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Health Improvement

We will work to improve the public's health and wellbeing through all stages of the life course and in all settings. Reducing inequalities and protecting the vulnerable are cross-cutting themes in all our work. We will focus on prevention and early intervention and prioritise initiatives which will achieve change (improvement in lifestyle or reduction in risk factors) for the greatest numbers.

We do this by supporting the introduction of evidence-based interventions across all government departments and partner organisations which are appropriate for our population. This work will focus on Drugs and Alcohol, Healthy Weight, Oral Health, Sexual health and Smoking Cessation.

Drugs and Alcohol

NoPrioritiesTimescale
for Completion
23 Development of a new Drug and Alcohol Strategy document December 2017

Quarter 1

Work has commenced and is on track. It is envisaged that the final draft strategy document will be completed within the agreed timescale.

Status: Green – on target

Quarter 2

The first draft document has been produced and circulated to the Drug and Alcohol Steering Group for comment and amendment. Final draft document will be presented to the Steering Group in November.

Status: Green – on target

Healthy Weight

NoPrioriitesTime scale for Completion
25 Produce a set of indicators for physical activity, diet and obesity that is comparable with other areas of UK and Crown Dependencies with similar demographics March 2018
Quarter 1:
Awaiting confirmation of Health and Lifestyle Survey data.

Status: Green On Target
Quarter 2:
To be progressed this quarter using the published Health & Lifestyle data. 

Status: Green – On target

-

26 Weight Management Strategy refresh based on healthy weight across all life stages                                                                      March 2019
Quarter 1:
Needs assessment and gap analysis of the 0-5 year age group almost completed.

Status: Green On target
Quarter 2:
To be progressed this quarter using the published Health & Lifestyle data. 

Status: Green – On target

-

27 Produce a Weight Management Implementation Plan outlining strategy delivery                                                        December 2019
Quarter 1:
Item 26 needs to be completed before this work can begin.

Status: White Not Started
Quarter 2:
As above

Status: White Not Started

-

28 Continue to manage and evaluate appropriate Tier 2 services Weight Watchers Referral Scheme and include it as part of the life course approach to treating levels of obesity Ongoing annually
Quarter 1:
Tier 2 services are currently undergoing evaluation with a new service specification being drawn up to include online provision from a provider. Current services are continuing until new specification is agreed.

Status: Green On Target
Quarter 2:
New service specification to be agreed and signed off by in the start of quarter 2. To be communicated with referrers during quarter 2. New specification to be monitored throughout the year. 

Status: Green - On target

-

29 Support Soft Drinks Industry Levy introduction, due April 2018, with Public Health Communications Plan for the Island's population March 2018
Quarter 1:
Having considered a paper put together by Public Health and Customs and Excise on the SDIL funding; Treasury approved the creation of a fund to support strategies aimed at improving the health and wellbeing of children; and agreed to promote the introduction of a Childhood Obesity and Oral Health Strategy in 2018 with politicians in DHSC and secure commitment to same based on proposals by the Director of Public Health.

Status: Green On Target
Quarter 2:
More work on initiatives to be funded by the SDIL tax to be integrated into the Obesity Strategy refresh. Link with Oral Health is also required.

Status: Green - on target

Page last updated: 09 October 2017

Oral Health

NoPrioriitesTime scale for Completion
32 Devise a pilot Supervised Tooth brushing Project to improve oral health in pre-school and primary school children March 2018
Quarter 1:
Three nurseries have agreed to participate in the pilot project, which is to run from September through to December. Supplies, information materials and training are in the process of being prepared.

Status: Green On target
Quarter 2: 

The nurseries are all now into their second month of the supervised toothbrushing pilot scheme. Each nursery undertook training within their setting and was provided with toothbrushes, racks, covers, toothpaste and stickers. Consent forms were distributed to parents, and returned to the nurseries. (Only children whose parents had provided consent are able to participate.) Baseline surveys have been completed by the Nursery staff and parents, and will be used to form part of the evaluation at the end of the pilot. 

Feedback so far has been positive, and evaluation will commence upon completion of the pilot project. 

Page last updated: 09 October 2017

Sexual Health

NoPrioritiesTime scale for Completion
34 Complete work from 2016/17 to review the GUM and Family Planning services and prepare options for an integrated sexual health service to be delivered to the Commissioning Committee July 2017
Quarter 1
The final ISHS needs assessment report including service configuration options is complete and will be presented to the Commissioning Committee in August 2017.

Status: Green - On target
Quarter 2:
Commissioning Committee received the report and endorsed proposal to move to design and delivery of an integrated sexual health service. The design and delivery project will commence in quarter 3.

Status: Green – On target

-

35 Complete work from 2016/17 to review the sexual assault
referral service and prepare pathway options
July 2017
Quarter 1
The final SARS needs assessment report including pathway options is complete following comments from the Safeguarding Board. The report will be presented to the SPCC regarding joint funding and implementation of one of the pathway options.

Status: Green - On target
Quarter 2:
SPCC received the report and requested further work by DHSC/DHA to finalise the appraisal options presented in the report and proceed to commissioning of the preferred service model. This project will commence in quarter 3.

Status: Green – On Target

-

36

Decision pending future delivery - Work to extend the Drug and Alcohol JSNA chapter (including sexual violence and domestic abuse)

Pending

Quarter 1:
Decision Pending

Status: Amber – Issue Being Addressed

Quarter 2:

Agreement reached to recruit a project officer on a limited term appointment contract to co-ordinate the substance misuse and sexual health extension to the existing substance misuse (drug and alcohol) JSNA.  Recruitment should be completed and the project ready to start during quarter 3.

Status:  Green – On Target

Smoking Cessation and Tobacco Control

NoPrioritiesTime scale for Completion
37 Develop a new Tobacco Control Strategy and Implementation plan for the Isle of Man, starting with a needs assessment 2018/19
Quarter 1
Work is currently focusing on completing the needs assessment. Various stakeholders have been asked to provide responses to questions from the JSNA Tobacco Control Support Pack. There have been significant delays collecting information and we are still waiting for responses from some areas.

Responses received so far have been collated into one document and checked with stakeholders. Quantitative information from the Lifestyle Survey results will also provide important information regarding the Island's smoking population and prevalence for the needs assessment.

Status: Amber - Issue being addressed
Quarter 2:
As Quarter 1 

Status: Amber – Issue being addressed

-

38 Evaluate the Quit4You Stop Smoking Service 2017/18
Quarter 1 

Initial work has commenced developing project objectives for the evaluation of the Quit4You service, which will include quantitative and qualitative analysis.

Data coding and data entry of all Quit4You records from 2012-2016 is now complete. Data cleaning and initial analysis has commenced on these 5 years of service data.

Status: Green - On target
Quarter 2:
Work has commenced developing a project plan to gain Isle of Man residents perceptions on the current Quit4You service, previously, currently and also how the service should look in the future. Surveys, focus groups and interviews will be methods used to obtain feedback from those who wish to participate. 

Status: Green - On target

-

39 Work with EMIS project team to integrate the Quit4You
service onto  EMIS electronic software system
2017/18
Quarter 1
Not yet commenced. Informed by EMIS project team that the Quit4You service would commence end July/start early August 2017.

Status: White - not started
Quarter 2:
Awaiting a start date from the EMIS project team 

Status: White – not started

-

40 Develop a campaign for Stoptober (October 2017) focusing on priority groups 2017/18
Quarter 1
Not yet commenced.Information from the Lifestyle survey will be used to determine our local priority groups.

Status: White - not started
Quarter 2:
Priority groups were highlighted within the results of the lifestyle survey. The Stoptober campaign is currently underway, with many local residents attending community stop smoking groups and Quit4You clinics around the Island.

Status: Green – On target

-

41 Support development of new legislation for electronic cigarettes, working with Office of Fair Trading (OFT) 2018/19
Quarter 1
Office of Fair Trading is due to prepare information for the Attorney General’s office to enquire about different legislative options for nicotine inhaling products.The new legislation will focus on banning electronic cigarette sales to under 18’s and introducing new product safety requirements in line with the UK/EU.

Status: Amber - Issue being addressed
Quarter 2:
As Quarter 1.

Status: Amber – Issue being adressed

-

42 Work with the prison to introduce an electronic cigarette
pilot project
2017/18
Quarter 1
Public Health worked closely with the prison to plan for the introduction of their 6 month electronic cigarette pilot project, which commenced 27 April 2017. This included: drafting a new care pathway; providing feedback on materials for prisoners and media information; providing advice for evaluating the project; and supporting the development of a new Quit4You clinic at the prison.

The Quit4You team undertook a pre-pilot study with prisoners on 12 April 2017, taking exhaled Carbon Monoxide readings and asking for prisoners' views on smoking and support to stay smokefree. A full report of the research with recommendations was produced for the prison. This study will be repeated towards the end of the pilot project to determine any changes.

Status: Green - On target
Quarter 2:
The new Quit4You clinic has been developed in the prison.
On the 4th October a repeat study was completed within the prison by the Quit4You team, taking exhaled Carbon Monoxide readings and asking for prisoners' views on smoking and support to stay smokefree.
A full report highlighting any changes is now due and will be produced in the near future.

Status: Green – On target

-

43 Undertake a project regarding pregnant women and those
with young children who smoke to improve numbers quitting
2017/18
Quarter 1
Initial work has commenced developing project objectives regarding pregnant women who smoke.

Public Heath has commenced an audit of pregnant women who smoke from 2012-2016 in order to identify outcomes of the opt-out referral scheme.

Noble's Hospital has provided 5 years of data on smoking in pregnancy.

Status: Green - On target
Quarter 2:
Audit work on those who are pregnant and smoke is in the process of being completed.

Status: Green - On target

Page last updated: 09 October 2017

Priorities for 2017-2020

Drugs and Alcohol

NoPrioritiesTimescale
for Completion
23 Development of a new Drug and Alcohol Strategy document December 2017
24 Produce a Drug and Alcohol Implementation Plan outlining strategy delivery September 2018

Healthy Weight

NoPrioritiesTimescale
for Completion
25 Produce a set of indicators for physical activity, diet and obesity that is comparable with other areas of UK and Crown Dependencies with similar demographics March 2018
26 Weight Management Strategy refresh based on healthy weight across all life stages March 2019
27 Produce a Weight Management Implementation Plan outlining strategy delivery December 2019
28 Continue to manage and evaluate appropriate Tier 2 services Weight Watchers Referral Scheme and include it as part of the life course approach to treating levels of obesity Ongoing annually
29 Support Soft Drinks Industry Levy introduction, due April 2018, with Public Health Communications Plan for the Island's population March 2018

Oral Health

NoPrioritiesTimescale
for Completion
30 Produce a set of indicators for Oral Health that is comparable with other Islands or areas of the UK with similar demographics 2017/2019
31 Develop a new Oral Health Strategy targeted at the 0-5 age group 2017/2020
32 Devise a pilot Supervised Tooth brushing Project to improve oral health in pre-school and primary school children March 2018
33 Deliver a full Supervised Tooth brushing Programme to improve oral health in pre-school and primary school children 2018/2020

Sexual Health

NoPrioritiesTimescale for Completion
34 Complete work from 2016/17 to review the GUM and Family Planning services and prepare options for an integrated sexual health service to be delivered to
the Commissioning Committee
July 2017
35 Complete work from 2016/17 to review the sexual assault referral service and prepare pathway options July 2017
36 Decision pending future delivery - Work to extend the Drug and Alcohol JSNA chapter (including sexual violence and domestic abuse) Pending

Smoking Cessation and Tobacco Control

NoPrioritiesTimescale for Completion
37 Develop a new Tobacco Control Strategy and Implementation plan for the Isle of Man, starting with a needs assessment 2018/19
38 Evaluate the Quit4You Stop Smoking Service 2017/18
39 Work with EMIS project team to integrate the Quit4You service onto EMIS electronic software system 2017/18
40 Develop a campaign for Stoptober (October 2017) focusing on priority groups 2017/18
41 Support development of new legislation for electronic cigarettes, working with Office of Fair Trading 2018/19
42 Work with the prison to introduce an electronic cigarette pilot project 2017/18
43 Undertake a project regarding pregnant women and those with young children who smoke to improve numbers quitting 2017/18
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