Integrated Healthy Lifestyle Service Suffolk County Council Public - PowerPoint PPT Presentation

Integrated Healthy Lifestyle Service Suffolk County Council Public Health

Elements of service Health Promotion and Behaviour Change Smoking cessation Physical Activity management management Adult weight Child weight NHS Health Checks

Healthy Lifestyle Service • Service model • Integrated, flexible, cost-effective • Central triage system – one point of access for all healthy lifestyle services • Onward referral to other local services including voluntary sector • Partnership and community working • Social impact – wider determinants of health • Delivery • Whole county – CCG locality models • Urban/rural – hub and spoke, partner organisation, community hubs • Population • Universal and targeted services

Suffolk Population (all ages) 732332 Ipswich and East CCG West CCG Waveney district 395677 220985 115670 Towns Pop total Pop in 20% Towns Pop total Pop in 20% Towns Pop total Pop in 20% most deprived most deprived most deprived LSOAs in LSOAs in LSOAs in Suffolk Suffolk Suffolk Ipswich Bury St. Lowestoft 134466 63403 41416 4307 61969 38542 Edmunds Felixstowe Haverhill Beccles 23657 6079 27128 6654 10165 3020 Stowmarket Mildenhall 19755 1655 8754 1693 Newmarket 16758 1649 Sudbury 17454 8458 Total Total Total 177878 71137 111510 22761 72134 41562 Remaining Remaining Remaining 217799 109475 43536 pop pop pop Population figures: 2012 mid-year population estimates, Office for National Statistics Deprivation figures: Indices of Multiple Deprivation 2010; analysis based on the 20% most deprived lower-layer Super Output Areas (LSOAs) in Suffolk

Health promotion • A few high quality Health Promotion Campaigns • National and local campaign integration • Targeting messages to certain groups/key priorities • Use of Social Media • Language Support • Brief Intervention Training – Making Every Contact Count - Identify, simple advice, refer

Smoking cessation • Conventional stop smoking support • Harm Minimisation • Elective surgery patients given medication to not smoke during elective surgery period and recuperation • Cut down to quit • Behavioural support for those using e-cigarettes • Smoking in Pregnancy • Working with Children and Young people • Education for schools linking to PHSE – targeting schools in areas of high prevalence of smoking • Smoke-free cars and homes

NHS Health Checks • NHS Health Check programme has set criteria around eligibility and processes so little will be changed • Actively target those who would not normally attend for a health check, those in high risk groups and those in areas of deprivation • Follow up on results of health check, healthy lifestyle interventions, clinical interventions such as statins

Child Weight Management • Focus on early years prevention to reduce number of children who are overweight by age of 5 in Suffolk. • Whole family approach to work with children and parents to change attitudes towards diet and physical activity. • Develop work with schools to promote service and healthy lifestyle outcomes focusing on areas of priority for obesity levels.

Adult weight management • Tier 1 – health promotion, health coaches, PA, online support • Tier 2 - 12 week intervention programmes • Group multi-component programme • Male offer – increased contact through PA component/emphasis on health • Increase engagement with healthy eating/exercise during pregnancy and support for postnatal weight loss • Increase support for maintenance of weight loss • Physical activity/sport • Online/app tools • Tier 2+ offer CBT/talking therapies

Physical activity • Individualised support – facilitated targeted communities and promotion of self-supported PA for others • Short programmes for long term conditions - Exercise referral vs exercise rehabilitation • Diabetes • Cardiac • Cancer • Stroke • Pulmonary • Health walks • Support through integrated technology and social media • Support and mentoring for onward referral and integration with local services

Behaviour change PROGRESS Precontemplation • Individualised service with a Contemplation flexible approach to length of support Preparation • Focus on PREPARATION for change and MAINTENANCE of long term change Action • Support for those with specialist need – LTC/MH • Connecting Maintenance RELAPSE communities/services/partner organisations – onward referral • Embed psychological support in service

Population groups • Families • Working Age • Older People • Those with health inequalities • Black and Minority Ethnic Groups • Mental Health diagnosis • Carers • Learning Disability • Long Term Conditions • 20% most deprived LSOAs • Family Focus Families – facilitated referral

Co-commissioning and alignment of services • Co-commissioning of other services with CCGs and County Council • Tier 3 weight management • Self-care • Alignment of integrated healthy lifestyle services with other services being commisisoned • Mental health and well-being service • School nurses • Health visitors • Future time-dependent commissioning changes • NCMP

Why Competitive Dialogue? • Allows the market to help shape the end result • Explore innovation • Improves understanding for both commissioners and providers of the final specification and contract • Explore costs and risks and work together to identify mitigating strategies • Gives opportunity to meet key partners and sub- contractors

Pre- Qualification Stage Mid May 2015 to Mid June 2015 • Light touch pre-qualification questionnaire • Looking at track record of experience in delivering similar services and financial standing • Pack of information including draft terms & conditions, evaluation model, draft specifications, data, TUPE and pensions information • Identify shortlist to take through to the next stage

Outline Solutions Stages 1 & 2 Stage 1 - Mid June to End July • Bidders will be asked to prepare a PowerPoint presentation demonstrating their understanding of our outcomes and outlining their proposed solution • Outline Solution v1 to be submitted 2 days prior to 1 hour formal presentation to panel • Panel will then feedback immediately following the presentation Stage 2 - End July to Early August • Bidders have an opportunity to refine the PowerPoint of their outline solution proposals • Panel will review and shortlist candidates to be invited through to the detailed solutions stage

Detailed Solutions Stages 1 & 2 Stage 1 - Mid August to Mid September • Bidders will be asked to prepare a detailed solution proposal which will include a fully developed and priced solution • Detailed Solution v1 to be submitted at least a week prior to telephone conference feedback from the panel Stage 2 - Mid September to Early October • Bidders have an opportunity to refine their detailed solution proposals prior to the dialogue stage • Detailed solution proposals to be submitted to panel one week prior to start of dialogue

Dialogue Stage Early October to Mid October • To be conducted on a one to one basis • All bidders will be treated equally in a non-discriminatory way • The panel will not reveal commercially confidential information between bidders but will work with all bidders to refine detailed solutions and costs • Make sure bidders & commissioners understand each other • Understand why the price is what it is • Understand what risks have been priced for and seek mitigation

Final Tender Stage End October to Mid November • Following closure of dialogue bidders will have time to complete proposed solutions for submission to the panel. • The detailed dialogue stage means this should only take a few days • There will be no preferred bidder stage as submitted final tenders should require no further discussion or negotiation

Key issues for Bidders to consider • Resource commitment • Working with commissioners to allow the model to develop and evolve with enhanced understanding • Leadership and decision-makers involvement • Open and frank dialogue • Focus on meeting the needs of Public Health Suffolk, understanding requirements, price and risk management

Healthy lifestyle tender timeline Market Provider Contract engagement engagement award event event Dec 2015 Nov 14 Mar 15 2014 2015 2016 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr Feb 2015 May 2015 Stakeholder Expressions April 2016 engagement New of interest posted service Evaluation of current services starts Needs assessment Service user questionnaires and focus groups Service specification development PQQ Outline Solutions Stages 1&2 Detailed Solutions Stages 1&2 Dialogue Final Tender Stage Mobilisation period

Healthy Lifestyle Service Questionnaire: Feedback • 690 residents of Suffolk completed the HLS questionnaire • 74% of respondents were male • 25% of respondents were females • The age of the respondents is shown in the figure below Completing this questionnaire on Are y e you? ou? behalf of a child (aged 15 and under) 16-18 19-25 26-40 41-59 60+ Prefer not to say