Health Promoting Health Service: Action in Acute Care Settings

Main Contact

Fiona Murray
Public Health Co-ordinator (K&M)
Telephone: 01569 792074
Mobile: 07768356299
E-mail: f.murray@nhs.net

About Work

CEL 01: Health Promoting Health Service outlines an approach to tackling health inequalities through hospital settings. Evidence suggests patients living in deprived communities are most at risk of preventable ill health due to their life circumstances. The key reasons for tackling preventative health in hospital settings includes:

  • Evidence of effectiveness of health promoting activity in hospital settings
  • Access to large numbers of patients, carers, visitors and staff
  • Efficiency through making the most of opportunistic face to face contacts and assessment processes at all stages of the pathway through hospital
  • Good employment practice which involves supporting staff’s health and wellbeing
  • Within CEL 01 there are priority actions which NHS Boards in Scotland are requested to implement as part of Health Promoting Health Service activity:

Smoking: ensure dedicated specialist smoking cessation support is available within the hospital / acute setting which is integrated with community based cessation services; and commit to the development and implementation of more comprehensive organisational tobacco policies.

Alcohol: opportunistically screen patients attending A&E departments and wider acute settings. For patients identified with harmful or hazardous drinking (screening positive), offer and deliver a brief intervention in accordance with the SIGN 74 Guideline. For patients identified as dependent drinkers and those with harmful or hazardous drinking patterns who request further help, direct to an appropriate support service (including health, social services, local authority and voluntary).

Breastfeeding: continue to implement the UNICEF Baby Friendly Initiative in all maternity units.

Food & Health: develop a consistent approach to healthy eating for all food service providers across the NHS. Caterers will be required to follow HLA criteria at the point of contract (re)negotiation and retailers will be required to join the Scottish Grocers Federation (SGF) Health Living Programme and meet their Gold Standard Criteria at the point of contract (re)negotiation.

Healthy Working Lives (HWL): continue to work to attain HWL awards for all acute services, working towards the Gold Award; and attainment of the HWL Mental Health Commendation Award.

Sexual Health: ensure that prior to discharge from maternity services all women aged 16-50 are advised of their contraception options. In particular, vulnerable women at risk of poor sexual health outcomes should be offered effective methods of contraception, including Long Acting Reversible Contraception (LARC). Prior to discharge from termination services, all women should be provided with an effective method of contraception including LARC.

Physical Activity: increase opportunities for staff, visitors and patients to be physically active; and encourage and support them to be more active including the provision of advice to staff and patients on the importance and benefits of physical activity.

Active Travel: encourage all staff and visitors to make more active, green travel choices.

In addition to the action highlighted, there is a push for Boards to embed the Health Promoting Health Service ethos ‘every health care contact is a health improvement opportunity’ through innovative practice.

Grampian HPHS Steering Group

The Grampian steering group has been set up to co-ordinate actions, monitor performance and report annually to the Scottish Government across all the priorities. Richard Carey, Chief Executive of NHSG chairs the group which meets quarterly.

For more information on the Health Promoting Health Service in Aberdeenshire please contact: Fiona Murray, f.murray@nhs.net

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