1. Parity of Esteem and Prevention Improving Population Mental Wellbeing
Jude Stansfield
Programme Lead Mental Wellbeing
DsPH across CM have prioritised MWB
Also a new national programme for the 100 organisations that have come together under PHE

2. Mental Wellbeing matters
Wellbeing is associated with a 19% reduction in all cause mortality in healthy populations (29% reduction in CVD mortality)
Subjective wellbeing can add 4-10 years to life
Survival of more than 9 years is associated with enjoyment of life in older adults
Wellbeing can protect against developing illness, aid recovery and survival
Wellbeing is associated with (and underpins) healthy behaviours
Staff wellbeing impacts the quality of care delivered
DH, 2014, Wellbeing: why it matters to health policy
Promoting mental wellbeing not only prevents mental illness but also physical illness.
Not only do we need to do more to promote mental wellbeing, as much as physical health, but we need to do it holistically.

3. A dynamic model of well-being Experience of life Functioning well
e.g. happiness, satisfaction, interest, boredom and distress
e.g. to be autonomous, competent, and connected to others
Functioning well
and satisfaction
of needs
Enabling
conditions
Psychological
resources
We know what mental wellbeing is and what influences it.
Feeling good and functioning well
Need to address social conditions and opportunities AND psychological resources TOGETHER
e.g. opportunities and obstacles, inequalities, social norms, culture
e.g. resilience, optimism, self-esteem

4. Figure 2a. Mean WEMWBS scores, local areas. North West, 2012/13.
..and…We can measure it
monitoring population change and baseline for intervention outcomes
*Wirral boost sample, most deprived quintile
**Heywood, Middleton and Rochdale, boost sample of 3% most deprived LSOAs
North West Mental Wellbeing Survey 2012/13: Slide Set

5. North West Mental Wellbeing Survey 2012/13: Slide Set
Figure 3. Proportion of respondents with low, moderate or high mental wellbeing by local areas. North West, 2012/13.
Understanding the characteristics of people with low, moderate and high wellbeing – helps to target interventions to shift the mean
*Wirral boost sample, most deprived quintile
**Heywood, Middleton and Rochdale, boost sample of 3% most deprived LSOAs
North West Mental Wellbeing Survey 2012/13: Slide Set

6. Figure 6. Mean WEMWBS scores by perceived health status, 2012/13.
 ONS data but also our local survey data shows the same associated between wellbeing and perceived health status. How is your health? Is a good mental health question – how do you feel about your health, is it troubling you, are you coping with it, how are you in yourself….
Error bars represent the 95% confidence intervals. Don’t know responses = 11; mean WEMWBS score (95% CI; lower limit, 19.24/upper limit, 28.63). *North West mean WEMWBS score (95% CI; lower limit, 27.56/upper limit, 27.75).
North West Mental Wellbeing Survey 2012/13: Slide Set

7. Figure 7. Mean WEMWBS score by reported medical conditions, 2012/13.
people with LTC have lower wellbeing – all below the mean –
Lowest depression & anxiety, liver disease and stroke
Having a condition is stressful/ worrying… but it is an opportunity to enable people to manage that stress, to not ignore it because they haven’t got time
Error bars represent the 95% confidence intervals. *North West mean WEMWBS score (95% CI; lower limit, 27.56/upper limit, 27.75).
North West Mental Wellbeing Survey 2012/13: Slide Set

8. Figure 18. Mean WEMWBS score by alcohol consumption, 2012/13.
Factors for wellbeing are sometimes different to health. Mustn’t ignore what motivates people’s wellbeing above all, to feel good and function well
Alcohol and socialising, relaxing
Sir Bruce Keoghs work into cosmetic surgery – may improve wellbeing…sunbeds…
Error bars represent the 95% confidence intervals.*North West mean WEMWBS score (95% CI; lower limit, 27.56/upper limit, 27.75).
North West Mental Wellbeing Survey 2012/13: Slide Set

9. Figure 22. Mean WEMWBS score by social interaction, 2012/13.
Error bars represent the 95% confidence intervals.*North West mean WEMWBS score (95% CI; lower limit, 27.56/upper limit, 27.75).
North West Mental Wellbeing Survey 2012/13: Slide Set

10. Social contact & premature mortality
Meta analysis: comparative odds of decreased mortality
Source: Holt-Lundstad et al 2010
UNCLASSIFIED

11. Figure 40. Level of social capital by age group, 2012/13.
Also important to look at the assets within our population. The survey is mainly assets focussed e.g. social capital high in older adults. How can we strengthen and maximise that?
Error bars represent the 95% confidence intervals.
North West Mental Wellbeing Survey 2012/13: Slide Set

12. Commissioning for mental wellbeing outcomes Brief Intervention
Champs programme
Commissioning for mental wellbeing outcomes
Brief Intervention
Integrated Wellness Services
Social Prescribing
Leadership & Workforce Development
Public awareness
PH role in reducing burden of mental illness
Mitigating the impact of welfare reform 12 12

13. Sefton results: 5 point improvement on a 35 point scale from 20 to 25
Moving from low wellbeing to moderate wellbeing 13

14. Five Ways to Well-being Brief Intervention
Use the grid to discuss and record current activity and personal plans for the Five ways to wellbeing. Activity may cut across a number of the five ways.
What am I doing on the five ways? 1
A good start 2
A bit more 3
A fair amount 4
Quite a lot 5
Loads
Connect
Be Active
Take notice
Keep learning
Give

15. simple and clear access to support to live healthy and well
addressing not ‘what’ people are doing but ‘why’ – psychological and social factors – wellbeing as central
rather than multiple single issue and siloed services that cause confusion to referrers and patients.

16. Client receives phone contact & brief intervention within 48 hours by hub, 6 week follow-up
Holistic approach, joined up delivery, addresses multiple needs, person-centred support, outcomes fed back to GPs

17. Life Balance Assessment17

18. Public Awareness Have a Better Day Brighten your mind DIY Your Mood
Five things that can help you feel better about life - one day at a time
Positive thinking
Might someone you know be a little down and benefit from a bit of a lift?
Brighten your mind
DIY Your Mood
Five steps to feeling healthier in your head
Five simple tools you can use every day to improve how you feel

19. www. champspublichealth. com www. nwph. net/MWBProfiles www. gov
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