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Welcome
[Name]
[Name]
Health Improvement Team
or….…How to deliver brief
opportunistic advice for
health behaviour change
Objectives
• To increase:
↑ Your knowledge of health and wellbeing issues in the
Wakefield District
↑ Understanding of your role in improving health and
wellbeing
↑ Your confidence to address lifestyle issues through
conversations with clients, colleagues, family, friends
etc
↑ Your ability to support people to manage and improve
their own health and wellbeing
What will we cover today?
Prevention
Activity
Q – What influences our health?
Think about:
• What barriers to good health and wellbeing to do
think people experience?
• What helps people to live healthy lives?
What influences our health
Source: Dahlgren & Whitehead (1991)
Male?
Female?
Age?
Exercise?
Alcohol?
Smoke?
Crime?
Culture?
Poverty?
Income?
Housing?
Green spaces?
Education?
What is the situation in Wakefield
Most deprived areas Least deprived areas
Affordable Warmth in Wakefield
• Cold homes – latest figures (2013) suggest 8.6% of
Wakefield’s households are experiencing fuel
poverty. A fuel poor home is one that has
combination of:
• High fuel costs
• Low income
• Poor home energy efficiency
• Fuel poverty can be linked to cold related illnesses:
• Breathing and lung problems
• Falls
• Mental Health Issues
• Heart attack and stroke
Activity
What are the signs of fuel poverty?
Affordable warmth
• Simple measures can reduce fuel poverty and the incidence of cold-related illnesses:
• Home insulation – loft, cavity wall, tank jacket, double glazing, draught proofing
• Efficient heating – condensing boiler, heating controls
• Energy switching – better deals by changing gas and electric suppliers
• Fuel costs – allowances and emergency funds to help with fuel costs
Mental Health in Wakefield
• Approximately 10% of people in Wakefield have a
common mental health disorder (e.g. depression,
anxiety)
• Mental health is worse for people living in the most
deprived areas of the district
• Mental wellbeing strongly linked to overall health levels
and to social and economic factors
Activity
Why is it important to have good
mental wellbeing?
What are the common signs of a
mental health problem?
Activity
Top Tips – what can I do?
Helpful behaviours
• Be patient
• Active listening
• Show your support
• Ask how you can help
• Be open-minded
Helpful advice to give
• Maintain social life
• Use peer support
• Be active
• Enjoy the outdoors
• Volunteer
Physical activity in Wakefield
• Most adults (73%) do not do the recommended level of
activity for health benefits
• Most primary and secondary school children were not
doing physical activity 3 or more times a week
• 54% of adults in Wakefield want to do more exercise
Physical activity
• Adults active ……………………………….
• 5 to 18yrs active …………………………………….
• Under 5’s active …………………………………………..
Do you know the
recommended levels?
Activity
What are the benefits of
having an active lifestyle?
How can people include more
activity in their day-to-day life?
Activity
Physical Activity – Top Tips
• Take the stairs instead of the lift or escalator
• Get off the bus or train one stop earlier and walk the rest
of the way
• Walk to the shops instead
of taking the car
• Take a walk at lunch time
• Take up an active hobby such as cycling or walking
• Jobs around the house e.g. gardening and DIY.
• Low levels of healthy eating in Wakefield, with many people
having poor knowledge of healthy food and few cooking
skills
• Only 21.2% of adults in Wakefield meet government
recommendations on healthy eating
• 65% of children want to eat a healthier diet – they want to
change!
Nutrition in Wakefield
Quiz time!
Do you know your
apples from your
oranges?
Activity
What advice would you
give for eating a balanced
diet?
Activity
• Eat plenty of fresh fruits and vegetables
• Prepare your own meals to avoid eating
processed foods
• Swap full fat for low fat dairy alternatives
• Reduce your intake of sugary foods and drinks
• Avoid processed foods and takeaways
• Reduce the amount of salt you add to meals
Nutrition – Top Tips
Smoking in Wakefield
• 23% of the Wakefield adult population smoke (approximately 60,000 smokers)
• But…… 70% of the smokers want to stop at some point
What are the physical health
benefits of stopping
smoking?
Activity
• Save money – Smoke free | Cost calculator
• Protect your family – dangers of secondhand
smoke
Other benefits of stopping smoking
Smoking – Top Tips to Quit
• Write a list of the reasons you want to stop
• Distraction
• Take one day at a time
• Be prepared for withdrawal symptoms
• When you quit, your appetite improves - think about what
you are eating to control weight gain (try sugar free gum
or eat fruit as a snack)
Alcohol use in Wakefield
• Alcohol related admissions show a high correlation with
areas of deprivation. The majority of the district showing
levels above the England average
• Wakefield is worse for all indictors of alcohol-related harm
• Around a third of those who drink at excess levels are
concerned and plan to reduce their drinking but less than
5% think they need help to do it
Myth-buster
Quiz!
True or False
Activity
Alcohol Units
• What is a unit?
• Units calculator - Unit and Calorie Calculator
• Recommended daily units:
3-4 units
2-3 units
What are the benefits of
cutting down alcohol
intake?
Activity
Alcohol Use - Top tips
Consider drinking a non-alcoholic drink to quench your
thirst before having alcohol
Pace yourself – set a limit and stick to it
Try to eat when you drink as you’ll drink less
Reduce the number of days when you drink more than 1-2
units
Try non-alcoholic wine/beer or alternate with soft drinks
• Resist pressures to drink more
Sexual Health in Wakefield
• HIV and gonorrhoea diagnosis in Wakefield are slightly lower that the national average
• Wakefield Chlamydia diagnosis in the 15 – 24 age group is higher than national average
• Syphilis infections in Wakefield are the same across the UK
Myth-buster
Quiz!
True or False
Activity
Sexual Health - Advice & Support
• Websites and online resources
• Local sexual health services:
• CASH clinics
• Well Womens centre
• Yorkshire MESMAC
Key communication skills:
• Active listening
• Open questioning
• Reflection and clarification
Starting the conversation
3 steps to making every contact count
• ASK Ask questions if people raise the
issue. Raise an issue if an opportunity
presents itself
• ADVISE Give messages about healthy lifestyles
and tips on how to achieve them
• ACT Signpost people who are keen to know
more or who need more support to
local agencies
Activity - Conversations
In pairs/groups:
Discuss the scenario and for each one consider:
• How would you respond? What questions would
you ask to gather more information?
• Is it appropriate to offer advice? If so, what advice
would you give?
• Is it appropriate to signpost? If so, where would
you signpost to?
Other issues to be aware of
• Safeguarding
• Long term Conditions
• Dementia
• Health Manager
Thank You
Contact Details:
Georgina Swift
01924 306698
Helen Laird
01924 304265