Healthier Lifestyles Service and Staff Health and Wellbeing

1. Healthier Lifestyles Service and Staff Health and Wellbeing Becoming Healthier Lifestyle Advocates

2. NHS Five Year Forward View ‘Twelve years ago Derek Wanless’ health review warned that unless the country took prevention seriously we would be faced with a sharply rising burden of avoidable illness. That warning has not been heeded - and the NHS is on the hook for the consequences. The NHS will therefore now back hard-hitting national action on obesity, smoking, alcohol and other major health risks. We will help develop and support new workplace incentives to promote employee health and cut sickness-related unemployment.’

3. Giving with one hand and taking away with the other!

4. What does this mean? • Everyone has responsibility for their own health – including NHS health professionals. • Our whole job involves caring for and helping people, but we often forget our own needs. • There is a need to empower staff to look after their own health and wellbeing. • If we look after ourselves properly and put ourselves first – patients will in turn get a better service.

5. Health and Wellbeing Ambassadors and Representatives • Giving all staff basic understanding of lifestyle messages for themselves, enabling them to become natural advocates of Healthier Lifestyles Brief Intervention for their patients.

6. Very Brief Advice - Alcohol • Over time, excess drinking can build up into liver disease and liver cancer. • Alcohol free days give the liver a chance to repair • Lower risk guidelines= no more than 3-4 units men, 2-3 units women • Increasing risk= more than 3-4 men, 2-3 women on a regular basis • Higher risk= more than 50 units/week –men, 35 /week women. • One unit= 1/2pint standard beer, 125ml wine, 1 single measure of spirits

7. Very Brief Advice - Smoking • There is no safe limit of smoking • The best thing you can do for your health is to stop. • The more support you get to quit the more likely you are to stop for good. • Stop Smoking medicines and regular support greatly improve the chance of stopping. • Nicotine replacement will be offered at prescription cost or free if exempt through your local stop smoking service.

8. Very Brief Advice – Physical Activity • 30 minutes five times a week of physical activity that gets you breathing harder and feeling warmer will: • Keep the heart healthy. • Reduce risk of serious illness, • Strengthen muscles and bones. • Reduce stress levels and lift mood.

9. Very Brief Advice – Healthy Eating/weight management • Obesity is excess body fat caused by long term energy imbalance • Energy is another word for calories. • Food consumed = Energy in • Physical activity = Energy out • Balancing energy in/out does not have to happen every day, but balance over time helpss maintain an healthy weight • Other factors that can affect a person’s weight include their metabolism, genetic make up and the environment.

10. Brief Intervention • ‘Every contact must count as an opportunity to maintain and where possible improve mental and physical health and wellbeing’ (NHS Future Forum Report 2012) • BHT = 6000 staff • 1 staff member applies BI to 10 people per year – • 60,000 opportunities!!!

11. Adapted from Prochaska and DiClemente’s Cycle of change model

12. Brief Intervention • Giving Very Brief Advice • Know the very basics of Healthier Lifestyle advice • Open Questions – How would you feel about….? • Use a Motivational Interviewing approach Express Empathy. Develop discrepancy. Roll with resistance. Support self - efficacy.

13. Example Your patient is asking to go out for a cigarette, you know that the patient will recover much more quickly if he/she is able to give up smoking. You offer the patient help to give up or NRT to relieve withdrawal symptoms. ‘How would you feel about some help to give up’? You arrange for the patient to have NRT on the ward You refer the patient (with consent) to the Healthier Lifestyles Team who will refer on to the Smokefree Support Service . ASK,ADVISE, ACT.

14. Healthier Lifestyles Hub and Staff Wellbeing Available to: In and Out Patients,ServiceUsers,Visitors and Staff. We offer lifestyle advice and a signposting service for : • Physical Activity, • Smoking Cessation, • Alcohol management, • Weight management, • General wellbeing.

15. This is for you too Our service can offer: • Option to Exercise – information about free classes, 1:1 personal trainer sessions • Smoking Cessation support in work time • Weight management support service • Sickness absence advice • Psychological support

16. Sickness Absence Support and PolicyRole of the case manager • Assisting staff Long term sickness absence Short term • Advising the Trust Active management of sickness Linking Manager, Staff , Occupational Health and HR Accessing support to optimise recovery Bradford Scores

17. Maintaining your own psychological wellbeing • Its all about balance • Looking after your own work life balance

18. Stress Relief • Understress, Eustress, Overstress, Distress • Demands, Control, Relationships, Support, Role, Change (HSE) • Palliative, Indirect, Direct.

19. Five ways to Wellbeing • Connect • Keep Learning • Be Active • Take Notice • Give

20. Staff Psychological Support Staff Wellbeing Service – Psychological support, including • 1:1 Resilience support • Wellness Recovery Action Planning • Confidential counselling service • Stress management advice • Sickness absence advice service – allocated case manager • Drop-in resource 9am-3pm Monday-Friday • Come and see us!

21. Healthier Lifestyles Team - • Karon Hart – Healthier Lifestyles and Staff Wellbeing Manager • Alyson Moss and Gemma Griffiths - Healthier Lifestyles Public Health Practitioners • Rashmi Sharma and Caroline Swanborough- Sickness Absence Case Managers • Maggi Simpson and Peter Walmsley – Resilience • Jean Harrison – Administrator • Phone 01296 315998 or 315088 Or email buc-tr.healthier-lifestyles@nhs.net

22. Healthier Lifestyles Drop –in Clinics John Hampden Unit Hub – 01296 315998 9am-3pm Monday-Friday Out-patient ‘s Room C1 -01296 315874 (Old sisters office in Ambulatory Emergency Care Unit) Mon 9.30am -12.30pm & 1pm-4pm, Tues 9.30am-12.30pm, Wed 9.30am-12.30pm, Thurs 1pm-4pm, Fri 9.30am-12.30pm. email buc-tr.healthier-lifestyles@nhs.net

23. NEW Healthier Lifestyles Advice Drop –in In Out-patient ‘s Room C1 –ext 5874 (Old sisters office in Ambulatory Emergency Care Unit) Please feel free to refer your patient to drop-in to one of our clinics. Mon 9.30-12.30 & 1-4 Tues 9.30-12.30 Wed 9.30-12.30 Thurs 1-4 Fri 9.30-12.30 (Alternatively the Healthier Lifestyles hub is open in JHU 9-3 Mon-Fri) Giving Advice, signposting and Information on:- Weight management – In House Service or referral to Weight watchers/Slimming World (BMI + criteria apply) Alcohol Management – Assessment and referral Smoking Cessation – Assessment and referral Physical Activity – Assessment and signposting General Psychological Wellbeing – discussion about the Five Ways To Wellbeing Tool.

24. Clinicians - Want to give Healthier Lifestyles Advice, but haven’t got time? • We Can Help!! • NEW Healthier lifestyles Advice service available for Outpatients. In Room C1 (the old sisters office in Ambulatory Emergency care) • Topics covered include :- • weight management and healthy eating, • smoking cessation, • alcohol management, • physical activity, • general psychological wellbeing. • Patients can Just Drop-in! Mon - 9.30- 12.30 & 1-4, Tues - 9.30-12.30, Wed - 9.30-12.30 Thurs - 1-4, Fri - 9.30-12.30