Public health, prevention and early intervention support

We have worked with partners to develop a suite of sector-led improvement support for public health, prevention and early intervention.

The transfer of public health from the NHS to local government and Public Health England (PHE) is one of the most significant extensions of local government powers and duties in a generation. It represents a unique opportunity to change the focus from treating sickness to actively promoting health and wellbeing.

Our public health, prevention and early intervention sector-led improvement programme has been collaboratively designed to provide the sector with a range of tools and support to ensure that councils and partners are taking full advantage of the opportunities presented by the transfer of public health.

Sector-led improvement for public health, prevention and early intervention
The LGA is working with partners at Public Health England and the Association for Directors of Public Health to deliver sector-led improvement activity in 2017/18 for public health, prevention, and early intervention through the care and health improvement programme funded by the Department of Health.

More information on some of our key offers are given below and you can download our full prospectus of support for leaders of care and health.

Prevention Matters: how elected members can improve the health of their communities
This is a full day training session for elected members which covers the context of the current health and care system and then explores the social determinants of health, the benefits of investing in prevention, how all of the council’s activities can have a positive impact on health improvement and prevention, and what makes an elected member an effective champion in their communities. These training days are open to all elected members, including those from district or upper tier authorities, and those with cabinet portfolio responsibilities as well as those without. We can deliver the session in a single council or in a central location for a group of councils.

Health in all Policies support
We recently published Health in all policies: a manual for local government and are offering facilitated support to implement a health in all policies approach in practice, to support embedding health improvement across all the activity of the council and its partners.

Prevention at Scale
The Prevention at Scale support offer, from the Care and Health Improvement Programme (CHIP), has 12 test sites up and running, with one in the scoping and development phase. The sites and their focus are listed below:

  • Blackburn with Darwen: developing the health check referral systems to improve healthy lifestyles.
  • Buckinghamshire: develop and implement a whole system approach to helping people adopt healthier lifestyles through new integrated lifestyle service.
  • Cambridgeshire and Fenland: community asset based approach around health inequality taking forward Wisbech 2020 plan.
  • Cheshire West and Chester: the impact of the use of alcohol on the place. The night time economy of Chester is negatively affected by the social impact of high levels of alcohol consumption.
  • Coventry & Warwickshire: embedding prevention within the health and care system across the STP.
  • Devon: to improve the effectiveness and take up of the integrated lifestyle service.
  • Durham: tackling stigma surrounding suicide and mental health and scaling up mental wellbeing across the workforce.
  • Haringey & Islington: to improve the prevention approach to cardiovascular disease/high blood pressure, to reduce future mortality, health and social care costs, and inequalities that result from strokes, heart attacks and other cardiovascular diseases.
  • Leicestershire: to provide targeted non-medical advice, signposting and support to people at risk of requiring more intensive forms of care and support.  
  • Suffolk: alcohol reduction and redesigning pathways. Seeking system wide ownership of alcohol as a priority for prevention across all relevant agencies.
  • Sunderland: identify people at risk of increasing social care and health needs (including social isolation/loneliness) who would benefit from proactive care interventions.
  • Sutton: to increase the uptake of NHS Health Checks.
  • Lancashire: developing a focus on increasing physical activity for all ages.

In April 2018, the Prevention at Scale Academy brought together 41 delegates across 12 sites for masterclasses from a range of partners, including the Leadership Centre, Design Council and Public Health England (PHE). Topics covered System Leadership, Design in the Public Sector, Behavioural Insights, Digital Services and Social Movements. The Academy has enabled sites to move forward with their upscale challenge.

An embedded evaluation by Risk Solutions of the programme has begun which will conclude in November. A session on Prevention at Scale will also be held at the PHE Annual Conference in September. Finally, a Sharing Learning event will be held at the end of the programme in November 2018.