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Joanne Bosanquet: A clear vision of health promotion for nurses and midwives

Public Health England’s deputy chief nurse reflects on how prevention, promotion and protection have become key commitments in Leading Change, Adding Value, the framework for nursing, midwifery and care staff

Public Health England’s deputy chief nurse reflects on how prevention, promotion and protection have become key commitments in Leading Change, Adding Value, the framework for nursing, midwifery and care staff


A nutritionist giving advice to a patient. Picture: Science Photo Library

When Leading Change, Adding Value, the framework for nursing, midwifery and care staff, was published in 2016, I had been deputy chief nurse for Public Health England for three years. 

In that time I had been involved, with many others, in building and developing relationships to ensure national nursing and midwifery leaders could describe a clear vision for nurses and midwives everywhere. 

Ensuring public health is central to this vision. Prevention, promotion and protection have been embedded as key commitments of Leading Change, Adding Value, and we have developed All Our Health as a framework of evidence to help health and care professionals deliver those commitments through their practice.

Common approach

In 2015 the Compassion In Practice strategy was coming to the end of its term. A ‘federation’ of nursing and midwifery national leaders was formed to provide a strong, collegiate platform for a common approach across the different arm’s-length bodies that came into existence in 2012 and to consider what to do next.

We wanted to develop something aligned to the Five Year Forward View, the national strategy for health in England, given the central role of nurses and midwives in delivering it.

A major plank of this strategy and collaborative working across the new system was to close the health and well-being gap and radically upgrade our approaches to prevention. This had clear implications for all health and care practitioners.

Changing health needs

As nurses and midwives – and leaders – we recognise that our professional practice requires continuous development to meet changing health needs. We need to extend our models of practice from the traditional ‘bedside nursing’ paradigm to encompass a more holistic, multi-faceted model concerning itself with factors that support health rather than on those that cause disease – focusing on individuals, families, communities and populations.

It is clear to see why, when Leading Change, Adding value was developed, the first three commitments all related to the prevention of avoidable illness and improving population health.

At Public Health England we had already been developing work around personalised care and population health, and were able to develop this further under the heading of All Our Health.

A social movement for health

All Our Health aims to support a social movement for health. It is a call to action for all healthcare professionals to maximise their impact in improving the health of the population through health protection, and the promotion of well-being and resilience.

It provides the underpinning ‘evidence into action’ for the first three of the ten commitments of Leading Change, Adding Value.

Under those first three commitments, Public Health England  is supporting front-line action through the ‘3Ps’ of public health: prevention, protection and promotion.

Making a difference

The focus is on the major health challenges of antimicrobial stewardship, healthy eating, physical activity and healthy weight, cardiovascular disease and a healthy workforce.

Using these as our initial focus we can show how health and care professionals, whatever their role, can make a difference to health outcomes.

Watch this space for more details. In the meantime, please take a look at our resources and our blogs, and email us with your thoughts and ideas.

Most importantly, join the social movement for health.


Joanne Bosanquet MBE is deputy chief nurse, Public Health England
Twitter @MrsBosanquet 

 

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