• The art and science of the organised efforts of society to improve and protect the health of the public
  • BUT some of us think Public Health is a technology which adopts insights from other sciences, not a science itself. The first big hook for Health Psychology to engage
  • Public Health senior posts opened to non medics in England 2002/3
  • In England PH now distributed across local authorities, PHE and NHSE
  • Specialist training programme curriculum includes a small amount of Health Psych in Part 1 and Part A exams
  • Scotland and Wales have own different arrangements
  • Von Lengherke, 2001: Public Health Psychology:
  • BJPS Special Issue Vol 5, No 4 2000
  • Schneiderman et al (2001) Integrating Behavioral and Social Sciences With Public Health. APA
  • Journal of Health Psychology Special Issue “Health Psychology and Public Health” Bridging the Gap, Jan 2004
  • Health Psychology in PH Network 2013
  • “If you could do just one thing” British Academy 2014
  • Organic development (examples coming)
  • BPS DHP Leaflets
  • England strategy for behavioural and social sciences in Health
  • NIHR Rapid research call 2018
  • Complexity Science takes a grip in UK Public Health….
  • The art and science of the organised efforts of society to improve and protect the health of the public
  • BUT some of us think Public Health is a technology which adopts insights from other sciences, not a science itself. The first big hook for Health Psychology to engage
  • Von Lengerke (2006) Public Health as an “interdiscipline” Health Psychol. 2006 May;11(3):395-9;
  • Evaluation of existing services or programmes that have been commissioned without our input – e.g. local evaluation of the Family Nurse Partnership
  • Discrete literature reviews – e.g. currently running a systematic review of the evidence around relationship education in primary schools
  • Currently engaged in trying to support PH Warwickshire in considering the commissioning process and how to embed procedures and tools that make it easier to take account of the latest relevant behavioural science evidence.

–Guidance on when and how to conduct evidence reviews

–Supporting F2s and others to conduct reviews and synthesise and apply findings

–Looking at repurposing certain aspects of the current cycle such as the Market testing events with prospective service providers – potential opportunity for training and co-development of aspects of the service

  • Around ten local authorities are explicitly identifying investment in Health Psychology capability for public health. Just some examples

–Coventry and Warwickshire – joint unit with University

–Hounslow and Southwark – Behaviour leads

–West Midlands/Birm/Solihull  Developing Centre of Excellence

–Hertfordshire – Psychologist and corporate framework

–Berkshire – use of Psychology in Public Mental Health work

  • Health Psychologist
  • Skills training for behavioural interventions in smoking cessation and tiers 1 and 2 weight management
  • Skills training for GPs in self management
  • Behaviour change framework and toolkit
  • Skills for leisure staff
  • “Ready reckoners” of which science and when to use
  • Schools Mental Health training
  • Road Accidents and Young Drivers
  • Preventing Terrorism
  • Adults with very complex needs
  • Cardiac Rehab Qualitative Study
  • National network bringing PH and Health Psychology to work together
  • Skills training sessions and events/masterclasses for practitioners
  • Researcher and Trainee Network
  • Awards for Interface research
  • Journal launching shortly
  • Toolkit on behaviour change
  • First Fellows to be announced 2017
  • The combination of an ageing population and greater budgetary constraints makes it ever more important that we work together to find innovative ways to prevent problems from arising which shorten life expectancy, reduce quality of life, and lead people to require the services of the NHS and the County Council.
  • Public Health are now leading a major new work programme to embed the principles and practice of prevention across Hertfordshire County Council in all of the services that we provide.
  • Epistemological challenges as we go from one level of explanation to another
  • But some good examples

–Biological Psychology work on ENDS

–Multilevel elucidation of health behaviour in context (eg addictions)

 

1.Clear conceptualisation of how PH and Health Psychology work together

2.Health Psychology competencies in all PH specialists

3.Public Health competencies in all Health Psychs

4.Health Psychologists in PH Depts

5.Interdisciplinary approach to challenges

6.Systems science

7.Epistemological frameworks

8.Emphasis on Human Flourishing – Positive Psychology

Tasks for us: embedding ourselves in the system

1.Build our leadership individually and together

2.Advocacy with the system and with each other

3.Publicise our contribution and impact and training

4.Get engaged with population health issues

5.Demonstrate we do “more than individuals”

6.Positive psychology – the impact we can have for people

7.Speak the language of systems, complexity and determinants and use those approaches

8.Get stuck into quality improvement

9.Share and support