A Public Health England programme - All Our Health is a call to action for all healthcare professionals, individually and collectively, to close the health and wellbeing gap, contribute to a radical upgrade in prevention and public health and develop a social movement for health

1. All O R Health
ACall toAction toAll Healthcare Professionals
2016

2. All OUR Health (AOH) is a ‘Call to Action’ to healthcare professionals
(HCPs) individually and collectively, to contribute to the Five Year
Forward View’s (FYFV) call to: -
• close the health and wellbeing gap
• contribute to a radical upgrade in prevention and public health
• develop a social movement for health
What is theAll O R Health Programme? (1)
AOH provides an opportunity to
• Complement structural and large scale sustainability and transformation with
professional mobilisation
• Provide solutions to HCP’s concerns re developing ‘health promoting practice’
• Reduce time for adoption of preventative practice
• Promote engagement with practitioners, leaders and educators - changing
practice now and for the future

3. HCPs have identified some concerns/barriers
re developing and embedding ‘health
promoting practice’
• Difficulty in starting and holding ‘hard
conversations’
• Lack of confidence in own knowledge and the
lack of easy access to evidence
• Concerns re own health choices and effect on
credibility/perceptions as ‘poor role models’
• Views that health campaigns and professional
messages are often poorly coordinated,
making local action more difficult
• Perception that ‘value’ is not well articulated
and professionals are unable to measure
impact
• Time pressures
What is theAll O R Health Programme?(2)
All Our Health aims to address
these through
• Accessible evidence for
practice, resources and tools
• Metrics and outcomes
measures
• Education
• Alignment with and support
through other programmes
• Alignment with public facing
health campaigns
• Culture change and social
movement
• Building capability

4. • AOH programme is closely linked to the FYFV Triple Aim and
Right Care, PHE Health Matters, Making Every Contact Count,
lifecourse and ‘place based’ programmes.
• The ‘primary audience’ is health care professionals and their
teams
• The programme and topic guides are also relevant to a range
of people involved in prevention and population health
• It is based on the principle that all health care professionals
have opportunities and responsibilities (often as part of their
code of conduct) to have an impact on outcomes through
prevention at individual, community and population levels
• Work is in progress with a range of health and care
organisations and has involved nurses and midwives, AHPs,
dental, pharmacy and public health organisations
• It forms the prevention and population health stream of the
new National Nursing and Midwifery Framework (Leading
Change, Adding Value) focusing on Obesity and AMR
What is theAll O R Health Programme? (3)

5. • An AOH introduction and overview has been published on Gov.UK as a
beta test and remaining products are due for publication in June.
• It is also in pilot in some HEE regions/Universities as a model for
professional education.
• AOH, MECC and NHS Health Check teams are working together on
effective communication with HCPs using a range of channels/media
• AOH, MECC and PHE Marketing are working together to align public
campaigns with messaging to HCPs. The first ‘moment’ will be around One
You physical health in the Summer.
What is theAll O R Health Programme? (4)

6. AOH: currently published topics guides as shown below
All Our Health: about the
framework
Obesity - Children
Antimicrobial Resistance (AMR) Place
Falls Pressure Ulcers
Health Checks Sexual Health, Reproductive
Health and HIV
Obesity - Adults Tuberculosis

7. AOH: following topics to be published later in 2016
Alcohol Mental Health
Best Beginnings Physical Activity
Dementia Respiratory Disease
Homelessness Smoking and Tobacco
Learning Disability Early Adolescence
Liver Disease Workplace Health

8. A Call to Action Action by Action through Action on
All health care professionals are
a vital resource for health. Working
with patients, people and population
for our healthy society… preventing
illness, protecting health and
promoting wellbeing
• Increasing the visibility of health care
professionals in prevention and
population health and measuring impact
• Being a vibrant force for change and
building a ‘culture of health’ in our
society
• Working with people, families and
communities to equip them to make
informed choices and manage their own
health
• Making Every Contact Count
• Contributing to Place based services,
including Sustainability and
Transformation plans
• Taking Life Course approaches to
holistic prevention and care
• Responding to local population needs
and wider factors affecting health
and people’s ability to make healthy
life choices
• Supporting resilience and independence
• Wider determinants of health: social
factors, variation and inequality
• Health improvement: for people,
communities and workforce
• Health protection: protecting health
of communities and providing safe care
• Avoidable premature mortality:
prevention is a central part of health
care practice
Building on Relationships and Reach Impacting on indicators in the Public Health Outcomes Framework
Population
Community
Family
People
All HCPs
Primary and
community care
Public
Health
Improving the wider
determinants of health
Health improvement Health protection Healthcare public health
and preventing
premature mortality
• Homelessness • Best Beginnings
• Early Adolescence
• Smoking and tobacco
• Obesity
• Childhood obesity
• Alcohol
• Sexual Health
• Falls
• NHS Health Check
(Blood pressure)
• Physical activity
• AMR
• Tuberculosis
• Pressure ulcers
• Respiratory health
• Liver Disease
• Dementia
Supporting Health, Wellbeing and Resilience
Mental Health, Learning Disability, Workplace Health
Throughout Life Course
Best Beginnings, Supporting Adolescence, Dementia and Falls
Creating Healthy Places
Measured by Public Health Outcomes Framework:
• increased healthy life expectancy
• reduced differences in life expectancy and healthy life expectancy between communities
‘the model’

9. A Call to Action Action by Action through Action on
“All health care
professionals are
a vital resource for
health. Working
with patients, people
and population
for our healthy
society… preventing
illness, protecting
health and
promoting wellbeing”
• Increasing the
visibility of health
care professionals
in prevention,
population health
and measuring
impact
• Being a vibrant
force for change,
building a ‘culture of
health’ in our
society
• Working with
people, families and
communities to
equip them to make
informed choices
and manage their
health
• Making Every
Contact Count
• Contributing to Place
based services,
including
sustainability and
transformation plans
• Taking Lifecourse
approaches to
holistic prevention
and care
• Responding to local
population needs
and wider factors
affecting health
and people’s ability
to make healthy
life choices
• Supporting resilience
and independence
• Wider determinants
of health, social
factors, variation and
inequality
• Health improvement:
for people,
communities,
workforce
• Health protection:
protecting health
of communities and
safe care
• Avoidable premature
mortality: prevention
is a central part of
health care practice
All our Health is a ‘call toaction’tohealth care professionals
tomaximise their impact on improving health outcomes
and reducing inequalities.

10. Building on ‘Relationships and Reach’
Population
Community
Family
People
All HCPs
Primary and
community care
Public
Health
All healthcare
professionals have an
important population
health role when caring
for individuals and
families. For more
specialist public health
professionals their
relationships and reach
means their focus goes
beyond the individual, to
the community or
population.

11. Impacting on Health and Wellbeing Indicators
Improving the wider
determinants of
health
Health
improvement
Health protection Healthcare public
health and
preventing
premature mortality
• PLACE
• Homelessness
• Workplace Health
• Best Beginnings
• Early Adolescence
• Smoking and tobacco
• Obesity
• Childhood obesity
• Alcohol
• Sexual Health
• Falls
• NHS Health Check
(Blood pressure)
• Physical activity
• AMR
• Tuberculosis
• Pressure ulcers
• Respiratory health
• Liver Disease
• Dementia
Supporting Health, Wellbeing and Resilience
Mental Health, Learning Disability, Workplace Health
Throughout Life Course
Best beginnings, Early Adolescence, Dementia and Falls
Creating Healthy Places
Measured by Public Health Outcomes Framework and other relevant metrics :
• increased healthy life expectancy
• reduced differences in life expectancy and healthy life expectancy between
communities

12. Links toAll O R Health
Main Collection Page: https://www.gov.uk/government/collections/all-our-
health-personalised-care-and-population-health
Topic chapter links can be found from the main collection page
About the Framework: https://www.gov.uk/government/publications/all-our-
health-about-the-framework/all-our-health-about-the-framework
Place Based Services of Care:
https://www.gov.uk/government/publications/place-based-services-of-
care/placed-based-services-of-care