All O R Health

A Call to Action to All Healthcare Professionals

2016

All OUR Health (AOH) is a ‘Call to Action’ to healthcare professionals

(HCPs) individually and collectively, to contribute to the Five Year

Forward View’s (FYFV) call to: -

• close the health and wellbeing gap

• contribute to a radical upgrade in prevention and public health

• develop a social movement for health

What is the All O R Health Programme? (1)

AOH provides an opportunity to

• Complement structural and large scale sustainability and transformation with

professional mobilisation

• Provide solutions to HCP’s concerns re developing ‘health promoting practice’

• Reduce time for adoption of preventative practice

• Promote engagement with practitioners, leaders and educators - changing

practice now and for the future

HCPs have identified some concerns/barriers

re developing and embedding ‘health

promoting practice’

• Difficulty in starting and holding ‘hard

conversations’

• Lack of confidence in own knowledge and the

lack of easy access to evidence

• Concerns re own health choices and effect on

credibility/perceptions as ‘poor role models’

• Views that health campaigns and professional

messages are often poorly coordinated,

making local action more difficult

• Perception that ‘value’ is not well articulated

and professionals are unable to measure

impact

• Time pressures

What is the All O R Health Programme? (2)

All Our Health aims to address

these through

• Accessible evidence for

practice, resources and tools

• Metrics and outcomes

measures

• Education

• Alignment with and support

through other programmes

• Alignment with public facing

health campaigns

• Culture change and social

movement

• Building capability

• AOH programme is closely linked to the FYFV Triple Aim and

Right Care, PHE Health Matters, Making Every Contact Count,

lifecourse and ‘place based’ programmes.

• The ‘primary audience’ is health care professionals and their

teams

• The programme and topic guides are also relevant to a range

of people involved in prevention and population health

• It is based on the principle that all health care professionals

have opportunities and responsibilities (often as part of their

code of conduct) to have an impact on outcomes through

prevention at individual, community and population levels

• Work is in progress with a range of health and care

organisations and has involved nurses and midwives, AHPs,

dental, pharmacy and public health organisations

• It forms the prevention and population health stream of the

new National Nursing and Midwifery Framework (Leading

Change, Adding Value) focusing on Obesity and AMR

What is the All O R Health Programme? (3)

• An AOH introduction and overview has been published on Gov.UK as a

beta test and remaining products are due for publication in June.

• It is also in pilot in some HEE regions/Universities as a model for

professional education.

• AOH, MECC and NHS Health Check teams are working together on

effective communication with HCPs using a range of channels/media

• AOH, MECC and PHE Marketing are working together to align public

campaigns with messaging to HCPs. The first ‘moment’ will be around One

You physical health in the Summer.

What is the All O R Health Programme? (4)

AOH: currently published topics guides as shown below

All Our Health: about the

framework

Obesity - Children

Antimicrobial Resistance (AMR) Place

Falls Pressure Ulcers

Health Checks Sexual Health, Reproductive

Health and HIV

Obesity - Adults Tuberculosis

AOH: following topics to be published later in 2016

Alcohol Mental Health

Best Beginnings Physical Activity

Dementia Respiratory Disease

Homelessness Smoking and Tobacco

Learning Disability Early Adolescence

Liver Disease Workplace Health

A Call to Action Action by Action through Action on

All health care professionals are

a vital resource for health. Working

with patients, people and population

for our healthy society… preventing

illness, protecting health and

promoting wellbeing

• Increasing the visibility of health care professionals in prevention and population health and measuring impact

• Being a vibrant force for change and building a ‘culture of health’ in our society

• Working with people, families and communities to equip them to make informed choices and manage their own health

• Making Every Contact Count

• Contributing to Place based services, including Sustainability and Transformation plans

• Taking Life Course approaches to holistic prevention and care

• Responding to local population needs and wider factors affecting health and people’s ability to make healthy life choices

• Supporting resilience and independence

• Wider determinants of health: social factors, variation and inequality

• Health improvement: for people, communities and workforce

• Health protection: protecting health of communities and providing safe care

• Avoidable premature mortality: prevention is a central part of health care practice

Building on Relationships and Reach Impacting on indicators in the Public Health Outcomes Framework

Population

Community

Family

People

All HCPs

Primary and

community care

Public

Health

Improving the wider determinants of health

Health improvement Health protection Healthcare public health and preventing premature mortality

• Homelessness • Best Beginnings• Early Adolescence• Smoking and tobacco• Obesity• Childhood obesity • Alcohol• Sexual Health• Falls• NHS Health Check

(Blood pressure)• Physical activity

• AMR• Tuberculosis• Pressure ulcers

• Respiratory health• Liver Disease• Dementia

Supporting Health, Wellbeing and Resilience

Mental Health, Learning Disability, Workplace Health

Throughout Life Course

Best Beginnings, Supporting Adolescence, Dementia and Falls

Creating Healthy Places

Measured by Public Health Outcomes Framework:

• increased healthy life expectancy

• reduced differences in life expectancy and healthy life expectancy between communities

‘the model’

A Call to Action Action by Action through Action on

“All health care

professionals are

a vital resource for

health. Working

with patients, people

and population

for our healthy

society… preventing

illness, protecting

health and

promoting wellbeing”

• Increasing the

visibility of health

care professionals

in prevention,

population health

and measuring

impact

• Being a vibrant

force for change,

building a ‘culture of

health’ in our

society

• Working with

people, families and

communities to

equip them to make

informed choices

and manage their

health

• Making Every

Contact Count

• Contributing to Place

based services,

including

sustainability and

transformation plans

• Taking Lifecourse

approaches to

holistic prevention

and care

• Responding to local

population needs

and wider factors

affecting health

and people’s ability

to make healthy

life choices

• Supporting resilience

and independence

• Wider determinants

of health, social

factors, variation and

inequality

• Health improvement:

for people,

communities,

workforce

• Health protection:

protecting health

of communities and

safe care

• Avoidable premature

mortality: prevention

is a central part of

health care practice

All our Health is a ‘call to action’ to health care professionals

to maximise their impact on improving health outcomes

and reducing inequalities.

Building on ‘Relationships and Reach’

Population

Community

Family

People

All HCPs

Primary and

community care

Public

Health

All healthcare

professionals have an

important population

health role when caring

for individuals and

families. For more

specialist public health

professionals their

relationships and reach

means their focus goes

beyond the individual, to

the community or

population.

Impacting on Health and Wellbeing Indicators

Improving the wider

determinants of

health

Health

improvementHealth protection Healthcare public

health and

preventing

premature mortality

• PLACE

• Homelessness

• Workplace Health

• Best Beginnings

• Early Adolescence

• Smoking and tobacco

• Obesity

• Childhood obesity

• Alcohol

• Sexual Health

• Falls

• NHS Health Check

(Blood pressure)

• Physical activity

• AMR

• Tuberculosis

• Pressure ulcers

• Respiratory health

• Liver Disease

• Dementia

Supporting Health, Wellbeing and Resilience

Mental Health, Learning Disability, Workplace Health

Throughout Life Course

Best beginnings, Early Adolescence, Dementia and Falls

Creating Healthy Places

Measured by Public Health Outcomes Framework and other relevant metrics :

• increased healthy life expectancy

• reduced differences in life expectancy and healthy life expectancy between

communities

Links to All O R Health

Main Collection Page: https://www.gov.uk/government/collections/all-our-

health-personalised-care-and-population-health

Topic chapter links can be found from the main collection page

About the Framework: https://www.gov.uk/government/publications/all-our-

health-about-the-framework/all-our-health-about-the-framework

Place Based Services of Care:

https://www.gov.uk/government/publications/place-based-services-of-

care/placed-based-services-of-care