Scottish Health Promotion Manager S Group s1

Scottish Health Promotion Managers Note of meeting held on 15 August 2017 NHS Health Scotland, Meridian Court, Glasgow

Present Anna Baxendale (AB), Head of Health Improvement & Health Inequalities NHS GG&C (Chair) Moyra Burns (MB), Health Promotion Manager, NHS Lothian Cathy Steer (CS), Head of Health Improvement, NHS Highland Catherine Mackereth (CM), NHS Dumfries and Galloway Elaine Young (EY), Asst Director of Public Health, NHS Ayrshire & Arran Lesley Marley (LM), Directorate Manager, Public Health, NHS Tayside (v/c) Hazel Meechan (HM), Public Health Specialist, NHS Forth Valley Heather Cunningham (HC), Health Promotion Manager, NHS GG&C (AM only) Linda Smith (LS), Public Health Lead, NHS Grampian Carol Stewart (CS), Health Improvement Manager NHS Orkney (v/c) Maria Reid (MR), Asst Health Promotion Manager, NHS Lanarkshire Chris Littlejohn (CL), Head of Health Promotion, Grampian

Apologies Ann Conacher (AC), ScotPHN Manager Colin Gilmour (CG), Head of Health Improvement, Western Isles Allyson McCollam (AMcC), Associate Director of Public Health, NHS Borders Pauline Craig (PC), NHS Health Scotland Matt Lowther (ML), NHS Health Scotland Elizabeth Robinson (ER), Head of Health Promotion, Shetland Johnny Keenan (JK), Head of Health Improvement, NHS Forth Valley Ruth Bennett (RB), Head of Health Promotion, NHS Fife Guests Margaret Douglas, NHS Lothian Kerry McKenzie, NHS Health Scotland Ashleigh Oates, NHS Health Scotland Fiona MacDonald, NHS Health Scotland Clare Black, NHS Ayrshire & Arran Notes Gillian McCartney (GMcC), Network Officer, ScotPHN

Action 1. Welcome, introductions and apologies

 AB provided apologies and introductions were made

2. Note from previous meeting (13/06/17) - Agreed Matters Arising Loneliness – Next steps from ScotPHN work and check if the Scottish Government report has been published Fire & Rescue – EY updated that the fire & rescue service are working with the third sector. EY will circulate the evaluation survey for information. AB suggested inviting them to a future meeting.

1 Community Justice – liaise with Phil Mackie and get an update from Graham Foster – Action - GMcC to update AB Community Link workers – Clarity required. KB will attend a future meeting once she has more information. MR advised that she has been asked to join a TC meeting with the chief officers and will feedback in due course. HWL – CL and CG have agreed to liaise on this. PH Priorities – AB is maintaining contact with Robert Skey. She has concerns around engagement. Realistic Medicine/HPHS – Can the HPHS network pick this up and provide case studies? EY will ask at the next meeting of the network. AB asked for AB, EY and CS requested sight of any realistic medicine papers available? GMcC agreed to circulate these. LM agreed to share information from NHS Tayside. SDsPH Note Driver Diagram – AB has started to scope work regarding PH teams. This will be discussed at the next meeting once there has been input from the SDsPH. AB also requested updates from SDsPH meetings. Pregnancy & Young People – MR will ask Kerry Todd, NHS Lanarkshire to feed in as and when necessary. Diet and Obesity – How do we engage with this? SHPM are being asked to make this work at local level i.e. getting it into local planning etc. EY advised that she has a TC with Melanie Weldon at Scottish Government and will feedback. GMcC added that ScotPHN have been asked to facilitate the engagement events with Drew Walker as DPH lead. These events will be around late November, December 2017. More details will be circulated in due course. Folate – AB asked GMcC to circulate information when available. Alcohol Focus Scotland – Would it be useful to have Alison Douglas along to a future meeting. This was supported. A discussion followed around ADPs and the Alcohol Special Interest Group. AB will liaise with Maggie Watts around the remit. 3. Guest – Margaret Douglas, NHS Lothian – SHIIAN presentation on health in all policies.

HiAP and HIA SHIIAN Aug17.ppt 3.1 MD discussed the background around health in all policies, health impact assessments (HIA), the Scottish Health and Inequalities Impact Assessment Network (SHIIAN) and their past and current work and what would be useful for people. If we think about what has had the biggest impact on people’s health it is broader than the kind of things we traditionally work on in health improvement and public health. The question is how do we influence these policies that make the biggest difference to people’s lives. SHIIAN often gets involved in various projects and also works to advocate and influence people in other areas. What can be done to add to policy areas and is better for health. HIA’s are an important part of the process. They are an established recognised approach and there is lots of guidance and advice available. It is a good way of involving people to make decisions. Various guides have been produced and are available

on the ScotPHN website. A discussion followed on HIA’s and how they relate to policy issues locally. AB asked MD how to position this i.e. at national level or as a tool that can be adapted for local policy development? MD stated that it was both, she would like to see more of a push at national level and it is also something that can be done locally. Getting into the planning process at the right time is important. AB referred to the national housing HIA guide and asked if there is an opportunity to capitalise a focus in a more local way? MD advised that she has meetings with the leads of all the local housing strategies (Lothian or national?) and it is one of the ways in to local policy making. AB then stated that if there was some common approach in different areas then it would build a body of momentum but would it then have an impact on the workforce? Are we skilled enough to work with our partners around a formal process? MD stated that HIA shouldn’t be specialist and it may be the policy area which is more complicated and more work around HIA can help with this and be part of the ongoing conversation. Discussion followed particularly around the different assessment tools. MD added that national guidance could be applied locally. CM agreed to share NHS D&G Integrated Impact assessment tool. MR also added that NHS Lanarkshire is using HIA in their commissioning process. AB felt that doing this in so many different ways means we don’t see any commonality. MD stated that SHIIAN are happy to run training sessions and is happy to come and run a workshop locally. Johnny Keenan is on the SHIIAN Steering Group and MD welcomed other members of the SHPM. LS volunteered to join the group. AB also added that the SHPM would;  Consider further workforce development  Consider local opportunities  Share the different impact assessment tools  Consider HIA in local responses to the social economic duty consultation

4. Guests – Kerry McKenzie and Ashleigh Oates (NHS Health Scotland) – Mapping of Maternity and Health Visitor Services 4.1 KMacK and AO thanked the SHPM for their support with this work. The papers circulated are a snapshot in time and highlights areas of good practice. Contact was established with all NHS Boards but the responses were mixed which indicates a mixed landscape. AO went through the paper and the findings. There is potential areas for development in a local policy context, the mapping can be used to influence this. Good partnerships are deemed to be the catalyst for the strategic implementation of pathways. The role and responsibilities of the boards is documented as facilitation and leadership which would enable greater accountability and effectiveness and also critical to success. Further discussion followed on the paper. The board summaries will accompany this paper once they are signed off. It was felt that this had been very helpful and would help to inform local work. AB asked how we would share information with regards to the workforce, sharing tools would be useful. KMacK added that the Child Poverty Bill is a potential political driver as one of the amendments is pertinent to this area

3 and the Social Security Bill will have a requirement around a right to access and information. AB stated that a lot could be done with little support. There may not be funding in some areas and it is useful to highlight more about financial support. In summary the SHPM will feedback to AO and KMacK by 25 August on;  Additions to the summary  Points of accuracy  Share local comments  What next? Once finalised the report will be signed off by the SHPM and will be shared with colleagues, in particular the SDsPH group. Finally, KMacK added that NHS Health Scotland have the capacity to support the actions and lead on a Scotland wide basis. Action: SHPM to feedback further comments by 25 August 2017 ALL 5. Guests – Fiona McDonald and Clare Black (NHS Health Scotland) – Workforce 5.1 – 5.6 Various papers were circulated in advance and the discussion focussed around these. The papers cover everything that has happened regarding practitioner registration to date. What are the next steps? It is proposed that there is a minimum standard for the practitioner workforce → a logic model for health improvement and for the SHPM group to provide overall strategic leadership. The workforce will be supported by a suite of tools e.g. eKSF, self-assessment tools, knowledge frameworks and public health standards. The plan is to move forward with a 4th cohort and in tandem explore a working solution, locally and nationally. It was requested that a NHS board who hasn’t previously been involved will work with FMcD and CB. The group were also asked to recommend workforce champions in their areas. AB asked if a national approach can be adopted. Discussion followed around the tools and reflective practice which was a positive way forward and could be developed through the workforce development group. It is no longer a pilot project and it is now the time to allow for a national scheme with the need to share resources. It was suggested that there would be a champion in each board but a coordinator on a regional basis. The arrangements, roles and remits would need to be agreed. The following was also discussed;  Liaise with NoSPHN regarding a representative for the North  Financial contributions – cost per head offset against UKPHR costs  SHPM support  Make it a Scotland scheme before cohort 4  Caveat – readiness – application process tightened for any future cohort  Feed in names for assessor training  CB will take the actions to the coordinators meeting

6. Lunch 7. Business Items 7.1 Scottish Welfare Reform – report for information 7.2 PH reform update – Paper was circulated. This is the product from the Public Health Review Oversight Board (PHROB) session. Discussion

followed. How can the SHPM engage at a more national basis? There are various discussions being had. Things aren’t clear at the moment but it is envisaged that the PHROB will have some influence over the engagement process. With regards the CoSLA boards AB asked CL if it had been discussed there. CL advised that there haven’t been any meetings over the summer. However, as far as we are aware there is work going on. PM is drafting a paper and GMcC will send to AB and CL when it is available. 7.3 SHPM Priorities/Local priorities – AB welcomed thoughts on the papers circulated. Discussion followed and AB will update as necessary. Regarding local priorities, are we joining work enough? Have we got the architecture to support work locally? Are there areas that we need to support in a different way? EY asked about the review of networks and AB suggested that we would discuss this further with ML and PC at the next meeting. How can we influence work going on. It was agreed that the SDsPH would be made aware of examples of SHPM work and the role they play i.e. healthier wealthier children and practitioner registration. Is there detail that can be available on the ScotPHN website? This is possible on a public page. 7.4 Health improvement Staff induction – Is there a tool that can be shared? Carol Stewart has induction information from NHS D&G and CMacK agreed to circulate. 7.5 Smoke free prisons – Briefing was circulated. PC is leading on this and AB will co-chair. SHPM group was asked to send detail of their contacts for this work. 7.6 Training – Wilma Reid met with colleagues. How do we engage with the workforce, how well, what are the priorities and what do we develop them to do? There are two elements 1) practitioner and 2) core training. Health Scotland are to review this through the network. FD to share work on wider training. WR to be invited to the next SHPM meeting AB

8. AOCB - None 9. Agenda Item on housing to be included for next meeting. ML to speak

Future meetings 24 October 2017 10:30 CoSLA Verity House, Edinburgh 12 December 2017 10:30 CoSLA Verity House, Edinburgh