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Health Promotion in Practice
Transcript of Health Promotion in Practice
Main aims of health promotion
Health promotion priorities
Activities and campaigns
Day in the life of a Health Promotion Specialist Graduated in 2008 with Bsc in Diet and Health
Worked as Healthcare Assistant at North Bristol Trust
Gained role as Health Promotion Specialist for NHS Bristol
Nutrition Leader for MEND Programme with Bristol City Council
Deliver nutrition workshops within south Bristol What is Public Health? The science and art of promoting and protecting health and well-being, preventing ill-health and prolonging life through the organised efforts of society. UK Facility of Public Health
Overview Population health
Local environments What is Health Promotion? Health promotion is the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behaviour towards a wide range of social and environmental interventions. Challenges for Health Promotion 23% of adults are in England are obese
21% of adults continue to smoke
Alcohol consumption - 35% of men & 28% of women drank over the recommended limits
Coronary Heart Disease costs NHS £3.2 billion
Low levels of physical activity References Department of Health (2011) Healthy Lives, Healthy People: A call to action on obesity in England http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_130487.pdf
Cancer Research UK (2012) Smoking Statistics http://www.cancerresearchuk.org/cancer-info/cancerstats/types/lung/smoking/lung-cancer-and-smoking-statistics#percent
The Information Centre (2012) Statistics on Alcohol: England http://www.ic.nhs.uk/webfiles/publications/003_Health_Lifestyles/Alcohol_2012/Statistics_on_Alcohol_England_2012.pdf
British Heart Foundation (20120 Coronary Heart Disease Statistics in England
The Information Centre (2012) Statistics on obesity, physical activity and diet: England http://www.ic.nhs.uk/webfiles/publications/003_Health_Lifestyles/OPAD12/Statistics_on_Obesity_Physical_Activity_and_Diet_England_2012.pdf Health Inequalities Gender
Town, City, Country Love Your Liver Campaign Quit Start Activity Designing a health promotion activity Who to engage with? GPs & Practice Nurse
Midwives & Health Visitors
Schools & Children Centres
Neighbourhood Partnerships Men want services to be easily accessible. This means flexible opening times in convenient, non-clinical locations
Men want direct advertising and health information specifically for men from health promotion interventions
Health workers need to have a well developed set of skills to work effectively with men
Having a healthcare team with a range of expertise enables a broader range of activities to be supported
One study has been found that shows that women exert an important influence on the decisions of men to seek health care In July 2011 a pilot Man in a Van health promotion event was held for 2 days at B&Q on Imperial Park, South Bristol. Over 52 men had their health checked over the two sessions. Pilot White Van Man In support of Men’s Health Week (11-17th June), NHS Bristol men’s health working group decided to take the Man in a Van initiative city wide. The key theme for the week was promoting heart health. Health Check:
Scales and tape measure for BMI and waist circumference
Blood pressure monitors
Carbon monoxide and lung function monitors for use on smokers
Health questionnaire recording alcohol intake and physical activity levels
Leaflets on a variety of health topics associated with men White Van Man We spoke to over 250 people during the week and conducted 177 health checks and questionnaires. http://www.bbc.co.uk/news/health-18479179
http://www.bristol.nhs.uk/about-us/equality/mens-health.aspx Communication & Media for White Van Man 50% of smokers are routine and manual (R&M) workers
DH aims to halve smoking rates for R&M smokers by 2020
For many smoking is ‘social norm’
Fear of exclusion from social group or being ostracised for breaking social norms
Peer support by someone who is ‘one of them’ would be beneficial
Community approach to quitting in familiar setting - non clinical
Opportunity to ‘Try Out’ becoming a quitter Quit Start Results Between August 2010 to end May 2012
24 workplaces visited
average 35 packs issued at each
837 packs issued to date
90 set quit date (11% of participants)
Most were pre contemplators
51 quit (6% of participants)
57% quit rate compared to 45% total Aimed at reducing everyday low level drinking and the associated risks.
Research shows that drinking just over the recommended daily allowance everyday significantly increases risk of physical harm.
A rise in the number of cases of liver disease attributable to alcohol particularly in women, and in younger people, Aimed at engaging drinkers aged 30 – 65 women in a 6 week period of alcohol reduction to highlight the benefits of drinking at a lower level
Aimed at those who drink every day but do not drink to ‘get drunk’ and who are regularly exceeding recommended alcohol limits
Love your Liver Abtain from alcohol on at least 3 days of the week
Not exceed the recommended limits of 2-3 units a day for women and 3-4 units for men
Leave at least 24 hours after drinking alcohol before starting again
Those interested can register for a challenge pack at www.ministryofcheer.org The Challenge Love your Liver 50+ men and the risk of CVD
17-30 year olds and alcohol
Under 5’s and dental health
Routine and Manual workers who smoke
Need to consider
What are your aims?
Who will you need to work with?
What activities will you undertake?
Week in the Life Mon - Office, meetings, prep for the week
Tues - Home visits and clinic in community
Wed - Office organising groups - Home visits,
Thurs - UWE - Clinic, meeting other health professionals
Fri - office - paperwork, referrals Manage my own time and diary
Mainly working with pregnant women and chronic disease patients
Daily presenting info to public and professionals
Community engagement Any questions Smokefree Bristol Page
Bristol Healthy Nutrition Page @ImAQwitter