Govt White Paper: Choosing Health making healthier choices easier

1
Govt White Paper Choosing Health making
healthier choices easier
2
UNDERPINNING PRINCIPLES

• Informed choice
• The need to balance rights and responsibilities
  in ways that protect health eg needs of
  children exposure to second hand smoke
• Personalisation
• Flexible and convenient services ones that are
  tailored to the realities of individual lives
• Working together
• Shared efforts national government and
  individuals.as well as local government, the
  NHS, business, advertisers, retailers, the
  voluntary sector, communities, the media, faith
  organisations, etc

3
OVERARCHING PRIORITIES

• Reducing the number of people who smoke
• Reducing obesity and improving diet and nutrition
• Increasing exercise
• Encouraging and supporting sensible drinking
• Improving sexual health
• Improving mental health

4
HEALTH IN A CONSUMER SOCIETY

• Making choosing health an easier option for
  consumers
• Stimulating demand for healthier options
• Availability of options so people can take up
  choices
• Marketing health a particular focus on
• Sexual health
• Obesity
• Smoking
• Alcohol
• Food labelling
• Clear straightforward coding system
• In common use
• Being able to understand at a glance
• Information
• For the public Health Direct
• For the media Expert briefings National
  Centre for Media Health

5
HEALTH IN A CONSUMER SOCIETY

• Tackling inequalities
• Tailoring information and advice to peoples
  needs
• Supporting staff to communicate complex health
  information
• Practical supports for people who lack basic
  skills eg Skilled for health
• Partnership with industry
• To discuss funding options for positive health
  information education
• Increasing availability of healthier foods, ie
• - Reducing levels of salt, added sugar and fat
• - Access to fruit vegetables
• Reversing trend towards bigger portion sizes
• Adopting consistent and clear standards for
  information on foods
• Food Health Action Plan
• To be published early in 2005

6
HEALTH IN A CONSUMER SOCIETY

• Food promotion and children
• Comprehensive strategy for restricting
  advertising promotion to children of foods
  drinks high in fat, salt sugar.
• Voluntary social responsibility scheme for
  alcohol producers and retailers
• Public information on alcohol containers in
  retail outlets
• Reminders about responsible drinking on alcohol
  adverts
• Checking identification refusing to sell
  alcohol to those under 18
• Restrictions on tobacco advertising
• Restricting size of tobacco advertising in shops
• Ending internet advertising and brand-sharing

7
CHILDREN YOUNG PEOPLE

• Building on existing work developing new
  approaches
• Recommending Childrens Trusts in all areas by
  2008
• With local authorities to have 2,500 Childrens
  Centres by 2008
• More schools to develop as extended schools
  providing a resource out of school hours
• School nursing services by 2010 every cluster
  of schools to have access to team lead by
  qualified nurse
• Personal health guides introduced as part of
  new Child Health Promotion Programme

8
CHILDREN YOUNG PEOPLE

• Continued
• Support for parents carers
• Nutrition new Healthy Start scheme from 2005
• Local support further development of Sure
  Start and Home Start
• New youth offer in forthcoming cross-govt Green
  Paper
• New FIT magazine targeting young men, 16 to 30
• Coordinated whole school approach

9
CHILDREN YOUNG PEOPLE

• Continued
• National Healthy Schools programme half of all
  schools to be healthy schools by 2006 (and rest
  by 2009)
• Standards inspections single overall
  inspection framework
• Food in schools by end of 2004 all 4 to 6 year
  olds to be eligible for free fruit vegetables
• Revised standards for school meals
• New Food in Schools package to support whole
  school approach

10
CHILDREN YOUNG PEOPLE

• Continued
• School travel all schools by 2010 to have
  active travel plans
• Support for cycling new national standard for
  cycle training
• Increasing investment in PE school sport part
  of National Strategy for PE, School Sport and
  Club Links
• Underage tobacco sales supporting local
  authority enforcement
• Teenage pregnancy Strategy particularly areas
  with high rates

11
LOCAL COMMUNITIES LEADING FOR HEALTH

• Building on existing work developing new
  approaches
• New community 5 A DAY initiatives in deprived
  communities
• Primary Care Trust support for cookery clubs
  food co-ops
• Extending healthy community collaboratives
• New National Strategic Partnership Forum for
  NHS voluntary sector
• Piloting new Communities for Health approach in
  12 localities
• New reports for local communities through Public
  Health Observatories

12
LOCAL COMMUNITIES LEADING FOR HEALTH

• Continued
• More flexibility to develop local targets through
  local partnerships
• Piloting Local Area Agreements in 21 areas
• New guidance on whole town approaches
  building on Sustainable Travel Towns pilot and
  new Safer and Stronger Communities Fund
• Build on Local Exercise Action Pilots
• Using corporate power of organisations in ways
  that promote health
• Develop a network of local health champions

13
LOCAL COMMUNITIES LEADING FOR HEALTH

• Continued
• Developing corporate citizenship for national
  and local organisations
• Developing nutritional standards for the public
  sector as a whole
• Build on Sustainable Development Commissions
  Healthy Futures programme with new guidance for
  NHS on food procurement and on capital
  development building programmes
• Smoke-free
  
  - all Government Departments NHS by 2006
  (limited exemptions) -
  consult on proposals for public places
  workplaces by 2008 ( exemptions)

14
HEALTH AS A WAY OF LIFE
15
HEALTH AS A WAY OF LIFE

• New developments include
• New accredited NHS Health Trainers initially from
  2006 for areas of highest need, but from 2007
  progressively across the country
• Consultation on idea of health-stocktake for
  disabled people
• Personal Health Kits as part of personal health
  guides

16
A HEALTH PROMOTING NHS
17
A HEALTH PROMOTING NHS

• NHS as a health improvement prevention service
• New Help to plan deliver effective action to
  tackle inequalities developing a whole system
  approach
• Funding to give greater priority to areas of high
  health need
• National Clinical Directors and Deputy Chief
  Medical Officer making recommendations to build a
  comprehensive and integrated prevention framework
  across existing National Service Frameworks
• Enhanced NHS staff training and support to
  develop understanding and skills in promoting
  health

18
A HEALTH PROMOTING NHS

• Continued
• Expanding range of community health improvement
  services
• 3,000 Community Matrons by 2008
• Building health skills of people with chronic
  conditions
• Developing new approaches to helping people with
  mental illness
• Tackling inequalities in mental healthcare
  services experienced by black minority ethnic
  communities

19
A HEALTH PROMOTING NHS

• Smoking improving services promoting best
  practice
• National Task Force to support efficiency best
  practice in NHS Stop Smoking Services
• Campaigns to promote Stop Smoking Services
• Tackling obesity
• Definitive guidance from NICE on prevention,
  identification, management and treatment of
  obesity by 2007
• Development of comprehensive care pathway for
  prevention treatment of obesity

20
A HEALTH PROMOTING NHS

• Sexually Transmitted Infections (STIs)
• New capital revenue funds to modernise NHS
  sexual health services
• More accessible services faster access to
  treatment
• National screening programme for Chlamydia
• Appointments within 48 hours for patients
  referred to sexual health clinics by 2008
• Alcohol harm reduction
• Building on Alcohol Harm Reduction Strategy
• Guidance training for health professionals to
  identify problems early
• Piloting new approaches particularly in AE
  departments, and in criminal justice settings

21
WORK HEALTH
22
WORK HEALTH

• Overall aims
• Reducing barriers to work to improve health and
  reduce inequalities through employment
• Improving working conditions to reduce the causes
  of ill-health related to work
• Promoting the work environment as a source of
  better health
• Maintaining people in work helping people back
  to work
• Improving access to work for people with mental
  illness
• Increasing availability of NHS Plus services
• Further developing occupational health services

23
WORK HEALTH

• Promoting improved health in the workplace
• Working with cycle industry to promoting cycling
• Pilots on promoting health in the workplace
• Working with Investors in People UK (IiP) to
  develop health business assessment and IiP
  standard
• Sport England working with Government Departments
  to support staff to be more active in the
  workplace

24
WORK HEALTH

• Promoting health of NHS staff
• Improving the evidence base to assess current
  practice
• New guidance dissemination of good practice
• Initiatives supporting leadership development
• HDA guidance for NHS on provision of smoke-free
  buildings
• Joint campaign with Royal College of Nursing to
  provide support for nurses to quit smoking
• Implementation of Framework for Vocational
  Rehabilitation

25
MAKING IT HAPPEN national local delivery
26
MAKING IT HAPPEN national local delivery

• Detailed consultation on proposals
• New money for stimulating demand, more school
  nurses, health trainers, better obesity and
  sexual health services
• Delivery Plan for the White Paper in 2005
• Food and Health Action plan
• Physical Activity plan

27
MAKING IT HAPPEN national local delivery

• Systems for local delivery
• Standards for services
• Targets based on outcomes
• Incentives rewards for good performance
• Support for change and innovation
• Inspection and performance assessment

28
MAKING IT HAPPEN national local delivery

• Spearhead Group
• 88 PCTs in bottom 20 nationally for 3 of 5
  indicators
• First to get funding

29
(No Transcript)
30
(No Transcript)