Implementing the ASSIST smoking prevention programme following a successful RCT. Rona Campbell

Size: px
Start display at page:

Download "Implementing the ASSIST smoking prevention programme following a successful RCT. Rona Campbell"

Transcription

1 Implementing the ASSIST smoking prevention programme following a successful RCT Rona Campbell

2 DECIPHer Development and Evaluation of Complex Interventions for Public Health Improvement

3 Aim Review issues that arise when implementing evidence-based health promotion interventions in a school setting Use the Assist smoking prevention intervention as an example Reflect on time taken to produce evidence Reflections on whether current guidance on implementation of evidence-based interventions sufficient

4 Phases of developing randomised controlled trials of complex interventions (Campbell et al, 2000, p. 696)

5

6 Time line for the development of the ASSIST smoking prevention programme 1993/4: Phase 0: Seminar, discussion, networking 1995: Phase 1: Development, piloting, feasibility testing 1998/99: Phase 2: Publication, planning and fund-seeking 2001: Phase 3: Full-scale randomised trial ( 1.5M) 2001 Further piloting School recruitment 2002 Baseline measures, intervention year follow-up year follow-up 2006-: Phase 4: Implementation & Dissemination

7 ASSIST intervention Year 8 (aged 12-13) Not a typical school-based peer-led intervention Not teacher-led or classroom-based Influential students nominated by their year group Trained to be peer supporters to diffuse norms of non- smoking behaviour through their social networks Adapted from Kelly s (1997) sexual health approach with gay men in America

8 Training objectives.. Enhance knowledge of harmful effects of smoking and the benefits of remaining smoke-free

9 Enhance communication skills needed to promote the smoke-free message among peers

10 Increase confidence to intervene in everyday situations to encourage peers not to smoke

11 Have fun

12 ASSIST (A Stop Smoking in Schools Trial) Cluster randomised trial involving 59 schools in south Wales and Bristol area Comparing effectiveness of an informal, peer-led intervention in preventing smoking uptake in students aged 12 to 13 in addition usual smoking education, with usual smoking education Interventions involved influential Year 8 students, identified by their peers, being trained to diffuse smokefree message Weekly smoking was assessed at baseline, immediately post-intervention and at one and two years.

13 Smoking prevalence at each follow-up point Control Prevalence of weekly smoking at 1 year follow-up Control Prevalence of weekly smoking at 2 year follow-up Control Prevalence of weekly smoking immediately postintervention Intervention Intervention Intervention All students 8.48% 403/ % 334/ % 736/ % 630/ % 1022/ % 941/4966 High-risk group 9.80% 168/ % 157/ % 389/ % 338/ % 549/ % 536/1717

14 Odds ratios from multi-level model for overall intervention effect & according to time of follow-up, baseline smoking status, gender, peer supporter status, free school meal entitlement and school location Odds ratio (95% Confidence Interval) Main model of intervention effect using data from all three follow-ups 0.78 ( 0.64, 0.96) Subgroup: Time Immediately post intervention 0.76 ( 0.58, 1.00) One-year follow-up 0.73 ( 0.58, 0.93) Two-year follow-up 0.83 ( 0.66, 1.04) Subgroup: Baseline smoking Never smoked 0.81 ( 0.62, 1.06) Experimented 0.77 ( 0.62, 0.97) Smoker 0.76 ( 0.50, 1.15) Subgroup: Gender Boys 0.84 ( 0.66, 1.07) Girls 0.76 ( 0.61, 0.96) Subgroup: Peer supporter Not selected 0.80 ( 0.64, 0.99) Selected 0.73 ( 0.54, 0.99) Subgroup: Free school meal entitlement Low 0.79 ( 0.60, 1.03) High 0.78 ( 0.57, 1.07) Subgroup: School Town or city 0.89 ( 0.71, 1.11) South Wales valley 0.52 ( 0.34, 0.78) OR Favours treatment Favours control

15 Conclusions from the trial Possible to recruit range of influential students to informally promote healthy behaviour amongst their peers ASSIST intervention is effective in reducing adolescent smoking Findings generalisable to range of schools If implemented on a UK-wide basis could prevent 43, year olds taking up smoking

16 Reporting Questions to ask yourself include: Have you reported your evaluation appropriately, and have you updated your systematic review? It is important to provide a detailed account of the intervention, as well as a standard report of the evaluation methods and findings, to enable replication studies, or wider scale implementation. The results should ideally be presented in the context of an updated systematic review of similar interventions

17 Dissemination of the evidence Main trial results 1. Campbell R, Starkey F, Holliday J, Audrey S, Bloor M, Parry-Langdon N, Hughes R, Moore L. An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): a cluster randomised trial Lancet 2008; 371: Description of the intervention 2. Audrey S, Cordall K, Moore L, Cohen D, Campbell R on behalf of ASSIST (A Stop Smoking In Schools Trial). The development and implementation of a peer-led intervention to prevent smoking among secondary school students using their established social networks. Health Education Journal (3) Trial protocol 3. Starkey F, Moore L, Campbell R, Sidaway M, Bloor M. and ASSIST (A Stop Smoking in Schools Trial) Rationale, design and conduct of a comprehensive evaluation of a school-based peer-led anti-smoking intervention in the UK: the ASSIST cluster randomised trial [ISRCTN ]. BMC Public Health 2005, 5:43 doi: / Fidelity of implementation 4. Holliday J, Audrey S, Moore L, Parry-Langdon N, Campbell R. High fidelity? How should we consider variations in the delivery of school-based health promotion interventions? Health Education Journal 2009;68:44-62

18 Dissemination of the evidence Acceptability of the intervention 5. Audrey S, Holliday J, Campbell R. Commitment and compatibility: Teacher perspectives on the implementation of a school-based, peer-led smoking intervention. Health Education Journal 2008: 67: Audrey, S. Holliday J. Campbell R. It's good to talk: Adolescent perspectives of an informal, peer-led intervention to reduce smoking. Social Science & Medicine 2006:63: Evaluation of method used to select peer supporters 7. Starkey F, Holliday J, Audrey S, Moore L, Campbell R, Identifying influential young people to undertake effective peer-led health promotion: the example of A Stop Smoking In Schools Trial (ASSIST) Health Ed Res 2009 doi: /her/cyp045 Process evaluation 8. Audrey S, Holliday J, Parry Langdon N, Campbell R. Meeting the challenges of implementing process evaluation within randomised controlled trials: the example of ASSIST (A Stop Smoking In Schools Trial) Health Educ. Res ;3: Cost effectiveness 9. Hollingworth W, Cohen D, Hawkins J, Hughes R, Moore L, Holliday J, Audrey S, Starkey F, Campbell R. Reducing smoking in adolescents: cost-effectiveness results from the cluster randomised ASSIST (A Stop Smoking In Schools Trial). Nicotine and Tobacco Research (in press)

19 Dissemination PhD Thesis 35 + Conference presentations Numerous presentations to various groups of NHS staff and NHS organisations at national, regional and local level

20 Systematic review to support NICE Guidance on smoking prevention interventions for use in schools Qualitative review generally highlights ASSIST as a particularly promising approach The effect size for ASSIST included in the initial quantitative review was a subgroup of the multilevel model for those who had never smoked at baseline that found an odds ratio of 0.81 (0.62, 1.06). Explanation - focus of the review on smoking prevention Ignored all those who were not smoking regularly but at high risk of smoking uptake (ex occasional smokers and those experimenting with smoking). Provided a reanalysis of the trial data with regular smoker excluded 0.79 (95% CI: 0.64, 0.98) Final published version does not now present any results from our primary analysis and asserts that 7 schools withdrew after randomisation which is not the case. It does though accurately report the odds ratios at each of the three follow up points.

21 Implementation Questions to ask yourself include: Are your results accessible to decision-makers, and have you presented them in a persuasive way? Are your recommendations detailed and explicit? Strategies to encourage implementation of evaluation findings should be based on a scientific understanding of the behaviours that need to change, the relevant decision-making processes, and the barriers and facilitators of change. If the intervention is translated into routine practice, monitoring should be undertaken to detect adverse events or long term outcomes that could not be observed directly in the original evaluation,

22 Implementation of ASSIST Documentation Training the Trainers guide ASSIST programme manual Monitoring process of initial roll out Wales Tower Hamlets PCT Bristol PCT completed a detailed evaluation funded by the PCT

23 Lessons learnt Implementation is possible beyond a research context Contact teacher(s) key role within school to champion implementation (timetable, rooms) Recruiting training team health promotion specialists and youth workers male trainers? importance of fidelity v flexibility Costs of implementation vary considerably economies of scale and greater control if ASSIST trainers are employed by PCT/LA (not freelance)

24 What we wanted to do Scale up the roll out of ASSIST Have a staffed office to grant licences for the delivery of ASSIST to support and monitor implementation to undertake quality assurance to ensure fidelity of implementation to provide initial training of ASSIST organisers organise regional meetings to encourage best practice provide regular updates of materials

25 Barriers to implementation Initially university development offices / lacked understanding of our product therefore unable to provide helpful advice Told initially we didn t qualify for translational funding No obvious workforce to deliver this public health intervention in the school setting

26 Solution for us To set up a Community Interest Company Not for profit Any surplus to be reinvested Edge of campus organisation under the auspices of DECIPHer Write a business plan Find people who could help

27

28 2020 Aspirations Stopping the inflow of young people recruited as smokers: aspiring to reduce the year-old smoking rate to 1% of less and the rate among yearolds to 8% by 2020

29 Recommendation 3 Head teachers, school governors, teachers and support staff in secondary schools...should...con sider offering evidence-based, peer-led interventions aimed at preventing the uptake of smoking such as the ASSIST programme

30 Decipher-Impact.com Company limited by guarantee formed in March 2010 Wholly owned by the two Universities Board five directors (two from each University and an independent Chair) General Manager in post for 21 months who had previously been in charge of roll out in Wales Issued 20 licences to PCTs and LA for use of Decipher- Assist Held our first annual conference for all those currently delivering ASSIST in Bristol in February 2012

31

32 Lessons Setting up and running a spinout company is extremely hard work and very time consuming Running a business requires some very different skills from those required to be a successful academic Universities want to be supportive but their structures are bureaucratic and not always helpful Find an existing company to work with Decipher-Impact is broadly constituted to support the delivery of interventions and services that improve public health

33 Questions Are current guidelines on the evaluation of complex interventions sufficient when it comes to implementation? Was setting up a community interest company a good solution? With public health moving into LA in England will they want to continue resourcing school-based interventions like this particularly when increasing numbers of state schools are becoming independent from LAs? Can schools themselves be left to decide which health promotion interventions should or should not be implemented? How do we know ASSIST is working outside the trial setting?

34 Further trials of ASSIST In discussions with researchers at the University of Texas who are going to make an application to NIH in USA for funding for a replication trial Also in contact with the Public Health Foundation of India and Centre of Excellence for Youth Engagement in Canada about the possibility of them using ASSIST

35 Acknowledgements ASSIST Professor Laurence Moore, Dr Jo Holliday, Dr Suzanne Audrey Decipher Impact Fellow directors: Sue Sundstom, Dr Eryl Cox, Dr Mark Hughes, Prof Laurence Moore General Manager: Sally Good

A Process Evaluation of the Implementation of ASSIST in Scotland

A Process Evaluation of the Implementation of ASSIST in Scotland Research Findings 138/2017 A Process Evaluation of the Implementation of ASSIST in Scotland Fiona Dobbie, Richard Purves, Jennifer McKell, Linda Bauld University of Stirling, Nadine Dougall Edinburgh Napier

More information

An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): a cluster randomised trial

An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): a cluster randomised trial An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): a cluster randomised trial R Campbell, F Starkey, J Holliday, S Audrey, M Bloor, N Parry-Langdon, R Hughes,

More information

Programme Name: Climate Schools: Alcohol and drug education courses

Programme Name: Climate Schools: Alcohol and drug education courses STUDY REFERENCE: C/ADEPIS01 Programme Name: Climate Schools: Alcohol and drug education courses Contact Details: Nicola Newton, University of New South Wales, email: n.newton@unsw.edu.au Natasha Nair,

More information

CWP Drug & Alcohol Education Curriculum Overview

CWP Drug & Alcohol Education Curriculum Overview CWP Drug & Alcohol Education Curriculum Overview Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 1 Medicines and People Who Help Us Lesson 1: Staying Healthy Lesson 2: Medicines Lesson 3: Who gives us medicines?

More information

WELSH GOVERNMENT RESPONSE TO RECOMMENDATIONS FROM THE HEALTH & SOCIAL CARE COMMITTEE: INQUIRY INTO NEW PSYCHOACTIVE SUBSTANCES

WELSH GOVERNMENT RESPONSE TO RECOMMENDATIONS FROM THE HEALTH & SOCIAL CARE COMMITTEE: INQUIRY INTO NEW PSYCHOACTIVE SUBSTANCES WELSH GOVERNMENT RESPONSE TO RECOMMENDATIONS FROM THE HEALTH & SOCIAL CARE COMMITTEE: INQUIRY INTO NEW PSYCHOACTIVE SUBSTANCES Recommendation 1 The Committee recommends that the Minister for Health and

More information

Centre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK 2

Centre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK 2 Adapting the ASSIST model of informal peer-led intervention delivery to the Talk to FRANK drug prevention programme in UK secondary schools (ASSIST + FRANK): intervention development, refinement and a

More information

Centre for Addictive Behaviours Research. Attitudes to tobacco and e- cigarettes, e-cig ads and ASMs

Centre for Addictive Behaviours Research. Attitudes to tobacco and e- cigarettes, e-cig ads and ASMs Centre for Addictive Behaviours Research Attitudes to tobacco and e- cigarettes, e-cig ads and ASMs Rationale E-cigarettes present a lower-harm nicotine delivery system, but this perception is not strong

More information

NICE tobacco harm reduction guidance implementation seminar

NICE tobacco harm reduction guidance implementation seminar NICE tobacco harm reduction guidance implementation seminar Goals for the day By the end of the day we aim to have provided you with: a clear understanding of the NICE tobacco harm reduction guidance a

More information

Thornhill Primary School Kick Ash Smoke Free Policy

Thornhill Primary School Kick Ash Smoke Free Policy Thornhill Primary School Kick Ash Smoke Free Policy Introduction At our school, we take seriously our duty to promote children and young people s wellbeing and their spiritual, moral, social and cultural

More information

The Smokefree Class Competition What is it about?

The Smokefree Class Competition What is it about? The Smokefree Class Competition What is it about? a universal smoking prevention programme for pupils aged 11-14 years. The main aims are to delay or prevent the onset of smoking to motivate adolescents

More information

Multi-agency Safeguarding Training Strategy

Multi-agency Safeguarding Training Strategy Wandsworth Safeguarding Children Board Multi-agency Safeguarding Training Strategy 2017-18 Foreword This strategy sets out our framework and direction for ensuring that all staff and volunteers working

More information

The EU-Dap Project: a brief summary

The EU-Dap Project: a brief summary The EU-Dap Project: a brief summary In the early 2000s, I and my group started to work for a Cochrane Systematic review on School-based prevention of illicit drugs (Faggiano et al., 2005). Since the first

More information

What is a complex (social / public health) intervention?

What is a complex (social / public health) intervention? Randomised trials of complex public health interventions: challenges, prospects, and example: NPRI trial of the Strengthening Families Programme 10-14 Laurence Moore MRC/CSO Social and Public Health Sciences

More information

Powys teaching Health Board. Local Healthcare Professionals Forum. Terms of Reference - DRAFT

Powys teaching Health Board. Local Healthcare Professionals Forum. Terms of Reference - DRAFT 1. Purpose Powys teaching Health Board Local Healthcare Professionals Forum Terms of Reference - DRAFT As an Advisory Group of Powys teaching Health Board the Forum is accountable to the Health Board and

More information

Jo Holliday. J Segrott, K Hood, S Murphy, C Phillips, Z Roberts, J Scourfield, D Foxcroft, P Daniels, H Rothwell, L Moore

Jo Holliday. J Segrott, K Hood, S Murphy, C Phillips, Z Roberts, J Scourfield, D Foxcroft, P Daniels, H Rothwell, L Moore Pragmatic trials of non-nhs interventions: Experiences from a Randomised Controlled Trial of the Strengthening Families 10-14 UK Programme (SFP10-14 UK) Jo Holliday J Segrott, K Hood, S Murphy, C Phillips,

More information

THE CARDIFF COMMITMENT TO YOUTH ENGAGEMENT AND PROGRESSION: REPORT OF DIRECTOR OF EDUCATION & LIFELONG LEARNING

THE CARDIFF COMMITMENT TO YOUTH ENGAGEMENT AND PROGRESSION: REPORT OF DIRECTOR OF EDUCATION & LIFELONG LEARNING CITY OF CARDIFF COUNCIL CYNGOR DINAS CAERDYDD EXECUTIVE PUBLIC SERVICES BOARD: 10 TH MARCH 2017 THE CARDIFF COMMITMENT TO YOUTH ENGAGEMENT AND PROGRESSION: REPORT OF DIRECTOR OF EDUCATION & LIFELONG LEARNING

More information

Consistency in REC Review

Consistency in REC Review National Research Ethics Advisors Panel Consistency in REC Review Summary 1. Consistency is taken to mean that, for any specific application or other, similar, applications, Research Ethics Committees

More information

1.2. Please refer to our submission dated 27 February for further background information about NDCS.

1.2. Please refer to our submission dated 27 February for further background information about NDCS. Educational Attainment Gap The role of parents and guardians NDCS response to call for written evidence The National Deaf Children s Society (NDCS) welcomes the opportunity to contribute to this call for

More information

Pupil Premium: Support for Young Carers

Pupil Premium: Support for Young Carers Pupil Premium: Support for Young Carers Targeting your Pupil Premium to support young carers in secondary schools Identifying and supporting Young carers is a low cost and effective way of improving the

More information

Pupil Premium: Support for Young Carers

Pupil Premium: Support for Young Carers Pupil Premium: Support for Young Carers Targeting the Pupil Premium to support young carers in primary schools Identifying and supporting young carers is a low cost and effective way of improving the attainment

More information

The Cut Films project is the education and prevention arm of Roy Castle Lung Cancer Foundation. We are a peer-to-peer smoking prevention project.

The Cut Films project is the education and prevention arm of Roy Castle Lung Cancer Foundation. We are a peer-to-peer smoking prevention project. About Us: The Cut Films project is the education and prevention arm of Roy Castle Lung Cancer Foundation. We are a peer-to-peer smoking prevention project. Our short film and creative media projects educate

More information

Smoking cessation interventions and services

Smoking cessation interventions and services National Institute for Health and Care Excellence Guideline version (Final) Smoking cessation interventions and services [E] Evidence reviews for advice NICE guideline NG92 Evidence reviews FINAL These

More information

CORPORATE PLANS FOR CHILD PROTECTION AND LOOKED ATER CHILDREN AND YOUNG PEOPLE

CORPORATE PLANS FOR CHILD PROTECTION AND LOOKED ATER CHILDREN AND YOUNG PEOPLE NHS Highland Board 28 March 2017 Item 4.11 CORPORATE PLANS FOR CHILD PROTECTION AND LOOKED ATER CHILDREN AND YOUNG PEOPLE Report by Dr Stephanie Govenden Lead Doctor Child Protection and Looked After Children

More information

Centre for Analysis of Youth AYT

Centre for Analysis of Youth AYT Centre for Analysis of Youth Transitions AYT STUDY REFERENCE: REP06 Programme name: European Drug Abuse Prevention (EU-DAP) trial Contact details/links for further details: http://www.eudap.net Contact

More information

15-18 STRATEGIC PLAN

15-18 STRATEGIC PLAN 20 15-18 STRATEGIC PLAN A MESSAGE FROM THE PRESIDENT Alastair McEwin President For over 100 years, the Deaf Society has been the leading provider of specialist services for deaf, deafblind and hard of

More information

Service Specification: Bristol and South Gloucestershire Specialist Substance Misuse Treatment Service January 2016

Service Specification: Bristol and South Gloucestershire Specialist Substance Misuse Treatment Service January 2016 This specification is an annex to the Service Specification for the provision of Child and Adolescent Mental Health Services. It must be read along with the overarching specification which applies to all

More information

No-Smoking & E-Cigarette Policy

No-Smoking & E-Cigarette Policy No-Smoking & E-Cigarette Policy Policy Established: May 2015 Policy to be Reviewed: May 2017 or sooner if legislation or circumstance dictates Context Background Supporting Information On Young People

More information

Creating a Smoke Free Workplace Policy

Creating a Smoke Free Workplace Policy Creating a Smoke Free Workplace Policy Solent NHS Trust policies can only be considered to be valid and up-to-date if viewed on the intranet. Please visit the intranet for the latest version. Purpose of

More information

Association between breakfast consumption and educational outcomes in 9-11 year old children in Wales

Association between breakfast consumption and educational outcomes in 9-11 year old children in Wales Association between breakfast consumption and educational outcomes in 9-11 year old children in Wales Hannah Littlecott, Graham Moore, Ronan Lyons, Laurence Moore, Simon Murphy @DECIPHerCentre Background

More information

Health Promotion Service Project Overview

Health Promotion Service Project Overview Health Promotion Service Project Overview TITLE NATIONAL TARGETS / LOCAL PRIORITIES SCOPING Young Peoples Sexual Health Promotion Worker Every Child Matters- Reducing Teenage Pregnancy Strategy. Two national

More information

Memorandum of Understanding

Memorandum of Understanding Memorandum of Understanding This Memorandum of Understanding is made on the day of 2015 Memorandum of Understanding Between Community Housing Cymru Group 2 Ocean Way, Cardiff, CF24 5TG And Public Health

More information

Youth Justice National Development Team. Youth Justice National Development Team Annual Report. Fiona Dyer

Youth Justice National Development Team. Youth Justice National Development Team Annual Report. Fiona Dyer Youth Justice National Development Team 2012-2013 Youth Justice National Development Team Annual Report Fiona Dyer National Development Team April 2013 0 Annual Report April 2012 March 2013 Youth Justice

More information

Signs of Suicide (S.O.S)

Signs of Suicide (S.O.S) Signs of Suicide (S.O.S) Healthy Schools Conference February 8, 2011 Background The S.O.S program was selected as a new initiative within the Awareness and Understanding component of Reclaiming Hope: Manitoba's

More information

None Natalia Clifford, Public Health Consultant Tel: Summary

None Natalia Clifford, Public Health Consultant   Tel: Summary Title Health and Wellbeing Board 19 January 2017 Report on the update of the Shisha campaign Report of Director of Public Health Wards All Status Public Urgent No Key Yes Enclosures Officer Contact Details

More information

Kirklees Safeguarding Children Board. Annual Report. January 2011 March Executive Summary.

Kirklees Safeguarding Children Board. Annual Report. January 2011 March Executive Summary. Kirklees Safeguarding Children Board Annual Report January 2011 March 2012 Executive Summary www.kirkleessafeguardingchildren.com Foreword As the Chair of Kirklees Safeguarding Children s Board, I am pleased

More information

Attachment A Brighton & Hove City Council

Attachment A Brighton & Hove City Council Attachment A Brighton & Hove City Council Young people and smoking cessation: a pack for community pharmacies providing smoking cessation to under 16 year olds in Brighton and Hove Susan Stewart 11/25/2016

More information

EXECUTIVE SUMMARY. Purpose

EXECUTIVE SUMMARY. Purpose EXECUTIVE SUMMARY REPORT TO: Trust Board DATE: Tuesday 4 December 2018 AGENDA NO: 2.1 AGENDA ITEM: Healthcare Worker Flu Vaccination Best Practice SPONSOR: Julie Cooper, Director of People PREPARED BY:

More information

Invisible and in distress: prioritising the mental health of England's young carers

Invisible and in distress: prioritising the mental health of England's young carers Invisible and in distress: prioritising the mental health of England's young carers Foreword Becoming a carer can be daunting at any point in a person s life. Caring can take its toll on health and wellbeing.

More information

The Nottingham eprints service makes this work by researchers of the University of Nottingham available open access under the following conditions.

The Nottingham eprints service makes this work by researchers of the University of Nottingham available open access under the following conditions. Naughton, Felix and Foster, Katharine and Emery, Jo and Cooper, Sue and Sutton, Stephen and Leonardi- Bee, Jo and Jones, Matthew and Ussher, Michael and Whitemore, Rachel and Leighton, Matthew and Montgomery,

More information

Advanced LifeSkills Training

Advanced LifeSkills Training Published March 2017 Last updated March 2018 Downloaded from http://guidebook.eif.org.uk/programme/advanced-lifeskills-training Advanced LifeSkills Training Review: March 2017 Advanced LifeSkills Training

More information

NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY

NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY Agenda Item No: Part 1 X Part 2 NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 25.4.17 Title of Report Purpose of the Report Public Health Update This report provides an update to the Clinical

More information

Merseyside Child Sexual Exploitation. Multi-Agency Strategy 2016/2017

Merseyside Child Sexual Exploitation. Multi-Agency Strategy 2016/2017 Merseyside Child Sexual Exploitation Multi-Agency Strategy 2016/2017 The Safeguarding Children s Boards of Merseyside (Liverpool, Sefton, Knowsley, St Helens and Wirral) have identified tackling the sexual

More information

Safeguarding Business Plan

Safeguarding Business Plan Safeguarding Business Plan 2015-2018 Contents 1. Introduction 2. The Care Act 3. Organisational Development 4. Vision, Values and Strategic Objectives 5. Financial Plan 6. Appendix A Action Plan 7. Appendix

More information

Training Programme. Updated January 2018

Training Programme. Updated January 2018 Training Programme 2018 Updated January 2018 1 January 30 th Level 1 Safeguarding Children Awareness 31 st Level 1 Safeguarding Adults-FULL February 6 th Early Help Assessment Workshop 1 13 th Early Help

More information

2. The role of CCG lay members and non-executive directors

2. The role of CCG lay members and non-executive directors CCG Lay Members, Non-Executive Directors and STP Governance and Engagement 1. Introduction Report from network events organised by NHS England and NHS Clinical Commissioners in February 2017 This briefing

More information

SIGNS OF SAFETY: AN EVALUATION ACROSS TEN AREAS IN ENGLAND

SIGNS OF SAFETY: AN EVALUATION ACROSS TEN AREAS IN ENGLAND SIGNS OF SAFETY: AN EVALUATION ACROSS TEN AREAS IN ENGLAND SOCIAL CARE WORKFORCE RESEARCH UNIT KING S COLLEGE, LONDON Mary Baginsky Jo Moriarty Jill Manthorpe English Innovation Programme MTM project 10

More information

Raising the aspirations and awareness for young carers towards higher education

Raising the aspirations and awareness for young carers towards higher education Practice example Raising the aspirations and awareness for young carers towards higher education What is the initiative? The University of the West of England (UWE) Young Carers Mentoring Scheme Who runs

More information

Teenage Smoking Programme By Health Education England

Teenage Smoking Programme By Health Education England Teenage Smoking Programme By Health Education England If you are searching for the ebook Teenage Smoking Programme by Health Education England in pdf format, in that case you come on to the correct website.

More information

NORTH WALES SAFEGUARDING CHILDREN S BOARD ANNUAL BUSINESS PLAN 2018/19. Version 1 1/3/18

NORTH WALES SAFEGUARDING CHILDREN S BOARD ANNUAL BUSINESS PLAN 2018/19. Version 1 1/3/18 NORTH WALES SAFEGUARDING CHILDREN S BOARD ANNUAL BUSINESS PLAN 2018/19 Version 1 1/3/18 Introduction I am pleased to introduce the annual work plan for the North Wales Safeguarding Children Board (NWSCB).

More information

How effective is comprehensive sexuality education in preventing HIV?

How effective is comprehensive sexuality education in preventing HIV? East and Southern Africa Region Evidence brief How effective is comprehensive sexuality education in preventing HIV? What are the key findings? In-school CSE in the ESA region leads to: Improved knowledge

More information

Brighton & Hove City, England, September 2008

Brighton & Hove City, England, September 2008 Brighton & Hove City, England, 29 30 September 2008 DEPARTMENT OF HEALTH TOBACCO CONTROL MARKETING COMMUNICATIONS STRATEGY 2008-2010 Contents Strategy development process Business Objectives and the challenge

More information

POSITIVE PREVENTION: Process of Adapting Healthy Relationships to African context

POSITIVE PREVENTION: Process of Adapting Healthy Relationships to African context POSITIVE PREVENTION: Process of Adapting Healthy Relationships to African context Presenters: Prof Leickness C. Simbayi & Ms Allanise Cloete Social Aspects of HIV/AIDS and Health Research Programme, Human

More information

14. HEALTHY EATING INTRODUCTION

14. HEALTHY EATING INTRODUCTION 14. HEALTHY EATING INTRODUCTION A well-balanced diet is important for good health and involves consuming a wide range of foods, including fruit and vegetables, starchy whole grains, dairy products and

More information

APPG on Hunger Inquiry into the Extent of Hunger Amongst Children During the School Holidays, As Well As the Impact It Has on Their Life Chances

APPG on Hunger Inquiry into the Extent of Hunger Amongst Children During the School Holidays, As Well As the Impact It Has on Their Life Chances APPG on Hunger Inquiry into the Extent of Hunger Amongst Children During the School Holidays, As Well As the Impact It Has on Their Life Chances The Trussell Trust Submission 17.03.2017 Contents Introduction

More information

TB/HIV Care s Experience Setting up PrEP Sites and Engaging Potential Service Users. John Mutsambi and Peggy Modikoe TB/HIV Care

TB/HIV Care s Experience Setting up PrEP Sites and Engaging Potential Service Users. John Mutsambi and Peggy Modikoe TB/HIV Care TB/HIV Care s Experience Setting up PrEP Sites and Engaging Potential Service Users John Mutsambi and Peggy Modikoe TB/HIV Care Session Objectives Objectives Define the scope of activities to prepare for

More information

Barnsley Youth Justice Plan 2017/18. Introduction

Barnsley Youth Justice Plan 2017/18. Introduction Barnsley Youth Justice Plan 2017/18 Introduction Barnsley s Youth Justice Service sits within the Local Authority s Targeted Youth Support Service. The governance of the provision has changed in 2016/17.

More information

Sustainability Learning Review 2015

Sustainability Learning Review 2015 Sustainability Learning Review 2015 Barnardo s (PATHS programme) Summary Developed originally in the USA, PATHS is a universal programme for improving the social and emotional skills of children across

More information

Dumfries and Galloway Alcohol and Drug Partnership. Strategy

Dumfries and Galloway Alcohol and Drug Partnership. Strategy Dumfries and Galloway Alcohol and Drug Partnership Strategy 2017 2020 1 Contents Foreword...3 1. Introduction... 4 1.1 Background... 4 1.2 Aim... 4 1.3 National Context... 4 2. Strategic Priorities...

More information

Slide 1. The Public Health Approach. This is Part 2 of an Orientation to Violence Prevention. Slide 2

Slide 1. The Public Health Approach. This is Part 2 of an Orientation to Violence Prevention. Slide 2 Slide 1 Orientation to Violence Prevention The Public Health Approach 1 Slide 2 Slide 3 Lesson Objectives Describe common misconceptions about public health Describe key concepts of public health Lesson

More information

ADPH Sector-Led-Improvement (SLI) Annual report template

ADPH Sector-Led-Improvement (SLI) Annual report template ADPH Sector-Led-Improvement (SLI) Annual report template Annual report NB: All completed reports will be circulated among the network SLI leads as sharing good practice. Network Cheshire and Merseyside

More information

ICPD +10: Sexual and reproductive health and rights in the UK in 2004

ICPD +10: Sexual and reproductive health and rights in the UK in 2004 ICPD +10: Sexual and reproductive health and rights in the UK in 2004 At the 1994 International Conference on Population and Development (ICPD) in Cairo, the 179 countries represented adopted a 20-year

More information

Pupil Premium: Support for Young Carers

Pupil Premium: Support for Young Carers Pupil Premium: Support for Young Carers This paper highlights how investing some of the Pupil Premium to support young carers is low cost, cost effective and targeted at an appropriate pupil group. By

More information

Code of Practice on Authorship

Code of Practice on Authorship Code of Practice on Authorship Introduction All DCU researchers, including research students, should disseminate their research in a timely fashion, and through as effective a means as possible. We have

More information

Tri-borough Physical Activity JSNA Summary and Recommendations

Tri-borough Physical Activity JSNA Summary and Recommendations Tri-borough Physical Activity JSNA Summary and Recommendations 1. Introduction The health and wellbeing benefits of physical activity are well established. Regular physical activity can reduce the risk

More information

Dr Caitlin Notley. Preventing Return to Smoking Postpartum: PReS Study

Dr Caitlin Notley. Preventing Return to Smoking Postpartum: PReS Study Dr Caitlin Notley Preventing Return to Smoking Postpartum: PReS Study DEVELOPMENT OF AN EVIDENCE BASED COMPLEX INTERVENTION FOR MAINTAINING POSITIVE BEHAVIOUR CHANGE c.notley@uea.ac.uk @AddictionUEA https://www.uea.ac.uk/medicine/research/addiction

More information

GOVERNING BODY REPORT

GOVERNING BODY REPORT GOVERNING BODY REPORT DATE OF MEETING: 20th September 2012 TITLE OF REPORT: KEY MESSAGES: NHS West Cheshire Clinical Commissioning Group has identified heart disease as one of its six strategic clinical

More information

DRUGS EDUCATION. for THE THOMAS AVELING SCHOOL POLICY. No: 13

DRUGS EDUCATION. for THE THOMAS AVELING SCHOOL POLICY. No: 13 No: 13 THE THOMAS AVELING SCHOOL POLICY for DRUGS EDUCATION Revised September 2003 Ratified by FGB November 2003 Updated July 2004 Reviewed July 2006 Reviewed May 2007 Reviewed December 2011 Updated March

More information

Use of electronic cigarettes among children in Great Britain

Use of electronic cigarettes among children in Great Britain August 2015 Use of electronic cigarettes among children in Great Britain 34 Key Findings Although children s awareness of and experimentation with electronic cigarettes is increasing, regular use remains

More information

National Deaf Children s Society Response to Committee Report Education and Culture Committee Inquiry: attainment of pupils with a sensory impairment

National Deaf Children s Society Response to Committee Report Education and Culture Committee Inquiry: attainment of pupils with a sensory impairment National Deaf Children s Society Response to Committee Report Education and Culture Committee Inquiry: attainment of pupils with a sensory impairment 7 October 2015 1. Context We welcome the Committee

More information

Increasing the uptake of MMR in London: executive summary of findings from the social marketing project, November 2009

Increasing the uptake of MMR in London: executive summary of findings from the social marketing project, November 2009 Increasing the uptake of MMR in London: executive summary of findings from the social marketing project, November 2009 1 Introduction & approach The London Social Marketing Unit (LSMU joined in April 2009)

More information

Children & Young People s Mental Health: Policy Landscape

Children & Young People s Mental Health: Policy Landscape Children & Young People s Mental Health: Policy Landscape Prof Dame Sue Bailey, Chair, Children & Young People s Mental Health Coalition Conflicts of interest /loyalty Chair, Academy of Medical Royal Colleges

More information

WHAT ARE DECISION MAKERS BARRIERS, FACILITATORS AND EVIDENCE NEEDS REGARDING PEER SUPPORT WORKING? EXECUTIVE SUMMARY

WHAT ARE DECISION MAKERS BARRIERS, FACILITATORS AND EVIDENCE NEEDS REGARDING PEER SUPPORT WORKING? EXECUTIVE SUMMARY WHAT ARE DECISION MAKERS BARRIERS, FACILITATORS AND EVIDENCE NEEDS REGARDING PEER SUPPORT WORKING? EXECUTIVE SUMMARY A report commissioned by the Scottish Recovery Network Jacki Gordon [Jacki Gordon +

More information

Model the social work role, set expectations for others and contribute to the public face of the organisation.

Model the social work role, set expectations for others and contribute to the public face of the organisation. AMHP Competency PCF capability mapping: Experienced level social worker. 1. Professionalism: Identify and behave as a professional social worker, committed to professional development: Social workers are

More information

Training and consultancy services Preventing bullying, protecting children

Training and consultancy services Preventing bullying, protecting children Training and consultancy services Preventing bullying, protecting children www.kidscape.org.uk training@kidscape.org.uk 2 Grosvenor Gardens, London, SW1W 0DH Reg Charity No. 326864 Advanced support In

More information

Adding Value to the NHS, Health and Care, through Research Management, Support & Leadership

Adding Value to the NHS, Health and Care, through Research Management, Support & Leadership Invitation to Comment This new draft strategy has been developed to ensure that the Forum continues to thrive, that we meet the needs of the community over the next five years, and that by acting together

More information

Volunteering in NHSScotland Developing and Sustaining Volunteering in NHSScotland

Volunteering in NHSScotland Developing and Sustaining Volunteering in NHSScotland NG11-07 ing in NHSScotland Developing and Sustaining ing in NHSScotland Outcomes The National Group for ing in NHS Scotland agreed the outcomes below which formed the basis of the programme to develop

More information

NHS Grampian. Job Description RP10253

NHS Grampian. Job Description RP10253 NHS Grampian Job Description RP10253 SECTION 1 JOB IDENTIFICATION Job Title: Aberdeenshire Smoking Cessation Co-ordinator Department(s): Aberdeenshire CHP Public Health Location: Based at Inverurie Hospital

More information

Diabetes Network

Diabetes Network 1 Diabetes Network - 2019 Network Manager: Alison Featherstone Aims/Objectives Clinical Lead(s) Network Lead 1.0 Support the delivery of the national NHS Diabetes Prevention Programme for Dr Caroline Sprake

More information

Dementia Strategy MICB4336

Dementia Strategy MICB4336 Dementia Strategy 2013-2018 MICB4336 Executive summary The purpose of this document is to set out South Tees Hospitals Foundation Trust s five year strategy for improving care and experience for people

More information

Lead Scotland response to Scottish Government review of Autism Strategy Consultation

Lead Scotland response to Scottish Government review of Autism Strategy Consultation Lead Scotland response to Scottish Government review of Autism Strategy Consultation 1. How can we ensure autistic people and their families enjoy healthier lives? Autistic people and their families can

More information

Newsletter. March 2015

Newsletter. March 2015 March 2015 Newsletter No. 10 Newsletter The aim of these newsletters is to keep people with dementia and those close to them informed about the work of the Peterborough Dementia Action Alliance. Peterborough

More information

ASD and ADHD Pathway. Pride in our children s, young people s and families s e r v i c e s A member of Cambridge University Health Partners

ASD and ADHD Pathway. Pride in our children s, young people s and families s e r v i c e s A member of Cambridge University Health Partners ASD and ADHD Pathway 30-11-2017 Pride in our care Pride in our children s, young people s and families s e r v i c e s A member of Cambridge University Health Partners ADHD NICE Guidance: Organisation

More information

A PATIENT AND PUBLIC INVOLVEMENT STRATEGY RESEARCH DESIGN SERVICE NORTH WEST. November 2011 Version 2.0

A PATIENT AND PUBLIC INVOLVEMENT STRATEGY RESEARCH DESIGN SERVICE NORTH WEST. November 2011 Version 2.0 A PATIENT AND PUBLIC INVOLVEMENT STRATEGY RESEARCH DESIGN SERVICE NORTH WEST November 2011 Version 2.0 Page 1 of 8 Our aim The overall aim of the NIHR Research Design Service North West (NIHR RDS NW) in

More information

REPORT ON GLOBAL YOUTH TOBACCO SURVEY SWAZILAND

REPORT ON GLOBAL YOUTH TOBACCO SURVEY SWAZILAND REPORT ON GLOBAL YOUTH TOBACCO SURVEY 2009 - SWAZILAND Introduction The tobacco epidemic Tobacco use is considered to be the chief preventable cause of death in the world. The World Health Organization

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice SCOPE Clinical guideline title: Psychosis and schizophrenia in adults: treatment and management Quality standard title:

More information

Hounslow LSCB Training Strategy National context.

Hounslow LSCB Training Strategy National context. Hounslow Safeguarding Children Board Hounslow LSCB Training Strategy 2013-2016. National context. Section 14 of the Children Act (2004) states that the main responsibilities of the LSCB, are to co-ordinate

More information

National Safeguarding Steering Group Response to the Independent Peter Ball Review - February 2018

National Safeguarding Steering Group Response to the Independent Peter Ball Review - February 2018 Preamble An Abuse of Faith, the independent report by Dame Moira Gibb into the Church of England s handling of the Bishop Peter Ball case, was published on the 22 June 2017. Peter Ball was convicted in

More information

Steady Ready Go! teady Ready Go. Every day, young people aged years become infected with. Preventing HIV/AIDS in young people

Steady Ready Go! teady Ready Go. Every day, young people aged years become infected with. Preventing HIV/AIDS in young people teady Ready Go y Ready Preventing HIV/AIDS in young people Go Steady Ready Go! Evidence from developing countries on what works A summary of the WHO Technical Report Series No 938 Every day, 5 000 young

More information

HCV Action and Bristol & Severn ODN workshop, 14 th September 2017: Summary report

HCV Action and Bristol & Severn ODN workshop, 14 th September 2017: Summary report HCV Action and Bristol & Severn ODN workshop, 14 th September 2017: Summary report About HCV Action HCV Action is a network, co-ordinated by The Hepatitis C Trust, that brings together health professionals

More information

Networking for success: A burning platform in Berkshire West

Networking for success: A burning platform in Berkshire West SERVICE REDESIGN CASE STUDY 1: NOVEMBER 2014 Networking for success: A burning platform in Berkshire West SUMMARY In 2012, four federated CCGs set up a network to redesign diabetes services in Berkshire

More information

Meeting The Needs Of Vulnerable People: Finalist

Meeting The Needs Of Vulnerable People: Finalist Meeting The Needs Of Vulnerable People: Finalist LinkLiving: SmartLiving Peer Education Project Summary SmartLiving is a peer education project which seeks to support young people aged 16-24 in sustaining

More information

Dianne Johnson / Lee Panter / Sarah McNulty

Dianne Johnson / Lee Panter / Sarah McNulty Cardiovascular Disease (heart disease and stroke) READER INFORMATION Need Identified Lead Author Cardiovascular Disease Dianne Johnson / Lee Panter / Sarah McNulty Date completed 07/02/11 Director approved

More information

Smoking in Pregnancy. Policy Context. Chris Tudor-Smith Health Improvement Division Welsh Government

Smoking in Pregnancy. Policy Context. Chris Tudor-Smith Health Improvement Division Welsh Government Smoking in Pregnancy Policy Context Chris Tudor-Smith Health Improvement Division Welsh Government Harms from smoking remain In Wales: Causes around 5,450 deaths each year in 35 year olds and over Major

More information

Empowering young people to challenge mental health stigma and discrimination. Wendy Halliday, See Me

Empowering young people to challenge mental health stigma and discrimination. Wendy Halliday, See Me Empowering young people to challenge mental health stigma and discrimination Wendy Halliday, See Me About See Me Scotland s programme to end MH stigma and discrimination Changing Minds, Changing Policy

More information

POSITION DESCRIPTION

POSITION DESCRIPTION POSITION DETAILS: POSITION DESCRIPTION TITLE: Mental Health Smoke Free Coordinator REPORTS TO: Nurse Director Mental Health & Addiction Directorate LOCATION: Across the Directorate AUTHORISED BY: Nurse

More information

Strategic Plan Executive Summary Society for Research on Nicotine and Tobacco

Strategic Plan Executive Summary Society for Research on Nicotine and Tobacco Strategic Plan 2013 2017 Executive Summary Society for Research on Nicotine and Tobacco Prepared By: Corona Insights Corona Insights, 2012 CoronaInsights.com CONTENTS Introduction... 1 Background... 1

More information

FPA Sri Lanka Policy: Men and Sexual and Reproductive Health

FPA Sri Lanka Policy: Men and Sexual and Reproductive Health FPA Sri Lanka Policy: Men and Sexual and Reproductive Health Introduction 1. FPA Sri Lanka is committed to working with men and boys as clients, partners and agents of change in our efforts to meet the

More information

Surveillance report Published: 8 June 2017 nice.org.uk. NICE All rights reserved.

Surveillance report Published: 8 June 2017 nice.org.uk. NICE All rights reserved. Surveillance report 2017 Antenatal and postnatal mental health: clinical management and service guidance (2014) NICE guideline CG192 Surveillance report Published: 8 June 2017 nice.org.uk NICE 2017. All

More information

A spotlight on becoming Smokefree NHS and local implementation

A spotlight on becoming Smokefree NHS and local implementation A spotlight on becoming Smokefree NHS and local implementation James Mapstone Deputy Regional Director, South of England Public Health England Jennie Leleux Health & Wellbeing Programme Manager, Public

More information

Type 2 diabetes is a metabolic condition. Using Conversation Maps in practice: The UK experience

Type 2 diabetes is a metabolic condition. Using Conversation Maps in practice: The UK experience Using Conversation Maps in practice: The UK experience Sue Cradock, Sharon Allard, Sarah Moutter, Heather Daly, Elizabeth Gilbert, Debbie Hicks, Caroline Butler, Jemma Edwards Article points 1. Conversation

More information