AUDIT TOOL

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					ESSENCE OF CARE: PROMOTING HEALTH BENCHMARKS

AUDIT TOOL
APRIL 2007

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Introduction
The Audit tool has been developed by representatives from the Cheshire and Merseyside Public Health nursing and midwifery network, the Cheshire and Merseyside performance management group and allied health professional network. It has been designed to underpin the section on health promotion in the overall Cheshire and Merseyside Quality Framework Tool. The Audit tool supports the ‘Essence of Care’ benchmarks as well as providing evidence towards the public health domains of the Standards of Better Health. The Audit tool aims to highlight areas of health promotion activity as well as being able to identify areas that require improvement ensuring priorities are based on identified need. The value of the tool will be enhanced if used as a multi professional and multi agency tool to facilitate comparison and sharing of practices across traditional boundaries. The tool can be used flexibly, and can be based on service provision and assessing that service provision or specific aspects for example older persons services, weaning clubs, school nursing services etc. Participation in this process will also provide valuable evidence for KSF portfolios.

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1. GUIDANCE Please complete all sections as described below and using free text as indicated.  One form should be used for up to a total of either 10 or 5 interventions/contacts episodes of care (dependant on case load/service provision/ward size)  Some questions may require a single answer or a spot check  If the question is not applicable please justify this in the related column  Use the five-bar gate method, putting a vertical mark in the appropriate column for each response, when (if) you get to a fifth mark, put a cross through the four vertical lines as in the diagram below.  Once complete you may find it easier to replace the vertical lines within each column with the appropriate figure as demonstrated overleaf: Please include supporting information under ‘your evidence’. Record any not applicable answers as positive  You may wish to review a particular service and use one or a number of Factors to help you to do this.  Some staff may need additional support to explore their understanding of health promotion/public health, when planning the audit.  This is a multi-professional tool and so some preparation/ discussion will need to be undertaken in teams to ensure that the most effective approach is chosen.  The examples given are to provide some direction but there will be many more that you will be able to identify.  Some of the Factor’s Indicators may seem repetitive across the full range of Factors – this is to take into account that some teams may focus on a small number of Factors.

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The audit tool requires information from the following sources:  Asking the patient/client (and or) carer (AP): please discuss with five or ten randomly selected patients/clients and or carers from those who may be willing to participate.  Asking staff (AS): Please discuss with a number of staff on duty  Observation (OB): Observing the environment/ locating information  Documentation (D): Please audit 5 or 10 patients/clients’ documentation (this can be considered retrospectively)

Key to abbreviations used in the source (S) column: AP= Ask patient/client/ AS= Ask staff/ OB=Observation/ D= Check documentation
Example of five-bar gate method and responses requiring single or multiple response:
Ye s N o N / a S Evidence examples Your Evidence

Patient/client and or carers are involved in the identification of their health needs Patient/client and or carers are involved in the identification of their health needs

IIII III 8

II 2

D AP

Discussions documented

D AP

Discussions documented

At the end of each benchmark factor, the total numbers in each column are added up. The percentage of green, amber and red can then be calculated.

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Compliance is rated as the following: GREEN= 80-100%
2. WORKING OUT COMPLIANCE

AMBER= 50-79%

RED = 0-49%

Divide the total number of questions in each section by 100 (%) then multiply this by the total number in the Yes column. Example below: 100 divided by 3 (total number of questions) multiplied by 1 (total number in yes column)= gives percentage of 33.3% which indicates compliance as RED.
Indicator Yes No

Staff training needs analysis on health promotion has been carried out There are a range of modules/sessions available e.g. brief intervention training, basic health promotion awareness that match identified need for health promotion training Health promotion is part of the organisations/ departments induction programme 1 1

1 1

Please note As these questions relate to the team/service they require one answer only

Total
COMPLIANCE :

RED

On completing each section, action plans can be formulated identifying areas where you are focusing development activity. The action plans can be used to generate a robust and accurate understanding of local, team, service, divisional or organizational priorities as well as being useful to highlight areas of good practice that can be shared.

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3. RESOURCES TO SUPPORT IMPLEMENTATION APPENDIX 1. A list of resources by each Factor provides you with further information from which to develop your understanding of the topic area. It is accepted that this list will need updating and a mechanism will be identified for doing this. APPENDIX 2. Lists contact details of your local Cheshire & Merseyside Health Promotion Information & Resource Services APPENDIX 3. Membership list of working group with contact emails for local contacts in Cheshire & Merseyside.

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Factor 1. Empowerment & Informed Choice
Standard: Individuals, groups and communities' are able to make decisions on personal health and well being Indicator a Communication needs are assessed Yes No S AP D D AS OB OB AP AP AS Examples of types of evidence Resources such as interpreting services, large print etc are accessed Activity is based on individual needs Contact details available . Information provided reflects up to date resources Review/Audit of appropriateness Signposting to services such as the 'expert patient/client programmes', smoking cessation and education for patients/clients to self manage conditions Can demonstrate a range of mechanisms to ensure information is accessible. Your evidence

b c

d

There is evidence of an individualised approach to promoting health Staff can demonstrate they know how to access local health promoting resources specific to their client group Health promotion information is available to patients/clients that meets their needs and is understood There are opportunities for people to access and participate in health promotion programmes, activities or services Staff, patients/clients are aware of advocacy services and how to access them Total COMPLIANCE:

e

f

AP AS OB

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ACTION PLAN: EMPOWERMENT & INFORMED CHOICE
CLINICAL AREA/TEAM/SERVICE: COMPLETION DATE LEAD PERSON RESPONSIBLE: GOOD PRACTICE HIGHLIGHTED
ACTION PLAN REVIEW DATE:

Key Areas to focus improvement activity

Please log a series of numbered steps identifying how you are going to develop or improve practice in the key areas you have identified ACTIONS REQUIRED TARGET LEAD: DATE

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Factor 2. Education for Practitioners:
Standard: Practitioners have and use the knowledge and skills to promote health Indicator Yes No S Examples of types of evidence Your evidence

a

Staff training needs analysis on health promotion has been carried out There are a range of modules/sessions available e.g. brief intervention training, basic health promotion awareness that match identified need for health promotion training Health promotion is an integral part of all related education and training programmes
Total COMPLIANCE:

D

b

D OB

Training needs analysis Health & Wellbeing dimension of KSF used for relevant staff for personal development reviews. Evidence of availability of courses and numbers of staff attending

c

D

Induction and other existing programmes are reviewed and programmes adapted to incorporate health promotion.

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ACTION PLAN: EDUCATION FOR PRACTITIONERS
CLINICAL AREA/TEAM/SERVICE: COMPLETION DATE LEAD PERSON RESPONSIBLE: GOOD PRACTICE HIGHLIGHTED
ACTION PLAN REVIEW DATE:

Key Areas to focus improvement activity

Please log a series of numbered steps identifying how you are going to develop or improve practice in the key areas you have identified ACTIONS REQUIRED TARGET LEAD: DATE

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Factor 3. Assessment of health promotion needs
Standard: Individuals, groups and communities are able to identify their health needs

Indicator
a

Yes

No

S D AP

Examples of types of evidence Care planning shows assessment of needs. Health Needs assessment profiles for patient/client groups & communities Assessment frameworks developed for lifestyle factors

Your evidence

Patients/clients and or carers are involved in the identification of their health needs An assessment of lifestyle risk factors is carried out such as smoking, nutrition, physical activity and alcohol etc and this leads to a plan of care Wider determinants of health are considered in all assessments, such as social support, culture, transport, housing and employment etc Evidence-based assessment tools are used

b

D AP

c

D AP

Assessment frameworks include wider determinants of health.

d

OB D

Validated tools are used in the assessment process e.g. Malnutrition Universal Screening Tool (MUST) other tools used for alcohol, Falls, postnatal depression. Implementation of NICE guidelines.

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Indicator
e

Yes

No

S D

Examples of types of evidence Review/audit of documentation to assess that goal setting is undertaken and based on current best practice An appropriate range of health needs data has been used to inform service provision.

Your evidence

Plans of care and or care pathways are appropriate to the individual and have clear health promotion goals and are evaluated and documented Communities health needs are identified

f

D

Total COMPLIANCE:

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ACTION PLAN: ASSESSMENT OF HEALTH PROMOTION NEEDS
CLINICAL AREA/TEAM/SERVICE: COMPLETION DATE LEAD PERSON RESPONSIBLE: GOOD PRACTICE HIGHLIGHTED
ACTION PLAN REVIEW DATE:

Key Areas to focus improvement activity

Please log a series of numbered steps identifying how you are going to develop or improve practice in the key areas you have identified ACTIONS REQUIRED TARGET LEAD: DATE

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Factor 4. Opportunities to promote health
STANDARD: Every appropriate contact is used to enable individuals, groups and communities to identify ways to maintain or improve their health and well-being Indicator a There is evidence of promoting health being discussed with the patient/client at the earliest, appropriate opportunity A range of up to date health promotion information is visible and available to patients/clients, relatives and or carers Every patient/client has the opportunity to receive promoting health information. Workplaces promote staff health, Yes No S AP D Examples of types of evidence Healthy Lifestyle factors incorporated into patient/client assessments Health promotion information displayed. Your evidence

b

OB

c

AP OB

There is access to health promoting information which meets individual diversity and need. Occupational health services support health promoting initiatives for staff e.g. full range of smoking cessation services, health checks offered to address weight/diet and physical activity

d

AS

Total COMPLIANCE:

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ACTION PLAN: OPPORTUNITIES TO PROMOTE HEALTH
CLINICAL AREA/TEAM/SERVICE: COMPLETION DATE LEAD PERSON RESPONSIBLE: GOOD PRACTICE HIGHLIGHTED
ACTION PLAN REVIEW DATE:

Key Areas to focus improvement activity

Please log a series of numbered steps identifying how you are going to develop or improve practice in the key areas you have identified ACTIONS REQUIRED TARGET LEAD: DATE

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Factor 5. Engagement
STANDARD: Individuals, groups and communities are actively involved in health promotion planning and actions Indicator a Health promoting activities are planned and prioritised in collaboration with individuals, groups and or communities Health promotion activity is targeted at areas of greatest need All Care Pathway development to incorporate health promotion Total COMPLIANCE: Yes No S D Examples of types of evidence Health promoting programmes can demonstrate inclusion of patient/client groups in development. Joint working to enhance programme/service development . Use of data/ information to develop programmes Care Pathway Your Evidence

b

D

c

D

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ACTION PLAN: ENGAGEMENT
CLINICAL AREA/TEAM/SERVICE: COMPLETION DATE LEAD PERSON RESPONSIBLE: GOOD PRACTICE HIGHLIGHTED
ACTION PLAN REVIEW DATE:

Key Areas to focus improvement activity

Please log a series of numbered steps identifying how you are going to develop or improve practice in the key areas you have identified ACTIONS REQUIRED TARGET LEAD: DATE

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Factor 6. Partnership
STANDARD: Health promotion is undertaken in partnership with others using a variety of expertise and experiences Indicator a Staff are aware of the range of partners/organisations that can support the health and well being of individuals and or communities There is signposting to partner organisations that provide health promoting services There is evidence that opportunities to work in partnership across primary and secondary care are identified and used Total COMPLIANCE: Yes No S AS Examples of types of evidence Evaluation of signposting/referral Your Evidence

b

D

Contact numbers of partner organisations are available and accessible to staff Joint working in a variety of health promotion groups

c

D

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ACTION PLAN: PARTNERSHIP
CLINICAL AREA/TEAM/SERVICE: COMPLETION DATE LEAD PERSON RESPONSIBLE: GOOD PRACTICE HIGHLIGHTED
ACTION PLAN REVIEW DATE:

Key Areas to focus improvement activity

Please log a series of numbered steps identifying how you are going to develop or improve practice in the key areas you have identified ACTIONS REQUIRED TARGET LEAD: DATE

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Factor 7. Access and Accessibility
STANDARD: People have access to health promoting information, services and or support which meets individual needs and circumstances Indicator a There is evidence that any barriers to access have been identified and have been addressed Yes No S D Examples of types of evidence Peoples needs are assessed so that there is equitable access to services i.e. availability of hearing loops, large print etc Where appropriate Health Equity Audits have been used to assess access and accessibility Targeted programmes for specific groups are developed Environments do not discriminate against peoples physical, mental, social and religious needs Health promoting information is tailored to ensure appropriateness and easy access. Care planning documentation, team briefs, meeting notes, intranet access, induction programmes. Your Evidence

b

Services are provided in settings that are accessible

OB

c

Health promoting information is available in a format that meets individual need e.g. languages, videos, DVDs, talking books etc Staff, patients/clients and or carers are aware of the range of information and support that is available

OB AP

d

AP AS

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Factor 7. Access and Accessibility
STANDARD: People have access to health promoting information, services and or support which meets individual needs and circumstances Indicator e People are signposted to specialist services such as smoking cessation, exercise by prescription etc Total COMPLIANCE: Yes No S D Examples of types of evidence Documentation in care plans. Audit of referrals to services. Your Evidence

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ACTION PLAN: ACCESS & ACCESSIBILITY
CLINICAL AREA/TEAM/SERVICE: COMPLETION DATE LEAD PERSON RESPONSIBLE: GOOD PRACTICE HIGHLIGHTED
ACTION PLAN REVIEW DATE:

Key Areas to focus improvement activity

Please log a series of numbered steps identifying how you are going to develop or improve practice in the key areas you have identified ACTIONS REQUIRED TARGET LEAD: DATE

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Factor 8. Environment
STANDARD: Individuals, groups, communities and agencies influence and create environments which promote peoples health and well being Indicator a Staff have an understanding of the impact of the wider determinants of health and health inequalities Individual/community/group circumstances, religious/cultural needs are taken into account when giving advice or undertaking action The working environment (hospital, clinic, other setting) is health promoting Yes No S D Examples of types of evidence Staff training, patient/client/community needs assessments Individual care assessments. Policies and programmes supporting healthy environments (Health & Safety , estates, travel, use of healthy catering guidelines, healthy breaks) Your Evidence

b

D

c

D OB

Total COMPLIANCE:

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ACTION PLAN: ENVIRONMENT
CLINICAL AREA/TEAM/SERVICE: COMPLETION DATE LEAD PERSON RESPONSIBLE: GOOD PRACTICE HIGHLIGHTED
ACTION PLAN REVIEW DATE:

Key Areas to focus improvement activity

Please log a series of numbered steps identifying how you are going to develop or improve practice in the key areas you have identified ACTIONS REQUIRED TARGET LEAD: DATE

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Factor 9. Outcomes of Promoting Health
STANDARD: Health promoting activity has a sustainable effect that improves the public's health Indicator a Services/practitioners are clear about the health promotion outcomes they are aiming to achieve Yes No S AS D Sources Examples of types of evidence Goal setting explicit within care plans and systems in place to review. Outcomes explicit in Service level Agreements Activity analysis to monitor effectiveness of practice/programmes. Forums used, publications, reports for Standards for Better Health/Commissioners. Networks Presentations Reports Your Evidence

b

A range of information is gathered and reported on to evaluate activities and demonstrate health outcomes Outcomes are shared to inform practice and future service delivery Good practices are share and celebrated

D OB

c

D OB D

d

Total COMPLIANCE:

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ACTION PLAN: OUTCOMES
CLINICAL AREA/TEAM/SERVICE: COMPLETION DATE LEAD PERSON RESPONSIBLE: GOOD PRACTICE HIGHLIGHTED
ACTION PLAN REVIEW DATE:

Key Areas to focus improvement activity

Please log a series of numbered steps identifying how you are going to develop or improve practice in the key areas you have identified ACTIONS REQUIRED TARGET LEAD: DATE

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APPENDIX 1.

LIST OF RESOURCES FOR PROMOTING HEALTH BENCHMARKS
FACTOR RESOURCE Factor 1 EMPOWERMENT 1. Use local health promotion resource and information service. See Appendix 2. for local service & INFORMED contacts in Cheshire & Merseyside. CHOICE 2. Guidelines on producing health promotion information leaflets can be found via Camden PCTs website. Follow the links to the Health Promotion Resource Service via the Services drop-down menu 3. Another source is the Department of Health toolkit for Producing patient/client information, 2003 which can be accessed via http://www.dh.gov.uk/assetRoot/04/06/84/62/04068462.pdf Factor 2 EDUCATION FOR PRACTITIONERS

1. The Public Health Skills Audit Tool http://www.phskills.net 2. Use KSF development reviews to highlight education & training needs. 3. NICE guidance focuses on importance of brief intervention training for public health guidance www.nice.org.uk 4. Access information on public health education opportunities via web-based 5. Public Health Practitioners Occupational Competencies, Skills for Health http://www.skillsforhealth.org.uk/ 6. NHS Knowledge & Skills Framework : All core standards can be linked to health promotion work and the specific dimension of Health & Wellbeing. 7. Health Visitor Practice Development Resource Pack. DH Publication.2001, School Nurse Practice Development Resource Pack DH Publication, 2006 and Taking a public health role in the workplace: A guide for occupational health nurses. Documents describe public health activity required by the role and include a useful competency based audit tool for practice. Available at www.dh.gov.uk

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Factor 3 ASSESSMENT OF HEALTH PROMOTION NEEDS

1. Health Equity Audit made simple www.nice.org.uk 2. Health Needs Assessment: A practical guide www.nice.org.uk 3. Health Impact Assessment www.nice.org.uk

Factor 4: OPPORTUNITIES TO PROMOTE HEALTH

1. The Faculty of Public Health and Faculty of Occupational Health have produced a useful resource called Creating healthy workplaces. It is downloadable via the Faculty of Public health website at http://www.fph.org.uk/policy_communication/downloads/publications/reports/healthy_workplaces_report_20 06.pdf 2. For a more detailed step-by-step “how to do it” resource The Health Communication Unit at University of Torronto have an excellent set of toolkits and other resources http://www.thcu.ca/workplace/workplace.html Start with their Introduction to Comprehensive Workplace Health Promotion at http://www.thcu.ca/workplace/documents/intro_to_workplace_health_promotion_v1.1.FINAL.pdf 3.Top Tips for Healthier Hospitals www.champs-for-health.net 4. NICE Guidelines for public health www.nice.org.uk

Factor 5: ENGAGEMENT

Probably the best known, practical resource for planning and evaluation of health promotion is Promoting Health: A Practical Guide, 5th edition 2003, L. Ewles & I. Simnet. You’ll find it useful for many of the Factors, not just this one. For more detailed step-by-step guides: i) For planning health promotion programmes: http://www.thcu.ca/infoandresources/publications/Planning.wkbk.content.apr01.format.oct06.pdf ii) For evaluating health promotion programmes: http://www.thcu.ca/infoandresources/publications/EVALMasterWorkbookv3.6.03.06.06.pdf

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Factor 6 PARTNERSHIP

L. Ewles & I. Simnet Promoting Health: A Practical Guide, 5th edition 2003. Chapters on Who Promotes health? and Working Effectively with other people Establish links to local health promotion services and specialist services e.g. smoking cessation services See local contacts at Appendix 2

There are several sources of translated leaflets and information: Factor 7 ACCESS & ACCESSIBILITY The Patient/client Information Bank is available to NHS staff only at nww.patient/clientinformationbank.nhs.uk www.mypil.com has the largest database of translated health information in Europe www.mhcs.health.nsw.gov.au is probably the largest database of translated health information in the world www.multikulti.org.uk for culturally appropriate and accurately translated information on debt, employment, health, housing, immigration and welfare benefits www.communicate-health.org.uk/card/ for multi-lingual appointment cards

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1. The Ottawa Charter for Health Promotion at www.who.int/hpr/NPH/docs/ottawa_charter_hp.pdf Factor 8 identifies that social and built environments are key settings for health promotion action. Details on the ENVIRONMENTS importance of working with communities and local organisations can be found in the Sundsvall Statement on Supportive Environments for Health at www.who.int/healthpromotion/conferences/previous/sundsvall/en/index.html 2. The Faculty of Public Health and Faculty of Occupational Health have produced a useful resource called Creating healthy workplaces. It is downloadable via the Faculty of Public health website at http://www.fph.org.uk/policy_communication/downloads/publications/reports/healthy_workplaces_report_20 06.pdf 3. For a more detailed step-by-step “how to do it” resource The Health Communication Unit at University of Toronto have an excellent set of toolkits and other resources http://www.thcu.ca/workplace/workplace.html Start with their Introduction to Comprehensive Workplace Health Promotion at http://www.thcu.ca/workplace/documents/intro_to_workplace_health_promotion_v1.1.FINAL.pdf 4. National Healthy Schools programme http://www.wiredforhealth.gov.uk 5. Commissioning Healthier Catering & Hospitality Guidance, North West Food & Health Task Force. www.nwph.net/food_health/ For evaluating health promotion programmes: http://www.thcu.ca/infoandresources/publications/EVALMasterWorkbookv3.6.03.06.06.pdf Commissioning Framework for Health & Wellbeing http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_072604

Factor 9 OUTCOMES

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APPENDIX 2

CHESHIRE & MERSEYSIDE HEALTH PROMOTION INFORMATION & RESOURCE SERVICES
Central and Eastern Cheshire PCT (Central)
Ann Hackney – Resource Officer Central and Eastern Cheshire Primary Care Trust Jet Library Leighton Hospital Middlewich Road Crewe CW1 4QJ Tel: 01270 612538 E-mail: a.hackney@chester.ac.uk

Central and Eastern Cheshire PCT (Eastern)
Greer Hanaghan - Resource Assistant Health Improvement Central & Eastern Cheshire Primary Care Trust Victoria Road Macclesfield Cheshire SK10 3BL Tel: 01625 661869 E-mail: trisha.stairmand@echeshiretr.nwest.nhs.uk Please direct all enquiries to Trisha Stairmand
Opening times: Mon - Fri 9am - 4.30pm (however available by appt outside these times) *Please note this resource service only currently covers Eastern Cheshire.

Halton and St Helens PCT (Halton)
Paula Wright – Health Information Resource Officer Halton and St Helens Primary Care Trust Lister Road Astmoor West Estate Runcorn Cheshire WA7 1TW Tel: 01928 593057 E-mail: paula.wright@hsthpct.nhs.uk

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Halton and St Helens PCT (St Helens)
Lynda Moss – Health Improvement Information Resource Manager Health Improvement Information Resource Library Halton and St Helens Primary Care Trust The Hollies Cowley Hill Lane St Helens, WA10 2AP Tel: 01744 626667 Fax: 01744 697236 E-mail: Lynda.moss@hsthpct.nhs.uk Opening times: Mon – Thur 8.30am – 5pmFri 8.30am – 4.30pm

Knowsley PCT
Julie McKie - Health Promotion Library Resource Officer Health Promotion Library & Staff Resource Base Knowsley Primary Care Trust 1st Floor, The Learning Shop 43 Derby Road Huyton Merseyside, L36-9UP

Liverpool PCT
Sandra King – Resource Officer Health Promotion Liverpool Primary Care Trust 10 Maryland Street Liverpool, L1 9DE Tel: 0151 708 9105 Email: sandra.king@liverpoolpct.nhs.uk

Tel: 0151 290 1096 Fax: 0151 290 Opening times: Mon, Tues, Thur, Fri 1095 9am – 4pm, Wed 1pm – 4pm Email: Julie.McKie@knowsley.nhs.uk Opening times: Mon, Tues, Thur 9am – 4pm, Wed 9am – 12noon, Fri 9am – 2pm

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Sefton PCT
Heather Hardisty – Resource & Campaigns Officer Health Improvement Department Sefton Primary Care Trust 1st Floor, Burlington House Crosby Road North Waterloo Liverpool, L22 0QB Tel: 0151 479 6550 Email: heather.hardisty@seftonpct.nhs.uk

Warrington PCT
Lynette Crean – Resource Officer Zoe Rubotham – Resource Assistant Resource & Information Service Health Improvement Directorate Warrington Primary Care Trust 930-932 Birchwood Boulevard Millennium Park, Birchwood Warrington, WA3 7QN Tel: 01925 843730 E-mail: lynette.crean@warringtonpct.nhs.uk

Western Cheshire PCT
Lynne McAlpine - Education and Resource Officer Western Cheshire PCT Health Improvement Service, Moston Lodge Countess of Chester Health Park Liverpool Road, Chester, CH2 1UL Tel: 01244 364819 E-mail: lynne.mcalpine@nhs.net Opening times: Mon – Fri 10am - 2pm

Wirral PCT
Lauraine Gates – Information & Resource Officer Wirral Primary Care Trust Gibraltar House Kelvin Road Wallasey CH44 7JN Tel: 0151 630 8383 E-mail: lauraine.gates@wirralpct.nhs.uk

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APPENDIX 3. Essence of Care Promoting Health Benchmarks Working Group
MEMBERSHIP LIST Name Maria Sinfield (Working group coordinator) Carmel Hale Carol Kerr Deborah Blackburn Title
Essence of Care Coordinator Cheshire & Merseyside (left role Jan 07)

Organisation Cheshire & Merseyside SHA (no longer in place)

Email Address maria.sinfield@brh.nhs.uk

Senior Nurse Consultant Nurse North West Regional Child Health Screening Co-ordinator/Child Health Improvement Co-ordinator Chair, AHP Network Professional Development Nurse Essence of Care Coordinator

Aintree Hospitals NHS Trust Cheshire & Merseyside Health Protection Team Liverpool PCT

Carmel.hale@aht.nwest.nhs. uk Carol.kerr@liverpoolpct.nhs.u k Deborah.Blackburn@liverpoo lpct.nhs.uk

Nicky Speakman Ella Haggerty Fiona Gratrix

Sefton PCT Wirral PCT RLBUHT

Nicky.Speakman@seftonpct. nhs.uk Ella.haggerty@wirralpct.nhs. uk Fiona.gratrix@rlbuht.nhs.uk

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Name

Title

Organisation

Email Address

Gill Fitzpatrick Helen Condran Jackie Clark

Health Visitor

gill.fitzpatrick@livgp.nhs.uk

Liverpool PCT
Sefton PCT Southport & Ormskirk NHS Trust Liverpool PCT Central & East Cheshire PCT Halton & St Helens PCT Edge Hill University Helen.condran@seftonpct.nh s.uk jackie.clarke@southportando rmskirk.nhs.uk Jan.McColgan@liverpoolpct. nhs.uk julie.langley@ccpct.nhs.uk Sharon.McAteer@haltonpct.nhs.uk englishs@edgehill.ac.uk Una.Gordon@seftonpct.nhs. uk janet.gill@wirralpct.nhs.uk

Clinical Lead Health Visiting Services Practice & Professional Development/Lead Nurse Jan Lead Public Health McColgan Nurse Julie Langley Locality Manager Sharon McAteer Sue English/ Kathleen Richardson Una Gordon Janet Gill Health Promotion Manager Lecturer

Head of Public Health Sefton PCT Nursing/Public Health Workforce Development Health promotion Wirral PCT Specialist

Ref E of C/Promoting health Audit Tool final.doc

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