1A – Healthcare Public Health across the system - leading without authority

Aims:  To explore the ever-changing landscape within which Public Health professionals deliver the statutory healthcare public health function and we can lead without authority

Background: Public health provides healthcare public health input to local CCGs in-line with statutory responsibilities. Changing CCG boundaries and the development of STPs has impacted on how the healthcare public heath function can be delivered effectively and efficiently across the heath and care system, including providing support to both LA and NHS commissioners and providers.

The following will be explored:

1. How do public health teams standardise approaches to healthcare PH?

2. How can public health lead and shape NHS commissioner and provider agendas without authority?

3. Where should public health teams focus their resource when it comes to healthcare PH?

Learning outcomes:  How should PH lead without authority?  Examples of healthcare PH approaches from a Local Authority.  PHE approach to Healthcare PH.

Three presentations will include workshop group discussion with feedback.

Pre-reading that may help before you attend this workshop is:-

Leadership without easy answers Ronald A Heifetz In Budd, L., Charlesworth, J., and Paton, R. (Eds) (2006) Making Policy Happen  Abingdon: Routledge,  pp235-46

Workshop leader:

Sara Blackmore, Deputy Director of Public Health,  Professor Mark Pietroni, Director of Public Health,  Dr Kyla Thomas, Consultant/Clinical Lecturer in Public Health, South Gloucestershire Council.  Dr Ulrike Harrower, Consultant in Healthcare Public Health, Public Health England

1B – Healthy Parent Carers programme: a peer-led group-based intervention to promote health & wellbeing of parent carers of disabled children

Aims:   To raise awareness of the unmet health needs of parent carers of disabled children.

To describe the development and preliminary evaluation of a manualised intervention to improve health and wellbeing for parent carers of disabled children.

Learning Outcomes:  Awareness of evidence of risks for poorer psychological and physical health among parent carers.

Insight into the influence and impact that public and stakeholder/end-user involvement can have in research.

Understanding of how following a systematic and iterative approach to intervention development can be used to produce health-promotion intervention.

It may even give you strategies to improve your own wellbeing!

Workshop will be co-presented/facilitated by researchers from PenCRU and parent carers from PenCRU Family Faculty who have been involved in developing and delivering the Healthy Parent Carers programme.

It will involve a mix of presentations and interactive activities that are part of the Healthy Parent Carers programme.

Workshop leaders:

Dr Chris Morris, Senior Research Fellow in Child Health, Bel McDonald, and Gretchen Bjornstad, University of Exeter Medical School

1C  – Improving vaccination uptake rates in pre-school children and Local Authority employees – two approaches from Gloucestershire

Aims:   To present learning and insights form two vacation projects, and to provoke discussion and sharing among participants about how we can maintain and improve vaccination rates in the South West.

Learning Outcomes:  - Gain insight into a targeted health promotion campaign targeting schools and parents. - Understanding the perceptions and experiences of Local Authority staff regarding influenza and the influenza vaccine. - Developing understanding of the challenges around vaccination uptake in South west, and possible solutions

The workshop will include two short presentations on two distinct vaccination programmes: improving uptake of pre-school booster; and a Local Authority staff influenza vaccination programme. The presentations will summarise the approach and pull out key learning from the evaluations. The presentations will be used to set some context for small group discussions on ‘the challenges and opportunities to improve vaccination uptake in the South West’. Groups will feedback on discussions, before having a larger Q and A session.

Workshop leaders:

Dave McConalogue, Consultant in Public Health and Liz Luckett, Gloucestershire County Council.

1D – An introduction to the public health approach to violence prevention

Aims:   To introduce delegates to the public health approach to violence prevention and encourage thinking about how the approach can be used in practice across the South West.

Learning Outcomes:  Delegates are introduced to the public health approach to violence prevention. They are made aware of:

-          The policy context including key documents and reports

-          The key features of the approach

-          How the spectrum of prevention and the socio-ecological model can be applied to violence prevention

How the approach could be applied in their local area and across the SW

Introduction to the PH approach to violence prevention, including:

-          Policy context

-          Key features

-          Implementation

-          Workshop – Discussion of local practice in relation to the spectrum of prevention and socio-ecological model

-          Case studies

-          Group discussion on ways forward

Workshop leaders:

Lara Snowdon, Health and Wellbeing Manager, Public Health England

2A – Partnership working in tobacco control: Delivering joined up, practical solutions

Aims: To showcase a holistic approach to tobacco control as adopted in Cornwall, covering partnership working internal and external to the LA. Also to explore the implementation of Smoke free Areas (Playparks and Bus Station)

Learning outcomes:  Learn how to engage with your hidden allies.  Learn how to generate media interest. Discover how you might most effectively spend your Tobacco Control resources!

Presentation and critical review of the working undertaken in Cornwall.  A discussion on what worked, what didn’t and why and the next steps. 

Partnership ideas generating session:

Facilitated small group discussions around stakeholders, shared learning and relevant transference to other public health topics (eg. alcohol, physical activity etc)

Workshop leader:

Elizabeth Kirk, Senior Trading Standards Officer and Gareth Walsh, Public Health Practitioner, Cornwall Council

Chris Woodward, Public Health Programme Manager, Swindon Borough Council

2B – The Befriender Agenda (Swindon Circles)

Aim:   The aim of the workshop is to develop the participants understanding of how befriending can have a significant and lasting impact on the loneliness and isolation agenda.

Learning Outcomes:  By the end of the session, participants will:

• Understand the benefit and risks associated with running a befriending project
• Appreciate the key requirements of running a successful befriending project
• Feel more confident about exploring the potential of setting up their own befriending project
• Have had the opportunity to learn and share

• Welcome
• Brief introduction Swindon Circles
• Benefits and Risks (Delegate activity)
• Beginning to Winning (Delegate activity)  
• Top Tips for Success (Delegate activity)
• Our learning

• Case studies  

Workshop leaders:

Kati Wood, Live Well Manager, Community Involvement and Volunteering and Helena Robinson, Programme Lead, Community Health and Wellbeing, Swindon Borough Council

2C – The Magnificent seven? Integrated commissioning for better sexual health

Aims:   To share the experience of bringing together seven commissioners of sexual health services in the West of England in the procurement of a new service model. Reflect on the challenges of coordinating local authority and NHS requirements, the methods used to develop a different type of service and the expected benefits to the public’s health.

Learning Outcomes: 

To both explore models for commissioning for better sexual health and look at approaches for collaborative commissioning. Participants will be able to work through a practical example and share reflections on how best to apply different approaches in their own work areas.

(1) The workshop will begin with a short overview of the commissioning challenge the team addressed and some key decisions that need to be taken. (10 minutes)

(2) Participants will then work in smaller groups (3 x 6-8 people) with a facilitator from the workshop team and respond to the initial brief and set out their commissioning strategy. (15 minutes)

(3) New information will be given to reflect some of the developments from the real commissioning process. Participants will be able to adjust their approach (10 minutes)

(4) Each group will be asked to provide a short reflection on why they adopted their preferred approach. This will be compared against reflections from the team that managed the procurement. (15 minutes)

Workshop leaders:

Matt Lenny,  Public Health Service Leader, North Somerset Council

Lindsey Thomas, Specialist Public Health Manager, South Gloucestershire Council

Annette Billing, Public Health Principal, Bristol City Council

2D – Infectious disease surveillance: an overview and using information for action

Aims:   Introduce participants to infectious disease surveillance systems and how surveillance information is used for public health action.

Learning Outcomes: 

• Provide a simple and concise definition of surveillance
• Describe why surveillance is important
• List the indications for establishing surveillance systems
• Describe the components of a surveillance system
• Describe the different types of surveillance systems

• Standard presentation introducing key concepts in  infectious diseases surveillance

• Working in groups to discuss content

Workshop leaders:

Daniel Gardiner, Epidemiological Scientist, Public Health England

3A – Creating an academic public health department: blue sky thinking or pie in the sky?

Aims:    To explore concepts around an Academic Department of Public Health, including benefits and challenges, enablers and barriers.

Background:

The aim of South Gloucestershire’s Public Health Division is to improve the health of the population and reduce inequalities. Achieving these outcomes is shaped by having an excellent local department of Public Health. So how do we do this?

First, a better informed department is one that makes the best use of existing research and data to shape and deliver services and programmes for the local population driven by a desire for excellence, a strong focus on the use of data critically analysed, and a culture of questioning and evaluation which drives learning and improvement.  The second area involves being a department that is actively engaged with the local research community, in influencing the research agenda so that questions of practical relevance are being addressed, and shaping and participating in research activity locally so that it delivers practically relevant answers. To do both of these well you need credibility in both areas – service and research – and relationships that cross boundaries.

The following will be explored:

-          Can there be such a thing as an Academic Department of PH in a Local Authority?

-          How do we encourage PH depts. to be more involved in research?

-          What academics say they want from PH depts. and what do they really want?

-          What PH depts. say they want from research/academia and what do they really want?

-          Is a clinical academic career really possible?

Case studies will also be shared and discussed in the workshop

Learning Outcomes:  

-          Define academic public health

-          Describe existing models for an academic public health department

-          Describe the South Gloucestershire Experience in creating an academic Public Health Department (benefits, challenges, enablers, barriers)

-          Provide examples of contributions to academic PH for a range of PH professionals (Case studies)

Describe the clinical academic career pathway for PH practitioners (consultants- medically trained and other professions, allied health professions)

1 hour workshop

10 minutes- Introductory presentation and case studies

40 minutes- Case discussions and feedback to explore the following

-          How can PH departments be more involved in research?

-          What academics say they want from PH departments and what do they really want?

-          What PH departments say they want from research/academia and what do they really want?

10 mins- Presentation- the clinical academic pathway and options.

Workshop leader:

Professor Mark Pietroni, Director of Public Health, and Dr Kyla Thomas, Consultant and Clinical Lecturer in Public Health, South Gloucestershire Council and  University of Bristol

3B – Evidence in public mental health; What’s in your stress bucket and how can you prevent it overflowing?

Aim:  Making the case for public mental health and changing the focus from treating mental ill health to promoting emotional wellbeing is complicated. In her 2013 Annual Report the Chief Medical Officer called for further work to be undertaken to “build a body of ‘well-being’ evidence based on workable definitions and appropriate metrics”

This workshop will focus on the importance of promoting positive mental health and wellbeing and considering methods of evidencing the benefits to gain commitment of partners and commissioners to invest further upstream.

Learning Outcomes:

Delegates will have the opportunity to explore ideas that contribute mainly to the following Faculty of Public Health  learning outcomes:

Key Area 2: Assessing the evidence of effectiveness of health and healthcare interventions, programmes and services

Key Area 5: Health Improvement

The session will use a variety of methods to explore the subject and will focus primarily on participatory learning  including the following :

What does it feel like to be mentally well? (presentation/discussion)

What’s in your stress bucket? – What things contribute to it overflowing, what life protectors can be used to promote wellbeing. (delegate participation exercise)

The Economics of mental health –where would you invest to improve mental health and wellbeing (delegate participation exercise)?

How will we know it has worked (WEMWBS etc)? (presentation)

Workshop leaders:

Karen Spence, Public Health Specialist, Wiltshire Council

3C – Using Dynamic Systems Models to tackle childhood obesity

Aim:  To provide insight into the application of dynamic systems modelling as a means of scaling up prevention to address a complex public health issue.

Learning Outcomes: 

Learn about dynamic systems modelling, including use of causal loops

Gain experience of a practical tool (Insight Maker) to explore this approach

Develop knowledge about interventions to address childhood obesity

Introduction to Dynamic Systems Modelling – Chris Skelly, Dorset Public Health

Short causal loop exercise – Chris Skelly

What interventions do we think work to tackle childhood obesity – Justine Womack, PHE SW

Developing an Insight Maker tool – Olugbenga Olatunde

Pre-reading that may help before you attend this workshop is:-

Attendees may be interested in the following article by Harry Rutter et al entitled The need for a complex systems model of evidence for public health, which is available here http://researchonline.lshtm.ac.uk/3962417/1/cp_The%20need%20for%20a%20complex_GREEN%20AAM.pdf

Workshop leaders:

Justine Womack, Health and Wellbeing Programme Leader and Olugbenga Olatunde, Public Health England South West.  Chris Skelly, Public Health, Dorset

3D – Irresistible antimicrobials? Resisting resistance – recruiting the public

Aim:  Planning activities to recruit the public to help in resisting resistance.

Learning Outcomes: 

1. Enhanced knowledge of and the implications of antimicrobial resistance.

2. Improved  understanding of the current local situation

3. Awareness of the resources available for public engagement

After setting the scene, delegates will be introduced to evidence based resources available for public engagement around AMR. Delegates will be divided into groups and asked to develop of 5 point strategy for engagement of different target audiences and to come up with a creative strap line for their strategy. The workshop will aid in the challenges around NICE guideline 63 (Antimicrobial stewardship: changing risk-related behaviours in the general population).

Workshop leaders:

Chaam Klinger, Consultant in Communicable Disease Control and Jonathan Plumb, Advanced Health Protection Practitioner, Public Health England South West

4A – Making Every Contact Count in the South West

Aims: To understand what Making Every Contact Count is, explore the significance of the programme across the South West and describe learning from initial implementation across the South West.

This interactive workshop will include:

• What is Making Every Contact Count? Overview of training and practical exercises from Wessex training.
• Understanding and implementing the South West Making Every Contact Count Strategy – our regional approach.
• A practical activity to understand and explore the philosophy behind MECC.
• Making Every Contact Count and STPs – changing culture in the NHS and wider health and social care landscape.
• Reflections from the front-line – learning from training delivery and how it is driving change.
• How to take MECC home – what can you do to embed MECC locally.

The session will be provided by the chair of the SW MECC strategic group, the Swindon Borough Council strategic lead for MECC and a MECC trainer from the South West region.

Learning outcomes:-

1. Understanding of MECC and the South West approach to implementation
2. Lessons learnt from the implementation
3. Understand and explore the philosophy behind MECC

Workshop leaders:

Rebecca Maclean, Specialty Registrar in Public Health and Chris Woodward, Public Health Programme Manager, Swindon Borough Council

Steve Maddern, Acting Consultant in Public Health, Wiltshire Council

4B – TB and migrant workers: Reflections on complex case management

Aims:  To allow participants to work through a recent real-life example of TB management in North Somerset and review some of the challenges it presented. 

Learning Outcomes:

To explore strategies for TB case management within different workplace settings and review opportunities to achieve wider improvements for public health.

(1) The workshop will begin with a short overview of the information received by the Incident Control Team and some key decisions that need to be taken. (10 minutes)

(2) Participants will then work in smaller groups (3 x 6-8 people) with a facilitator from the workshop team and respond to the prompt questions given by the facilitators. (25 minutes)

(3) Each group will be asked to share their suggested response. This will be compared against the real response from the Incident Control Team and reflections on the lessons learned. (15 minutes)

Workshop leaders: 

Matt Lenny, Public Health Service Leader and Rob Tolfree, Specialty Registrar, North Somerset Council.  Chitra Arumagam, Consultant in Communicable Disease Control and Helen Trudgeon, Health Protection Practitioner, Public Health England

4C – Stand up NOW! – for the  Public Health Agenda

Aims: To support participants in developing strategies and behaviours to have “in the moment”

impact in perceived high-power, pressure environments.

Learning Outcomes:  On completion of this workshop, participants will:-

• have explored barriers to speaking up, challenging and making a point, in high power environments 
• understand the spectrum of behaviours available to make an impact and assess where on the spectrum they prefer to operate
• develop strategies to move up and down the spectrum as they perceive appropriate in any given moment / environment
• have increased confidence and ability to be heard in meetings and environments where various other agendas may be at play

This is a fun, energetic and highly participative workshop requiring individuals to “have a go” at speaking out in front of the group utilising different behavioural approaches.  In addition individuals will have the opportunity to reflect honestly on their own behaviour patterns, and perceived barriers to “speaking up”

There is no paperwork associated with the workshop; individuals will leave with the memory of their experience and opportunities to employ these various behavioural approaches in perceived challenging environments.

Individuals will be invited (not forced) to work in their personal stretch zone, as learning will not happen in a 60 minute workshop if we each stay in our comfort zone!

Workshop leaders:

Jon Toulson, Managing Director, TTS Ltd

4D – Local Public Health in a Systems Era

Aims:  To explore opportunities to strengthen the local public health function in an era of increasing focus on ‘systems’

Learning Outcomes:

1. Increase knowledge of the current systems initiatives in England, in particular, ACSs & STPs.
2. Understand some of the opportunities and challenges this provides.
3. Use this information to articulate new ways to promote population health.

1. Understand potential for personal/local contribution to collective SW effort.

Content:

Presentations:

• Public health in a systems world – models, ideas and constructs.
• The evolution of STPs and ACSs in England & globally.
• The experience of a first wave ACS setting: Dorset – opportunities & challenges.

Discussion:

• How might we in the SW learn from one another and bring greater collective focus on a positive evolution of public health.

Format:

1. 10/60 x 3 presentations by differing speakers as above
2. 5/60 after each talk for questions
3. 15/60 Final discussion: open format

Workshop leaders:

Professor David Phillips, Director of Public Health, Sam Crowe, Deputy Director of Public Health and Chris Skelly, Head of Intelligence, Public Health Dorset

The session will include:

Topical debate in which members of the panel will answer questions that have been posed by members of the audience.

The audience is a key factor in this session and moves the debates forward.  Questions that have been put forward in advance will be placed on tables for a delegate sitting on that table to pose to the panel.

The panel will comprise of:-

Gabriel Scally, Moderator

Kate Kennally, Chief Executive, Cornwall Council

Professor David Phillips, Director of Public Health, Dorset Council

Jane Powell, Professor of Public Health Economics, University of West of England

Maggie Rae, Consultant in Public Health Medicine, Public Health England

Helen Erswell, Specialty Registrar in Public Health