Voluntary and Community Sector Conference Paul Volker Claire Rees

Is Making Every Contact Count? Making Every Contact Count enables organisations and individuals to develop and be able to use a different approach to working with people to address health and wellbeing. Telling people what to do is not the most effective way to help them to change. Making Every Contact Count is about altering how we interact with people through learning how to recognise opportunities to talk to people about their wellbeing. 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.

Making Every Contact Count as a Behaviour Change Intervention This diagram illustrates MECC as a behaviour change intervention, the triangle maps Making Every Contact Count to the NICE PH guidance 49 Behaviour Change: individual approaches Starting at the top.... ORANGE - Behaviour change service providers and practitioners providing high intensity interventions (typically these last more than 30 minutes and are delivered over a number sessions) for people they regularly work with. Examples include Health Trainers, alcohol teams, smoking cessation advisors and IAPT workers. GREEN - Health and social care staff dealing with the general public to provide an extended brief intervention to people they regularly see for 30 minutes or more who are involved in risky behaviours (for example higher risk drinking), have a number of health problems, have been assessed as being at increased or higher risk of harm, have been successfully making changes to their behaviour but need more support to maintain that change have found it difficult to change or have not benefited from a very brief or brief intervention. More intensive behaviour change training such as Health Coaching or Motivational Interviewing would equip people with the necessary skills to be able to support people. The bottom 2 levels, pink and blue, represent MECC PINK - Staff who regularly come into contact with people whose health and wellbeing could be at risk to provide them with a brief intervention. A brief intervention involves oral discussion, negotiation or encouragement, with or without written or other support or follow-up. It may also involve a referral for further interventions, directing people to other options, or more intensive support. Brief interventions can be delivered by anyone who is trained in the necessary skills and knowledge. These interventions are often carried out when the opportunity arises, typically taking no more than a few minutes for basic advice. BLUE – for everyone in direct contact with the general public - very brief intervention to motivate people to change behaviours that may damage their health. The interventions should also be used to inform people about services or interventions that can help them improve their general health and wellbeing. Examples include paramedics, receptionists. Triangle illustrates smaller proportion of staff and people they work with as you progress up the pyramid. Recruitment of pilot sites March 2013 Organisational Readiness Assessment Healthy Conversation Skills Train-the-Trainer courses Baseline pre-MECC survey Healthy Conversation Skills staff training MECC Implementation Post-MECC Staff survey & Organisational reassessment Post-MECC Interviews & Focus Groups Recruitment of pilot sites March 2013 Organisational Readiness Assessment Healthy Conversation Skills Train-the-Trainer courses Baseline pre-MECC survey Healthy Conversation Skills staff training MECC Implementation Post-MECC Staff survey & Organisational reassessment Post-MECC Interviews & Focus Groups Recruitment of pilot sites March 2013 Organisational Readiness Assessment Healthy Conversation Skills Train-the-Trainer courses Baseline pre-MECC survey Healthy Conversation Skills staff training MECC Implementation Post-MECC Staff survey & Organisational reassessment Post-MECC Interviews & Focus Groups

The Need for Making Every Contact Count As already stated, Making Every Contact Count is about delivering a ‘very brief’ or ‘brief’ evidence based interventions for lifestyle behavioural change; the core elements of which are: stopping smoking, increasing physical activity, reducing alcohol consumption maintaining a healthy weight & diet and promoting mental and emotional health and wellbeing There are many benefits of Making Every Contact Count for organisations and teams and ultimately the people across populations and communities. Wessex MECC evaluation showed that as a result of implementing MECC in organisations it did have a positive impact on staff’s own health and wellbeing. So could also be a strong offer for workplace health initiatives as a way of staff supporting each other around health and wellbeing. Evidence shows that brief interventions on healthy living are cost-effective. The annual cost to NHS as a result of lifestyle choices has a greater impact on the rest of the services and organisations that exist within a system such as social care, voluntary sector services and local authorities. This means that there will essentially be less money available for everyone as a result of the cost of increased poor health.   The green figures illustrate the cost of each of the lifestyles. It has been estimated that the economic and social costs of mental health problems in England was £105 billion.

MECC Conversation starters What would be the most useful thing to start getting your problems resolved? How much time do you have for a chat? What would stop you from being able to do that? How often do you use your heating? Have you heard about the ‘warm and well’ scheme? How can we make that happen? How can we get you there? What do you currently do?

Referral routes Wellbeing College- A range of courses and taster sessions to boost feelings of wellbeing in a positive environment 03001232222 or sgwellbeingcollege.org SportsPound- for patients to get back into sports and trial different activities 01454865821 or Sportspound@southglos.gov.uk Healthy lifestyles- (Walking to health, Rethinking Eating and Children's Health (REACH), Older People friendship and exercise clubs, Dancing. 01454864005 or healthylifestyles@southglos.gov.uk Stop smoking services - 01454865502 or smokefree@southglos.gov.uk Leisure Centres - 03003330300 or www.activecentres.org Library services - 01454868006 or www.southglos.gov.uk/libraries Nextlink - 0800 4700 280 or https://www.nextlinkhousing.co.uk/southglos/ Paul we need to tidy the signposting - when we meet we can look at Brias Healthy Lifetsyles slides and incorporate those for sending to attendees for reference in everyday work.

Referral routes Community connectors 03001231464 or communityconnectors@curo-group.co.uk  Talking Therapies Tel: 0117 378 4270 or awp.SouthGlosTalkingTherapies@nhs.net Firstcontact- Helps people over the age of 60 to access a range of information 01454866271 or firstcontact@southglos.gov.uk Drug and alcohol services 08000733011 or info@dhisouthglos.org.uk

Referral routes Stop smoking services – 01454865502 or smokefree@southglos.gov.uk Leisure Centres - 03003330300 or www.activecentres.org Library services - 01454868006 or www.southglos.gov.uk/libraries Food plan information – 01454 864479 or elizabeth.lebreton@southglos.gov.uk Mental health & emotional wellbeing: http://www.southglos.gov.uk/health-and-social-care/stayinghealthy/mentalhealth-emotionalwellbeing

Council Website Library Services Public Health Website Priority Neighbourhood Leads Clinical Commissioning Website Children’s Centres Well Aware Home Energy Team (fuel poverty training) Wellbeing College Free Child Safety Equipment First Contact SportsPound Voucher Promoting Positive Mental Health Website for Welfare Advice Street Games Talking Therapies Fit & Fed Health Champions The Compass Project Community Connectors Local Foodbanks Credit Unions Welfare Grant Scheme Breakthrough Mentoring Free fruit and Veg Walking for Health Flu/Vaccination Clinics Stop Smoking Service NHS Health Check

The Carers Centre Citizens Advice Community Organisations; Juice, Batch, Kingsmeadow Flat, Southern Brooks Partnership, Bourne Project Avon Fire & Rescue One You NHS Live Well Fuel Poverty Training Job Centre Plus CYP Client Services Desk 1 BIG Database Money Advice Service Healthy Start Vouchers National Debt Line Resilience Training Free School Meals Breakfast Clubs Step Change Charity Nextlink/Julian House North Bristol Advice Centre Money smart/Money Mentors