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A call to action to all healthcare professionals to use their knowledge, skills and relationships, working with patients and the population to prevent illness, protect health and promote wellbeing.
All Our Health is an approach to maximise the impact healthcare professionals in England can have on improving health outcomes and reducing health inequalities.
It is a call to action for all healthcare professionals .
- making healthcare professionals more visible in prevention and population health and measuring the impact of their work
- being a force for change, contributing to 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 (MECC)
- responding to local population needs and wider factors affecting health and people’s ability to make healthy life choices
- contributing to ’healthy places’ (integrated services for local populations) including sustainability and transformation plans
- taking life course approaches to prevention and care (for every aspect of a person’s life, from beginning to end) supporting resilience and independence
- the wider determinants of health, such as social factors, reducing variation and inequality
- health improvement for patients, communities and our workforce
- health protection by protecting the health of communities and practicing safe care
- avoidable premature mortality
The framework aims to embed the contribution healthcare professionals make to prevent and improve population health. It also aims to make this vital contribution more visible.
It will shape and support health-promoting practice that:
- prevents avoidable illness
- protects health
- promotes wellbeing and resilience
All Our Health was developed with healthcare practitioners, leaders and educators to connect practice to the overarching aim of providing value to people and populations, improving care and health outcomes.
2. Why All Our Health is needed
The Five Year Forward View said:
If the nation fails to get serious about prevention then recent progress in healthy life expectancies will stall, health inequalities will widen, and our ability to fund beneficial new treatments will be crowded-out by the need to spend billions of pounds on wholly avoidable illness.
To meet the new health challenges we need transformation in services and practice, both nationally and internationally. The Five Year Forward View outlines the need for a radical upgrade in prevention and public health, enabling people using health services to have greater control of their own care, and for the NHS to take decisive steps to break down the barriers in how they provide care.
Action by healthcare professionals is needed in 3 ways.
- Close the gaps in:
- health and wellbeing
- care and quality
- funding and efficiency
- Meet the triple aim (set out in the Forward View) to simultaneously improve population health, improve patient experience and reduce costs
- Provide Right Care that maximises:
- the value that the patient gets from their own care and treatment
- the value the whole population gets from the investment in their healthcare
3. Helping healthcare professionals
All Our Health focuses on the skills, knowledge, reach and relationships of healthcare professionals with individuals, families and communities, and populations. It provides resources to help them to promote health and wellbeing.
The framework will increase the visibility of healthcare professionals’ practice and leadership in prevention and population health, and measure the impact of their work. It will help healthcare professionals to:
- understand the responsibilities and opportunities that make a difference to population health
- understand the wider health and social care issues that affect and influence people’s decisions about their health and ability to self-manage
- champion and extend their prevention and health promotion responsibilities including applying and extending skills and roles
- be a force for change by leading, shaping and implementing innovative prevention programmes
- collectively support a social movement for health including social media, national campaigns and local action
- take action on health priorities and through place, life course and supporting independence and resilience
- work with people and families to help them make informed choices and manage their own health, and to apply the principle of making every contact count
- respond to local population needs and wider factors affecting health and people’s ability to make healthy choices (eg employment and housing)
- work with partners (including state and voluntary sector) and communities to build healthy places (Asset Based Community Development, or ABCD)
- contribute to and influence place-based programmes to improve services and outcomes (including sustainability and transformation plans)
4. Involving all healthcare professionals
All Our Health provides a framework for:
- all healthcare professionals - to provide staff with evidence and guidance that will help them carry out the prevention and population health elements of their role
- professional leaders and managers - to develop services that use the knowledge and skills of healthcare professionals to give the best health outcomes for the populations they serve
- commissioners and service planners - to commission services locally using professional and local knowledge, identifying health and wellbeing priorities, and informing evidence-based locally-sensitive service development, supporting sustainability and transformation plans
- educators - to provide information to inform curricular development and to teach the role of population health in healthcare undergraduate and postgraduate programmes
- researchers - to provide evidence for research questions based on local and national priorities, informing grant applications
- national professional leaders - to guide policy development based on what works well, and raise the national profile of healthcare professionals by making their contribution to population health visible