1045 – 11.45


1A – Zero Based Budgeting

Aims:   Describe the process used by North Somerset Council to decide how best to allocate the public health budget across all services in the authority.  This began with an analytic hierarchy process followed by the assessment of all current and potential activity and then the development of business cases to generate recommendations for the final allocation of funds. 

Delegates will have the opportunity to understand and test out the approach used.  This would include online voting on a sample of services – the same approach used during the real assessment of services.


The overall aim of the workshop is to provide a practical roadmap for how prioritisation could be achieved.


Workshop leader:  Andrew Burnett, Interim Director of Public Health, North Somerset Council.


1B – Elimination of Hepatitis C: can we rise to the challenge?


Aims:   To raise awareness of the global hepatitis C elimination agenda and think about how we can collaborate to respond to this challenge as a system.


Learning Outcomes: 


  • To gain a better understanding of hepatitis C, who is at risk, the issues around testing and treatment, and the scale of the problem
    • To understand that new highly effective and well tolerated treatments are now widely available
    • To understand your role within the system, and the role of your organisation and commissioned services, in tackling the barriers to elimination


To make an action plan of what you and your organisation can do to help prevent hepatitis C and other BBVs, raise awareness, increase testing rates and get people successfully treated


Format of the workshop:


This workshop aims to be highly interactive, featuring a quiz to provide an overview of hepatitis C in England and a bespoke group activity to synthesise learning on the challenges of eradicating hepatitis C which primarily affects a complex vulnerable cohort of individuals.  Participants will be encouraged to explore what this learning would mean for them and their organisation.  And consequently how in partnership, the public health system can contribute to the national elimination efforts.

Workshop leaders:  Emma Kain, Specialty Registrar, Devon County Council.  Natalie Sims,  Health and Wellbeing Manager, Public Health England South West


1C – ‘Drawing a home for the homeless’ – improving our understanding and engagement in the health of homeless people


Aims:  Homelessness is increasing in the UK, with nearly 3000 more people now estimated to be rough sleeping than in 2010.  Homeless people have shorter life expectancies than the rest of the population, have poorer health outcomes, and report less access to health services. This is a key hard to reach/hear group, where there is relatively little research or understanding as to their health needs and effective interventions to improve their health outcomes. Managing health in a complex social and healthcare system, coupled with personal complexity and often chaotic lifestyles, results in a substantial challenge for this group in attaining health outcomes and life expectancies enjoyed by the general population.


During 2018 Wiltshire Council and Gloucestershire County Council both commenced in depth health needs assessments for homeless people in the respective areas. This has demonstrated some key challenges in terms of health outcomes and service access, as well as gaps in information, knowledge and understanding. A key gap in understanding was the health perceptions, practices and experiences of homeless people. This was addressed through a local study which interviewed homeless people to understand their experiences in managing their health. This has helped to provide an insight into an often-chaotic group, who are navigating a complex health system which is not set up to deal with their situation.


Format of Workshop:


Part One: Presentation of Findings/Headlines (20mins)

The homeless health needs assessments uncovered new information on the health needs, aspirations and experiences of homeless people. They contribute toward an important narrative for Public Health professionals and health service providers to help adapt our approach to supporting improvements in health outcomes for this group.


Part Two: Interactive Session (40mins)

Facilitate discussion and the exchange of ideas and experiences in the South West using the insights provided by the health needs assessments and research. This will be structured around a persona building exercise, whereby participants use the information from the health needs assessments to develop empathy and understanding to engage and inform solutions and interventions that can support the needs, experiences and goals of the individual.  This exercise will encourage participants to think differently in taking forward this important Public Health issue. 


Workshop leader:  Dave Mc Conalogue, Consultant in Public Health, Gloucestershire County Council. Hayley Mortimer, Public Health Specialist, Wiltshire Council.


1D  – Active and Inclusive – Swindon


Aims:   The workshop will be based on how to be effective in enabling more disabled people to be more active in sport and physical activity. Helen Newberry will present on the work Activity Alliance (formally English Federation of Disability Sport) do to support organisations to be more inclusive by introducing the Ten Principles. Ben Humphrey from Swindon Borough Council will explain how they have embedded these principles in planning and delivery at a local level, and how the principles are the vital ingredient for delivering activities that will support disabled people to be and stay active for life.



Workshop leaders:  Helen Newberry, Activity Alliance, Engagement Advisor (South West).  Ben Humphrey, Live Well Manager – Young People & Inclusion, Public Health, Swindon Borough Council




1515 - 1615


2A – Domestic Abuse a new way of thinking?


Aims:   To challenge the lens in which domestic abuse is understood and approached


Learning Outcomes: 


  • Understanding what domestic abuse is
  • Why is it a public health issue?
  • Why a different approach to domestic abuse is required?


Format of workshop



  • What is domestic abuse and its impacts?
  • Why is domestic abuse a public health issue?



  • Groupwork exercises - working in small groups to answer questions to understand the role public health can play in understanding the prevalence and impact domestic abuse has at a local level.



‘Thinking outside the box’ to inform domestic abuse interventions – Wiltshire’s approach



Workshop leaders:  Hayley Mortimer, Public Health Specialist Vulnerable Communities


2B – Insights and Challenges from Cranbrook Healthy New Town

The role of public health intelligence in planning for health and wellbeing.


Aims: To share the Public Health Devon led approach to the NHS England funded Healthy New Town Programme in Cranbrook.


To reflect on learning and insights as a key partner in planning for the future needs of a new community.


To facilitate a conversation generating ideas and actions into practice.




Cranbrook is one of ten demonstrator sites across England, the programme ends in March 2019 though the build time for Cranbrook ends in 2031. 


A national guidance document is currently underway which brings together all the learning to influence policy and practice promoting collaboration and integration between health and housing.


Learning Outcomes


By the end of the workshop participants will have:

  • Deepened understanding of the challenges faced in new developments
  • Increased awareness of the importance of public health intelligence and its influence in planning and place making

Identified relationships, actions and goals to build into practice that support a “Health in All Policies” approach to reducing health and wellbeing inequalities.


Format of workshop


Brief presentation:

Cranbrook and the Healthy New Town national programme

Small Group Exercise 1:

Designing a happy, health and thriving community

Case Study Sharing: Public Health Intelligence in Cranbrook: Roots, Routes, Partners and Pathways.

Small Group Exercise 2: Embedding health and wellbeing – defining priorities

Place Based Public Health Pledges – identifying actions: what else is possible in your role?


Workshop leaders:  Louise Cole, Cranbrook Healthy New Town Programme Manager, Public Health Devon, Devon County Council.  Lucy O’Loughlin, Public Health Specialist, Public Health Devon.



2C – Improving pathways for prevention, treatment, and recovery of self-harm within Gloucestershire, using a partnership approach.



Aims:  To share our experience of a focussed piece of work, which started in 2017 and is ongoing.]


In response to concerns about the relatively high number of hospital admissions for self harm in

Gloucestershire, we undertook a ‘deep dive’ into the local data and conducted a series of in depth

interviews with professionals whose role includes dealing with people who are self harming, from

universal settings through to specialist services.  We also consulted with people with lived

experience about their own experience of using those services.


The key findings of the interviews informed a workshop and action plan in which a diverse range of

organisations, often working quite separately, are working together to improve pathways and the

professional response to people who self harm.


This is a work in progress, and the role of public health in this instance is to facilitate partnership

working across complex systems to improve knowledge and understanding and ensure a

compassionate, professional and consistent response to those who self-harm, which is compliant

with NICE guidance.



Workshop leaders:   Frances Clark-Stone, Commissioning Officer (Public Health), Gloucestershire County Council and NHS Gloucestershire Clinical Commissioning group.  Jennifer Taylor, Lead Commissioner, Gloucestershire County Council



2D – Measuring the public health impact of Antimicrobial Stewardship


Aims:  In 2011 the Chief Medical Officer highlighted the importance of Antimicrobial Stewardship (AMS) to preserve the future effectiveness of antibiotics. This is now high on the NHS and Public Health agenda.

The National Institute for Health and Clinical Excellence (NICE) NG15 guidance on Antimicrobial Stewardship states that it should be informed by surveillance data.


In 2017 Gloucestershire LA established a multiagency AMS group and developed a five year action plan to improve appropriate use of antibiotics and reduce the emergence of antimicrobial resistance (AMR). A discrete group was tasked with developing a framework for reviewing levels of AMR and antibiotic use in Gloucestershire.


The aim of the workshop is to outline the challenges of delivering evidence- driven AMS using Gloucestershire as a case study, and facilitate a sharing of approaches to using data for AMS across the South West.


Delegates’ input and ideas will be collated at the end of the workshop and used to inform the development of regional AMS surveillance activity. Attendees are invited to join a mailing list to receive a summary of outputs from the session.


Learning Outcomes: 


  • Understand what is meant by ‘antimicrobial stewardship’ (AMS)
  • Get an overview of the data sources on antimicrobial resistance (AMR) and antibiotic prescribing across the South West
  • Explore different AMS roles and data requirements to inform public health action
  • Appreciate the complexity of the data, and challenges behind surveillance of AMR and antimicrobial prescribing.

Develop ideas and networks to support evidence-driven AMS at the local level.


Format of workshop



What is Antimicrobial Stewardship (AMS) and why do we need it?

What is being done to inform AMS in Gloucestershire

Group activity

Discuss and feed back:

  1. What evidence do you (and other ‘stewards’) need to inform AMS action?
  2. What data are available which could inform your local AMS strategy?
  3. What are the limitations of the data?
  4. What extra information do you need which isn’t already available?



Workshop leaders:  Rachel Kwiatkowska, Specialty Registrar, Public Health England.  Dave McConalogue, Consultant in Public Health, Gloucestershire County Council. Maya Gobin, Consultant in Field Service, Public Health England.