Public Health Dorset Presents

1. Public Health Dorset Presents Rhonda Halling, May 2015

2. New look health improvement Service • Preventable diseases such as lung cancer and CVD remain biggest cause of deaths in UK, • lifestyle behaviours such as smoking, lack of exercise, poor diet and increasing alcohol consumption all contribute to disease risk, • Evidence shows that 70% of the population engage in 2 or more of the above contributing risky behaviours.

3. Why a new service? • Entry and access to existing services restrictive and confusing; • numerous referral processes restricted referral • numerous pathways confused service users and referrers • difficult to assess outcomes, particularly in areas of high need • New model required to improve the provider links with the community; • extend reach into areas of need • increase impact to ensure better outcomes • develop standardised approach to improve consistency

4. How did we respond to this need? • We engaged local people to explore: • what kind of service they would use? • what would motivate them to use the service? • What don’t they want? • how would they like to access such a service? • June 2014 - launched an open tender process in line with EU procurement requirements.

5. Our job • Ensure an evidence based approach informed our commissioning model: • Develop an approach most likely to have the greatest effect, • Incorporate trusted behaviour change theories and practices • apply rigorous academic and professional quality control mechanisms, • remain within existing funding envelope while building on quality, scope, reach and impact.

6. and the winner is............... • Central Hub promotes the service directly and indirectly • Team of Wellbeing Advisors and Coaches • Science-based approach to assessment and intervention • Targeted outreach and social marketing • First contact is key – the start of on-going “client journey” relationship • Analysis of outcomes to inform commissioning, improve services and build community capacity

7. A new service takes shape • New service, creating a customer-centric ‘single point of access’, for the 750,000 people of Bournemouth, Poole and Dorset • Purpose to protect and improve health and wellbeing, enabling sustainable behaviour change in key lifestyle areas (alcohol, tobacco, diet and activity) • Opportunity to move away from fragmented silos of service, and towards a more holistic model; Empowering clients to take ownership of their health and wellbeing • A universal offering, also actively engaging communities and promoting the service to ‘hard to reach’ groups where health outcomes are poorest • Range of brief interventions provided within the service, and guiding client through other available support and community assets

8. Access and Engagement • LiveWell Dorset’s multi-channel single point of access creates ‘one front door’, and makes access fair and equitable across the Dorset population. • Customer engagement approach ensures every contact counts. After initial contact with a Wellbeing Advisor, referred clients begin their unique wellbeing journey with their Wellbeing Coach. • All of the Wellbeing Advisors and Coaches will be skilled and trained in Motivational Interviewing, which, in conjunction with the COM-B* model, help assess sources of behaviour, and understand the barriers or enablers to change.

9. The first year.................. • 4 Stage approach: • Telephone service, • web based service, • face to face, • training and development within community to expand reach.

10. Keeping it simple

11. Service delivers • Commissioned pathway – including Healthy Choices Programme, exercise referral schemes and other local PA opportunities (e.g. Health Walks), specialised alcohol services, GP and Community Pharmacy Stop Smoking services • Local health improvement offer – referral or signposting to local opportunities, such as beachfront activity, leisure centre offers, charities, voluntary organisations and community groups • Retention - Clients will be encouraged to keep in contact with the service through a range of communication channels and campaigns. • Follow up - The Wellbeing Advisors and Coaches will follow-up directly with each customer after 12, 24 and 52 weeks, in addition to planned coaching and mentor support sessions.

12. Thank you • Rhonda Halling • Health Programme Advisor • Public Health Dorset • r.halling@dorsetcc.gov.uk