Dr Jenny Byrne-Southampton Education School Sue Dewhirst-Public Health England, (Wessex Office)

1. The impact of implementing an inter-professional model of health and wellbeing education in pre-service teacher training Dr Jenny Byrne-Southampton Education School Sue Dewhirst-Public Health England, (Wessex Office) 12th June 2014, Population Health summer conference

2. ITE Health Education at Southampton (ITE=Initial Teacher Education) • Rationale: • Schools and teachers- important • points of access to young people for health • services delivery and educational programmes • Growing awareness of influence of the “hidden • curriculum” on staff and pupils • School structure, organisation and climate • impact upon behaviour and effectiveness of • interventions • Recognition of need for health and education • policies to support teacher training especially at • pre-service level

3. Initial research • Curriculum mapping 2008-09 • Survey data provided evidence and reasons to examine the health content of the Secondary PGCE curriculum • Public Health Skills and Careers Framework at Level 3 used as a mapping tool Findings • Gaps found in the curriculum re: skills and knowledge of health education/public health • Connections to health were not always made explicit • A professional themes programme in University and school covered elements of Personal Social Health and Economic Education (PSHE) and Every Child Matters • Only some trainees received particular inputs e.g. P.E/ Science- nutrition and exercise • Opportunistic engagement with health education in school e.g. a health week/ day

4. Implementing research findings- developing the PGCE Curriculum • Collaboration between • Population Health (PCPS) • Health Sciences (FoHS) • Education School (SEdS) • Systematic and coherent coverage of public health competencies within the PGCE curriculum • Health day includes • PSHE Education lecture, & tasks • Interactive workshops, exhibition & tasks • School- based tasks to follow up university-based work in school placements • Production of ‘health portfolio ‘ to gain PSHE Association’s Certificate (optional)

5. Aims of the curriculum changes, including the health day and health portfolio • Over 400 pre-service teachers train at Southampton each year • To develop trainees’ awareness and knowledge of PSHE education and health and well-being issues • To raise awareness of pupils’ health and also their own health • To develop skills to become better health promoters in the school setting • To build trainees’ confidence to deliver PSHE Education • To raise awareness of the external agencies who support schools to deliver PSHEe/ health education

6. ITE Health Day, Southampton 2013

7. Health Day Collaborations Alcohol Education Trust Hampshire County Council, Public Health/ Healthy Schools Hampshire County Council, Fire Education Service Young Carers Innovation with Substance The British Heart Foundation Southampton City Council, Public Health Hampshire County Council, Catering Services (HC3S) HIV Education ROSPA STAR Project No Limits Emotional First Aid St John Ambulance Personal Finance Education Group (Pfeg) Life Lab Public Health England, Child and Maternal Health Observatory Private consultants (Pilates, Yoga, SRE Primary)

8. Findings: Health Day Increased awareness of • emotional health and wellbeing including bullying Importance of my own emotional well-being • sex and relationships new strategies for dealing with pupil’s questions around SRE • appropriate resources to use opportunities for including health education in lessons • child health data more aware of where to direct young people’ if they need to Things learned • greater understanding of the determinants of health that school alone cannot change child health issues; the problems are more likely to lie “upstream’’

9. Trainee comments about the ITE Health Day I am looking forward to being a form tutor I feel more confident about approaching these issues with my pupils I feel more aware of the risks and responsibilities Why aren’t other PGCE providers doing this? I will take PSHE teaching more seriously and not as an extra chore I feel more confident about recognising the behaviours shown by children who have mental health problems A fantastic opportunity for us to experience PSHE teaching and an opportunity to think about different (important) issues I am very excited about teaching PSHE, particularly HIV and SRE

10. Findings : Baseline and follow-up questionnaires Increased confidence to teach

11. Findings : Baseline and follow-up questionnaires • Attitudes about importance of including topic

12. Modifications and outcomes • Students’ views used to develop change incrementally • Multi-disciplinary cross faculty and cross university collaboration continues to be successful • Health Education/ Population Health perspective now embedded in both the primary and secondary ITE courses-agreed component of the curriculum • Inter-sectorial networking led to joint working and extensive support from local authorities, health and education professionals, voluntary, charitable and private sectors • Increase in trainees on PSHE special studies module • ‘Chartered Student Teacher Framework’ for the PSHE Association certification now officially recognised by the NAHT “The University of Southampton shines as a beacon” Nick Boddington PSHE Association

13. On-going research In-depth longitudinal follow-up study of pre-service teachers in the early years of their career

14. On-going research • Feasibility study • Funded by the Leverhulme Trust • Participants • Pre-service training year (PST) – cohort a • Newly qualified (NQT) – cohort b • Early career (ECT) – cohort c • Survey questionnaire to all cohorts at two points over life of the project • Follow-up semi-structured interviews with 15 participants from each cohort • Phase 1 in progress - preliminary results are promising

15. Advisory Group Southampton Education School Southampton Health Technology Assessment Centre (SHTAC) Primary Care and Population Sciences PSHE Association Public Health England (Wessex) Health Education Wessex Innovation With Substance (Drug education consultants) Sheffield Hallam University Southampton City Council, Public Health

16. Thank you for listening For further information please contact: Jenny Byrne jb5@soton.ac.uk Sue Dewhirst sue.dewhirst@phe.gov.uk