NHS Highland Public Health

Improving and protecting the health of the Highlands


Health Improvement Work Plan 2024 – 27

Priority 1

A Scotland where we live in vibrant, healthy, and safe places and communities.

NHSH Stay Well

  • Social prescribing embedded in service delivery (workplan 1.1)
  • Support for community planning within Highland (workplan 1.2)

NHSH Nurture Well

  • Staff health and wellbeing (workplan 1.3)

Priority 2

A Scotland where we flourish in our early years:

NHSH Start Well

  • Increased knowledge and confidence to support women to breastfeed (workplan 2.1)
  • Child Healthy Weight and Maternal and infant feeding (see also PHP 6) (workplan 2.2)

NHSH Thrive Well

  • Improved outcomes for children and young people (workplan 2.3)

Priority 3

A Scotland where we have good mental wellbeing.

NHSH Stay Well

  • Reduced rates of suicide (workplan 3.1 – hyperlink)
  • Improved mental health and wellbeing (workplan 3.2)

Priority 4

A Scotland where we reduce the use of and harm from alcohol, tobacco, and other drugs.

NHSH Stay Well

  • Reduce harm from substance use (workplan 4.1)
  • Reduced smoking rates (workplan 4.2)

Priority 5

A Scotland where we have a sustainable, inclusive economy with equality of outcomes for all.

NHSH Anchor Well

  • Work with identified groups at risk including those with protected characteristics and those who live in poverty. (workplan 5.1)
  • Reduce the impact of violence against women. (workplan 5.2)

Priority 6

A Scotland where we eat well, have a healthy weight and are physically active.

NHSH Stay Well

  • Increase levels of physical activity in the NHS Highland population (workplan 6.1)
  • Adult healthy weight (workplan 6.2)
  • Prevention work with reference to type 2 diabetes. (workplan 6.3)

Workplan 1.1

Promote Social Prescribing as a pathway to overall health and wellbeing

Objectives

Promote social prescribing as a pathway to overall health and wellbeing.

Lead

Sandra MacAllister (hyperlinked to staff organogram)
With support from Eilidh Moir

Activities

  • Continue to develop and support delivery of the CLW service in Primary Care.
  • Develop and undertake evaluation of the CLW service in remote and rural areas of Highland in partnership with the University of the Highlands and Islands.
  • Develop and implement a link worker service within DWP and evaluate the service.
  • Develop a financial inclusion service in 12 GP practices in Highland in partnership with Highland Council.
  • Support development of resources to support social prescribing and deliver a social prescribing stakeholder/networking event.

Ailsa Villegas

Activities

  • Support development of green health social prescribing pathways and opportunities to engage in green health activities.

PHP

PHP 1 and PHP 5

ADP

Stay Well

Timescale

N/A

KPI’s / Governance

  • Agreed KPI’s outlined in the CLW programme
  • No of DWP supporting health conversations
  • Outcomes of social prescribing actions completed
  • Governance:
    • Yearly update to NHSH Board – social mitigation plan

Workplan 1.2

Build capacity and community resilience and tackle health inequalities using a place-based approach

Objectives

Provision of Public Health expertise to local Community Partnerships to support the development of locality planning in each CPP.

Lead

Identified Health Improvement leads.

Siobhan Leen
Claire Derwin
Karen MacKay
Sandra MacAllister
Ailsa Villegas
Lynda Thomson
Susan Birse
Dan Jenkins

Activities

  • Work with local CPPs to support the development of a single locality plan
  • Promoting preventative approach to Health and Wellbeing at Argyll and Bute Community Planning partnership and Area Community Planning Groups

PHP

PHP 1

ADP

Anchor Well

Timescale

N/A

KPI’s / Governance

  • Development of x 9 single locality plans

Objectives

Provision of Public Health expertise to thematic Community partnership groups to support the development and delivery of actions.

Lead

Identified Health Improvement Leads (as previous)

Activities

  • Promote preventative approaches and action to reduce health inequalities through working with the thematic groups of Highland CPP
  • Promote preventative approaches and action to reduce health inequalities to Health and Wellbeing at Argyll and Bute Community Planning partnerships and Area Community Planning Groups.

PHP

PHP 1

ADP

Anchor Well

Timescale

N/A

KPI’s / Governance

  • Development of thematic action plans

Workplan 1.3

Support staff physical and mental health and wellbeing

Objectives

Support the improvement of physical health and wellbeing of our staff and colleagues across NHS Highland.

Lead

Susan Birse

Activities

  • Develop, support and implement the staff health and wellbeing strategy group action plan

PHP

PHP 1, PHP 3 and PHP 5

ADP

Nurture Well

Timescale

N/A

KPI’s / Governance

N/A

Objectives

Support the improvement of mental health and wellbeing of our staff and colleagues across NHS Highland

Lead

Sandra MacAllister
Lynda Thomson

Activities

  • Pilot mental health first aid training
  • Pilot mental health first aid representative model and feedback to the Staff Health and Wellbeing Strategy Group

PHP

PHP 3

ADP

Nurture Well

Timescale

N/A

KPI’s / Governance

  • Number of courses delivered, and participants trained
  • Evaluation/ feedback of course Increased
  •  Number of reps trained to support delivery of support
  • Number of staff accessing reps  Feedback from those accessing first aid reps

Workplan 2.1

Increase knowledge and confidence to support women to breastfeed

Objectives

Increase in breastfeeding.

Lead

Karen Mackay

Activities

  • Deliver a highly skilled Infant Feeding Support Worker service to support breastfeeding, working with maternity, HV and FNP services and targeted to support reducing inequalities. 
  • To provide a 365 day a year volunteer peer support service including phone, face to face, group support and support through a specialist and moderated facebook page. 
  • Deliver a specialist breastfeeding clinic. 
  • Deliver a programme of work to reduce formula supplementation as part of the National PfG workstream and increase exclusive breastfeeding.
  • Implement the National Breastfeeding Scheme across NHS Highland.
  • Deliver Unicef BFI mandatory training to all staff who have contact with pregnant or breastfeeding women within the NHS Highland area.

PHP

PHP 2 and PHP 6

ADP

Priority 1a

Start Well

Timescale

N/A

KPI’s / Governance

  • Continual audit of breastfeeding rates in these areas using caseload audit and comparing to overall reach.  Using initiation, 10 – 14 days and 6 – 8 week rates as markers.
  • Audit of staff and women’s experiences of having IFSWs in their area. 
  • Numbers of participants throughout NHS Highland.
  • Numbers of venues who request training.
  • Numbers of staff eligible to attend training.
  • Numbers of staff attending training.
  • Evaluation of training session.

BFI accreditation

Objectives

Achieve Unicef BFI sustainability in maternity, Health Visiting and Neonatal services in NHS Highland.

Lead

Karen Mackay

Activities

  • Implement UNICEF BFI standards in NHS Highland through a wide programme of work including training, policy development and audit.

PHP

PHP 2 and 6

ADP

Priority 1a

Start Well

Timescale

N/A

KPI’s / Governance

  • Ongoing audit of Unicef BFI standards supported by local key workers.
  • Ongoing audit of staff knowledge and skills supported by local key workers.