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Public Health Directorate

Quarterly Reporting (Q3 Update) 2018-2019

DEPARTMENT OF HEALTH AND SOCIAL CARE

January 2019

2

Contents Work progress during 2017-2018 ........................................................................................................................... 3

Health Intelligence project work 2018-2021 .......................................................................................................... 4

Health Data ..................................................................................................................................................................... 4

Collaborative work ......................................................................................................................................................... 6

Information Governance and Compliance .................................................................................................................... 7

Director of Public Health Annual Report ....................................................................................................................... 7

Health Protection project work 2018-2021 ............................................................................................................ 8

Disease control ............................................................................................................................................................... 8

Vaccination and Immunisations ..................................................................................................................................... 9

Collaborative Work (Vaccinations & Immunisations) ................................................................................................... 10

Screening ...................................................................................................................................................................... 11

Collaborative Work (Screening) ................................................................................................................................... 12

Health Improvement project work 2018-2021 ..................................................................................................... 13

Oral Health ................................................................................................................................................................... 13

Sexual Health ................................................................................................................................................................ 14

Smoking Cessation and Tobacco Control .................................................................................................................... 16

Substance Misuse (previously referred to as Drugs and Alcohol) ............................................................................... 18

Weight Management (previously referred to as Healthy Weight) .............................................................................. 19

Health Improvement Collaborative project work 2018-2021 ................................................................................. 21

British Irish Council ....................................................................................................................................................... 21

Community Health and Wellbeing .............................................................................................................................. 21

Domestic Abuse ............................................................................................................................................................ 22

Drink Safe IOM ............................................................................................................................................................. 22

Falls ............................................................................................................................................................................... 23

Fast Food Outlets Survey ............................................................................................................................................. 23

Gambling ....................................................................................................................................................................... 23

Make Every Contact Count (MECC) .............................................................................................................................. 24

Poverty and Inequalities .............................................................................................................................................. 25

Public Mental Health ................................................................................................................................................... 25

Workplace Wellbeing ................................................................................................................................................... 25

Learning Disability Deaths Audit ................................................................................................................................. 26

Inter Islands Public Health Forum ............................................................................................................................... 26

Healthcare Public Health project work 2018-2021 ............................................................................................... 27

Pathways and Appraisals ............................................................................................................................................. 27

Collaborative Work: Biologic Biosimilars ..................................................................................................................... 28

Long Term Medical Conditions .................................................................................................................................... 29

Project Management and Social Marketing project work 2018-2021 ................................................................... 30

Project Management .................................................................................................................................................... 30

Social Marketing ........................................................................................................................................................... 30

3

Work progress during 2017-2018

In September we launched our second three year rolling business for the Public Health Directorate. This updated Plan includes priorities carried over at the end of 2018 and new projects for delivery over the next three years 2018-2021. This three year rolling Plan will continue to be reviewed and updated annually to capture the changes as projects are completed, and as new items are introduced. Although much progress has been made, we know that there is still much to be done to contribute to the Government’s goal that ‘we live longer, healthier lives’ and the Department of Health and Social Care’s (DHSC) strategic goal that ‘we will help everyone take greater responsibility for their own health, encouraging good lifestyle choices.’ This Quarterly Report covers the period from April 2017 to end September 2018 shows the progress of the work completed to date. The 2017-2020 Public Health Business Plan identified 76 projects for delivery over the next three years. As at end of Quarter 2

• 49 projects are in progress

• 14 projects have not started

• 13 projects have been completed

Progress Colour Key (RAG Rating):

Calendar Months and fiscal years and quarters:

TargetNot on Issues being addressed On Target

Not started / due Completed

4

Health Intelligence project work 2018-2021

Health Data

Project No. From 2018-2021: We will Timescale

01/17 Establish a Public Health Outcomes Dataset (PHOD): Health and Wellbeing indicators for the Isle of Man.

Q1 18/19

Q1 This initial work is complete and is being developed further by project 102/18

05/17 Monitor Health Protection Data: Audit and analyse Health Protection information for development into a programme of intelligence.

Q3 18/19

Q1 Data collection and analysis has commenced

Q2 Analysis work handed to new team member for development. Data audit required but not yet commenced

Q3 The data audit has not yet commenced due to other work commitments of the health protection team, it is hoped this will begin in a trial GP practice during Q4

Q4

06/17

Publish Health and Lifestyle surveys: For DHSC Staff Health and Wellbeing and Gambling.

Undertake twice annual surveys which align with current work priorities.

Q4 20/21

Q1 Gambling survey completed and report signed off. We will delay publishing until JSNA report is ready

Q2 DHSC Staff Health & Wellbeing survey report in final stages to be signed off in October 2018

Q3

An amendment to PHE advice on e-cigarettes has required a re-write of a section of each of the reports (Gambling and Staff Health and Wellbeing). Publication date has now been pushed back to Q4. Planning has commenced for the 2019 survey which will be a general health and lifestyle survey

Q4

5

07/17

Develop Health Profiles: aligned to health improvement workstream Q3 19/20

Q3 Pending completion of Project 102/18. However profiles for Mortality and Alcohol are already in development

Q4

102/18 Update and Expand the Public Health Outcomes Dataset (PHOD): Phase 2

Q4 18/19

Q2 Not started, waiting for new team member to be in post

Q3 A full library of PHOF indicator definitions has been compiled and indicators for mortality have been calculated. Plans are in place for gathering of next set of data to update/populate hospital related indicators

Q4

108/18 Produce an Annual Mortality Report and Dataset Q3 18/19

Q1 Work commenced

Q2 Initial draft completed but will need revisions

Q3 Report finalised and being typeset ready for publication in Q4

Q4

6

Collaborative work


03/17 Lead and coordinate an island Joint Strategic Needs Assessment (JSNA) Programme: pending agreement by Social Policy and Children’s Committee (SPCC).

Q4 20/21

Q3 Not started

Q4

72/18

Lead and Co-ordinate the design and delivery of a Cancer Intelligence Core Dataset

Q4 19/20

Q1 New contract required with NCRAS

Q2 Contract negotiation continuing

Q3 Contract is with AG’s office for final amends. Issues have been resolved with NCRAS therefore on track for final signatories during Q4

Q4

91/18 Dental Epidemiology Q4 19/20

Q3 Graphics and report are updated by Health Intelligence team. Final report in progress

Q4

7

Information Governance and Compliance


09/17

Establish an Information Governance/Compliance function: Across all directorate workstream delivery.

Q1 19/20

Q3 Not started

Q4

107/18

Undertake a review and develop a new Directorate Policy for Records Retention: Ensure that the Public Health Directorate paper and electronic records comply with new policy guidelines.

Q3 18/19

Q1 Policy reviewed and amended

Q2 Policy circulated to PH Directorate for comment

Q3 Due to staff sickness no progression has been made during this quarter. Project meeting scheduled for Q4

Q4

Director of Public Health Annual Report


73/18

Develop and issue a Director of Public Health Annual Report for 2018: On Childhood Healthy Weight.

Q2 18/19

Q1 Final draft / amends, coordinating with designer

Q2 Report Published www.gov.im/dphannualreport

97/18 Develop and issue a Director of Public Health Annual Report for 2019: Poverty and Inequalities.

Q2 19/20

Q3 Initial discussions have commenced with Poverty and Inequalities decided as the topic

Q4

http://www.gov.im/dphannualreport

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Health Protection project work 2018-2021

Disease control


18/17 Review and Update Diarrhoea and Vomiting Guidance: For Care Homes and School settings.

Q3 18/19

Q1 Review commenced

Q2 Review completed and updating is in progress. Publish date slipped to Q3

Q3 Publish date revised to Q4

Q4

19/17

Review Pandemic Flu Strategic Plan: Revisit existing local document ‘Pandemic Flu - A Strategic Plan for preparing, coping with and recovering from an Influenza Pandemic in the Isle of Man’.

Q3 18/19

Q2 Out of date document reviewed with colleagues from DHA who will lead on this update now.

Q3 With DHA

Q4

20/17

Continue Monitoring Infectious Disease Outbreaks: Scope current situation, with regards to an infectious disease outbreak policy/guidance document for the Isle of Man.

Q4 20/21

Q4

9

74/18

Monitor Flu impact (Care Homes): Scope latest flu season impact on Care Homes locally to identify areas for improvement.

Q2 18/19

Q2 Last season’s impact discussed with staff at care home most affected. Areas for improvement identified.

Q3 Areas for improvement action plan are implemented

Q4

98/18

Review and Update current local Guidance on Infection in Nurseries, Schools, Workplaces and Care Settings: Update existing guidance document and for ease of reference, develop a new A2 poster for display in employee areas.

Q3 18/19

Q2 Review is in progress. Update will be published in Q3

Q3 Publish date revised to Q4

Q4

Vaccination and Immunisations


12/17 Monitor Routine Vaccination schedule and Immunisation Coverage: Produce local vaccine uptake rates and publish information quarterly.

Q2 18/19

Q1 Data collection and analysis commenced

Q2 Ongoing analysis of data not ready for publication as robustness of data not assured

Q3 No progress with data

Q4

10

13/17

Maintain and improve vaccination programmes: Review current delivery of adolescent vaccination programmes, assess if this is effective or if there is a need for change or improvements.

Q2 18/19

Q3 Not started, delayed by project 12/17

Q4

93/18 Review and Update Seasonal Flu documentation for 2018: Review guidance for health professionals, update general leaflet and information poster.

Q2 18/19

Q1 Reviewed in line with previous years and PHE 2018/19 guidance

Q2 Locally adapted product published www.gov.im/flu and www.gov.im/seasonalflu

Q3 Complete

94/18 Review and Update Seasonal Flu documentation for 2019: Review guidance for health professionals, update general leaflet and information poster.

Q2 19/20

Q3 Not started

Collaborative Work (Vaccinations & Immunisations)


99/18

Transfer the Human Papilloma Vaccination Programme to Community Care: Undertake discussions with Community Care to ensure a smooth handover of this work delivery. Update and print new literature for 2018 programme delivery.

Q1 18/19

Q1 Complete www.gov.im/hpv

http://www.gov.im/flu

http://www.gov.im/seasonalflu

http://www.gov.im/hpv

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105/18

Help to improve the uptake of flu vaccinations within Isle of Man Hospitals: Work with Isle of Man Hospitals teams to support promotion of flu vaccination to front line staff.

Q3 18/19

Q1 Commenced with working group with colleagues from Nobles Hospital and Occupation Health

Q2 Front line staff vaccination campaign ‘Flu Fighter Fortnight’ commences on October 15th

Q3 Complete

Q4

Screening

Project No. From 2018-2021: We will Time scale

21/17 Continue to monitor the local Bowel Screening Programme: possible changes to programme delivery. Work pending confirmation of change to plans within Rugby Screening Hub.

Q1 20/21

Q2 A Progress Meeting to discuss NHS Implementation of FIT testing has been scheduled with Rugby Screening Hub early December.

Q3 NHS Rugby delayed launch of FIT so IOM awaits new meeting date

Q4

12

Collaborative Work (Screening)


75/18

Commission and oversee reviews of nine Screening Programmes: To include adult, neo-natal and newborn screening matched against UK screening programme quality standards.

Q4 20/21

Q1 Tender process in progress

Q2 Tender process unsuccessful, alternatives being explored. Agreement reached for reviews to be undertaken by the Audit Advisory Service with support from Merseyside.

Q3 Work being taken forward by IOM Government Internal Audit service. Review of

Bowel Screening Programme has now commenced.

Q4

96/18

Manage the transition from Cytology screening to HPV screening: As part of the working group for change ensure a smooth transition of planned service changes.

Q2 18/19

Q1 Sample takers and training needs identified. CBT provisioned. New patient correspondence is drafted. Existing Cytology arrangements transferred to Liverpool

Q2

Programme switched to Primary HPV screening on August 1st www.gov.im/cervicalscreening (public page) www.gov.im/cervicalscreeners (health professionals - screening)

http://www.gov.im/cervicalscreening

http://www.gov.im/cervicalscreeners

13

Health Improvement project work 2018-2021

Oral Health


31/17

Develop a new Oral Health Strategy: Targeted at the 0-11 age group.

Q1 19/20

Q3 Not started

Q4

33/17 Launch a new Supervised Toothbrushing Programme: island- wide aimed at young children within Nursery Settings.

Q2 18/19

Q1

It has been confirmed that the supervised toothbrushing programme will be named ‘Smile of Mann’, and the Smile of Mann branding has all been finalised and approved. Every nursery / pre-school on the Island was invited to a forum which gave an opportunity to learn more about Smile of Mann, including personal feedback from staff that took part in the pilot programme. Following the event, all nurseries / pre-schools were provided with an enrolment form to confirm whether or not they would like to participate. 18 confirmed they would.

Q2

24 nurseries/pre-schools participating in Smile of Mann. Staff members from each participating establishments have received mandatory training on how to implement effective practice and correct methods of infection control.

Smile of Mann launched on 17th September, and remains open for other nurseries/pre-schools.

www.gov.im/supervisedtoothbrushing (overview of programme delivery) www.gov.im/oralhealth (public page on oral health)

http://www.gov.im/supervisedtoothbrushing

http://www.gov.im/oralhealth

14

81/18

Undertake an Oral Health Needs Assessment: which will help to steer the development of a new Oral Health Strategy.

Q4 18/19

Q2

Planning for the needs assessment has commenced, and the first stakeholder meeting will take place in early October. Stakeholder engagement events are being planned and will take place in November/December 2018. The methods used to engage stakeholders will be focus groups and 1:1 interviews.

Q3 A number of stakeholder focus groups have taken place, with others lined up to take place over January / February. Secondary research on areas such as general anaesthetic, fluoride varnish etc. is being carried out alongside this work.

Q4

Sexual Health


36/17 Develop a needs assessment: Assess the role of substance misuse in sexual health and domestic abuse.

Q4 18/19

Q1

A Project Steering Group has met to scope out an overview for the needs assessment along with a draft Project Charter and Terms of Reference for both the Project Steering Group and the Stakeholder Group. The Stakeholder Group is being convened to finalise the scope of the needs assessment, the Project Charter and the Terms of Reference. Whilst these groups and the reporting and governance framework is being set-up, the Project Officer has undertaken a wide range of background reading to develop a clear understanding of the subject.

Q2

This needs assessment is well underway with the Project Steering Group and the Stakeholder Group set up and the reporting and governance framework in place. Subgroups from the Stakeholder Group have been convened and data and information is currently being gathered. Stakeholder Group meetings have been scheduled for the duration of the needs assessment with final amendments to the Project Charter and the Terms of Reference for both groups as well as plans created which include key tasks for the subgroups.

Q3

The Department of Home Affairs has drafted a high level strategy for domestic abuse which includes developing a Domestic Abuse Strategy. Therefore the scope of this needs assessment has been extended to include domestic abuse more broadly to provide a greater level of detail. Changes have been made to the governance framework, Project Charter and Terms of Reference to reflect the wider remit.

The majority of data and information has been gathered with the support of the subgroups and the report is being drafted in preparation for feedback from the stakeholders.

Q4

15

82/18 Commission an integrated sexual health service: Work jointly with hospitals’ and community.

Q4 18/19

Q1 The service specification for the integrated sexual health service is being finalised whilst who will be lead commissioner for the service is being reconfirmed by the new Executive Leadership Team.

Q2

An updated Public Health England ISHS specification has been published in August 2018 which varies considerably from the previous specification that we had based our initial service specification on. Therefore further comments are being received to update and localise this latest specification.

Q3

A draft service specification has been updated and circulated for comments. Benchmark costings for an ISHS on island are also being developed in preparation for the next meeting. Further updates will be discussed as well as the next steps: seeking expressions of interest from potential providers and presenting the options to the Executive Leadership Team for a decision on the future ISHS.

Q4

83/18 Commission a sexual assault referral service: For adults and children. Linked to a specialist provider in the UK (jointly with Isle of Man Constabulary)

Q4 18/19

Q2 A meeting has been rearranged with key members of the Department of Home Affairs to create a project plan for jointly commissioning a SARC

Q3

Outline specification for a sexual assault referral centre for adults and children is being developed based on the service in Jersey and the NHS England service specification. A design and delivery project will commence in Q4. The Director of Public Health attended the Jersey SARC along with a key member of the DHA. Feedback from this visit along with findings from the SARS needs assessment were presented to key members of the Department of Health and Social Care, DHA and the Department of Education, Sport and Culture. It has been agreed that the DHA will create a project charter and project management will be provided by Public Health. Once the project charter is drafted, a steering group will be convened to confirm this and suggest members for an implementation group.

Q4

16

Smoking Cessation and Tobacco Control


37/17 Undertake a Tobacco Health Needs Assessment: To steer the development of a new Tobacco Control Strategy and Implementation plan for Isle of Man.

Q4 20/21

Q2 Work due to start end Q3 18/19

Q3 Not started

Q4

38/17

Complete an Evaluation of the Quit4You Stop Smoking Service: Propose new models of delivery for the service outside of the Public Health Directorate and co-ordinate the transition of this service.

Q2 19/20

Q2 Not Due to be started

Q3 In progress, numerous service providers have been contacted to discuss commissioning of the stop smoking service and the benefits of incorporating weight management services also.

Q4

39/17 Integrate Quit4You Service delivery onto EMIS electronic software system: Work jointly with GTS - EMIS team to complete this project.

Q2 18/19

Q1 EMIS system in place, working with GTS to rectify some issues with equipment

Q2 All issues now resolved

17

41/17 Support development of new E-Cigarette Legislation: Work jointly with Office of Fair Trading to deliver this priority.

Q3 18/19

Q2 Arrangements made for appropriate stakeholders to meet to discuss legislation required

Q3 In progress –Public Health and OFT have been working together to discuss required legislation. Work stream held up due to demands of Brexit situation.

Q4

43/17 Improve quit rates during Pregnancy: Encourage pregnant women who smoke and those with young children to quit smoking.

Q3 18/19

Q1 Specialist Stop Smoking Service available for pregnant women and their families

Q2 Public Health meeting with Maternity staff to discuss Joined working

Q3

In progress, referrals are now received from the maternity unit, SATOD statistics are being recorded also. Quit4You are present in maternity groups such as daddy baby care and parent craft sessions. Work is hope to start linking in with Health visitors and community midwives Q4.

Q4

84/18

Offer a 28 Quit day Challenge during October providing links to the 2018 UK NHS Stoptober promotion: The Quit4You Service will develop and internal promotion targeting professional groups encouraging quit rates with a focus on priority groups.

Q3 18/19

Q2 Work completed. Professional groups have been provided with information required. Waiting to collect data Q3 and complete an evaluation report Q4

Q3 Evaluation report in progress

Q4

18

109/18

Consider joining the Framework Convention for Tobacco Control (FCTC): Seek a decision as to whether the Isle of Man will join the 'World Health Organisation - FCTC. If agreed, work with UK Department of Health to introduce this.

Q4 18/19

Q1 Work commenced to discuss decision with relevant departments

Q2 Decision made to join the FCTC, work now commenced on providing the UK with

evidence of Compliance

Q3 In progress -Work stream held up due to demands of Brexit situation

Q4

Substance Misuse (previously referred to as Drugs and Alcohol)


24/17 Develop a Substance Misuse Implementation Plan: Working with the Substance Misuse Steering Group outlining strategy delivery.

Q1 18/19

Q2

Work has commenced on implementing the Substance Misuse Strategy. Four work streams have been identified, and a lead officer appointed for each work stream who will oversee, and hold accountable the implementation of the projects in their work stream.

Q3 The Substance Misuse Implementation Plan has been approved and work stream leads are working with partners to prioritise and implement the actions detailed in the plan to support the delivery of the Strategy’s aims and objectives.

Q4

19

76/18 Substance Misuse - Medicinal Cannabis: Undertake a public consultation of Medicinal Cannabis Use

Q4 20/21

Q3 Public consultation planned for February 2019 has been expanded to include regulation of industrial hemp as well as medicinal cannabis (COMIN decision). Consultation papers on both topics now drafted and ready for finalization.

Q4

103/18 Coordinate Substance Misuse Implementation: Multiple projects involving collaborative working refer to Project 24/17

Q4 20/21

Q3

Work stream leads are coordinating and leading the implementation of Substance Misuse Strategy. This is being supported by a robust project management system, which includes project charters and detailed project plans overseen and led by the Directorate’s Project Manager.

Q4

Weight Management (previously referred to as Healthy Weight)


26/17

Develop a Weight Management Strategy: Refresh this document based on healthy weight across all life stages.

Q1 19/20

Q2 Work has begun on drafting a consultation strategy with the support of Chief Officers Group and Tynwald members. Consultation expected completion by end of Q1 19/20

Q3 Still awaiting full representatives for the Task Force to be nominated after the COG meeting. Initial discussions have taken place with DESC, DEFA and cabinet office to draft a strategy for consultation.

Q4

20

27/17

Develop a Weight Management Implementation Plan: Outlining strategy delivery.

Q3 19/20

Q3 Pending Item 26/17. Not due to be started

Q4

28/17 Continue to monitor Weight Watchers Referral Scheme: Evaluate appropriate Tier 2 services and include it as part of the life course approach to treating levels of obesity.

Q4 18/19

Q2 This is continuously updated and monitored. We will be adding Community Physiotherapy onto our list of referrers in Q3.

Q3 Weight Watchers has rebranded and will be referred to as WW going forward. Community Physiotherapy has been added successfully to be able to refer. The contract for WW has been extended up to January 2019.

111/19

Breastfeeding: Outlining strategy delivery.

Q3 19/20

Q3 Project Initiation documents are being developed

21

Health Improvement Collaborative project work 2018-2021

British Irish Council


104/18

Continue to work joint with the British Irish Council (BIC) and attend regular meetings of the Substance Misuse Work Sector

Q4 20/21

Q1 5.6.18 meeting took place in London

Q2 25.9.18 teleconference

Q3 15.11.18 meeting took place in Edinburgh

Q4

Community Health and Wellbeing


86/18

Develop understanding of community-centred approaches to health and wellbeing: This includes Asset Based Community Development (ABCD) and Local Area Coordination (LAC). Work with relevant organisations/communities to identify future partnership opportunities.

Q4 20/21

Q1 Initial research commenced looking at ABCD and LAC approaches. Attended ABCD training and meetings with QUING. Several learning conversations were held with Public Health staff from the Isle of Wight about their experience in this area.

Q2

Links were developed with Ralph Broad who has played a key role in implementing LAC across England and Wales. Ralph presented an overview of LAC at the ‘First Isle of Man Integrated Care Symposium’ 14 September 2018. Discussions have been held about the role of LAC in the Integrated Care Community project.

22

Q3

It was agreed that Local Area Coordination will be part of the Integrated Care Pilot Project longer term plans. A brief overview of Local Area Co-ordination was written by Public Health, and included in the Integrated Care Pilot Project business case. The Project Team presented the overall Integrated Care business case to the Steering Group and all elements were agreed including LAC. A more detailed business case regarding LAC will be required. ABCD work is progressing by QUING (independent of Government).

Q4

Domestic Abuse


44/17 Support production of Domestic Abuse JSNA: Decision pending - Work continues with Strategic Group. Refer to Project 36/17.

Q4 20/21

Q2 A Joint Strategic Needs Assessment is being planned in partnership with colleagues in DHA (although the input of a much wider stakeholder group across government and the third sector will also be required, as will a clear link to Safeguarding Board.

Q3

As mentioned in the Sexual Health section, the Department of Home Affairs has drafted a high level strategy for domestic abuse, which includes developing a Domestic Abuse Strategy. Therefore the scope of the role of substance misuse in sexual health and domestic violence and abuse needs assessment has been extended to include domestic abuse more broadly to provide a greater level of detail. Due to this extended scope, there is no longer a need to undertake a Joint Strategic Needs Assessment as planned previously. Thus this project is now closed.

Drink Safe IOM


45/17 Review Annual Drinksafe Awareness Campaign: Review evaluation reports from past three years with group members to decide on future delivery

Q4 18/19

Q2 The multi-agency #DrinkSafeIOM project group has approved the themes for this year’s campaign and the artwork to support the campaign is with the design agency.

Q3 Campaign was successfully launched 26 Nov 2018 with support from IOM Police and Bus Vannin. Due to finish on 6 Jan 2019.

Q4

23

Falls


46/17

Finalise Falls Evaluation Report: Complete review of service delivery findings, within Primary, Secondary and Community Care settings to reduce fall risk in over 65’s. Summarise and benchmark against quality standards

Q2 18/19

Q2 The report has been published and available on the Government website. www.gov.im/falls

Fast Food Outlets Survey


79/18

Undertake a Fastfood Survey: The findings from this survey will support production of the Director of Public Health Annual Report on Healthy Weight in Children and Young people - Refer to Project 73/18

Q2 18/19

Q2 Completed successfully and was used within the DPH report 2018 to show the food outlets and vending opportunities near secondary schools.

Q3 Completed

Q4

Gambling


47/17 Undertake a Mental Health Gambling Needs Assessment: Continue to work with Mental Health to deliver a needs assessment report on problem gambling.

Q2 18/19

Q1 Gambling steering group has been created. A JSNA has been undertaken.

Q2 Draft report is being developed

Q3 Delay due to long term absence of lead author. DPH will complete draft during Q4.

Q4

http://www.gov.im/falls

24

48/17 Develop a Problem Gambling Strategy: Continue to work with the group to develop a Gambling Strategy.

Q4 20/21

Q3 Pending Item 47/17

Q4

49/17 Develop a Gambling Implementation Plan: Continue to work with the group to implement the Gambling Strategy.

Q4 20/21

Q3 Not due to be started

Q4

Make Every Contact Count (MECC)


51/17

Develop a project plan for Making Every Contact Count (MECC): Work with relevant stakeholders to develop and introduce a MECC pilot project and develop recommendations for the future based on the evaluation.

Q4 20/21

Q2

MECC presentations and workshops were held at the DHSC staff event 11-13th September 2018. A MECC Programme Charter was written and agreed at the Transformation Meeting 26 Sept 2018. The first MECC Programme Steering Group meeting is 31 October 2018.

Q3

The Programme Charter and Terms of Reference have been agreed by the Steering Group. Due to no hospital representation at the second Steering Group meeting, there has been a delay agreeing all the DHSC areas to be involved in the pilot MECC project. The MECC Implementation Group will be established once this is decided. Project planning and collating information about training options for the Isle of Man has progressed.

The Isle of Man has joined the 5 nations MECC teleconference group.

Q4

25

Poverty and Inequalities


87/18 Project being scoped

Q2 A meeting has been arranged to set up a project looking at local data analyses on household/family income levels in comparison to health.

Q3 There have been discussions about what data is available to carry out local data analyses on household/family income levels in comparison to health. Further discussions are required to consider which data is appropriate.

Q4

Public Mental Health


55/17 Develop an overview of the scope of Public Mental Health: Agree priority areas for further work.

Q4 18/19

Q2 Work has commenced reviewing several Public Mental Health documents in order to prepare an overview.

Q3 Overview papers on Public Mental Health and also Suicide Prevention have been written. These will be discussed at a future Department meeting.

Q4

Workplace Wellbeing


56/17

Continue to work with stakeholder groups to introduce Workplace Wellbeing: Engage with the local wider workforce (Government, Private and Third Sector) to make health and wellbeing a core priority for employers and employees, encouraging incorporation of health and wellbeing into corporate policies and communications.

Q3 18/19

Q2 Tickets are on sale for the third annual workplace wellbeing conference in November. 60 out of the 80 tickets have been sold to date. www.gov.im/workplacewellbeing

http://www.gov.im/workplacewellbeing

26

Q3

Workplace Wellbeing Annual conference has been completed. Evaluation has taken place to enable improvements and direction for next year. Initial meeting to start discussions regarding 2019 conference set for March 19. Meeting with Chamber Commerce January 19 to review and evaluate steering group for this year.

Q4

58/17

Lead on the delivery of DHSC Staff Wellbeing: Using the outcomes of the DHSC Workplace Wellbeing Survey form a Project Plan with an aim to move forward a health improving DHSC for staff, visitors and patients.

Q4 19/20

Q2 Senior Leadership team have nominated officers to form the working group. Initial meeting will be set up in Q3 and officers across DHSC will be confirmed.

Q3 In progress- Initial meeting date confirmed as 15/2/19. Project plan and terms of reference will be established.

Q4

Learning Disability Deaths Audit

78/18 Learning Disability Deaths Audit Q4 19/20

Q3 Data being collated and reviewed

Q4

Inter Islands Public Health Forum

110/19 Host and organise the Inter Islands Public Health Forum Conference

Q1 20/21

Q4

27

Healthcare Public Health project work 2018-2021

Pathways and Appraisals


60/17

Undertake a Cancer Pathway and Service Review: with a particular focus on identifying factors underlying PHOF indicator for preventable female mortality from cancer in under 75s. This will follow when Cancer Core Dataset is completed. Refer to 72/18

Q4 20/21

Q3 Not started

Q4

64/17 Undertake a Diabetes Pathway and Service Review: for adult diabetes (with Director of Hospitals & Pharmaceutical advisor).

Q4 18/19

Q2 Not started. Staff being recruited to undertake this work

Q3

Senior Healthcare Public Health Practitioner commenced role on 1/11/18 and has completed inductions. Drafting of the Diabetes Prevention and Care Pathway pre-project charter almost finalized – to be presented to ELT during January. Initial stage will be over 3 years and focus on 6 project or pathway areas to strengthen prevention, annual monitoring/ checkups and reducing inpatient stays.

Q4

88/18

Undertake a Review of NICE Technology Appraisals (TA): Review current usage and status (formal policy or not) of NICE TA drugs on IOM and report to DHSC Department with options for future approach to funding

Q2 18/19

Q2 Analysis of Hospital and Community prescription data compared with NICE TA and Clinical Recommendations Committee is complete www.gov.im/dhscclinicalcommissioning

http://www.gov.im/dhscclinicalcommissioning

28

89/18 Undertake an interim review of the Cancer Drug Policy: Q3 18/19

Q2 Review of activity / cost in progress

Q3 Awaiting response on availability of cost/activity data from tertiary provider.

Q4

77/18 Early Years Multi Agency Pathway Q4 18/19

Q3 Not started

Q4

Collaborative Work: Biologic Biosimilars


106/18 Undertake a review of Biologic Biosimilars Q3 18/19

Q2 Initial meetings with Nobles pharmacy and consultants have been held

Q3 Business case for additional pharmacy resource being reviewed by DHSC

Q4

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Long Term Medical Conditions


85/18

Support children with long term medical conditions: Work jointly with paediatrics, community health and Department of Education, Sports and Culture to improve management of long term conditions. Include support at school and reducing number of children who have suboptimal follow up.

Q4 18/19

Q2 Stakeholder group set up to address food allergies and anaphylaxis in schools. Conditions page updated www.gov.im/selfcare

Q3 Policy drafted and awaiting agreement on implementation/delivery plan.

Q4

http://www.gov.im/selfcare

30

Project Management and Social Marketing project work 2018-2021

Project Management


95/18 Develop a Public Health Sharepoint workspace: Once in place add a project site, once operational progress transfer of current file systems to new platform.

Q3 2018

Q2 Initial meetings with GTS held.

Q3 Test site delivered and specification for production site agreed. GTS delivery date agreed for end Feb 2019

Q4

Social Marketing


68/17

Develop and implement a Professional Website: to act as a central resource to support day-to-day DHSC health delivery. Provide registration, login and access to health professionals employed within government and provide access to external stakeholders to assist with their service delivery.

Q4 18/19

Q1 No progress to date – IQC approved project in November 2017. A temporary Professional information page has been created until this new site is in place. Refer to www.gov.im/guidancecentre in the meantime.

Q2 A further meeting has taken place to identify the reasons for the delay in starting this project. Further discussions to take place early Q3 to progress this project.

Q3 Meeting scheduled 14 January 2019 to progress delivery of a Professional Website jointly with Family Practitioner Services and Pharmaceutical Lead.

Q4

http://www.gov.im/guidancecentre

31

80/18

Review existing GoDoActive Activity listings and information leaflets for all age groups: Provide service providers with an option to opt-in/out to list their services within the activity listings. Update and publish new activity booklet for all age groups.

Q3 18/19

Q1

During Q1 local activity providers were given an opportunity to list or update their activity listings on the GoDoActive website. As part of this review all activity providers will now need to complete an Activity Registration form before their activity can be displayed.

Q2

The original activity page listings set up in 2011 have been cleared and only those who have registered their businesses are now listed from early Q2. Listings are a work in progress and as additional registrations are received activities will continue to be updated. To register and view new listings visit www.gov.im/godoactive or www.godoactive.im

Q3 New activity booklet created and available on the website. New listings being added when received. Project is complete, but awaiting guidance from upcoming obesity strategy as to whether more work is required. Refer to Item 26/17

90/18

Create a CRM function/Digital Marketing platform: Progress registration option for subscribers to opt-in/opt-out of receiving regular updates and create a digital marketing platform to manager our day-to-day marketing delivery across all of the directorate workstreams.

Q4 20/21

Q1 Testing commenced on Microsoft Dynamics the main system used by IOM government for CRM delivery. Problems encountered at testing stage. Implementation halted until solution identified.

Q2 New SRF draft with supporting DPIA for consideration by DHSC IQC to find a suitable CRM solution to meet the Direct Mailing needs across the directorate. Meeting scheduled for December 2018.

Q3

New SFR / DPIA rejected by IQC. A new DPIA and SRF to be drafted to request that a temporary Email marketing solution be found and implemented to address current GDPR Consent needs. A package like Mailchimp / SendinBlue or other software will be used until a suitable CRM delivery solution can be found.

A Public Health Marketing statement is now available on line at www.gov.im/PHmarketing statement.

Q4

http://www.gov.im/godoactive

http://www.godoactive.im/

http://www.gov.im/PHmarketing

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100/18 Work jointly with the project team reviewing the DHSC Health and Wellbeing Website

Q4 18/19

Q3 Pending start date

101/18 Work jointly with The National Social Marketing Centre (NSMC): to deliver Social Marketing training for our future development of lead delivery within Public Health.

Q2 19/20

Q1 The National Social Marketing Centre (NSMC) undertook introduction training on Social Marketing during June.

Q2 Mentoring and support on introducing Social Marketing methodology into some of our project delivery will be provided over the coming months.

Q3 Mentoring support to commence end January 2019 – we hope to apply social marketing applications to a project on Breastfeeding.

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This document can be provided in large print on request

DEPARTMENT OF HEALTH AND SOCIAL CARE

Public Health Directorate Cronk Coar, Noble’s Hospital Strang, Douglas, Isle of Man, IM4 4RJ.

© Copyright: Public Heath Directorate 2018

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