Innovation in a Local Public Health Team Sian

Innovation in a Local Public Health Team Sian Ap Dewi Principal Public Health Practitioner Conwy and Denbighshire LPHT Siwan Jones Principal Public Health Practitioner

Purpose of Session • Brief overview of 3 initiatives • Conwy and Denbighshire Immunisation Working Group • Public Health Contribution to Community Pharmacies • Corporate Health Improvement Group Denbighshire • Examples of Partnership working

Innovative Team Structure • Joint team working across the two counties of Conwy and Denbighshire • Each team member has either a defined lead or support area • Ability to develop expertise within specific areas • Lead or Support areas are across both counties • Challenge to avoid duplication and encourage strong partnership working

Conwy and Denbighshire Immunisation Working Group • Joint group with broad membership • “Virtual network” for help and support regarding immunisation • Use of specific expertise as required • Immunisation training sub group organises joint training of immunisers

Membership of the Group • • • Representatives from C and D Trust and both LHBs Paediatric Consultant LHB Pharmacy Rep LHB Senior Nurse Principal PH Practitioner NPHS Specialist Nurse (immunisation) LHB Practice Support Nurses LHB Performance Management Rep Senior Nurse Manager Young People’s Health Advisors Regional NPHS Immunisation Lead Chaired by Acting Local Public Health Director

Childhood Immunisation Action Plan • Purpose to encourage activities and good practice that promote vaccine uptake • Written in collaboration with partners • Stakeholder agreement of objectives and ratified at both Local Health Boards • Incorporates the learning from the Denbighshire Immunisation Project • Evidence Based Action Plan

Childhood Immunisation Action Plan • Vehicle for Implementing Welsh Health Circulars • Promotes regular joint discussion of local immunisation issues through updates • Actions for GPs Trusts LHBs • Accessible on NPHS website • Implements key messages of Core Module Strategies to Promote vaccine uptake

Childhood Immunisation Group Benefits • Regular reporting against Action Plan encourages a sense of accountability • Raises profile of immunisation amongst wider audience • Provides a vehicle for building stronger relationships between agencies • Promotes best practice • Clarifies the role of individual stakeholders

Public Health Contribution of Community Pharmacies Siwan R Jones Principal Public Health Practitioner Gwynedd & Anglesey LPHT

Pilot Community Pharmacy Influenza scheme • Pharmacy staff identify patients who come into the pharmacy who would be in one of the groups for whom vaccination is recommended • Asked - had they received the flu vaccination • Answered ‘yes’ no further input required • Answered ‘no’ brief advice provided • Timescale - End October to End November • Head of Pharmacy & Medicines Mgmt, DLHB • Blackpool Primary Care Trust

Results • 75% of those customers in receipt of prescriptions or over the counter drugs had received flu vaccination Of those who had not had the vaccination • 18% responded they would have the vaccination, 21% maybe

Feedback from Community Pharmacies Audit sheets were easy to use Suggest developing an aide memoir Patients were generally pleased that we were asking Not too much paperwork Easy, to deliver

Uptake (1) LHB area % 2004/5 % 2005/6 Improvem ent % Conwy 66. 6% 72. 0% 5. 4% Denbs 68. 6% 71. 9% 3. 3% All Wales 62. 7 68. 2% 5. 5%

Uptake (2)

Other developments • Informed the development of the New Pharmacy Contract Health Promotion campaigns across North Wales • ‘Have you had your flu jab? ’ sticker • Pilot Community Pharmacy Enhanced Scheme – Smoking Cessation

Conclusion • Community Pharmacies provide a positive contribution to improving public health • Community Pharmacies see a group of patients that may have missed or ignored campaign messages • Community Pharmacies see those within the at risk groups, who are otherwise healthy, collecting repeat prescriptions

Denbighshire Corporate Health Improvement group Sian Ap Dewi Principal Public Health Practitioner

Route to Health Improvement – 5 key features An enabling programme based on the 5 key features of a health improving Council 1. Corporate Culture Health improvement is an integral part of all Council’s activity 2. Policy Development supports the core commitment to improve health 3. Collaboration brings added value to the health improvement effort 4. Capacity to take forward the agenda is strengthened 5. Governance and Performance Management ensures healthy public policy

Route to Health Improvement • Services provided by Local Authorities impact on the health and well-being of communities and individuals • Package assists in increasing local authorities understanding of their health improvement role • CHIG Group

Denbighshire CHIG Purpose • To provide coordination of activity for Health Improvement • Coordinate the work set out in RTHI • Develop and monitor an action plan • Agree key objectives and indicators for Health improvement groups

Denbighshire CHIG • Facilitate the sharing of knowledge and understanding of health improvement agenda • Promote the roles of individuals , organisations and partnerships within the Denbighshire wider network

Denbighshire Excellence in Wales Award • Denbighshire won award in category Our Health. Safe and Healthy Living • Within evidence Denbighshire recognised Importance of the HSCWB partnership and the health improvement groups which ensure priority areas are addressed • Priority areas of Older People, Children young people and families , mental health • People living in poverty , Carers

LPHT contribution to Health Improvement Groups • • • Childhood Injuries Tobacco Breastfeeding Nutrition Active Lifestyles Sexual Health Nutrition & Older people Conwy and Denbighshire Obesity forum Keep Well this Winter Lead Officer Group

Health Improvement Groups • • • Strategic Partnership Board Communities First Children’s Partnership Older Person’s Partnership Board Mental Health Commissioning Group Conwy & Denbighshire Immunisation group

Even if you forget everything else… • Importance and value of partnership working • Working across both counties has encouraged joint working amongst our partners • A Local Public Health Team can provide a locus for innovative practice