Our JourneyHPHS-HPH-ENSH

Inverclyde HospitalHPHS Seminar21st March 2007

Tommy Harrison HPH Mental Health Hub Coordinator

Forensic Project NurseMental Health Partnership

Aim Of Presentation

I will give a brief account of how mental health services

identified the need for health improvement.

How we utilised the Health Promoting Health Service Guidance.

Where we are now with HPH and future plans.

Background

• Forensic services established 1997.

• Continuing Care Facility For Under 65’s.

• Staff issues/Redeployment.

• Limited health-promoting activities.

• Client mix and expectations.

How We Got Started

Ask users what they want/need re questionnaire.

Benchmarked existing programmes.

Start with ONE activity.Have a champion.Patience/Perseverance.Include activity within care

planStaff Fundraising Activities.

Some of the Pitfalls

Not seen as a Nursing Remit by some staff

No Financial RewardsFavoritism of Users and Staff.Some talk a good game/Mean

Well.Slow Progress.Training Requirements.No Evaluation by staffUnforeseen Barriers-

Budget/Clinical Activity Red Tape/Protocols/Health and

Safety.

Early HPHS Examples in Scotland

• Developing the concept of HPHS Framework across Ayrshire and Arran Health Board.

• Promoting Breastfeeding in Inverclyde.• Improving the environment at Bourtreehill HC Irvine.• Setting a Standard in Hand washing in Dunfermline.• Promoting Healthy Eating in Greenock.• Tackling Staff Smoking at Kirklandside Hospital, Kilmarnock.

Health ScotlandHPHS Framework 2001-2004National Impact Site

Increased Knowledge baseRestructuring Activities

Used as a GuideAllowed Networking

CollaborationPatient FocusedRaised Profile

BenchmarkEvaluation

Development of a Benchmarking ToolHPHS 2004

• Physical Health Care• Gender Based Health Care• Nutrition• Patient Activity• Drugs and Alcohol• Smoking• Spiritual Care• Staff Health

Overall Scoring (HPHS Pilot) Out of a possible 68 Questions

Boulevard (47) (42) - 5• Ward 6 (48) (59) +11 • Ward 5 (41) (52) + 11• Campsie Whitehouse (38) (42) +4• Riverside (28) (27) - 1• Ward 2 (35) (42) + 7• Orchard 1 (29) (38) + 9• Orchard 2 (36) (36) 0• Orchard 3 (30) (35) + 5

2004 collective score= 54.3% 2005 collective score= 61.1%.1%

Glasgow Forensic ServicesSmoking Questionnaire (Benchmark Oct 2004 + June 2006)

• Total in-patient Complement 47 (49)• Total no completed questionnaire 89% (94%)• Total no raised in Greater Glasgow 81% (na)• Total no who smoke 81% (77%)• Total no who do not smoke 19% (23%)• Total no who want to stop smoking 48% ( 54%)

• Total no with Decap Score 7 66%

• Total no with Decap Score 6 11%

HPH Leverndale Hospital 2005-2008

• National Mental Health Hub• Steering Group/Sub• Smoking Cessation & Harm

Reduction• Smoking Cessation Pilot• Physical Health• Nutritional Health• Two HPHS Trainers• Membership Psychiatric Task

Force• Joint Working (Smoking)• National ENSH Pilot

WHO HPH Standards

• NHS Greater Glasgow & Clyde Mental Health Services were recently asked to assess Standard 2 Patient Assessment criteria to make it more mental health specific. This piece of work was submitted in Jan 2007 and will be presented to the WHO in Vienna April 2007 for consideration

Milestones in Evaluation (The Journey) • Forensic Service User Questionnaire 1999

• HPHS Framework Impact Evaluation Pilot 2001-04

• Forensic Have a Braveheart Questionnaire 2001

• Forensic Patient Activity Benchmark 2002

• HPHS Local Pilot Checklist 2004

• HPHS Health Improvement Benchmarking Tool 2004

• Forensic Patient Smoking Habits Questionnaire 2004 & 2006

• Benchmark of National Programme City-Wide 2005

• Benchmarking Smoking Concerns 2005

• WHO HPH Standards 2006

• MH Smoking Cessation Coordinator Pilot 2007

• ENSH Benchmarking Audit Tool 2007

Thank-You

HPHS Awareness HPH Annual Conference