HEALTH PROMOTION INTERVENTIONS IN WALK-IN CENTRES
|
|
- Hannah Hensley
- 5 years ago
- Views:
Transcription
1 Art & science The acute urgent synthesis care of art and science is lived by the nurse in the nursing act JOSEPHINE G PATERSON HEALTH PROMOTION INTERVENTIONS IN WALK-IN CENTRES The findings of an investigation into opportunities to talk with clients about smoking cessation, weight management and alcohol interventions Correspondence gimmyjaycaddy@aol.com Cindy U Chacha-Mannie is an emergency nurse practitioner, Minor Injuries and Illnesses Unit, St Mary s NHS Treatment Centre, Portsmouth, and a professional doctorate student at the school of health sciences and social work, University of Portsmouth Ann Dewey, interim associate head for research and innovation, School of Health Sciences and Social Work, University of Portsmouth Date of submission September Date of acceptance November Peer review This article has been subject to double-blind review and has been checked using antiplagiarism software Author guidelines journals.rcni.com/r/ phc-author-guidelines Abstract NHS walk-in centres (WICs) were opened in 2000 to modernise the NHS and increase accessibility to healthcare. They developed rapidly and are used successfully by the public. But little is known about the clients presenting and even less about health promotion and disease prevention strategies adopted by WICs. This review aims to explore, through client profiling, whether there is an opportunity for health promotion service delivery in WICs and minor injuries/illness units. The findings indicate that clients attending these units are similar in profile to those presenting to GPs and emergency departments, and that there is an opportunity to use these centres more effectively for health promotion. Keywords alcohol, health promotion, minor injury illness unit, nurse-led, nurse practitioners, obesity, primary care, public health, smoking, walk-in centres ABOUT 170,000 people die prematurely every year in England (Department of Health (DH) 2011) with more than 15.4 million people affected by long-term conditions, specifically heart disease, type 2 diabetes, cancers (particularly oral, lung, breast, gastric), some skin conditions, and circulatory and respiratory diseases, especially chronic obstructive pulmonary disease (DH 2010). These diseases have been linked to unhealthy lifestyle choices, specifically poor diet, inactivity, smoking, obesity and alcohol (DH 2010). The World Health Organization (WHO) (2014) states that Britain has the worst rate of obesity in Europe, with 63% of the population overweight and 27% obese. According to the Office for National Statistics (2012), 21% of the population are smokers and 27% consume alcohol on five or more days a week. Health promotion has traditionally fallen within the remit of GP surgeries, most of it provided by practice nurses (King s Fund 2010). Workload, pressure faced by GPs and emergency departments (EDs), the increase in the rate of non-accidental premature deaths and long-term conditions have raised the importance of disease prevention and health promotion across primary health care. As a consequence, the current public health agenda aims to bring radical changes in approaches to disease prevention, the delivery of services and increased access to primary care, making it everybody s business (Fenton 2013). The focus on public health, with reinforcement of the prevention of disease and promotion of health, is central to recent reforms (NHS England 2014). The new public health system, an integrated whole-system approach (DH 2013), requires local authorities to make every contact count. Steps should be taken to protect the health of the population by offering services such as tobacco control, tackling obesity, alcohol and drug misuse, and health checks. The responsibility of 18
2 19 Alamy
3 Art & science acute urgent care commissioning these services has been given to local government, clinical commissioning groups (CCGs) and the NHS Commissioning Board local teams in what is term a placed-based approach to public health (Fenton 2013). At a local level, in Portsmouth, the CCG is responsible for commissioning services at the Walk-in Centre (WIC) and Minor Injuries/Illness Unit (MIU). Back in 1999, when the DH proposed to open 20 pilot walk-in centres within six months, with a budget of 30 million, health promotion was one of the main drivers (DH 1999) (Table 1). Currently, while not much is being said about WICs or MIUs and health promotion directly, now that these services are commissioned by the CCG which collaborates on public health health promotion in WICs and MIUs is relevant again. The CCG will be held accountable for its activities, ensuring probity and improving local health outcomes (DH 2012). The local MIU will therefore need to meet the health promotion needs as set by the local CCG for the local MIU, and show evidence of how they are being met. A literature review (Chacha-Mannie 2014) concluded that the role of WICs and MIUs was not clear: there was lack of clarity in terms of structure (Jackson et al 2005), about services provided (Salisbury et al 2002), and about the educational and skill requirements of nurses working in these centres (Taylor 2008). The DH s rapid pace in moving from proposal to opening of these units was blamed for this situation (Chalder et al Table 1 Features of walk-in centres as defined by the Department of Health A patient/population needs assessment that supports the development of an innovative primary care centre and is sensitive to the age, culture and lifestyle of patients One of two accredited NHS Direct decision-support protocols for patient management and a clear commitment to provide a service to consistent national standards Effective management systems to predict and manage patient demand Skill mix that maximises the skills and experience of nurses and meets patient needs in the most cost-effective way Provision of a range of high quality minor ailment/treatment services and possibly medical minor injuries services to all patients Provision of information about the NHS, social services, and other local statutory and voluntary services Provision of information and advice about self-care, and healthy lifestyles, such as smoking and diet, which should be met by pilot sites (DH 2009) The review revealed that WICs and MIUs had increased access to health services (Pope et al 2005), as Anderson (2002) and Salisbury et al (2002) had found. Clients were satisfied with the level of care (Anderson 2002), and WICs were highly regarded by most of the patients who used them and by other healthcare providers (Pope et al 2005). Clients were satisfied because they felt nurses had listened to them and because there was anonymity (Chapman et al 2004). Grant et al (2002) commended WICs as offering a great opportunity for nurses to develop their autonomy and to use their skills. WICs and MIUs are mostly nurse-led (Monitor 2014), indicating that nurses working in them have a good deal of autonomy. Local health priorities The population of Portsmouth has been found to have poorer health compared to the average in the rest of England (Portsmouth City Council 2010). Levels of deprivation are generally worse than average (Public Health Observatory 2014). As one of the most densely populated cities in England outside London, Portsmouth has a high number of premature deaths, disabilities and generally poor health. Life expectancy is below the national average. It is 10.8 years lower for men and 6.1 years lower for women in the most deprived area compared with the least deprived, and there is an inequality gap and deprivation that has led to poverty in most areas (Public Health Observatory 2012). However, 62% of the city s population are aged between 20 and 64, so it has a high percentage of potentially working population. While there have been health improvements, Portsmouth continues to perform low on key outcomes including smoking, alcohol-related admissions, and obesity among adults and children (Portsmouth CCG 2014). Similar to the rest of England, leading causes of non-accidental premature deaths in Portsmouth are heart disease and cancer. The high rates of poor health, poverty and deprivation are attributed to poor lifestyle choices, specifically smoking, alcohol and drug misuse, obesity and poor diet, as well as poor access to health services and lack of education (Public Health Observatory 2012). Estimated levels of adult healthy eating and physical activity are lower than England s average. There are more smokers in Portsmouth compared to the average in England, and this is the main reason for lower life expectancy in the city (Health Profiles 2014). A local CCG report (Portsmouth CCG 2014) classes 52% of Portsmouth s population as obese. Figures published by Health Profiles showed that 24% of the adult population in Portsmouth consumed alcohol at levels that could 20
4 harm their health compared to an average of 22% elsewhere in England; 22% of those over the age of 16 were defined as binge drinkers and 8% drank at higher-risk levels (Health Profiles 2014). Priorities for Portsmouth City Council s wellbeing service (Portsmouth CCG 2014) include reducing obesity, physical activity, better nutrition, and tackling alcohol and smoking. Portsmouth s MIU aspired to make a difference and contribute to the improvement of the public health of Portsmouth by integrating health promotion into services provided to clients presenting for illnesses and injuries. In a city with a high rate of poor health, making sure that every contact counts for every presenting client, is a priority. In the ten years that the MIU in Portsmouth has been open, health promotion has not been a priority. The aim The aim of the study was to explore the kind of clients that present to MIUs and WICs to establish whether there is a high-risk population (smokers, people who are obese and/or overuse alcohol) and whether there is a necessity and opportunity for health promotion services. Literature review A number of databases were used to search for literature on health promotion in MIUs and WICs including CINAHL, EBSCO, PubMed and others. Boolean operators and MeSH terms including WIC, MIU, Health Promotion, Smoking, Weight, Alcohol and similar were used. There was only one study found on health promotion in WICs/MIUs, with Salisbury (2003) merely stating that WIC s have a role in health promotion, some run courses to support people wanting to give up smoking or lose weight, with no other explanation or elaboration. The only relevant paper was by Patton and Vohra (2013), titled Hazardous drinking in patients attending a minor injuries unit: a pilot study. This found that of the 70% of clients who presented to emergency departments (EDs) with hazardous drinking, 20% were classified as experiencing minor injuries and should more appropriately have been seen in MIUs by emergency nurse practitioners, who are more likely than doctors to offer health-related advice and information. Participants were included in the study if they attended the MIU near a major London hospital, were over 16, English-speaking and consumed daily at least double the number of units recommended by the DH or if they admitted to alcohol-related MIU presentation. Data were collected over four weeks on age, gender, reason for attendance and previous attendance at an ED. After interaction with 1,000 clients who presented during the study period, 315 were approached and 192 consented to take part in the study. Paddington alcohol test screening was conducted with written advice. Only 3% of the identified 36% hazardous drinkers accepted the offer of help or advice. Patton and Vohra (2013) concluded that few participants who could have benefited from help and advice accepted such an offer as they did not associate attendance with their drinking. Because there is limited health promotion in WICs and MIUs, literature was sought that explored the implementation of health promotion services in similar organisations; in this case EDs, which are similar in that they have four-hour targets, are not paid for health promotion activity and see clients/ patients in one-off encounters (Monitor 2014). A randomised controlled trial on a multi-component smoking-cessation strategy in ED by Bernstein et al (2011) found few published clinical trial interventions in ED for smoking. The 338 participants in their study were patients from a low socio-economic group who were contemplating quitting smoking. The study concluded that smoking-cessation intervention is feasible in EDs but physicians require training to use teachable moments and to incorporate services into practice. A US literature review by Woolard et al (2011) on brief motivational alcohol intervention in ED explored the FRAMES model (feedback, responsibility, advice, menu or choice, empathy and self-efficacy) of brief motivational intervention and negotiation interviewing, which takes about 20 to 30 minutes. The review concluded that progress was made in ED in meeting public health goals of reducing alcohol misuse. The authors observed that the ED is an important setting for initiating a teachable-moment brief intervention, but it has to form part of routine care. More than 50% of the reviewed studies involved nurses. The similarities between the studies were that the nurses were positive about recommendations to implement health promotion in their settings. But it was observed that although they were positive, there appeared to be common barriers to the implementation of health promotion. The barriers were time, education, training and management support (Cross 2005). Cross (2005) conducted a qualitative study of ED nurses attitudes towards health promotion and found little research on health promotion and nurses who work in EDs. Similar findings were identified by Bensberg et al (2003) in direct interviews with nurses about opportunities for health promotion 21
5 Art & science acute urgent care 22 in EDs. The researchers concluded there was little literature on how to integrate health promotion into the organisational structure of EDs and that ED staff are not educated in health promotion. The barriers identified were similar to those found by Cross (2005). No studies were found on weight management in EDs, WICs or MIUs. The government s focus on public health has highlighted health education and health promotion as imperative in primary care. The WHO has clearly defined primary health care guidelines, including advice and strategies on the promotion of health and prevention of disease (WHO 2014). However, there is a lack of evidence that these guidelines and the DH s WIC key features (DH 1999) are being delivered, nor is there enough published research on health promotion in these centres. The gaps in the literature raise a number of questions. Is health promotion being offered at WICs and MIUs? Is there a need for these services? Would presenting clients benefit from them? Who are the clients presenting to these centres? Would there be any benefit in implementing health promotion at our local MIU? There is a need to evaluate how health promotion is implemented in WICs and to establish whether clients presenting at WICs and MIUs would benefit from health promotion services. This need is underpinned by demand for healthcare services and a need to target health and wellbeing issues, especially in Portsmouth, where the researcher is based and where the health of people is poor compared to the rest of the country (Public Health Observatory 2014). The local MIU The local MIU is centrally located in Portsmouth, accessible to clients by walking, or by public or private transport, and sees more than 3,300 clients a month of all ages. The unit is nurse-led with a minimum of two nurses in the morning (7:30-10am), five nurses in the middle shift (10am-6pm) and three in the evening (6-10pm). It is open daily from 7.30 or 8am over the weekend and bank holidays to 10pm. The nurses have wide knowledge, skill mix and experience and come from various backgrounds including emergency care, primary health care and orthopaedics. Recently, paramedic practitioners have been employed (Care UK undated). Ethical approval A doctorate research proposal was successfully submitted to the University of Portsmouth s school of health sciences and social work to implement health promotion services (smoking cessation, weight management and alcohol intervention) at the local WIC for minor injuries and illness. The proposal was peer-reviewed at the University of Portsmouth. NHS ethical approval was gained via the Integrated Research Application System (IRAS), in June 2015 and clinical governance was approved by the local CCG and Care UK. Methodology Phase I of the study aimed to develop a presenting client/patient data profile to determine whether there was a need for health promotion and a need for one, two or all three of the identified health promotion strategies. Data collection ran from July The mandatory booking-in form for all clients was adapted to include smoking status (including e-cigarettes and occasional smokers), weight, height, and alcohol consumption per week. Rethink your drink alcohol scratch cards were used to help with the identification and assessment of alcohol consumption (Drink Sense 2014). A request to use data for research purposes was included in the booking-in form with a simple yes or no tick-answer. Inclusion criteria were all clients aged between 16 and 75. All nurse practitioners were trained and requested to screen all clients in this age group. Anonymous data were collected from the booking-in form and captured in Microsoft Excel. Holidaymakers, people experiencing mental ill health, and emergencies including cardiac chest pain, severe acute illnesses and others were excluded. All Excel spreadsheets were exported daily onto IBM SPSS version 22 for data cleansing and analysis. Simple descriptive analysis was undertaken on SPSS, specifically breakdown of age group and gender. Cumulative analysis of smoking, body mass index (BMI) and alcohol intake in units was performed. Clients were classed as overweight or obese if their BMI was 26 or over. A total of 4,025 clients presented in July 2015 (Table 2). Among the target group for the study (n=2,818), 1,385 (49%) were male and 1,433 (51%) female (Table 3). Table 2 Ages of presenting clients Results Age Total , Total 4,025
6 Clients presented with a diverse group of complaints ranging from simple cuts, fractures, sprains, skin conditions, motor vehicle accident injuries, eye injuries, minor infections and many more, including alcohol-related injuries. High risk screening was done by asking for smoking status including occasional smokers and smokers of e-cigarettes. Clients were asked about their weight and height, used to calculate BMI, and about their alcohol consumption per week (Table 3). Discussion The presenting clients were similar to those who present to GP surgeries and EDs. It is well documented that GPs are paid to provide health promotion services (NHS England 2014), but there are questions about how a ten-minute appointment can cover the presenting medical complaint, its management and health promotion interventions. Studies have been undertaken into extending surgery opening hours and consultation times, but they refer to addressing complex medical issues and not the inclusion of health promotion during consultation (Oxtoby 2015). The findings are similar to those of Peckham and Exworthy (2003), who observed that GPs continue to practise a medicalised system of primary care and emphasise treatment over prevention of disease and promotion of health. However, GP services were not the focus of this study, which is investigating the potential of nurse-led services. If more than 2,800 clients are presenting to an MIU per month, there are health promotion opportunities that have to be explored. A number of services can be promoted, including chlamydia screening and teenage pregnancy, but the focus of this study was confined to smoking cessation, weight management and alcohol intervention. With an awareness of the high levels of smoking, obesity and high alcohol intake shown in the snapshot of clients presenting to the Portsmouth MIU in this study, it can be argued that practitioners should take every opportunity presented to engage clients and make every contact count in their consultations, with the aim of improving lifestyles and reducing inequality. Lessons learned as a result of the study are summarised in Table 4. Conclusion A high number of clients present with unhealthier lifestyle behaviours to the local MIU: 70% of the presenting clients were found to have higher risk behaviour through smoking, alcohol abuse, being overweight/obese or a combination of these. This figure is consistent with the figures in the city; the Wellbeing Service observed that 70% Table 3 High-risk status of clients Daily attendances Male Female Smokers BMI 25 and over Alcohol: more than 26 units 2,818 1,385 1, (28%) 1,683 (60%) 135 (5%) Table 4 Lessons learned What is already known about walk-in NHS WICs were introduced in 2000 WICs expanded rapidly There is lack of clarity in terms of services and roles in these units for health promotion or for nurses WICs have high attendances and patient satisfaction Health promotion was a key feature of initial WIC proposals but there is no clear indication of its implementation There are high rates of premature deaths and long-term conditions in the UK and in the locality What this study adds WICs see similar patients to those in GP surgeries and EDs Minimal literature is available on health promotion service delivery in WICs and MIUs Pilot studies in alcohol prevention and smoking cessation have been successful in EDs Obesity is widespread in the UK, but there is limited literature on management in MIU/WICs The patient profile suggests a need for health promotion interventions in WICs and MIUs Based on the high numbers of unhealthy lifestyle choices (Table 3), there is an opportunity for practitioners in these centres to provide brief health promotion and MECC (making every contact count) to improve healthier lifestyle choices longer healthier lives 23
7 Art & science urgent care of the city s population engage in two or more unhealthy behaviours (Portsmouth City Council 2016). Strategies to improve health have been re-enforced to include brief health promotion interventions and Making Every Contact Count (MECC). MECC encourages all care professionals to use every opportunity to empower healthier lifestyle choices ranging from brief advice on smoking, weight, alcohol and healthy eating (MECC 2012). Practitioners in these centres also have the opportunity of implementing MECC in their units. WICs have been proven to increase access, they are successfully managed by nurses and are widely used by clients/patients. There is, however, no clarity in terms of their role and services. It would appear that services are dependent on the commissioning body. The local MIU services are commissioned by the CCG and there is subsequently a duty to provide health promotion and health education. In terms of public health provision, the onset of long-term conditions may be delayed by minor lifestyle changes such as smoking cessation, a reduction in alcohol intake, healthy balanced diets and exercise. These can be achieved through education, health promotion and by providing information that should be available at the first point of contact and at the primary care stage to enable individuals to look after their health and that of their families (WHO 2012). For various reasons outside the scope of this study clients present to MIUs and WICs as their first point of call, so health promotion opportunities must be taken as a means of contributing to holistic care. Proposal for next phase Involve management in integrating health promotion in service delivery. Train emergency nurse practitioners to make health promotion part of every client contact. Conduct further studies to explore the best time for, approach to and effectiveness of implementing health promotion during the client s presentation in the MIU. Conduct interviews with nurses about their experiences and perspectives of health promotion in MIUs. Collect data from service users/clients/patients on their views of health promotion in MIUs. Online archive For related information, visit our online archive and search using the keywords Conflict of interest None declared References Anderson E (2002) NHS walk in centres and the expanding role of primary care nurse. Nursing Times. 98, 19, 36. Bensberg M, Kennedy M, Bennetts S (2003) Identifying the opportunities for health promoting emergency departments. Accident and Emergency Nursing. 11, 3, Bernstein S, Bijur P, Cooperman N et al (2011) A randomised trial of multicomponent cessation strategy for emergency department smokers. Academic Emergency Medicine. 18, 6. Care UK (undated) Minor Injuries/Illnesses at St Mary s NHS Treatment Centre. tinyurl.com/ zg2wg63 (Last accessed: February ) Chacha-Mannie C (2014) Health promotion in NHS walk in centres: a literature review. Primary Health Care. 24, 5, Chalder M, Sharp D, Moore L et al (2003) Impact of NHS Walk in Centres on the workload of other healthcare providers: a time series analysis. British Medical Journal. 326, 7388, 532. doi:dx.doi.org/ /bmj Chapman J, Zechel A, Carter Y et al (2004) Systematic review of recent innovations in service provision to improve access to primary care. British Journal of General Practice. 54, 502, Cross R (2005) Accident and emergency nurses attitudes towards health promotion. Journal of Advanced Nursing. 51, 5, Department of Health (1999) NHS Primary Care Walk-in Centres Selection of Pilot Sites for 1999/2000. tinyurl.com/zcvw7n2 (Last accessed: April ) Department of Health (2010) Healthy Lives, Healthy People: Our Strategy for Public Health in England. The Stationery Office, London. Department of Health (2011) Ten Things you Need to Know about Long Term Conditions. tinyurl.com/z6bj7dj (Last accessed: April ) Department of Health (2012) Accounting Officer System Statement. DH, London. Department of Health (2013) Improving Outcomes and Supporting Transparency. tinyurl.com/pzc3gnr (Last accessed: April ) Drink Sense (2014) Rethink Your Drink. tinyurl. com/gmfx5md (Last accessed: April ) Fenton K (2013). Making Health Everybody s Business. Public Health England. tinyurl.com/ ze2x8yz (Last accessed: April ) Grant C, Nicholas R, Moore L et al (2002) An observational study comparing quality of care in walk-in centres with general practice and NHS Direct using standardised patients. British Medical Journal. 324, 7353, Jackson C, Dixon-Woods M, Hsu R et al (2005) A qualitative study of choosing and using an NHS walk-in centre. Family Practice. 22, 3, King s Fund (2010) A Pro-active Approach. Health Promotion and Ill-health Prevention. King s Fund, London. Making Every Contact Count (2012) MECC in Action. (Last accessed: April ) Monitor (2014) Walk-in Centre Review: Final Report and Recommendations. Monitor, London. NHS England (2014) Five Year Forward View. tinyurl.com/zgjzj5u (Last accessed: April ) NHS England (2014) NHS England Standard General Medical Services Contract. tinyurl.com/ z7crtxx (Last accessed: February ) Office for National Statistics (2012) Drinking Habits Amongst Adults, ons/dcp171778_ pdf (Last accessed: February ) Oxtoby K (2010) Consultation Times. tinyurl. com/zcfd4n8 (Last accessed: February ) Patton R, Vohra M (2013) Hazardous drinking among patients attending a minor injuries unit: a pilot study. Emergency Medicine Journal. 30, 1, Peckham S, Exworthy M (2003) Primary Care in the UK: Policy, Organisation and Management. Palgrave Macmillan, Basingstoke. Pope C, Chalder M, Moore L et al (2005) What do other local providers think of NHS walk-in centres? Results of a postal survey. Public Health. 119, 1, Portsmouth City Council (2010) Joint Strategic Needs Assessment. tinyurl.com/hxuaprg (Last accessed: February ) Portsmouth City Council (2016) Portsmouth Wellbeing Service. tinyurl.com/jbgwwfw (Last accessed: April ) Portsmouth Clinical Commissioning Group and Portsmouth City Council (2014) Joint Health and Wellbeing Strategy: Working Better Together to Improve Health and Wellbeing in Portsmouth tinyurl.com/zcs3j3a (Last accessed: February ) Public Health Observatory (2012) Portsmouth Health Profile tinyurl.com/hyo9nlu Public Health Observatory (2014) Portsmouth Health Profile tinyurl.com/zrjdzuw (Last accessed: February ) Salisbury C (2003) Do NHS walk in centres in England provide a model of integrated care? International Journal of Integrated Care. Jul-Sept 3, e18. Salisbury C, Chalder M, Manku-Scott T et al (2002) What is the role of walk-in centres in the NHS? British Medical Journal. 324, 7334, Taylor J (2008) The rise of the walk in centre. Nursing Times. 104, 33, Woolard R, Cherpitel C, Thompson K (2011) Brief intervention for emergency department patients with alcohol misuse: implications for current practice. Alcohol Treatment Quarterly. 29, 2, World Health Organization (2012) Health Promotion. WHO, Geneva. tinyurl.com/qa9z8xv (Last accessed: February ) World Health Organization (2014) United Kingdom Non-Communicable Diseases. WHO, Geneva. tinyurl.com/jjkf9ay (Last accessed: February ) 24
Within both PCTs, smokers were referred directly to the local stop smoking service at the time of the health check.
Improving Healthy Lifestyles Pilot Site Evaluation Report Key findings The health check is a good opportunity to deliver brief lifestyle behaviour advice to patients, most of which is recalled three months
More informationStaff Health, Safety and Wellbeing Strategy
Staff Health, Safety and Wellbeing Strategy 2013-16 Prepared by: Effective From: Review Date: Lead Reviewer: Hugh Currie Head of Occupational Health and Safety 31 st January 2013 01 st April 2014 Patricia
More informationOur five year plan to improve health and wellbeing in Portsmouth
Our five year plan to improve health and wellbeing in Portsmouth Contents Page 3 Page 4 Page 5 A Message from Dr Jim Hogan Who we are What we do Page 6 Page 7 Page 10 Who we work with Why do we need a
More informationEMPLOYEE HEALTH AND WELLBEING STRATEGY
EMPLOYEE HEALTH AND WELLBEING STRATEGY 2015-2018 Our community, we care, you matter... Document prepared by: Head of HR Services Version Number: Review Date: September 2018 Employee Health and Wellbeing
More informationLincolnshire JSNA: Chronic Obstructive Pulmonary Disease (COPD)
Disease (COPD) What do we know? Summary is a long-term condition, which is affecting increasing numbers of people. There is a wide range of interventions to address COPD, from prevention to the ongoing
More informationCranbrook a healthy new town: health and wellbeing strategy
Cranbrook a healthy new town: health and wellbeing strategy 2016 2028 Executive Summary 1 1. Introduction: why this strategy is needed, its vision and audience Neighbourhoods and communities are the building
More informationKingston Primary Care commissioning strategy Kingston Medical Services
Kingston Primary Care commissioning strategy Kingston Medical Services Kathryn MacDermott Director of Planning and Primary Care Kathryn.macdermott@kingstonccg.nhs.uk kmacdermott@nhs.net 1 Contents 1. Introduction...
More informationMERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY
MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 15 December 2016 Agenda No: 3.3 Attachment: 04 Title of Document: Surgery Readiness Option Report Author: Andrew Moore (Programme Director
More informationThe New NHS What does this mean for the patient pathway?
The New NHS What does this mean for the patient pathway? Jesme Fox In general, Patients haven t noticed yet! Much anxiety / suspicion about quality of NHS care (Mid Staffs etc...) Focus should be on clinical
More informationOur vision. Ambition for Health Transforming health and social care services in Scarborough, Ryedale, Bridlington and Filey
Ambition for Health Transforming health and social care services in Scarborough, Ryedale, Bridlington and Filey Our vision www.ambitionforhealth.co.uk Contents 1.0 Introduction: A shared ambition for health
More informationNHS Lothian Health Promotion Service Strategic Framework
NHS Lothian Health Promotion Service Strategic Framework 2015 2018 Working together to promote health and reduce inequalities so people in Lothian can reach their full health potential 1 The Health Promotion
More informationPUBLIC HEALTH IN HALTON. Eileen O Meara Director of Public Health & Public Protection
PUBLIC HEALTH IN HALTON Eileen O Meara Director of Public Health & Public Protection Aim of Presentation What we do. How we do it. What are the service outputs. What are the outcomes. How can we help.
More informationPeninsula Health Strategic Plan Page 1
Peninsula Health Strategic Plan 2013-2018 Page 1 Peninsula Health Strategic Plan 2013-2018 The Peninsula Health Strategic Plan for 2013-2018 sets out the future directions for Peninsula Health over this
More informationCommentary for East Sussex
Commentary for based on JSNA Scorecards, January 2013 This commentary is to be read alongside the JSNA scorecards. Scorecards and commentaries are available at both local authority and NHS geographies
More informationROLE OF OUT-OF-HOURS NURSE CO-ORDINATORS IN A CHILDREN S HOSPITAL
Art & science The synthesis of art and science is lived by the nurse in the nursing act JOSEPHINE G PATERSON ROLE OF OUT-OF-HOURS NURSE CO-ORDINATORS IN A CHILDREN S HOSPITAL Amy Hensman and colleagues
More informationChild Health 2020 A Strategic Framework for Children and Young People s Health
Child Health 2020 A Strategic Framework for Children and Young People s Health Consultation Paper Please Give Us Your Views Consultation: 10 September 2013 21 October 2013 Our Child Health 2020 Vision
More informationCymru Wales. What about health? Three steps to a healthier nation A manifesto from BMA Cymru Wales. British Medical Association bma.org.
Cymru Wales What about health? Three steps to a healthier nation A manifesto from BMA Cymru Wales British Medical Association bma.org.uk British Medical Association Four steps to a healthier nation A manifesto
More informationWomen s Health: A Focus on Chronic Disease
Women s Health: A Focus on Chronic Disease Sharon Moffatt, RN BSN MS Association of State and Territorial Health Official Chief of Health Promotion and Disease Prevention Overview Chronic Disease Prevention
More informationBedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan. October 2016 submission to NHS England Public summary
Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan October 2016 submission to NHS England Public summary 15 November 2016 Contents 1 Introduction what is the STP all about?...
More informationTHE USE OF SMARTPHONES IN CLINICAL PRACTICE
Art & science The synthesis of art and science is lived by the nurse in the nursing act JOSEPHINE G PATERSON THE USE OF SMARTPHONES IN CLINICAL PRACTICE Sally Moore and Dharshana Jayewardene look at the
More informationMaking an impact on the public's health and wellbeing in England: Emerging Approaches and Lessons
Making an impact on the public's health and wellbeing in England: Emerging Approaches and Lessons Professor Kevin Fenton Snr. Advisor, Health and Wellbeing Public Health England Director of Health and
More informationTelford and Wrekin Clinical Commissioning Group. Prospectus 2013/2014
Telford and Wrekin Clinical Commissioning Group Prospectus 2013/2014 Who we are Telford and Wrekin Clinical Commissioning Group (CCG) is responsible for healthcare in the Telford and Wrekin area. We Plan
More informationVale of York Clinical Commissioning Group Governing Body Public Health Services. 2 February Summary
Vale of York Clinical Commissioning Group Governing Body Public Health Services 2 February 2017 Summary 1. The purpose of this report is to provide the Vale of York Clinical Commissioning Group (CCG) with
More informationDRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8
DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition
More informationExcess mortality among people with serious mental illness: a quality issue. Veena Raleigh Senior Fellow, The King s Fund
Excess mortality among people with serious mental illness: a quality issue Veena Raleigh Senior Fellow, The King s Fund HCQI, 8 November 2013 The international epidemiology Large and persistent mortality
More informationNational Health Promotion in Hospitals Audit
National Health Promotion in Hospitals Audit Acute & Specialist Trusts Final Report 2012 www.nhphaudit.org This report was compiled and written by: Mr Steven Knuckey, NHPHA Lead Ms Katherine Lewis, NHPHA
More informationLondon Councils: Diabetes Integrated Care Research
London Councils: Diabetes Integrated Care Research SUMMARY REPORT Date: 13 th September 2011 In partnership with Contents 1 Introduction... 4 2 Opportunities within the context of health & social care
More informationHEALTH AND SOCIAL CARE
2016 Suite Cambridge TECHNICALS LEVEL 3 HEALTH AND SOCIAL CARE Unit 24 Public health R/507/4445 Guided learning hours: 30 Version 4 September 2017 ocr.org.uk/healthandsocialcare LEVEL 3 UNIT 24: Public
More informationA settings approach: a model of a health promoting workplace
A settings approach: Healthy@Work a model of a health promoting workplace Kate Robertson Department of Health, NT Introduction The Northern Territory (NT) has the highest burden of disease among all jurisdictions
More informationA consultation on the Government's mandate to NHS England to 2020
A consultation on the Government's mandate to NHS England to 2020 October 2015 You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of
More informationA healthier Lancashire and South Cumbria
A healthier Lancashire and South Cumbria Improving health and care for local people Published May 2017 Bay Health & Care Partners Pennine Lancashire Fylde Coast West Lancashire Central Lancashire Healthier
More informationIntroducing your Clinical Commissioning Group Improving health, improving lives Prospectus
Introducing your Clinical Commissioning Group Improving health, improving lives Prospectus Where we cover NHS South Eastern Hampshire Clinical Commissioning Group (CCG) is responsible for making sure that
More informationDraft Commissioning Intentions
The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings
More informationCINDI / Countrywide Integrated Non-Communicable Disease Intervention Bulgaria
CINDI / Countrywide Integrated Non-Communicable Disease Intervention Bulgaria Title in original language: СИНДИ /Интервенционна програма за интегрирана профилактика на хронични незаразни болести Which
More informationCity and Hackney Clinical Commissioning Group Prospectus May 2013
City and Hackney Clinical Commissioning Group Prospectus May 2013 Foreword We are excited to be finally live as a CCG, picking up our responsibilities as commissioners for the bulk of the NHS. The changeover
More informationWHO Secretariat Dr Shanthi Mendis Coordinator, Chronic Diseases Prevention and Management Department of Chronic Diseases and Health Promotion World
WHO Secretariat Dr Shanthi Mendis Coordinator, Chronic Diseases Prevention and Management Department of Chronic Diseases and Health Promotion World Health Organization 'Zero Draft' Global NCD Action Plan
More informationSummary annual report 2014/15
1 Summary annual report 2014/15 2 Annual Report Summary 2014/15 3 St Thomas Hospital Guy s Hospital CATHEDRAL CHAUCER GRANGE RIVERSIDE ROTHERHITHE SURREY DOCKS Key facts about Southwark GP practices in
More informationPowys Teaching Health Board. Respiratory Delivery Plan
Powys Teaching Health Board Respiratory Delivery Plan 2016-17 CONTENTS 1. BACKGROUD AND CONTEXT 1.1 The Vision 1.2 The Drivers 1.3 What do we want to achieve? 2. ORGANISATIONAL PROFILE 2.1 Overview 3.
More informationNorth Central London Sustainability and Transformation Plan. A summary
Sustainability and Transformation Plan A summary N C L Introduction Hospitals, local authorities, GPs, commissioners, and mental health trusts across north central London have all come together to transform
More informationThe public health role of general practitioners: A UK perspective
The public health role of general practitioners: A UK perspective Stephen Peckham Department of Health Services Research and Policy stephen.peckham@lshtm.ac.uk Acknowledgements to co-authors/researchers:
More informationPOPULATION HEALTH. Outcome Strategy. Outcome 1. Outcome I 01
Section 2 Department Outcomes 1 Population Health Outcome 1 POPULATION HEALTH A reduction in the incidence of preventable mortality and morbidity, including through national public health initiatives,
More informationAgenda for the next Government
Agenda for the next Government General election 2017 The Richmond Group of Charities We are the Richmond Group of Charities and we help people of all ages who have serious long term physical and mental
More information2012 Community Health Needs Assessment
Indiana University Health Goshen 2012 Community Health Needs Assessment A Report on Implementation Strategies to Address Community Health Needs Summary Report Our Commitment to You We are here for you,
More informationIntroducing your Clinical Commissioning Group Improving health, improving lives Prospectus
Introducing your Clinical Commissioning Group Improving health, improving lives Prospectus Where we cover NHS Fareham and Gosport Clinical Commissioning Group (CCG) is responsible for making sure that
More informationFigure 1: Domains of the Three Adult Outcomes Frameworks
Outcomes Frameworks across Public Health, Social Care and NHS Relevance to Ealing Health & Wellbeing Strategy 1. Overview For adults there are three outcomes frameworks, one each for public health, NHS
More informationNorthumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary
Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary This summary has been prepared to aid understanding of the draft STP technical submission. Copies
More informationPriorities for the NHS nationally and in London post General Election Dr Anne Rainsberry Regional Director (London), NHS England
Priorities for the NHS nationally and in London post General Election Dr Anne Rainsberry Regional Director (London), NHS England The challenges facing the health and care system are well rehearsed in key
More informationAneurin Bevan Health Board. Living Well, Living Longer: Inverse Care Law Programme
Aneurin Bevan Health Board Living Well, Living Longer: Inverse Care Law Programme 1 Introduction The purpose of this paper is to seek the Board s agreement to a set of priority statements for an Inverse
More informationHealth and Wellbeing and You
Health and Wellbeing and You The Big Picture There is a clear link between healthy and happy staff and improved patient outcomes. As an organisation we wish to be world class. Therefore we are aiming
More informationHealthy London Partnership. Transforming London s health and care together
Healthy London Partnership Transforming London s health and care together London-wide transformation In 2014, two publications set out London s transformation priorities NHS Five Year Forward View Better
More informationPublic Health Skills and Career Framework Multidisciplinary/multi-agency/multi-professional. April 2008 (updated March 2009)
Public Health Skills and Multidisciplinary/multi-agency/multi-professional April 2008 (updated March 2009) Welcome to the Public Health Skills and I am delighted to launch the UK-wide Public Health Skills
More informationGlobalisation and its implications for health care and nursing practice
Globalisation and its implications for health care and nursing practice Bradbury-Jones C (2009) Globalisation and its implications for health care and nursing practice. Nursing Standard. 23, 25, 43-47.
More informationPrevention and control of noncommunicable diseases
SIXTY-FIFTH WORLD HEALTH ASSEMBLY A65/8 Provisional agenda item 13.1 22 March 2012 Prevention and control of noncommunicable diseases Implementation of the global strategy for the prevention and control
More informationStaff health, safety and wellbeing strategy
Staff health, safety and wellbeing strategy 2016 2019 healthy eating recreation positive emotions regulatory support fitness Working together to achieve the healthiest life possible for everyone in Ayrshire
More informationSelf Care in Australia
Self Care in Australia A roadmap toward greater personal responsibility in managing health March 2009. Prepared by the Australian Self-Medication Industry. What is Self Care? Self Care describes the activities
More informationIMPROVING PATIENTS SLEEP: REDUCING LIGHT AND NOISE LEVELS ON WARDS AT NIGHT
Art & science The acute synthesis care of art and science is lived by the nurse in the nursing act JOSEPHINE G PATERSON IMPROVING PATIENTS SLEEP: REDUCING LIGHT AND NOISE LEVELS ON WARDS AT NIGHT Carol
More informationGosport Borough Council Evaluation: Making Every Contact Count Pilot
Gosport Borough Council Evaluation: Making Every Contact Count Pilot June 2016 Karen Patten Jonathan Crutchfield Sitra Associates Contact us Sitra, Part of Homeless Link Gateway House 8 Milverton Street
More informationOldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices
Oldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices 1. Population Needs 1. NATIONAL AND LOCAL CONTEXT 1.1 NATIONAL CONTEXT 1.1.1 Overview of commissioning responsibilities
More informationWhat will the NHS be like in 5 years, 20 years time?
What will the NHS be like in 5 years, 20 years time? NHS Castle Point and Rochford Clinical Commissioning Group (CCG) and NHS Southend CCG are groups of local doctors and other health professionals who
More informationThe prevention and self care workshop 16 th September Dr. Jenny Harries Regional Director PHE South Regional Office
The prevention and self care workshop 16 th September 2016 Dr. Jenny Harries Regional Director PHE South Regional Office Jenny.harries@phe.gov.uk The health and wellbeing gap If the nation fails to get
More informationPolicy: P15 Physical Healthcare Policy
Policy: P15 Physical Healthcare Policy Version: P15/04 Ratified by: Trust Management Team Date ratified: 15 th April 2015 Title of originator/author: Director of Primary Care Title of responsible Director
More informationMaking Every Contact Count (MECC)
Making Every Contact Count (MECC) Content What is Making Every Contact Count? Who is Making Every Contact Count for? The Need for Making Every Contact Count Implementing Making Every Contact Count Making
More informationPublic Health Strategy for George Eliot Hospital Trust. July 2012
Public Health Strategy for George Eliot Hospital Trust July 2012 The Public Health Strategy for George Eliot Hospital Trust Statement from Chief Executive It gives me great pleasure to present our first
More informationGood practice in the field of Health Promotion and Primary Prevention
Good practice in the field of Promotion and Primary Prevention Dr. Mohamed Bin Hamad Al Thani Med Cairo February 28 th March 1 st, 2017 - Cairo - Egypt 1 Definitions Promotion Optimal Life Style Change
More informationCOPYRIGHTED MATERIAL. Part 1 Setting the Scene of Practice and Walk-in-Centre Nursing
Part 1 Setting the Scene of Practice and Walk-in-Centre Nursing In the chapters that follow in Part 1 of this book, the historical development of practice nursing and walk-in-centre nursing are explicated.
More informationNursing in Primary Health Care: Maximising the nursing role. Associate Professor Rhian Parker Australian Primary Health Care Research Institute
Nursing in Primary Health Care: Maximising the nursing role Associate Professor Rhian Parker Australian Primary Health Care Research Institute Key Elements of the Presentation Describe nursing roles in
More informationStandards to support learning and assessment in practice
Standards to support learning and assessment in practice Houghton T (2016) Standards to support learning and assessment in practice. Nursing Standard. 30, 22, 41-46. Date of submission: January 19 2012;
More informationChapter 3. Monitoring NCDs and their risk factors: a framework for surveillance
Chapter 3 Monitoring NCDs and their risk factors: a framework for surveillance Noncommunicable disease surveillance is the ongoing systematic collection and analysis of data to provide appropriate information
More informationWellness Guide for LCRA Retirees
2016 Wellness Guide for LCRA Retirees Contents 2 How the EmPOWER program works 3 How to register 3 Text message reminders 4 Member health assessment 4 Biometric screening 5 Earning points and saving money
More informationHealthy lives, healthy people: consultation on the funding and commissioning routes for public health
Healthy lives, healthy people: consultation on the funding and commissioning routes for public health December 2010 The coalition Government published Healthy Lives, Health people: consultation on the
More informationHealth and Wellbeing Board 10 February 2016 Obesity Call to Action Progress update
Report title Cabinet member with lead responsibility Wards affected Accountable director Originating service Accountable employee(s) Report to be/has been considered by This report is PUBLIC Agenda Item
More informationPrevention and Lifestyle Behaviour Change: A Competence Framework Mapped to the Public Health Responsibility Deal
Prevention and Lifestyle Behaviour Change: A Competence Framework Mapped to the Public Health Responsibility Deal How Making Every Contact Count (MECC) and supporting Prevention and Lifestyle Behaviour
More informationTrust Board 17 th September The Looked After Children and Care Leavers Health Service. Annual Report 2014/15
The Looked After Children and Care Leavers Health Service Annual Report 2014/15 1 1. Executive Summary This report is to assure the Board that Hertfordshire Community NHS Trust (HCT) complies with the
More informationHealth Sector: Improving Health and Well-being (National 5)
Unit code: F88H 75 Superclass: PA Publication date: August 2013 Source: Scottish Qualifications Authority Version: 4 (September 2017) Unit purpose This unit has been designed as a mandatory unit of the
More informationIncreasing Access to Medicines to Enhance Self Care
Increasing Access to Medicines to Enhance Self Care Position Paper October 2009 Australian Self Medication Industry Inc Executive summary The Australian healthcare system is currently at a crossroads,
More informationChanging for the Better 5 Year Strategic Plan
Quality Care - for you, with you 5 Year Strategic Plan Contents: Section 1: Vision and Priorities for Change 3 Section 2: About the Trust 5 Section 3: Promoting Health & Wellbeing and Primary Care 6 Section
More informationSTRATEGIC PLAN
STRATEGIC PLAN 2 0 1 1 2 0 1 5 ISBN 978-0-9871821-0-4 Commonwealth of Australia 2011 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any
More informationGP Practice Survey. Survey results
GP Practice Survey Survey results Contents Contents Objectives and methodology Key findings Profile of patients who completed the survey Frequency of visiting the surgery Awareness and usage of core surgery
More informationCVS Rochdale Policy Briefing
CVS Rochdale Policy Briefing Healthy Lives, Healthy People: The Public Health White Paper Introduction People in England are healthier and living longer than ever before. However health inequalities in
More informationNHS LEWISHAM CLINICAL COMMISSIONING GROUP. COMMISSIONING INTENTIONS 2014/15 and 2015/16
NHS LEWISHAM CLINICAL COMMISSIONING GROUP COMMISSIONING INTENTIONS 2014/15 and 2015/16 1 CONTENTS Introduction 1. Who We Are p5-6 1.1 CCG s Responsibilities p5 1.2 Partnership Working p6 2. CCG s Strategic
More informationCOLLABORATIVE SERVICES SHOW POSITIVE OUTCOMES FOR END OF LIFE CARE
Art & science The synthesis of art and science is lived by the nurse in the nursing act JOSEPHINE G PATERSON COLLABORATIVE SERVICES SHOW POSITIVE OUTCOMES FOR END OF LIFE CARE Jennifer Garside and colleagues
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW
NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW Date of the meeting 19/03/2014 Author Sponsoring Board Member Purpose of Report Recommendation
More informationNorth West London Sustainability and Transformation Plan Summary
North West London Sustainability and Transformation Plan Summary Being well, living well: a sustainability and transformation plan for North West London November 2016 Have your say We want to hear your
More informationHealth and care in South Yorkshire and Bassetlaw. Sustainability and Transformation Plan a summary
Health and care in South Yorkshire and Bassetlaw Sustainability and Transformation Plan a summary Introduction This is the summary version of the South Yorkshire and Bassetlaw Sustainability and Transformation
More informationA Quick Guide to Health Terminology
A Quick Guide to Health Terminology August 2011 Health Terminology This quick guide provides an a-z of common health terminology. Asset-Based Working - a form of working whereby assets within communities
More informationWhite Paper consultation Healthy lives, healthy people: Our strategy for public health in England
White Paper consultation Healthy lives, healthy people: Our strategy for public health in England Response submitted by the British Nutrition Foundation March 2011 The British Nutrition Foundation (BNF)
More informationNHS EQUALITY DELIVERY SYSTEM Outcomes Framework
NHS EQUALITY DELIVERY SYSTEM Outcomes Framework 2011-2015 This Framework sets out the Trust s commitment to promote equality for all protected groups under the Equality Act 2010 1 PREFACE EQUALITY IMPACT
More informationNorth West COPD Report Nov 2011
North West COPD Report Nov 2011 Working together to improve respiratory care in the North West 1 Contents Introduction foreword by NW Respiratory Leads... 3 4 reasons why COPD is important in the North
More informationSURVEY Being Patient. Accessibility, Primary Health and Emergency Rooms
SURVEY 2017 Being Patient Accessibility, Primary Health and Emergency Rooms Being Patient: Accessibility, Primary Health and Emergency Rooms New Brunswick Health Council Who we are New Brunswickers have
More informationDestined to sink or swim together. NHS, social care and public health
Destined to sink or swim together NHS, social care and public health June 2018 The Richmond Group of Charities We are the Richmond Group of Charities and we help people of all ages who have serious long-term
More informationAlcohol Brief Interventions 2015/16
Publication Report Alcohol Brief Interventions 2015/16 Publication date 14 June 2016 An Official Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Main points... 3 Results and
More informationLEADERSHIP HEALTH: YOUR BAROMETRIC READING DR. DEB HAGERTY DNP, RN, CDP, CADDCT, IP-BC, NHA, LBSW, CDONA, FACDONA
LEADERSHIP HEALTH: YOUR BAROMETRIC READING DR. DEB HAGERTY DNP, RN, CDP, CADDCT, IP-BC, NHA, LBSW, CDONA, FACDONA Objectives 1. Learner will be Knowledgeable of the American Nurses' Association: Healthy
More informationJOB DESCRIPTION 1. JOB IDENTIFICATION. Job Title: Trainee Health Psychologist
JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title: Trainee Health Psychologist Responsible to: Professional and Clinical Accountability to lead NHS Psychologist Stage 2 accountability to BPS accredited Health
More informationHerefordshire Clinical Commissioning Group Long Term Conditions Strategy & Implementation Plan
Herefordshire Clinical Commissioning Group Long Term Conditions Strategy & Implementation Plan 2013-2016 1 Contents Definition.3 Background.3 Framework for Long Term Conditions 4 Chronic disease management
More informationWorking with GPs to help deliver the NHS Health Checks Programme
Working with GPs to help deliver the NHS Health Checks Programme Dr Matt Kearney GP Castlefields, Runcorn National Clinical Advisor Public Health England and NHS England Why do we need GP engagement? 1.
More informationWe plan. We achieve.
We plan. We achieve. Salford Royal NHS Foundation Trust has a lot to tell you... l Achievements of 2008/09 l Our plans for 2009/10 l Our commitments for the next five years. We are committed to providing
More informationProfessional Drivers Health Network. What?
Professional Drivers Health Network What? An Integrated Occupational Health Program The definition - the ability of a worker to function at an optimum level of well-being at a worksite as reflected in
More informationWALSALL LOCAL MEDICAL COMMITTEE
WALSALL LOCAL MEDICAL COMMITTEE An open meeting of the Walsall Local Medical Committee was held in the Lecture Suite, Manor Learning and Conference Centre, Manor Hospital, Walsall on Monday 2 nd September
More informationNHS Health Check: our approach to the evidence
NHS Health Check: our approach to the evidence Public Health England Wellington House 133-155 Waterloo Road London SE1 8UG www.gov.uk/phe Twitter: @PHE_uk July 2013 NHS Health Check: our approach to the
More informationFleet and Marine Corps Health Risk Assessment, 02 January December 31, 2015
Fleet and Marine Corps Health Risk Assessment, 02 January December 31, 2015 Executive Summary The Fleet and Marine Corps Health Risk Appraisal is a 22-question anonymous self-assessment of the most common
More information