Wandworth Local Health and Care Plan - October 2019

18 National Policy Context The 2014 Care Act and NHS Five Year Forward View both emphasised the importance of a shift towards a preventative approach that promotes wellbeing and maintains independence to ensure the future sustainability of the health and social care system. Our work Defining prevention Primary prevention aims to promote population health and wellbeing, prevent disease and harm before it occurs –i.e. for cardiovascular disease primary prevention would be addressing risk factors through smoking cessation, physical activity. Secondary prevention aims to reduce the impact of a disease that has already occurred or preventing a recurrence. i.e for cardiovascular disease by taking a statin or aspirin secondary prevention after a heart attack or a stroke we are trying to prevent another one. Tertiary prevention treats disease with cost-effective interventions to slow or reverse disease progression. It includes rehabilitation for disability (seen as a “downstream approach”). i.e. in diabetes, preventing amputation by good foot care. • Making the health and wellbeing of our communities everyone’s responsibility. • Creating environments where the healthier choice is the easier choice every time. • Harnessing local communities and their assets to build resilience amongst people and their carers. • Embedding self-care and promoting a recovery model. • Promoting prevention and independence across all health and social care pathways. The agreed approach is centred on implementation across the life- course and across three levels; • Place and policy level solutions e.g. environment and planning, legislation and regulation; • Community level solutions e.g. volunteering, connectivity, community cohesion; and • Individual level solutions e.g. intensive services for vulnerable individuals in most need and online ‘E-solutions’ to offer a less intensive, cost-effective approach to the community more broadly. Implementation of the Prevention Framework Local Policy Context Wandsworth’s Joint Strategic Prevention Framework outlines preventative interventions should focus on: Delivery of the Local Health and Care Plan -scaling up four prevention interventions: 1. Supporting healthy workplaces by encouraging local employers to become accredited with the London Healthy Workplace Charter. 2. Reviewing and embedding Making Every Contact Count (MECC) training across all frontline staff. 3. Scaling up the Social Prescribing programme. 4. Embedding public health initiatives in procurements/care pathways, using a prevention matrix.