FACULTY OF PUBLIC HEALTH Committee of the FPH in Scotland Annual Conference

All attending and participating in the Conference are welcome

ANNUAL GENERAL MEETING

Thursday 1 November 2018: 17:30-18:30

Peebles Hydro - Regency Room

Webcast Link: Annual General Meeting

AGENDA 1. Welcome Julie Cavanagh 17:30

2. 2018 Overview PAPER IOverview of Progress of FPH in Scotland since November2017

Julie Cavanagh

3. Faculty of Public Health UKVerbal update from the FPH UK President

John Middleton 17:35

4. Minutes of AGM of 2017 (paper A) Julie Cavanagh 17:40

5. 1Annual Reports

5.1. Public Health Service Improvement Interest Group (PH SIIG) (Paper B)

Gordon McLaren & Brian O’Suilleabhain

5.2. Scottish Public Health Network (ScotPHN) (Paper C) Phil Mackie

5.3. Faculty Adviser & National Training Programme Director (Paper D)

Nigel Calvert & Cath Johnman

5.4. CPD Coordinator (PAPER E)

5.5. Scottish Public Health Registrar Group (PAPER F) Colin Sumpter

5.6. RCPE (PAPER G) Lorna Willocks

5.7. Faculty of Public Health - Health Protection Daniel Chandler

Julie Cavanagh

Committee (FPH HPC) PAPER J

5.8. Academy of Royal Medical Collages

5.9. CFPHS Advocacy Committee (PAPER H) Bea Von Weissman/ Rebecca Campbell

6. FPH CommunicationsPRESENTATION by Haidee ODonnell, Senior Media & PROfficer, Faculty of Public Health UK

Haidee ODonnell 18:00

7. Prizes and Awards

Littlejohn Gairdner Prize

Elizabeth Russell Prize

CFPHS Community Service Awards

CFPHS Committee Service Awards

Julie Cavanagh 18:20

8. Any Other Competent Business Julie Cavanagh 18:25

9. Date of 2019 Annual General Meeting Julie Cavanagh 18:30

PAPER I – CFPHS AGM 1 NOV 2018

FPH in Scotland Convenor Report

Overview of 2018

It has been very busy for all working in public health over the past year. The Scottish Government Public Health Reform process is proceeding at a fast pace. Our aim has been to engage with the process as fully as possible, to provide feedback through CFPHS representatives and to support discussion at our EGM and CFPHS meetings. John O Dowd, Louise Wilson and I have worked closely to ensure FPH always has representation at the PHR Oversight Board and the Programme Board. We have not been able to provide an FPH representative for each commission, but are relying on FPH members who are working on the commissions to provide feedback. At the EGM, we felt FPH input to the work of the specialist workforce Commission, and I am pleased that we have received our invitation to that Commission. Scottish Government has also published public health priorities which were endorsed by CFPHS following reassurances that Scottish Government also acknowledged the necessity of the health protection and healthcare public health functions. At our last AGM we reported on the launch of our Call to Action. Our advocacy group is continuing to take forward action on our advocacy priorities. I represent FPH at the Scottish Academy of Medical Royal Colleges. Over the past year the Academy has supported us in responding to Scottish Government on public health priorities, and has also agreed to support our call for health in all policies. We have also continues to provide expert advice on consultant/ DPH appointments through the External Adviser system. Scottish FPH members actively contribute to the work of FPH, through its committees, SIGs or working within Scotland as Faculty Advisers, examiners, and in many other roles; it is through this concerted joint effort that we can continue to develop as a professional organization with a strong voice in support of the health of people in Scotland. Dr Julie Cavanagh MBBS FFPH October 18

PAPER I – CFPHS AGM 1 NOV 2018

PAPER A – CFPHS AGM 1 NOV 2018

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Notes of the Annual General Meeting of The Committee of the Faculty of Public Health Scotland

Macdonald Aviemore Resort

Thursday 2 November 2017 at 17:15 Present:

CFPHS: Julie Cavanagh Convenor Rebecca Campbell Specialist Registrar Group representative Danny Chandler NHS Tayside (TC) Emilia Crighton NHS Greater Glasgow & Clyde Lucy Denvir Deputy Faculty Advisor (TC) Kirsty Licence NHS National Services Scotland Catherine Mackereth NHS Dumfries & Galloway Josie Murray Chair of Advocacy Sub-Group Josephine Pravinkumar NHS Lanarkshire Colin Sumpter Specialist Registrar Group Vice Chair Jenny Wares Specialty Registrar Group Chair Lorna Willocks RCPE Representative (TC) Maggie Watts NHS Western Isles Louise Wilson NHS Orkney (Deputy Convenor)

Guests: Marion Bain Scottish Government Simon Capewell FPH UK Chief Executive

Plus : 30 Faculty Members In Attendance: Jenna Stone Secretariat Apologies: Syed Ahmed Health Protection Scotland Hannah Austin ePortfolio Champion Nigel Calvert Faculty Advisor Dermot Gorman NHS Lothian Oliver Harding NHS Forth Valley Hazel Henderson CPD Coordinator Rob Henderson NHS Highland Ellie Hothersall Training Coordinator Colwyn Jones NHS National Services Scotland Gordon McLaren NHS Fife John O’Dowd CFPHS Deputy Convenor Gillian Penrice Deputy Faculty Advisor Brian O’Suilleabhain NHS Ayrshire & Arran Josephine Pravinkumar NHS Lanarkshire

PAPER A – CFPHS AGM 1 NOV 2018

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1. Welcome and 2017 Overview

The Convenor welcomed everyone to the AGM

The Convenor acknowledged the work undertaken by the Committee in 2017 on behalf of FPH Scotland, and highlighted work in professional education and standards.

The Convenor looked ahead to 2018 which included work on the Public Health Reform,. Public Health Ethics conference, continuing advocacy work, and to support the development of public health internationally.

The 2018 FPH Scotland Annual Conference in Peebles would concentrate on health as a human right.

The success of the Annual Conference generated a small surplus, which enabled the Committee to set up educational events.

2. Faculty of Public Health UK

The Convenor introduced Prof Simon Capewell, FPH UK Chief Executive.

The Convenor referred to the FPH UK letter circulated to FPH Scotland Members regarding incorporation of FPH Scotland.

Prof Capewell praised the work of FPH Scotland as the jewel in the crown for the UK.

3. Minutes of AGM of 27 October 2016

The 2016 AGM Minutes were noted.

4. Annual Reports

4.1. Convenor Paper Noted. No comments.

4.2. Public Health Service Improvement Interest Group Paper noted. No comments.

4.3. Scottish Public Health Network (ScotPHN) Paper noted. No comments

4.4. Faculty Advisor & National Training Programme Paper noted. No comments

4.5. CPD Coordinator Paper noted. No comments

4.6. Scottish Public Health Registrar Group Paper noted. No comments

4.7. Faculty of Public Health, Health Protection Committee Paper noted. No comments

4.8. Advocacy Sub Group Paper noted. No comments

4.9. RCPE Paper noted. Welcomed Lorna Willocks as deputy representative for RCPE.

5. Launch of CFPHS “Call to Action - Healthy Lives, Fairer Futures”

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The Convenor reported that the Advocacy Group had been formalised into a sub-Committee of CFPHS and introduced Josie Murray, the Advocacy Subgroup Chair.

Since the end of the Consultation in January 2017, over an extended period, the Subgroup had honed 84 priorities down to a final 8.

The Call to Action was formally launched on 20 September at RCPE with Simon Harvey the sponsoring SMP. There was also a successful media campaign.

The 8 priorities are : http://www.fph.org.uk/healthy_lives_fairer_futures

Ms Murray acknowledged the work of the Advocacy Sub-Group and sponsors.

From queries as to how the Call to Action would be used by the Committee going forward, the Convenor said that the Advocacy Sub-Group were seeking involvement from other subgroups to work collegiately. The Convenor encouraged Faculty Members to get involved locally

Ms Murray stated that the Call to Action would be reviewed over the next 5 years.

6. Public Health Reform in Scotland

The Convenor introduced Prof Marion Bain, NHS NSS Medical Director, who had recently been seconded to Scottish Government to Co-Chair the Executive Delivery Group for the Public Health Reform.

Prof Bain reported that the Oversight Board (“OB”) had held two meetings thus far, and noted that the Convenor also sat on the OB, and stated her role as Co Chair of the new Executive Delivery Group, together with Eibhlin McHugh

3 actions underpinned the PH Reform work : 1. Agreeing a system of public health priorities

Currently the OB was looking at criteria and evaluating priorities. 2. Formation of the new public health body.

The direction of travel had agreed - the new PH Body would involve Health Scotland, HPS and (in principle) also ISD.

The new PH Body would not be branded as an NHS organisation due to the need to work across the whole of the public sector.

3. Whole System approach to be adopted.

Prof Bain added that they were committed to work in partnership with Staffside, and other organisations.

The new PH Body would incorporate all 3 domains of public health.

7. Prizes and Awards

The Littlejohn Gairdner prize was awarded to Josie Murray for her hard work on advocacy and the Call to Action.

Elizabeth Russell Prize It had not been possible to award the prize due to the criteria not being met. Consideration would be given whether to review the qualifying criteria.

CFPHS Community Service Awards. It had not been possible to identify a community or voluntary organisation to receive an award for 2017.

CFPHS Committee Service Awards. A number of colleagues had received awards. o Emilia Crighton – for her role with the Royal Colleges in Glasgow, and

as the previous Convenor.

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o Andrew Carnan- for reviewing the Faculty exam regulations in order to refresh the Littlejohn Gairdner prize.

o Pip Farman – for work in the North of Scotland in relation to remote and rural communities, and assisting Faculty Members improve their management skills

o David Brewster – for his dedication and many contributions to publich health over the years, now retired from ISD.

8. Any Other Competent Business 9. Date of Next Meeting

The 2018 Annual General Meeting would be held at in Peebles on 1 November 2018. The meeting closed at 18:15

PAPER B – CFPHS AGM 1 NOV 2018

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Public Health Service Improvement Interest Group (PHSIIG) Annual Report from November 2017 to October 2018 The Public Heath SIIG is a network to enable sharing experience, knowledge and approaches for taking forward Service Improvement Public Health work in Scotland and to raise the profile of Service Improvement practice as a domain of specialist Public Health practice. It was set up in 2012 following a workshop about New Ways of working in Public Health specialist practice. Membership is open to all those working within Public Health Directorates, public heath staff working in service settings and academic groups and national agencies whose remit includes Service Improvement. The PHSIIG is chaired by one of the members of the Group – Gordon McLaren stepped down as co-chair in September 2018 and currently Brian O Suilleabhain, NHS Ayrshire and Arran and Hester Ward, ISD, alternate this role and organise the meetings with support from NHS Health Scotland for venues. There are currently around 50 members on the circulation list.

Summary The PH SIIG met as a group to discuss a wide range of service improvement issues over the year from November 2017. The group has continued to raise awareness of the wide range and activity in the realm of Service Improvement/health Care Public health. In particular the group has led or contributed to papers that describe the delivery of the service improvement public health function at regional and national level in the context of PH Reform. Also group members are directly inputting to the Improving Services Commission work on the healthcare public health function of the new National Public Health Body and its alignment with the regional and local healthcare public health function.

Meeting items and other major pieces of work carried out: December 2017 PHSIIG group members produced a thinkpiece paper about the healthcare public

health function of the National Public Health body on behalf of the Public Health

Reform team.

March 2018 Professor Marion Bain and other members of the Public Health Reform Team attended the first PHSIIG meeting of the year. They described the context and framework for Public Health reform and this led to a constructive discussion about how a national healthcare public health function could be aligned with the existing local functions in a mutually supportive way. Also Cathy Johnman, Professor Norman Waugh and David McAllister spoke about the academic Public Health role and the potential areas for future collaboration with colleagues that work in the area of healthcare public health.

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June 2018 A number of PHSIIG members attended a Scottish Faculty of Public Health EGM to discuss the ongoing Public Health Reform programme of work and the contribution that the Scottish FPH was making to this. The national PH priorities were endorsed by the Scottish FPH and PHSIIG colleagues found it helpful to consider how healthcare public health could be woven through the ongoing development and delivery of these priorities. September 2018 The second PHSIIG meeting of the year was quite broad-ranging in nature. The progress with the work of the Improving Services Commission (under PH Reform) was discussed and a formal PHSIIG response provided to the Commission leads. Helene Irvine presented some of her work on considering the contribution that healthcare makes to overall population health, and some of the challenges and caveats that come with any judgments made. Hannah Austin presented some of her work on behalf of ScotPHN on developing a prioritisation tool for the use of Health and Social Care Partnerships. Hannah shared the outputs of her preparatory/scoping work and the feedback from PHSIIG members will help with the progression of this piece of work. John O’Dowd described the ongoing evolution of the Public Health in Primary Care Network, which is developing its programme of work. New Co-chair of the PHSIIG In September 2018 Gordon McLaren stepped down as co-chair, after several years of setting up and driving forward the work of the PHSIIG, for which all PHSIIG members are very grateful. Hester Ward, Consultant at ISD will now co-chair the PHSIIG along with Brian O Suilleabhain, Consultant at NHS Ayrshire and Arran. Hester Ward, ISD Hester.ward@nhs.net

Brian O Suilleabhain, NHS Ayrshire and Arran Brian.OSuilleabhain@aapct.scot.nhs.uk

PAPER B – CFPHS AGM 1 NOV 2018

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Remit of Public Health Service Improvement Interest Group (PH SIIG): Purpose of the Interest Group The aims of the Public Heath SIIG are:

to improve health and social care services through Public Health work;

to share experience, knowledge and approaches for taking forward Service

Improvement Public Health work including early stage ideas;

to raise the profile of Service Improvement practice as a domain of Specialist Public Health Practice

to provide an informal network of those involved in Service Improvement; and provide a conduit to general advice on approaches to Service Improvement

practice and access to expertise across Scotland, as appropriate

to facilitate cross-Board collaborative work as appropriate Scope of the Interest Group The scope of the Public Heath SIIG shall include. Developing Public Health Service Improvement in Scotland by:

sharing approaches to particular Service Improvement topics and work;

developing clarity about the purpose of Service Improvement as a domain of Specialist Public Health Practice supported by examples of good practice;

sharing principles for selecting/prioritising topics for national, regional and local working; and

seeking opportunities for collaborative ways of working and undertaking adhoc pieces of work, where they are appropriate to deliver on needs evidence pathways.

population outcomes, and where there is interest within the Group in so doing;

facilitating networking to help identify individuals interested in contributing to national priority work areas.

Sharing examples of Service Improvement work through an online repository to avoid unnecessary duplication and allow benefit from each others’ work. Examples

of work and development of good practice in Service Improvement practice will also

be shared at meetings of the SIIG.

Learning about Service Improvement through CPD and peer review. Supporting each other – for example to help publish the results of our work Membership of the Interest Group

Membership of the SIIG will be open to all those working within Public Health Directorates, public heath staff working in service settings and academic groups and national agencies whose remit includes Service Improvement.

The SIIG will be chaired by one of the members of the Group.

A link Director of Public Health will also be a member of the SIIG.

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Frequency of meetings The work of the group will be taken forward through regular meetings – usually three times per year. Specific work may be progressed by members of the SIIG between meetings. Venues for meetings Venues will rotate according to wishes of Group members. Video/Teleconference facilities will be provided where possible. Reporting The PH SIIG will produce a brief annual summary of its activities which will be shared with members, Directors of Public Health, ScotPHN and other interested parties. Remit of the Group The remit and membership of the group will be reviewed every 24 months.

For further information about PH SIIG, contact: Hester Ward, ISD Hester.ward@nhs.net

Brian O Suilleabhain, NHS Ayrshire and Arran Brian.OSuilleabhain@aapct.scot.nhs.uk

PAPER C – CFPHS AGM 1 NOV 2018

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Scottish Public Health Network (ScotPHN) Report for the Committee of the Faculty of Public Health in Scotland (November 2017 – October 2018) Background The ScotPHN is open to everyone in Scotland who has a professional interest and significant involvement in the wider public health agenda including staff from the NHS, local authorities, academia and others. The ScotPHN is hosted by NHS Health Scotland and is accountable to the Scottish Directors of Public Health through an Executive Board and supported by a multi-organisational Advisory Group. Participation in the work of ScotPHN is centred round specific projects which will involve multiple organisations and disciplines. Anybody who wishes to be part of ScotPHN where appropriate may do so. The work programme is generated from the public health community in Scotland. The aims of ScotPHN are to:

Undertake prioritised national pieces of work where there is a clearly identified need;

Facilitate information exchange between public health practitioners, link with other networks and share learning;

Create effective communication amongst professionals and the public to allow efficient co-ordination of public health activity; and

Support and enhance the capabilities and functionality of the Scottish Directors of Public Health.

It is governed by an Executive and Advisory Board, currently chaired by Linda de Caestecker, DPH, NHS Greater Glasgow & Clyde. In addition, ScotPHN provides the secretariat to a number of public health leadership groups, public health special networks and supports a number of special interest groups. A full list can be found in Appendix 1. The current ScotPHN team comprises:

Phil Mackie, Lead Consultant (0.7 WTE)

Ann Conacher, ScotPHN Manager

Julie Arnot, ScotPHN Researcher

Gillian McCartney, Network Officer (A second Network Officer will start in

November 2018)

Ryan Hughes, ScotPHN Coordinator

Emma Scarlett, ScotPHN Coordinator (0.5 WTE)

Natalie Bowman, Modern Apprentice

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Completed Projects (November 2017 – October 2018):

Description Lead Author Published

Scope 3 emissions Joanna Teuton November

2017

SHIIAN Transportation Douglas MJ, Higgins M, Austin H, Armour G, Jepson R, Thomson H, Hurley F. Health and Transport: A Guide. Scottish Health and Inequalities Impact Assessment Network. 2018.

April 18

Engagement on PH Priorities Mackie, P, Austin, H, Sumpter, C, Molony, E

May 2018

Gender Identity Thomson, R May 18

Chronic Pain Mellor, R July 18 (Updated October 18)

Prioritisation Tools Austin, H July 18

Ophthalmology Johnman, C July 18

Shared Services – Public Health Programme

Mackie, P, Adil, M June 18

Gambling Arnot, J July 18

Suicide in Polish population in Scotland

NHS Lothian October 18

Injury Prevention Nish, L, Rossi M November 18

Current Projects:

Description Expected publication/end date

Leads/project sponsor

Long term conditions:

Palliative and End of Life Care -

Continued support to

implementation of a data plan

with Renfrewshire HSCP

December 2018

Phil Mackie, ScotPHN

Michelle Gillies, ScotPHN

David Gray, ACCORD

Hospice

Screening Implementation – national public health input to review of strategy

March 2019 Jennifer Darnborough & Tasmin Sommerfield, NHS Lanarkshire

Welfare Reform – Mitigation of

impact of WR

Health Literacy

March 2019 Kate Burton, NHS Lothian

Gambling Related Harm – on-

going dialogue with industry,

third sector, NHS and local

government

March 2019 Michelle Gillies, ScotPHN

Public Health Reform March 2019 Phil Mackie, ScotPHN

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Commission on Leadership for

Public Health Research,

Innovation and Applied

Evidence - Engagement

PH input to CPPs/IJBs December 2018 Julie Arnot, ScotPHN

Community Empowerment – support for the Act

June 2019 Emma Davies, NHS Grampian/Gabe Docherty, NHS Lnrkshr

Conclusion ScotPHN remains a highly effective part of the public health landscape in Scotland. However, it can only function through the continued support of all the public health colleagues who work with and through the network to support the health of Scotland’s people. Ann Conacher Phil Mackie October 2018

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Appendix 1 – Networks and Groups supported by ScotPHN

Leadership Groups:

Scottish Directors of Public Health o Leadership and Succession Planning o Advocacy

Consultants in Dental Public Health and Chief Administrative Dental Officers o Scotland and Northern Ireland Quality Improvement Group

Scottish Health Promotion Managers Networks:

Scottish Health and Inequality Impact Assessment Network

Scottish (Managed) Sustainable Health Network

Health Economics Network for Scotland Public Health Special Interest Groups:

Public Health Service Improvement Group o Primary Care Public Health

Scottish Public Health Obesity Special Interest Group

Violence Prevention

Pharmacy

Public Mental Health

Obesity Children Drugs

Alcohol (coming soon) Mortality Monitoring (coming soon)

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Training & Faculty 2018 Annual Report There are around 32 training places within the Scottish Public Health Specialty Training Programme. The programme nominally takes five years to complete, the first year of which is mainly spent at a university, acquiring a Masters in Public Health (MPH). People who have achieved such a degree prior to commencing training and who have also passed Part A of the Faculty exams may have their training time reduced by one year. Many registrars take longer than five years to train for reasons such as part-time working, maternity leave, or taking time out to study for a PhD or MD. In August this year the Public Health training moved to having a Lead Employer model, meaning registrars are paid by NHS Education Scotland (NES), with on call and other expenses reclaimed from Health Boards. The transition has gone relatively smoothly though some registrars with backgrounds other than medicine have experienced a disruption. A small number of registrars have remained employed by health board’s due to personal circumstances, and university-employed registrars are unaffected. Fees for MPH or equivalent education continue to be borne by NHS Board departments of Public Health. Training Programme Director After 3 very enjoyable years, Ellie Hothersall has stepped down as Training Programme Director, and has been succeeded by Cathy Johnman. Recruitment Recruitment of new registrars occurs at an all-UK level. Four new Registrars were recruited in 2018, and started in August (1 medical, 3 backgrounds other than medicine). There are likely to be three posts for August 2019, with the application process starting in November 2018. The posts are likely to be in 2 in Lothian and one in Glasgow. Post-CCT and Consultant posts By the end of 2018 all three Registrars who have achieved or will achieve their CCT this year have found permanent posts. Curriculum Currently no changes to the curriculum are expected. The eportfolio has finally be implemented and is functional. Quality assurance NHS Education Scotland carried out a “Quality Visit” for the national Public Health training programme on the 31st October 2017. This explored all aspects of training schemes including faculty development and facilities for trainees. The outcome of this visit was very positive with no significant issues identified. Our thanks to the trainers and registrars who gave their time to be part of such a successful day. GMC requirements for Educational and Clinical Supervisors – Recognition of Trainers

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Last year we reported: “All public health Registrars are required to have an educational supervisor who is recognised by the GMC as such (known as “Recognition of Trainers”). This process has been adopted across Scotland and is supervised and approved by NES under with some training from the “Faculty Development Alliance” (FDA). There continue to be some difficulties with Trainers with a background other than medicine and Trainers who are based in Boards with no Director of Medical Education, or who are outside Boards altogether being unable to gain access to FDA resources. This was also highlighted at the Quality Visit and will be investigated by NES.” The situation is at present unchanged and we continue to raise it with NES October 2018

Nigel Calvert, Faculty Advisor, Ellie Hothersall, outgoing Training Programme Director and Cathy Johnman, new National Training Programme Director Training Structure

PAPER E – CFPHS AGM – 1 NOV 2018

CPD Annual Report 2018 Faculty of Public Health Scotland – AGM – 1st November 2018 Figures for the audit of 2017/18 CPD returns for Scotland are:

Audited 47

Not submitted 3

Exempted 1

Unsatisfactory 5

Satisfactory 38

Scottish CPD Adviser Hazel Henderson retired from the role of Scottish CPD Adviser during the year, and the role is currently vacant. Nominations are welcomed. CPD, FPH UK 23 October 2018

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Committee of the FPH in Scotland AGM, November 2018 Report from the Scottish Public Health Registrars’ Group

The past year has been another busy and productive one for the Registrar group. Our main

activities in the fields of advocacy, leadership, research, educational development and our

everyday work are outlined below.

1. Acknowledgements

We would like to take the opportunity at the outset of this report to thank: all Educational,

Academic and Placement Supervisors; our outgoing Training Programme Director Ellie

Hothersall and incoming Training Programme Director Cathy Johnman; and everyone else

who has supported us in training this last year.

2. Activities

2.1 Placements

There are currently 26 Public Health Registrars in Scotland placed across the Health Boards

providing 22.5 whole time equivalent posts (due to less than full time training). These

registrars have contributed many hours of front line public health activity at Board and

national level in 2018. These have been across the learning outcomes and spheres of public

health. A further six Registrars are currently out of programme, four on maternity or paternity

leave, and two in research posts.

2.2 Public Health Advocacy

The Registrars continue to provide a significant contribution to the public health advocacy

work of the Faculty of Public Health in Scotland. Following the publication of the CFPHS call

to action, ‘Healthy Lives, Fairer Futures’ the advocacy group leadership has passed from

Josie Murray to Rebecca Campbell and Bea Von Wissman. A number of Registrars are

involved as leads on the priorities outlined in the advocacy manifesto.

Where relevant the Registrar Group has responded to consultations. In 2018 this has

included responses to the UKPHR regarding the portfolio route to registration; a consultation

on nutritional requirements for food and drink in schools, and the Government strategy ‘A

Healthier Future – Action and Ambitions on Diet, Activity and Healthy Weight’.

Equivalence continues to be an issue as more Registrars from non-medical backgrounds

enter the training scheme. Efforts have been made to advocate for equivalence in pay during

training and following CCT through both local and national routes but more remains to be

done on this issue.

2.3 Published research

A number of Registrars published their work in peer reviewed journals over the last 12

months. A selection of these publications is provided below.

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Kirolos, A., Waugh, C., Templeton, K. et al. Imported case of measles in a university setting

leading to an outbreak of measles in Edinburgh, Scotland from September to December

2016. Epidemiol Infect. 2018 Apr;146(6):741-746.

Thomson, RM., Niedzwiedz, CL., Katikireddi, SV. Trends in gender and socioeconomic

inequalities in mental health following the Great Recession and subsequent austerity

policies: a repeat cross-sectional analysis of the Health Surveys for England. BMJ Open.

2018 Aug 30;8(8):e022924.

Thomson, RM., Katikireddi, SV. Mental health and the jilted generation: Using age-period-

cohort analysis to assess differential trends in young people's mental health following the

Great Recession and austerity in England. Soc Sci Med. 2018 Oct; 214:133-143.

Emily J. Tweed, Mark Rodgers, Saket Priyadarshi and Emilia Crighton “Taking away the

chaos”: a health needs assessment for people who inject drugs in public places in Glasgow,

Scotland. BMC Public Health 201818:829

2.4 Public Health Leadership

Recognising the impact that public health reform will have on training and future careers

Registrars have worked hard to establish themselves as an important voice in shaping, but

also delivering, the aspirations of the public health reform agenda.

Since August 2017 there has been at least one registrar on placement with the Public Health

Reform Team of the Scottish Government. The public health priorities were developed as

part of a Registrar placement and the approach to implementation is now being developed

as another one.

Registrars have also been active on the Commissions set up to consider the development of

Public Health Scotland and the whole system response required to realise the ambition of

public health reform. We have managed to secure a place in the majority of Commissions

and are active and engaged in trying to make them as ambitious as possible. We will be

sharing learning across the Commissions from a Registrar perspective. Our aim is to ensure

the opportunity for improving public health is maximised and that the role of Registrars in

achieving that is recognised.

2.5 Education and Training

The group has continued to provide training support for junior registrars in the form of peer

learning in preparation for both the Part A and Part B exam.

The Part A knowledge and skills course was run from March to June for Registrars planning

to sit the exam in 2018. The course evaluated very positively with participants reporting it to

be well run and very useful for preparation. The course will run again next year with last

year’s participants acting as organisers. Excellent support was provided by ScotPHN in

terms of organising venues and speakers. We are also grateful for the support of a range of

Consultants who took time to support this course.

A full mock Part B exam was organised and held in December 2017. Six candidates

attended and received a real world experience of a Part B exam including a briefing from

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examiners and past candidates followed by six stations including two filmed stations.

Feedback helped them tailor their final preparations for their upcoming exam.

Support was again provided to new registrars through the ‘buddy’ scheme whereby all new

registrars are partnered with a more senior registrar, ideally within the same board where

possible, to provide additional support and advice where required.

In October 2018 we saw a change in Training Programme Director. Many thanks to outgoing

Director Ellie Hothersall, and welcome to our new Director, Cathy Johnman.

In August 2018 National Education Scotland took over from individual Boards as the ‘lead

employer’ for public health Registrars. Although this came as a surprise to many with little

awareness before the changeover began, Registrars and colleagues in NES worked hard to

ensure the handover was as smooth as possible. Some initial problems were experienced

but these are being dealt with as they arise and overall the move has gone smoothly.

Registrars have continued to promote public health as a career including discussing the

training scheme while staffing the Faculty of Public Health stall at the FPH Conference in

2017, answering informal queries received through TPD or other colleagues, providing

shadowing opportunities, making links and networking and attending careers fairs.

A number of training days have been held over the past year on topics including mental

health, new drugs and technologies and networking and influencing (jointly with Scottish

Clinical Leadership Fellows). Training days are usually dedicated to hot topics or areas of

the curriculum which registrars tend to find gaining experience more challenging. Planned

training days include healthcare public health and career planning.

Problems with the e-portfolio and curriculum change-over have been largely resolved and all

trainees are now on the electronic system and 2015 curriculum. This has made the

administrative aspects of training much simpler.

Finally Registrars have delivered undergraduate and postgraduate teaching across Scotland

to medical students and others on public health and related topics.

3. Training Progress

We have been pleased to welcome four new Registrars in August 2018 in Forth Valley,

Grampian, Highland and Tayside. Two are undertaking their MPH; two already have

completed prior to starting training.

Two registrars successfully gained their CCT in 2018 and a further 3 are expected to receive

their CCT in the next 12 months. Unfortunately one Registrar also left the programme

without CCTing to pursue an alternative opportunity in the GP training scheme.

2018 has been another successful year with respect to both the Part A and Part B

examinations of the Faculty of Public Health. 4 Registrars sat Part A in January 2018 with

one passing. 4 sat in June 2018 with 3 passes and 1 banked paper. In addition 6 Registrars

sat Part B in 2018 with 6 passes.

There are currently serious problems with applications to sit Part B with a backlog of

applications leading to long delays. The registrar group raised serious concerns with the

FPH regarding the backlog of applications for Part B leading to long delays. Despite the Part

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B exam process currently undergoing review, the Faculty have responded to these concerns

by agreeing to put on a fifth Part B sitting in 2019

4. Committees

Registrars sit on a number of committees to ensure training is considered in various forums

and that Scotland is well networked across the UK. In addition to the core committees listed

below Registrars have also contributed to committees on workforce, BMA, Unite special

interest groups and others.

Committee Registrar

representative(s)

2016/17

Update on committee

Registrar group Colin Sumpter Rebecca Campbell Catherine Jeffery

The group of volunteers coordinate Registrar community activities including training events, committee representation, social events, support and everything else as required.

Public Health Medicine Specialty Training Committee (STC)

Colin Sumpter Matthias Rohe Kalonde Kasengele

Three representatives of the Registrar Group attend the Specialty Training Committee. This group oversees the development and improvement of training in Scotland for all stakeholders.

Scottish Academy Trainee Doctors’ Group (SATAG)

Kate Smith Key issues for this cross-specialty trainee meeting in 2018 have been Shape of Training, credentialing, repercussions from Dr Bawa-Garba Case including the Leslie Hamilton Independent review and Reflective Practitioner Guidance, Realistic Medicine and Wellbeing.

Committee of the Faculty of Public Health in Scotland (CFPHS)

Rebecca Campbell Colin Sumpter

The Chair and Vice Chair of the Registrar Group sit on the Committee of the Faculty in Scotland and provide trainee perspectives on issues discussed.

UK Faculty of Public Health Specialty Registrars Committee (SRC)

Rachel Thomson Andrew Rideout

The Faculty of Public Health (FPH) Specialist Registrars Committee (SRC) is a formal subgroup of the FPH Education Committee. Its purpose is to represent the interests of specialty registrars in public health from across the UK, ensuring the views of registrars are heard at other FPH Committees.

Meetings in 2018 focused on concerns related to the new UKPHR portfolio route, changes to the application process for the Part B examination, and lack of equity in accessing opportunities and employment terms and conditions between trainees from medical and non-medical backgrounds.

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RCPE report for FPH Scotland AGM 1 Nov 2018 College Commitment to Public Health The college remains very committed to public health and health improvement. Examples of work over the last year include: Obesity World Obesity Day (11 October 2018). Press release with the key message that societal change is needed if we are to tackle the damaging health effects of poor diet and obesity; but it also highlighted the role that doctors can play. June 2018 Scottish Government delivery plan ‘A healthier Future: diet and healthy weight’ In response, RCPE call for supermarket promotions on healthy food. ‘Sugar tax’ April 2018. Press release for the sugar tax to be extended to smoothies, milkshakes and energy drinks Antimicrobial resistance Response to the House of Commons Health and Social Care Select Committee: Antimicrobial resistance inquiry; highlighting the importance of the broad “One Health” agenda, and noted ongoing challenges in acute hospital practice to control increased prescribing of antimicrobials. Support of the musical at the Edinburgh Festival highlighting antibiotic resistance – ‘The Mould that Changed the world’ http://mouldthatchangedtheworld.com/ Alcohol Minimum unit pricing! SHAAP (Scottish Health Action on alcohol problems) continues to be hosted at the College. SHAAP and the College have responded to a number of consultations on alcohol bills in Ireland and England and on update of The Licensing (Procedure) (Scotland) Regulations 2007 Public health reform Signatory to the publication of Scotland’s public health priorities RCPE are very keen to remain involved in continuing discussions on Public Health reform, especially on progress around all the commissions, and their work plans. RCPE supported the #DoNoHarm amendment to the EU (Withdrawal) Bill as a signatory College News The new conference centre is due to be reopened shortly after a major refurbishment. This refurbishment also allows for much improved accessibility to the College Symposia The College held a very successful Global Health symposium on 21 Feb 2018 with 2 sessions on vaccinology, one on syndemics and one on planetary health https://www.rcpe.ac.uk/events October 2018 Mark Krose RCPE Representative

Lorna Willocks RCPE Deputy Representative

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Committee of the Faculty of Public Health in Scotland Advocacy Subgroup Annual Report 2018 Background At the CFPHS EGM in March 2016 it was suggested that the FPH manifesto for Westminster be adapted for the Scottish Parliamentary election. To support this work a short life working group was formed. This was subsequently ratified by the CFPHS as a standing advocacy subgroup. The Call to Action: Healthy Lives, Fairer Futures was launched in September 2017. The Advocacy group meets bi-monthly and reports to the CFPHS. Work to date To benefit from the publicity achieved through the launch, and to maintain momentum for advocacy capacity building, Healthy Lives, Fairer Futures was promoted at the Scottish Faculty of Public Health Conference. It gained a lot of attention and support, not least through the Littlejohn Gairdner Prize, which was awarded to Josie Murray, in recognition of her work on the Call to Action (and the associated plenary lecture given by Josie). The following five topic groups have since been formed and respective topic leads identified, to support advocacy in line with the manifesto priorities: Group 1 - Health in all Policies - Julie Cavanagh and Margaret Douglas Group 2 - Tax, Welfare Reform Income - Gerry McCartney Group 3 - Child Poverty, ACEs - Tamasin Knight Group 4 - Mental Health & Community Empowerment - Rachel Thomson Group 5 - Active Travel, Transport and Planning - Millie Stevenson and Colin Sumpter Each group has mapped the stakeholders relevant to the respective manifesto priorities, and continue to build closer relationships as well as seeking representation of the FPH on relevant for a and establishing the FPH as a go-to partner for advocacy, as a respected expert voice on these topic areas. Some of the recent examples of work progressed by the advocacy subgroup and the topic groups include:

- a statement on the position of the FPH in Scotland on Basic Citizens Income (statement has been agreed by the CFPHS, release pending)

- an open letter stating the support of the FPH in Scotland for the Restricted Roads (20mph Limit) (Scotland) Bill which sets out measures to reduce the speed limit from 30mph to 20mph on restricted roads within built up areas (which was picked up by the Herald),

- the 2018 CFPHS community awards, to recognise the work done by other organisations and agencies to further causes in line with the Call to Action (nominations have been received and the award will be presented at the annual FPH conference)

- representation at the children’s and young people cross-party group.

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Future plans The focus for the coming year is to identify areas where the FPH’s voice can add support or strength to promote the health of people in Scotland. The various groups will continue to identify opportunities to link with partner organisations to support initiatives that link with the Healthy Lives, Fairer Futures’ priorities. Another Advocacy study day is planned for early 2019 to continue to develop capacity and skills within Scotland. In addition, a half day workshop will be held in December 2018 on Health in all policies, to explore how this could work and look in a Scottish context. October 2018 Co -Chairs of the CFPHS Advocacy Subgroup Rebecca Campbell rebecca.campbell@lanarkshire.scot.nhs.uk and Beatrix Wissmann beatrix.vonwissmann@nhs.net

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Faculty of Public Health - Health Protection Committee (HPC) Report for the Committee of the FPH in Scotland AGM, 1st November 2018 The HPC was established to provide strategic guidance and oversight in relation to the delivery of national, regional and local health protection services for the control of communicable diseases, biological, chemical and other environmental hazards, emergency planning and preparedness, and the effects of climate change. The HPC acts as a source of expert knowledge and advice on health protection policies and issues for the Faculty’s membership, as well as for external stakeholders and partners, and the public. Its role includes horizon-scanning and monitoring and reporting on findings/issues arising, in support of delivery of the Faculty’s strategic objectives. The HPC aims to promote high standards in all public health aspects of health protection, including training, examinations, continuing professional development, and annual appraisal and re-validation. It has subsidiary special interest groups on education and training, human and animal health, and sexual and reproductive health. The strategic work-plan of the HPC remained unchanged in the last year, and focuses on three primary objectives: Brexit and its implications; workforce development; and Public Health funding – linking into the wider Faculty policy and advocacy agenda. The HPC also plans to increase engagement with the membership by working with Special Interest Groups, publishing articles in PH Today, exploring direct communication methods such as podcasts for consultation, awareness and CPD, and ensuring it is represented and visible at Faculty forums and events. The HPC has met twice in the past year, on 21 January and 16 April 2018. Key actions have included supporting development and adoption of a Guide to regional training placements and registrar experiences in Health Protection, to aid registrars in identifying opportunities for enhanced training in health protection across the different training regions in the UK. In conjunction, it was recommended that TPDs and the wider professional community work to ensure registrars are consistently supported to undertake health protection placements (in addition to initial 3-4 month attachments) as part of their training. The HPC’S meetings in 2018 explored potential impacts of Brexit in relation to health protection, including healthy trade agreements and relationships between UK authorities and ECDC, and members actively promoted and participated in the Faculty’s campaign on the Do No Harm amendment to the EU (Withdrawal) Bill. The committee also received general updates on the Faculty’s broader workstreams, including UK-wide discussions on workforce and credentialing. Just prior to the April meeting, it was indicated that the Faculty would cease providing administrative support to the HPC, and the committee would need to organise its own administration thereafter. Additionally, the HPC’s leadership has since March been tied up with leading the national public health response to the events in Salisbury/Amesbury. As a consequence, the HPC has been unable to meet since April. Announcement of a forthcoming meeting date is awaited. Daniel Chandler 30 October 2018