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Annex 6 Implementing Effective Practice in
Paisley's Statutory Agencies
Partnership
Renfrewshire Council and
NHS Argyll and Clyde (
NHSAC) are engaged in joint community
planning, integrated children's services and the joint
future agenda. Representatives of
NHSAC and Renfrewshire Council are
members of the Health & Social Care sub-group of the
Community Planning Partnership, which drives the Joint
Health Improvement Plan. The establishment of Renfrewshire
Community Health Partnership will further facilitate such
work and relationships.
Developing Influence
The Education and Leisure Service has created a new
healthy lifestyles team to integrate the range of physical
activity, sport and health initiatives including
Active Schools,
Hungry for Success,
Heath Promoting Schools and
NOF projects. The local authority has
experience of short term funding initiatives and has
incorporated successful elements of these projects. For
example the Learning Neighbourhood model developed with the
Better Neighbourhood Services Fund has been expanded and is
integral to the structure for local community learning
plans and community planning fora.
Elements of Phase 1 of
HaHP have influenced Council policy such
as the introduction of the Corporate Policy on Tobacco and
the development of the Access Strategy. A healthy
lifestyles coordinator post has been created to develop an
authority wide framework for
Health Promoting Schools as part of the new
healthy lifestyles team. Other practice has been continued
and rolled out across Renfrewshire schools and pre-5
establishments, including the
Eat Well to Play Well resource.
Phase 1 of
HaHP has developed the public health
contribution of primary care. The redesign of the interface
between primary and secondary care for coronary heart
disease (
CHD) patients has increased the
effectiveness of rehabilitation and secondary prevention.
It has made long lasting effects in increasing public
health capacity of the community nursing workforce in
particular. This is clearly sustainable development using
established staff undertaking role development that
benefits other aspects of prevention.
Renfrewshire Council's Internal Structure for
Health Improvement
The local authority has developed a corporate health
improvement group and departmental health improvement
groups to feed into the Health & Social Care sub-group.
This will enable joint departmental planning across
transport, education and leisure, social work and
environmental services to drive health improvement
initiatives. The group is reviewing health improvement
activity within departmental service plans and is planning
a programme of capacity building through staff training.
The Health & Social Care group has agreed to the
development of a Renfrewshire Physical Activity, Sport and
Health Strategy. This will be developed as a multi agency
partnership and will be cross-referenced to the Community
Learning and Development Strategy. It is envisaged that
Phase 2 will contribute to both these key strategies.
NHS Argyll and Clyde's Cardiac
Services Managed Clinical Network (
MCN)
NHSAC, with key input from the
MCN, is currently drafting its Primary
Prevention Strategy that incorporates the prevention issues
from diabetes, cancer, stroke and
CHD. The evaluation of Phase 2, like the
learning from other prevention projects, will be considered
by the
MCN. The lessons from Phase 1 are
currently informing the redesign of cardiac rehabilitation
services across Argyll and Clyde. The redesign intends to
create equity of quality cardiac rehabilitation services
throughout the patient journey, at a local level.
New services must demonstrate financial viability. As
partners in
HaHP the local authority and
NHSAC will work together to define the
capacity of the existing community based exercise
programmes for cardiac patients (phase IV rehabilitation
i.e. maintenance) and seek to maximise access
to these services. The British Association of Cardiac
Rehabilitation firmly believes that clients with heart
disease involved in ongoing exercise in a community setting
should pay a nominal amount to cover costs.
HaHP Phase 2 will consider integration
of community based phase III cardiac rehabilitation
(structured exercise and risk factor modification) for
patients with a step change in
CHD and phase IV programmes for chronic
stable
CHD patients. There are existing models
in the
UK where phase III cardiac
rehabilitation is delivered in local authority premises
free of charge on the basis that clients will then pay for
an ongoing phase IV programme.
Conclusion
Successful elements from Phase 1 of
HaHP have influenced and are continuing
to influence policy and practice in the local authority and
NHSAC. It is anticipated that by framing
elements of Phase 2 within current local authority strategy
development, the potential influence of successful elements
will be enhanced. Similarly dissemination and roll-out of
effective practice from Phase 1 into
NHS strategies and the continuing close
liaison between
HaHP and the Cardiac Services
MCN will maximise the influence of Phase
2.
Have a Heart Paisley Phase 2 Organisational
Structure
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