Making Every Contact Count Prompt cards

Transcription

1 Making Every Contact Count Prompt cards Every contact must count as an opportunity to maintain, and where possible, improve mental and physical health and wellbeing (NHS Future Forum report, 2012)

2 A short conversation about healthy lifestyles should: Take 30 seconds or longer Follow a simple structure Be supportive Be encouraging Provide information - including signposting to other services when appropriate

3 ASK: Are you happy with your lifestyle? Would you like help with: Stopping smoking? Alcohol intake? Being active? Eating well? Sexual health? Mental health? Remember if a person is not ready or unsure about changing their lifestyle, tell them where they can go for support should they wish to do so in the future.

4 ASK How do you feel about your health and wellbeing? Not good Very good How important for you is it to make a change? Not important Very important How confident do you feel to make a change? Not confident Very confident

5 Healthy Eating Why it s Important ASK: 1 in 3 deaths from cancer and coronary heart disease are attributable to poor diet (FSA 2007) Reducing salt intake to 6gms a day for adults would contribute to a 17% reduction in high blood pressure (BHF 2006) In England only 26% of people say they eat 5 a day Tell me a little about the foods you usually eat?

6 Aim for: 5 or more portions of fruit and vegetables a day (frozen and tinned counts too) Less sugar, salt and fat One third of your food to be starchy foods like potatoes, cereal, pasta, rice and bread Tip: The only way to lose weight and keep it off is to reduce calorie intake and increase physical activity.

7 Healthy Weight Why it s Important ASK: In England being overweight and obesity is rising in adults and children - this increases a person s risk of developing chronic illnesses such as heart disease, some cancers and type II diabetes (Change4Life 2009) Obesity (a BMI of over 30) can reduce life expectancy by up to 9 years (DoH 2007) Would you mind if we discussed your weight for the next few minutes?

8 Aim for: Tip: Plan your meals, make a list and stick to a budget. Regular checks on your BMI Losing between 5% and 10% weight to make a big difference to your health A gradual weight loss of between 1 and 2lbs or 0.5 to 1kg a week Drinking lots of water (sometimes it s thirst, not hunger!) Three regular meals a day

9 Physical Activity Why it s Important ASK: How active are you day to day? 70% of the population are not active enough to benefit their health - that is 6 in 10 men and 7 in 10 women (BHF 2007) Almost 40% of deaths from coronary heart disease are due to inactivity (BHF 2007) Increasing physical activity levels will help prevent illness, improve quality of life and reduce stress

10 Aim for: Tip: Reduce time spent just sitting. 150 minutes of moderate activity a week. Moderate describes an activity that will slightly increase your heart rate and makes you feel warmer Being able to talk comfortably whilst being active

11 Stopping Smoking Why it s Important Smoking is known to be the main single cause of avoidable premature death in the UK (DoH 2010) Smoking kills half of all long term users and is a major contributor to health inequalities ASK: How do you feel about stopping smoking?

12 Aim for: Making a decision to stop smoking Deciding on how you would like to be supported to stop smoking Setting a date for stopping smoking Making an appointment with a stop smoking service Tip: Smokers are 4 times more likely to quit smoking with support from an NHS stop smoking service.

13 Drinking Alcohol Sensibly Why it s Important ASK: How do you feel about the amount you drink at the moment? Around 90% of the UK population drink alcohol - the majority drink at lower risk levels - but more people are drinking at higher risk (Alcohol Concern 2007) Alcohol misuse is associated with 1 million hospital admissions each year and 17 million days off work (DoH 2008)

14 Aim for: Tip: Plan activities for times when you would otherwise drink. No more than 3 to 4 units of alcohol for men and 2 to 3 units for women per day 1 or 2 alcohol free days each week No binge drinking (men who drink 8 or more units in one session, and women who drink 6 or more units in one session). If you have drunk too much allow 48 hours for your body to recover

15 Sexual Health Why it s Important ASK: Would you like to discuss your sexual health Sexually Transmitted Infections (STI s) are very common and anyone who is having sex can get them Not all infections have symptoms, so you or anyone you have sex with, could have an infection and not know about it That s why it s important to use condoms instead of taking a risk

16 Aim for: Tip: We advise you to always practice safe sex Safe sex practice An STI check-up if you have unprotected sex Speak to your local GP or nurse for further Sexual Health Advice or call the Community Sexual Health Services

17 It s best to signpost patients or service users to local services. Write them here: STOPPING SMOKING? ALCOHOL INTAKE? BEING ACTIVE? EATING WELL? SEXUAL HEALTH? MENTAL HEALTH?

18 Good sources of information are available:

19 Lincolnshire Sexual Health Services Lincolnshire Sexual Health Service (Central Booking Line) Appointments T: Sexual Health Advice, Positive Health (Lincs) T: Sexual Assault Referral Centre T: Chlamydia screening (15-24 year olds) Text or T:

20 Lincolnshire Health Trainers Local contacts: East Lindsey West Lindsey Lincoln Boston South Holland N Kesteven S Kesteven Motivation and support for individuals looking to make positive lifestyle changes T: health.trainer@e-lindsey.gov.uk

21 Lincolnshire Healthy eating Healthy weight Weight Watchers BMI 30+ Health Professional Referral Form To complete the process patients call: quoting WWRSO48

22 Lincolnshire Being Active Health walks - Rural and urban group walks, free to attend, all welcome Vitality gentle and seated exercise classes for the over 60 s and people whose medical condition prevents them using normal exercise settings Exercise referral - 12 week course via referral form for adults with a medical condition T:

23 Phoenix Stop Smoking Service Lincolnshire T: Healthy eating Lincolnshire communityhealthservices. Stopping nhs.uk/public/node/20. Smoking Lincolnshire Smoke Free Homes & Cars T: Lincolnshire Fire and Rescue T: for a free Home Fire Safety Check

24 Lincolnshire Drinking Alcohol Sensibly Addaction Lincolnshire 24 hour referral line T: Lincoln T: Grantham T: Boston T: DART (Drugs & Alcohol Recovery Team) Lincoln T: Grantham T: Boston T: