Title page
Contents
About Public Health England 2
Introduction 5
1.1. About the MoI 5
1.2. Interventions with potential to deliver savings to the NHS within 5 years 6
1.3. Improving quality in organisations 6
1.4. Consider whole care pathways 6
1.5. Moving to implementation 7
1.6. Caveats for use 7
1. Alcohol 9
1.1. Overview 9
1.2. Alcohol care teams in acute hospitals 10
1.3. Alcohol identification and brief advice 12
2. Tobacco 14
2.1. Overview 14
2.2. Assessment, very brief advice and referral in hospitals 15
2.3. Reduce harm to patients who smoke 17
3. Diet and obesity 19
3.1. Overview 19
3.2. Improve weight management services 20
3.3. Procurement of healthier food 21
4. Health and work 24
4.1. Overview 24
4.2. Implement a holistic approach to workplace wellbeing 25
4.3. Individual placement and support 27
5. CVD secondary prevention 29
5.1. Overview 29
5.2. Reduce the incidence of avoidable AF-related strokes 30
5.3. Improve management for patients with high blood pressure 32
6. Diabetes 34
6.1. Overview 34
6.2. Healthier You: the NHS Diabetes Prevention Programme 35
6.3. Encourage uptake of structured education in diabetes 36
7. Falls and musculoskeletal health 39
7.1. Overview 39
7.2. Musculoskeletal physiotherapy: patient self-referral 40
7.3. Establish fracture liaison services 41
8. Physical activity 43
8.1. Overview 43
8.2. Deliver effective brief advice on physical activity in clinical care 44
8.3. Increasing active travel for staff, patients and local population 46
9. Mental health 48
9.1. Overview 48
9.2. Improving perinatal mental health services 49
9.3. Smoke free mental health trusts and quitting support 51
10. Sexual health 53
10.1. Overview 53
10.2. Improve access to long-acting reversible contraceptives 54
10.3. Increasing uptake of HIV testing 56
11. Healthy ageing, dementia and frailty 58
11.1. Overview 58
11.2. Raise public awareness about reducing the risk of dementia 59
12. Maternity and early years 61
12.1. Overview 61
12.2. Screen and refer women who smoke during pregnancy 62
12.3. Implement programmes that increase access to fluorides 63
13. Drugs 66
13.1. Overview 66
13.2. Review prescriptions of medicines liable to dependence 67
14. Antimicrobial resistance 69
14.1. Overview 69
14.2. Reducing inappropriate prescribing of antibiotics 70
14.3. Reducing Gram-negative bloodstream infections 72
Appendix A: Local support 75
15. Considerations to support interventions into practice 75
15.1. A place-based approach 75
16. PHE and NICE contacts for STP footprint areas 77
16.1. PHE contacts 77
16.2. NICE implementation consultants 81