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Public Health

Making Every Contact Count (MECC)

Work is being led by Public Health England (PHE) London, working with a range of stakeholders, to investigate and understand the different approaches for the delivery of, and contributions to, MECC across a range of organisations.  PHE London are beginning to collaborate with PHE and Local Authorities in Kent, Surrey and Sussex about the approaches and work programmes in place.  

PHE London are helping to inform national work on developing the narrative for the wider workforce in public health. Learning from these pieces of work will be drawn together to inform the feasibility and potential actions needed to deliver a MECC programme across London.

A well established and extensive programme of GP, Foundation and Sport, and Exercise Medicine trainees undertaking PH attachments are having MECC integrated into their attachments. The local team is also seeking to broaden this to the other training schemes such as paediatrics.  

We are working with the Foundation Schools to develop community foundation placements in PH which will improve the delivery of MECC.

We are looking to deliver Public Health and MECC messages to HEE staff by linking the Public Health work with HEE's staff-led London and South East Health and Wellbeing Team, who are now working towards the second level of the Mayor of London’s Healthy Workplace Charter.

A scheme called 'Team Up' supports projects in communities to improve health and well-being. The local team encourages junior doctors to participate. This allows them to understand how the environment and people's circumstances impact on their health. This will enable a better understanding of how behaviour impacts on health. 

Health Champion development events have been held in association with the National Pharmacy Association.  These are a series of one - day training events for healthcare support workers from community pharmacy and general practice.  Participants are supported to achieve RSPH Level 2 qualifications in understanding health improvement, to work on a specific project related to their training and are encouraged to network.  A smaller cohort of healthcare support workers were supported to achieve the Understanding Health Improvement Applied Award.

Currently, there is a project running to increase the number of health visiting and school nursing commissions. There will be additional workforce development for Health Visitors. 
A local team representative sits on the national Public Health Group for Children and Young People's Health. 

A pilot public health Practitioner Scheme continues to be delivered in north central and east London. Fifteen assessors and four verifiers have been trained to support and assess the thirty three practitioners engaged in the pilot.  Research is underway to investigate the feasibility of a wider programme across London and define how best to support public health practitioners through the process to UKPHR (public health) registration. Experience gained from the pilot across England will inform the model in London.

There is a tiered competency framework for care navigation and an education programme is under development.

An Academy of Public Health for London and South East has been set up.  The Academy is a multi-agency collaborative project between PHE, HEE and Directors of Public Health in London and Kent, Surrey and Sussex. The academy provides a suite of structured professional development and career development offerings for all those working in health improving organisations.  

Community Education Provider Network (CEPN) have been working on a range of workforce development deliverables across the community.  These include health coaching on a local level, carer training, service user wellbeing, self-care pharmacy and training for non-clinical staff on local health priorities, including management of long term conditions (LTCs).

A report on pan-London investment in public health has been developed outlining work against a number of priorities, including leadership, coaching, practitioner registration, commissioning skills and analyst training. The overall programme was a partnership between HEE (London and South East) and PHE.

There is an educational programme to widen access to screening and a programme to map the existing educational materials. 

Training in immunisations and vaccinations, cervical cytology and motivational interviewing have been commissioned across all of north central and east London through Community Nursing super-hubs to address skills shortages in these areas.

Public Health Community

Hospital Involvement in Community Public Health, North Middlesex University Hospital NHS Trust: ‘One-Stop Shops’ using mobile units and community halls to promote healthy living and provide health education, to reduce the unmet needs of the population within the boroughs of Enfield and Haringey. 

Health Coaching 

We have been working with Osca Agency Ltd on health coaching and mentoring.  This includes recruiting and training mentors amongst multi-disciplinary health professionals, who have already been trained in health coaching and deliver health coaching training. There is ongoing support to teams and individuals to more effectively support the practice and pathways of patient self-management.

A health coaching strategy has being developed across the area to train the local workforce to encourage behavioural change, tailored also around long term conditions.
As part of the strategic review into health coaching, we have designed and released documents relating to workforce health coaching training and development.

PHE and HEE have established a London wide public health network to bring together and support the wider public health workforce, engage with public health professionals on workforce and training, enhance public health training arrangements, provide continuing professional development and an opportunity to network with other public health professionals. The network consists of a range of stakeholders working across public health in the capital including local authorities, academics and others. The group provides strategic oversight and advice on the establishment, development, implementation and evaluation of workforce development activities across the public health system in London, and provide a forum for strategic debate into the future workforce profile and needs. 

Key contacts:

Dave Rayner - Commissioning Manager, Medical & Dental - dave.rayner@ncel.hee.nhs.uk
Judy Curson - Head of the School of Public Health - judy.curson@phe.gov.uk