HEALTH PROMOTING HEALTH SERVICE

1. HEALTH PROMOTING HEALTH SERVICE

2. THE HPHS CONCEPT: ‘Every health care contact is a health improvement opportunity’ A HPHS prevents ill health as well as providing health care, enhances positive health, and enables people to take more control over their own health. Work can focus on patients, staff or the wider community.

3. A goal is to encourage health care staff to see the potential for health promotion as a natural element of their existing work practice and not as an additional burden.

4. HISTORY Development of Scottish HPHS framework (mid 1990s) - Initial pilots - Review(1999) - Impact evaluation sites - Evaluation (2004) - Present HPHS programme

5. HEALTH PROMOTING HOSPITAL AND HPHS NETWORK Co-ordinating hositals (hubs): Maternity at Ninewells Mental Health at Leverndale Children and Young People at the Sick Children’s Hospital , Edinburgh HPHS Implementation sites: NHS Borders, NHS Lanarkshire; NHS Grampian; Glasgow Learning Disabilities Partnership

7. 6 implementation topics/areas to be reported on in Board’s Self Assessment Report – 08, 09 &10. Minimum acceptable baseline, not restrictive Targets health promotion in acute HPHS broader CEL 2008

8. Smoking – provide brief interventions to support cessation for out-patients and in-patients Alcohol– opportunistic screening of A&E patients, those identified as having harmful drinking offer brief intervention and appropriate onward referral Breastfeeding – implement UNICEF Baby Friendly Awards Scheme in all maternity units CEL 2008

9. Food and Health – remove all sugared drinks > 0.5g/100ml from acute hospital vending machines Food and Health – increase access to competitively priced fruit and vegetables through retail outlets in acute settings Health at Work – all acute sector units to work towards HWL Award CEL 2008

10. DPH established training role for HPHS Forthcoming audit of health promotion in acute settings Maternity HUB Other non-targeted areas of input? Directorate of Public Health

11. Our response?