competency framework within service specifications

Leadership culture change
Leadership & Culture Change

RSPH training- voluntary sector leads, Youth Forum members, Teaching Assistants

Workplace Health Champions

Briefings/ training for elected members Foundation Trust members & governors (proposed)

Primary Care Staff

Community development for health
Community Development for Health

‘Connecting Communities to Health’ programme

RSPH delivered in community settings- support for NHS Lifecheck

Community Health Advocates

Developing staff skills confidence
Developing Staff Skills & Confidence

Use of Yorks & Humber Competency Framework

Essential Public Health programme

Topic based training where appropriate

Local implementation model for skills development
Local Implementation Model for Skills Development

City & Guild HT award

Health Trainer Qualification- Health Trainers & Health Trainer Champions

Level 3

Topic specific brief intervention

Advance behaviour change

Thematic training, e.g. smoking, alcohol, mental health.

Advanced behaviour change techniques. Target frontline staff

Level 2

Practical skills & tools to raise health issues. Delivered to all frontline staff who regularly work with patients/clients on a 1:1 basis

Level 1

Essential Public Health (EPH)

Develops knowledge & understanding of health improvement. Local health priorities covered. Covers aspects of self care/awareness of own health & well being. Delivered to support cultural change in organisations & as part of staff health & well being programmes. Developing health leadership

Level 1

RSPH Level 2 award

Self Care. Understanding impact of own behaviours/lifestyle on health & well being. Delivered to local community groups, local people. Supports community Health Advocates.

Connecting Communities to Health

Level 0

Eph quick facts
EPH Quick Facts

Developed by NHS Stockport

Evidence based content and approach

Reduces training time from 2 days to 2.5 hours (can be more flexible)

Improved knowledge & confidence by at least 30% in Stockport

Increased lifestyle service referrals

Winner of 2009 North West Public Health Award

Roll out of EPH in Wigan starting with ALW Community Healthcare

Programme to be rolled out to acute trust and non-NHS organisations e.g. adult social care staff, Wigan Leisure & Culture Trust and Housing staff

Training objectives
Training Objectives

Increase frontline staff knowledge of local public health issues

Increase individuals understanding of role

Increase confidence in addressing lifestyle issues through conversations with clients- delivering ‘health chats’

Increase referrals into lifestyle support services

Key public health lifestyle issues
Key Public Health & Lifestyle Issues


Obesity (inc Breastfeeding)

Alcohol & Substance Misuse

Sexual Health

Ageing (falls & fuel poverty)

For both staff & patients

Health chats
Health Chats


Very Brief Intervention!

Raise Issue

Assess Patient Motivation

Practical Not ‘Fact Packed’

Aim to Signpost

Start Positive Change

Evidence Based (NICE etc)

Embedding eph locally case study from alw ch
Embedding EPH Locally: Case Study from ALW CH

  • Preparing the Ground

    • Presentation to Board in April 2010- senior level support for the programme

    • Kickstart event in May 2010- engaging staff from all Care Groups

    • Involvement of training & development leads

    • Identification of ‘Public Health Champions’ to cascade EPH training and support staff teams in each Care Group

Embedding essential public health
Embedding Essential Public Health

ALW CH agreed to adopt EPH as part of mandatory training

Communication strategy

15 staff trained as trainers for EPH

Support and additional resources provided through the Health & Wellbeing Care Group

Performance metrics agreed using existing monitoring systems where possible

Implementation programme for roll out agreed

Performance framework
Performance Framework

Collection of metrics to assess:

  • No of staff/ individuals trained

  • Improvement in staff confidence to raise issues

  • Increased knowledge about local health issues and how to access to information/ services

  • Evidence of health chats being incorporated within interventions

  • Improved patient/ client experience

  • Increase in uptake of key health improvement services

Future developments
Future Developments

Delivery of RSPH level 2 award to promote staff health & wellbeing

Use of Yorks & Humber Competency Framework to inform staff learning & development plans

Secondment of Public Health Analyst to improve data collection and analysis which will support workforce and service planning