1. The Prevention workstream priorities are grouped around three broad themes:
1. Reduce harms from the main preventable causes of poor health
Smoking, diet, inactivity, obesity, alcohol and drug misuse etc.
2. Take early action to avoid or delay future poor health
Early identification of risk factors and symptoms - to enable early intervention
3. Support people to manage their own health and wellbeing
Improve awareness & use of prevention & support services, and help people look after their own health
In doing this work, we will develop and promote a better understanding of the wider social, economic and environmental influences on people’s health - and how to address these
These ‘wider influences’ include social connections, housing, employment, education, transport, planning and licensing policy, parks and open spaces, community safety, cultural facilities etc

2. Some of our key plans and priorities …
New Stop Smoking Service in Hackney (from summer 2018).
Promoting routine treatment of tobacco dependency within NHS.
Increasing smokefree spaces.
Increasing awareness, and reducing availability, of illegal tobacco.
Smoking & tobacco control
Hackney alcohol strategy published which aims to reduce alcohol related harms in Hackney.
Evaluation of current support for substance misusers with complex needs.
Drugs and alcohol
Strategic borough wide plans to reduce obesity and increase levels of physical activity - including work to address social and environmental influences.
Plans to redesign physical activity services.
Tackling obesity
Increasing the uptake of NHS Health Checks, available via GPs for Hackney residents aged between
Continue to ensure effective identification and management of long-term conditions in primary care.
Long term conditions - early intervention
Implementation of new GUM (clinical sexual health) services, including a new clinic site in the City.
London e-service being managed through a central team hosted by the City of London.
Sexual health services
Promoting healthy workplaces across the City through the Business Healthy initiative.
Hackney staff health and wellbeing partnership - membership from Hackney Council, CCG and Homerton.
London Healthy Workplace Charter - accreditation support to businesses.
Healthy workplaces
Hackney is participating in the NHS National Diabetes Prevention Programme as part of the East London Health and Care Partnership.
Diabetes prevention
Build on the City and Hackney Wellbeing network.
Promotion of Five to Thrive website and resources.
Reduce rates of suicide in Hackney and the City.
Mental health
Improving access to employment for people with learning disabilities and mental health problems.
Supported employment provider network established, led by Hackney Community and Voluntary Sector (HCVS).
Supported employment
Training and supporting all frontline staff to have conversations with people about their health and wellbeing and signpost them to local support services.
‘Making Every Contact Count’
Supporting people to manage their own health care and wellbeing.
Improving the links between social prescribing and other community prevention initiatives.
Self-care/self-management
Develop system wide plans for health and social care organisations to work in a more integrated way to identify and support carers.
Carers

3. 1. Reduce harms from the main preventable causes of poor health
Examples:
Smoking
High quality and accessible Stop Smoking Service, reducing availability of illegal tobacco, smoke free spaces and prevention activity in schools.
Obesity
Weight management services.
Partnership working with education, planning, transport, housing, parks, leisure and green spaces and other services.
Physical Inactivity
Exercise on referral, classes and activities in community centres, planning policies to promote active travel.
Alcohol
Identification and brief advice, alcohol treatment services, public health input into licensing decisions.

4. 2. Take early action to avoid or delay future poor health
Examples:
Cardiovascular disease
Maximise uptake of the NHS Health Check to identify and take action to reduce the risk of stroke, kidney disease, heart disease, type 2 diabetes and dementia.
Diabetes
National Diabetes Prevention Programme, structured education for people newly diagnosed with diabetes.
Sexual health
Easy access to testing and treatment, new sexual health clinic in the City of London.
Vulnerable groups
Improve identification of, and support to, people at high risk of poor health and wellbeing (including rough sleepers and others with multiple health and social needs).

5. 3. Support people to manage their own health and wellbeing
Examples:
Social Prescribing
Service based in GP practices, supporting patients to improve their health & wellbeing and access local community services.
Health Coaches
Based in the community, supporting residents to improve their health and wellbeing and signpost to relevant local services.
Peer support
Facilitated group sessions to support people to manage their long-term health conditions.
Time to Talk
Extended GP appointments for people with 2+ long-term conditions.
Connect Hackney
Tackling social isolation in older people.
Support for carers
Hackney Council is co-producing a new model of support for adult carers in the borough.

6. An important enabler to achieving our aims is ‘making every contact count’
What does this mean?
Frontline staff having sensitive and appropriate conversations with people about their health and wellbeing, and signposting them to relevant information and support
Why this approach?
Every day, staff in the NHS, local authority and voluntary sectors have thousands of interactions with people who need and want support to improve their health
What could we achieve?
Many more local people able to access the support they need to live longer, happier lives

7. What do you think? We’d love to hear from you...