Making Every Opportunity Count Orientation Session

1. Making Every Opportunity Count Orientation Session Developed by Tony Connell Learning and Development Consultant andthe East Midlands Health Trainer Hub, hosted by NHS Derbyshire County

2. Learning Outcomes By the end of the session staff will: Understand the economic and personal value of self care. Be aware of the underpinning principles of MeOC. Have identified points of client contact where they could provide them with health improvement information.

3. Making Every Opportunity Count (MeOC) What is MeOC? MeOC is a brief intervention being rolled out across NHS Grampian to support staff to make the best of every appropriate opportunity to raise the issues of a healthy lifestyle. MeOC encourages all staff, whether they’re clinical or not, to engage in conversations (usually just 30 seconds – 3 minutes) based on behaviour change methodologies, empowering healthier lifestyle choices and exploring the wider social detriments that influence all our health. This is regardless of the nature of the services user’s appointment. It is not anything complicated but about staff being able to provide simple, brief lifestyle information and being able to signpost patients to existing services where appropriate including services supporting financial and social issues.

4. Making Every Opportunity Count (MeOC) The National Clinical Strategy For Scotland (Executive Summary) “The health of the population of Scotland is poorer than in many other European countries, but will continue to improve with national initiatives to support healthier lifestyle choices.....”

5. Making Every Opportunity Count (MeOC) Practical improvements to person-centred care are promoted and supported through the framework of five key ‘Must Do With Me’ principles: 1. What matters to you? (We will ask you about your personal goals and the things that are important to you. These things will form the basis of everything we do with you.) 2. Who matters to you? (We will ask you about the people that matter most in your life and will help you to stay connected and involve them in the way that you choose.) 3. What information do you need? (We will provide you with understandable full information and will support you to make decisions that take account of your personal goals and the things that are important to you.) 4. Nothing about me without me (We will always involve you in any decisions, discussions or communications about you.) 5. Service flexibility (As much as possible, the timing and method by which you contact and use services or supports are flexible and can be adapted to your personal needs.) (Reference: Chief Medical Officer Report 2014/15)

6. Health Inequalities Health inequalities are preventable and unjust differences in health status experienced by certain population groups. People in lower socio-economic groups are more likely to experience chronic ill-health and die earlier than those who are more advantaged. Tackling health inequalities is challenging. Health inequalities are influenced by a wide range of factors including access to education, employment and good housing; equitable access to healthcare; individuals’ circumstances and behaviours, such as their diet and how much they drink, smoke or exercise; and income levels.

7. For a picture of health inequalities be sure to access: nhsgrampian.org.uk/trafficlights Health Traffic Lights 2015 provide a colour-coded picture of health and ill health in our communities alongside population indicators.  They make it easier to see - at a glance - issues that may need to be addressed. These Health Traffic Lights are available for each of the three local authority areas and also by each postcode sector.

9. Why do we work here? What is the purpose of our role in this organisation?

10. Grampian needs to change! 22% of adults smoke 41% of adults drink too much (M>21 units & F>14 units) 39% do not meet recommended physical activity levels 70% of men are obese & 29% are morbidly obese 63% of women are obese & 29% are morbidly obese 23% do not eat 5 portions of fruit & veg a day (2008-2011, Scottish Government, and NHS Grampian Director of Public Health Report 2012)

11. The Value of Self-Care and Preventative Approaches to Ill-Health • 70% of the health demands made on the NHS are preventable • 90% of illnesses and injuries are self-treated • 90% of NHS interventions involve primary care • 1% of all illnesses and injuries require hospital care. G Lister 2008

12. Benefits of MeOC for Service Users Betterhealth and wellbeing. More favourable treatment outcomes. Personal, tailored support in making positive changes. Getting better and feeling better. Increased confidence and motivation. Assisting in the reduction of health inequalities.

13. Questions that Need Answers! To what extent do we do this already? What do we want to achieve? Are there any obstacles that will stop us?

14. Outpatient Departments – ARI In Aberdeen Royal Infirmary Outpatient’s department there are 46 members of staff who work across 11 different outpatient clinics. If each staff member were to signpost 10 patients per day there will be approximately 100,000 more new opportunities to change lifestyle behaviour every year.

15. Door Openers Have you seen the information on our notice board? Have you taken any information from our stands? This week we are raising awareness about diabetes....are you aware of how our lifestyles can affect our risk of becoming diabetic? Chats for change

16. Evidence For e-KSF All staff delivering MeOC can use the evidence for their e-KSF linking to the HWB dimensions e.g. HWB1 – Contribute to promoting health and wellbeing and preventing adverse effects on health and wellbeing. HWB4 – This dimension is about enabling and empowering people of any age – individuals, families and groups – to address their own health and wellbeing needs.

17. Evidence For Revalidation All Nurses and Midwifes delivering MeOC have clear supporting evidence for ePortfolio and Revalidation i.e. NMC – The Code Prioritise People 2. Listen to people and respond to their preferences and concerns; 3. Make sure that people’s physical, social and psychological needs are assessed and responded to; Practice effectively 7. Communicate clearly

18. Any Questions? heatherstuart@nhs.net