Kate Yorke, Project Manager – MECC Bristol, North Somerset and South Gloucestershire

Overview What is Making Every Contact Count? Links to cancer strategy Why is MECC relevant for you and how can you get involved?

is Making Every Contact Count? Making Every Contact Count (MECC) is an approach to behaviour change that supports staff to make most of the everyday interactions that they have with people. MECC encourages staff and volunteers who have contact with the public to use these opportunities to engage in brief conversations on how they might make positive changes to their health or wellbeing. MECC supports the opportunistic delivery of consistent and concise healthy lifestyle information and enables individuals to engage in conversations about their health at scale across organisations and populations MECC training in the SW is being delivered using the Wessex Model. Training involves staff developing skills so that they can have healthy conversations using Open Discovery Questions. Making Every Contact Count (MECC) is about supporting workforces to maximise on the public health opportunity they have with their regular contact with the public. Staff from a variety of organisation can make a difference to the health and wellbeing of the population by encouraging people to change behaviours that may be damaging to their health. DEFINITION Making Every Contact Count training allows workforces to: Deliver a ‘very brief’ or ‘brief’ evidence based advice/intervention for lifestyle behavioural change; Be competent and confident to do this; and Be knowledgeable about local services and how to access them. MECC is about transforming the culture to one that looks to enhance positive outcomes through providing people with information and encouragement. MECC is not about additional workload but developing skills to enable staff to use a different approach to engage with people to support them to make changes to their lifestyles to improve their health. MECC is for everyone,

Staff who regularly come into contact with people for 30 minutes or more who are at higher risk Staff who have an opportunity to encourage and support people who’s health and wellbeing could be at risk For everyone in direct contact with the general public To raise awareness motivate and signpost people to help them improve their health and wellbeing. High Intensity Interventions Specialist Practitioners Behaviour change interventions mapped to NICE Behaviour Change: Individual Approaches https://www.nice.org.uk/Guidance/PH49 Extended Brief Interventions Brief Interventions Very Brief Interventions MECC is in the bottom half of pyramid – however, people may be signposted to specialist services higher up the pyramid and there are links between all service areas in the diagram. Many present at cancer networks will sit at the top of the pyramid, but this shows how services link together.

The need for MECC These are the policy drivers for Making Every Contact Count: The NHS – Five Year Forward View, (NHS 5YFV) talks about a ‘radical upgrading of prevention and public health’ and the role the NHS has in enabling self-care and management of health. “The  NHS has an important public health role in making every contact count. The NHS must focus on preventing illness, with staff using every contact they have with people as an opportunity to help people stay in good health – by not smoking, eating healthily, drinking less alcohol, and exercising more.” The Health Education England mandate sees the role it has in helping the workforce to make the NHS 5YFV happen. The mandate makes plain the role HEE has in developing people to have the confidence, skills and knowledge to make every contact count.   The Local Government Association (LGA) can see the important role local authorities have in supporting the implementation of MECC. Their services bring opportunities to making every contact count and can impact on the wider determinants of health (i.e. housing, social care, transport). (LGA, 2014) Public Health England (PHE) PHE in Evidence into Action talks about a ‘fundamentally new approach to creating and sustaining health, mental and physical, at every stage of life and across all our communities is needed’. PHE have an important role in working with others to take Making Every Contact Count forward both locally and nationally. This is to make sure the way MECC is taken forward works well and is consistent and can build the evidence-base. NHS England – NHS Standard Contract - The NHS Standard Contract is mandated by NHS England for use by commissioners for all contracts for healthcare services other than primary care. Standard Condition 8.6 states: The Provider must develop and maintain an organisational plan to ensure that Staff use every contact that they have with Service Users and the public as an opportunity to maintain or improve health and wellbeing, in accordance with the principles and using the tools comprised in Making Every Contact Count Guidance. https://www.england.nhs.uk/nhs-standard-contract/16-17/

Benefits of MECC Staff wellbeing – healthy conversations within the workplace Patient / Service user benefits – longer, healthier lives Quality Benefits – Improving quality of services and patient outcomes Organisational development and change – system-wide prevention and early intervention

MECC Cancer Prevention “We will do this by engaging clinicians, commissioners and local authority providers in new initiatives to change behaviour, increasing public awareness of risk factors and health promotion, especially with vulnerable groups.” Cancer strategy Implementation Plan “Achieving World Class Cancer Outcomes – Taking the strategy forward” Radically upgrading prevention and public health is the first major building block for change in the plan Aim is to significantly reduce the 40% of cancers caused by behavioural, lifestyle and environmental factors We will do this by see above - “increasing public awareness of risk factors and health promotion” Our priorities for 2016/17 are: The Government will publish the new Tobacco Control Plan by the end of 2016. Working with Public Health England and other partners, the Department of Health will publish the national childhood obesity strategy in late 2016. Public Health England will publish their alcohol evidence review in autumn 2016.

Early Diagnosis / Living with and beyond Cancer MECC can support early diagnosis by: Promoting screening uptake Promoting cancer campaigns Promoting healthy lifestyles – getting more active, quitting smoking, achieving a healthy, drinking less alcohol

MECC in the South West MECC in the SW is targeted at people aged 40 and over We are using the Wessex Model to make MECC about long-term organisational change, focusing on: - Organisational readiness - Staff readiness - Training Strategies for MECC will be coordinated to support system-wide change

Why is MECC relevant for you and how can you get involved? MECC will be rolling out in the acute trusts during 2018 MECC leads will be planning implementation and training, including prioritisation of teams Make contact with your local MECC lead, identify any priority areas, support staff who are identified for training

Contact Details – BNSSG / Gloucs / Somerset. Kate.yorke@bristol.gov.uk Lbulmer@somerset.gov.uk (Louise) Tracy.Marshall@gloucestershire.gov.uk

EJenkinsPa@swindon.gov.uk (Emily) Contact Details – BSW Zoe_clifford@bathnes.gov.uk Steve.maddern@wiltshire.gov.uk Rmaclean@swindon.gov.uk EJenkinsPa@swindon.gov.uk (Emily)