celebration event world health organization collaborating ... · cyp and families: a life course...

Celebration Event

World Health Organization Collaborating Centre for Public Health Nursing and

Midwifery at Public Health England’s Chief Nurse Directorate

12 May 2017

#WHOCC2017 #IND2017

Welcome and introductions

Duncan Selbie, Chief Executive, Public Health England

Introductory video from Duncan Selbie: https://youtu.be/4kUuTDefWJs

Viv Bennett, Chief Nurse and Head of World Health

Organization Collaborating Centre for Public Health Nursing and Midwifery, Public Health England

#WHOCC2017 #IND2017

https://youtu.be/4kUuTDefWJs

https://youtu.be/4kUuTDefWJs

Working as a WHO Collaborating Centre

Neil Squires, Director of Global Public Health, Public Health England

#WHOCC2017 #IND2017

PHE CND WHO Collaborating Centre

for Public Health Nursing and Midwifery

Viv Bennett, Chief Nurse and Head of World Health

Organization Collaborating Centre for Public Health

Nursing and Midwifery, Public Health England #WHOCC2017 #IND2017

United Nations Sustainable Development Goals

15.6 million

deaths

averted with

measles

vaccines

since 2000

Maternal

mortality has

fallen by

almost 50%

since 1990

Children born

into poverty

nearly twice

as likely to

die before

5yrs than

those from

wealthier

families

Only ½ of

women in

developing

regions

receive

recommended

amount of

health care

they need

Challe

nges Pro

gre

ss

Nurses and midwives - A vital resource for the ambitions to

• Reduce global maternal mortality ratio to <70 per100,000 live births

• End preventable deaths of newborns & children under 5 years of age in all countries

• End epidemics of AIDS, tuberculosis, malaria & neglected tropical diseases &

combat hepatitis, water-borne diseases & other communicable diseases

• Reduce non-communicable disease premature mortality by a third through

prevention and treatment

• Promote mental health and well-being

• Ensure universal access to sexual & reproductive health-care services

• Strengthen prevention & treatment of substance abuse

• Achieve universal health coverage

United Nations Sustainable Development

Goals (2030)

International

Council of Nurses /

International

Council of Midwives

Nursing and

midwifery as a

force for health

and change

International call to action for nurses and midwives

WHO Europe

Health 2020

Strategic

Directions

Nurses and

midwives – a

vital resource

for health

UK and Republic of Ireland

Caring for the public’s health

Making the vital resource visible

Embedding and extending the contribution of

nurses and midwives

Nurses and midwives : A vital resource for health

8 Longer Lives

WHO Public Health Nursing and Midwifery Collaborating

Centre

9

Chief Nurse Directorate

Designated first WHO

Collaborating Centre for

Public Health Nursing and

Midwifery

Nov 2016

Supporting prevention of

avoidable illness, protecting

health, promoting wellbeing

and resilience

Terms of Reference

• To support WHO by generating evidence and defining frameworks of practice for

nurses and midwives which prevent avoidable illness, protect health and promote

wellbeing and resilience.

• To support WHO by providing information about the nurses’ (including health

visitors) and midwives’ role and impact on maternal and child health.

• On request of WHO provide policy advice and technical assistance about public

health nursing and midwifery to the Regional Office and Member States.

Next Steps

• Sign off detailed action plans with WHO

• Provide technical advice (ongoing)

• Complete establishment of academic friends network

• Develop strategic partners network (including other ALBs, devolved

administrations, expert and representative bodies) and governance

• Build on models currently being developed (including LCAV, AOH

and Best Start) with focus on nursing and midwifery interventions

• Build collaboration with other WHO centres for nursing and

midwifery within PHE, within UK (Glasgow Caledonian University,

Cardiff University) and with Europe and internationally

• Support PHE global programmes for health improvement

Longer Lives

Longr Lives 13 PHE CND WHO Collaborating Centre for Public Health Nursing and Midwifery #WHOCC2017 #IND2017

All Our Health

https://prezi.com/vv3l_acvqhxl/chief-nurse-

summit-jamie-waterall/

Jamie Waterall, Associate Deputy Chief

Nurse, Public Health England

#WHOCC2017 #IND2017

https://prezi.com/vv3l_acvqhxl/chief-nurse-summit-jamie-waterall/









Nursing and midwifery

leadership in infection

prevention and control

The AMR conundrum

Joanne Bosanquet MBE, Deputy Chief Nurse, Public Health England

Ruth May, Executive Director of Nursing, Deputy Chief Nursing Officer for England and National Director for Infection Prevention and Control,

NHS Improvement

#WHOCC2017 #IND2017

16 Nursing and midwifery leadership in infection prevention and control: The AMR conundrum #WHOCC2017 #IND2017

Antimicrobial resistance & stewardship AMR is on the Government

risk register

Public health emergency

World-wide efforts required

Focus on prevention:

> need to vaccinate

> need for IPC

AMR causes:

Increased mortality

Longer hospital stay

Longer illnesses

Multiple morbidities

Loss of protection for

surgery & procedures

Economic effects (loss of

productivity)


Global AMR objectives

• Objective 1 - Improve awareness & understanding of AMR through effective communication, education, training.

• Objective 2 - Strengthen the knowledge & evidence base through surveillance & research

• Objective 3 - Reduce the incidence of infection through effective sanitation, hygiene & infection prevention measures


IPC is everyone’s business!


Nursing and midwifery

leadership in infection

prevention and control

The AMR conundrum

Joanne Bosanquet MBE, Deputy Chief Nurse, Public Health England

Ruth May, Executive Director of Nursing, Deputy Chief Nursing Officer for England and National Director for Infection Prevention and Control,

NHS Improvement

#WHOCC2017 #IND2017

To reduce Healthcare Associated Gram negative

Bloodstream Infections by 50% by March 2021

To achieve this ambition NHSI, PHE, NHSE and HEE will

need to work together to support healthcare

organisations (NHS and independent providers) across

the whole system

reduce health care associated gram negative blood stream

infections. There is also an important role for PHE to

raise public awareness around prevention of GNBSI.

The Ambition



0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

Nu

mb

er

of

gra

m-n

eg

ati

ve b

loo

d s

tream

in

fecti

on

s

All - actual

All - trajectory

Healthcare associated - all

Healthcare associated - trajectory

Healthcare associated - target

Hospital onset - actual

Hospital onset - trajectoryHospital – post 48 hours - trajectory

We w track performance against the 50% reduction target

All profiles highly indicative. Data is unaudited. Definition of ‘healthcare associated’ is

currently a proxy. Based on mandatory data for E.coli and voluntary data for Klebsiella and

Pseudomonas. 2016/17 data is an estimate

The Current situation

- Estimated data for 16/17 suggests around 60% of all gram-

negative infections are ‘healthcare associated’ (proxy

definition).

- This same data indicates just over half of ‘healthcare

associated’ gram-negative infections have an onset outside of

hospital.

- This supports the need to focus interventions across the health

and social care sector : a key challenge.

- We are developing an approach that is focused on health

economies working together with PHE and NHS England to

support improvement.

- We have stratified CCGs / providers and are using this to

focus initial interventions and support.


The Current situation

We are developing the long-term plan to drive reductions towards the 50%

target

• We will develop and publish the technical definition of ‘healthcare

associated’ Gram-negative Blood stream infections.

• We plan to write again shortly to providers and CCGs to ensure plans for

reducing gram negative infections are embedded into their existing IPC work

programmes and ensure they are working across their local health

economies, key to meeting the ambition.

The improvement resources to support organisations have been published

on our website

• Co-branded with system partners, this will be an iterative process and

expanded to include the wider health and social care sector.

• We aim to test the Improvement resource with health economies and this will

inform its ongoing development.

Funding has been agreed by NHSI for 2017-18 to further develop the support

package for CCGs

• This will initially focus on supporting the 10% reductions in E.coli in year one.

• We will be recruiting staff to support programme delivery 2017-18.

Achievement relies on national and local system leadership

25: Nursing and midwifery leadership in infection prevention and control: The AMR conundrum #WHOCC2017 #IND2017

Next actions

Best Start in Life

Wendy Nicholson

National Lead Nurse, Children, young people and

families and Deputy Head of World Health

Organization Collaborating Centre for Public

Health Nursing and Midwifery, Public Health

England

#WHOCC2017 #IND2017

CYP and Families: a life course approach

Public Health Nursing and Midwifery

Marmot 2010, Fair Society,

Healthy Lives: The Marmot Review

27 Best Start in Life #WHOCC2017 #IND2017

The first years of life are a critical opportunity

for building healthy, resilient and capable

children, young people and adults

Our Children Deserve Better: Prevention Pays* CMO 2012

“events that occur in early life (indeed in foetal life) affect health and wellbeing later, it makes sense to

intervene early”

“the evidence still points to room for improvement. We need everyone in the public services to ‘think

family and children and young people’ at every interaction”

A harder journey for some

The first 1001 days from Conception to age two is widely recognised as a crucial period that will have an impact and influence on the rest of the child’s life. Midwives and health visitors are the primary support services during this time but may also involve other health or social care professionals as required.

Support across the life course is essential – particularly during key developmental stages transition and points in a child’s life. School nurses are the primary support services during this period – working in partnership with schools and wider health, social care or youth services.


Best Start in Life and Beyond……

• Evidence for prevention and early

Intervention

• National support for local leadership

(PLACE)

• Parent/public information

• Reducing inequalities

• Increase breastfeeding

• Improve oral health

• Support development of speech,

language and communication

• Reduce injury from accidents

• Improving health

• Health pregnancy

• Childhood obesity

• Maternal and childhood mental health

• Increasing immunisation


Tackling inequalities – prevention matters


Access to early help

at times when

children, young

people and families

need it most.

Transformed Services – Evidence

Based Practice

31 Best Start in Life 31 Best Start in Life #WHOCC2017 #IND2017

Translating evidence into practice

• Public Health nurses, midwives and other professionals using evidence to

deliver effective early intervention for children, young people and families

• This will enable both high quality care and reduced long term health and social

costs.

• Shifting Health Promoting Practice to shift balance towards Prevention and

Public Health, to improve health.

• Working in partnership with partners, local communities and individuals to

improve health and wellbeing


https://www.google.co.uk/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiXwfyZuOzRAhWKORoKHfG3DkkQjRwIBw&url=https://vivbennett.blog.gov.uk/2016/11/14/public-health-nursing-and-protecting-health-an-historical-look-back-by-helen-donovan/&bvm=bv.145822982,d.ZGg&psig=AFQjCNFiFLCyg6LXhL4vCkXkyjQYre4Ihg&ust=1485954003298091

Learning and sharing – tools to enhance delivery

• Gathering and disseminating evidence – eg case studies, local practice examples

• Developing our technical adviser and expert network

• Collaborating with the academic friends network

• Working with our strategic partners network (including other ALBs, devolved administrations, expert and representative bodies)

• Building on models currently being developed (AOH and Best Start) with focus on nursing and midwifery interventions

• Build collaboration with other WHO centres within PHE, with UK Centres, with WHO Europe for nursing and midwifery and internationally for specialist programmes


https://www.google.co.uk/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiXwfyZuOzRAhWKORoKHfG3DkkQjRwIBw&url=https://vivbennett.blog.gov.uk/2016/11/14/public-health-nursing-and-protecting-health-an-historical-look-back-by-helen-donovan/&bvm=bv.145822982,d.ZGg&psig=AFQjCNFiFLCyg6LXhL4vCkXkyjQYre4Ihg&ust=1485954003298091

Positive places for children, young

people and families

• ‘Getting it right for children’s services’ using all local resource public

health, Children’s Centres, early years, schools, wider family

services……

• One ‘Healthy Child Programme 0-19’

• Improved communication between children’s services and primary

care

• Improved integration of services - access and experience for

families .. ‘one stop shop’ e.g. integrated 2 year review

• Improved communication for families with complex needs and in

safeguarding

• Improved inter-professional working with joint training improving

continuity and communication for families

Getting it Right in Early Years 34 Best Start in Life #WHOCC2017 #IND2017

Success will mean …..

Getting it Right in Early Years 35 Best Start in Life #WHOCC2017 #IND2017

Add ready for life slide


Public health contribution of nurses and

midwives: Guidance

@WendyJNicholson

[email protected]

https://www.gov.uk/government/collections/developing-the-public-health-contribution-of-nurses-and-midwives-tools-and-models



mailto:[email protected]

Rita Newland

Nurse Advisor, Research, Public

Health England

#WHOCC2017 #IND2017

Academic Partners

PHE Nursing and Midwifery

Academic Network

>50 INDIVDUALS

>30 HEIs

PHE NETWORKS

38 Academic partners #WHOCC2017 #IND2017

Proposed Structure

1. Hub and Spoke structure

2. Virtual meetings during the year

3. One annual face-to-face meeting


Philosophy and Purpose

• Application of evidence into practice

• Cooperation, collaboration and partnership working

• Community of like-minded experts

• Reciprocal relationships and networking opportunities


Work plan/ activity

• Scope the evidence relating to public health nursing and

midwifery

• Strategies to enhance the application of evidence into

practice (All our Health pilots)

• Contribute to the delivery of the WHO CC work plan

(terms of reference 1-3)


Future Aspirations

• Offer experiential learning opportunities (Students

undertaking research degrees)

• Explore opportunities to link with existing networks e.g.

NIHR

• Contribute to the body of evidence in the UK and Europe

(public health nursing and midwifery)


• Membership enquiries to: Rita Newland, nurse advisor

Research

• [email protected]


mailto:[email protected]

Close and Summary

Viv Bennett, Chief Nurse and Head of World Health Organization Collaborating Centre for Public Health Nursing and Midwifery, Public

Health England

#WHOCC2017 #IND2017

celebration event world health organization collaborating ... · cyp and families: a life course...

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