PHNC Sept Bulletin English HQ

June 2017

September 2017

Welcome to the ebulletin Welcome to the September issue of Public Health Network Cymru’s e-bulletin. The theme this month is World Mental Health Day. The World Health Organization recognises World Mental Health Day on 10 October every year. The day provides an opportunity “for all stakeholders working on mental health issues to talk about their work, and what more needs to be done to make mental health care a reality for people worldwide”.

This year’s theme set by the World Federation for Mental Health is mental health in the workplace.

The chance to win £25 in Amazon Vouchers is coming to an end soon!!! We are in the process of evaluating the Network to ensure we continually improve the website and e-bulletins and provide events that members find most useful. We have received a large number of responses so far but if you would like to participate and enter the draw please complete our short survey via the following link https://www.research.net/r/G7YN75D We have also been running a poll to define the Network’s Seminar Programme for 2018. This is due to close on 6th October 2017 at 12pm so if you would like to see a particular seminar on our programme for next year then you need to get voting!!! https://www.research.net/r/ F66MNHX We are planning more events which are due to take place from November onwards. As soon as we have confirmed the details we will disseminate the information to our members.

Please get in touch with any information you would like to include on the website or e-bulletin by contacting us at publichealth.network@wales.nhs.uk

@PHNetworkcymru

/publichealthnetworkcymru

www.publichealthnetwork.cymru

World Mental Health Day

y - Let’s Work Together

Spotlight on Mental Health October 10th 2017 marks an anniversary: We come together to celebrate World Mental Health Day for the 25th time!

World Federation for Mental Health founded the awareness day in 1992 and since then people all over the world are holding events, making announcements and celebrating #WorldMentalHealthDay. Mental health issues have been shown to increase employee absenteeism, lower rates of productivity and increased costs.

This year’s packet form World Federation for Mental Health will contribute to taking mental health out of the shadows in the work place so that people and companies have the tools to help employees and increase the overall mental wellbeing of their workforce. See more here https:// www.wfmh.global/wmhd-2017/

Early Review of the Welsh Mental Health Crisis Care Concordat - Summary of Research Findings The focus of the Mental Health Crisis Care Concordat (MHCCC) is on improving the quality and availability of services, with an emphasis on people in acute mental health crisis. Its main objective is to prevent the criminalisation of people who present with mental health problems. Senior leaders from different agencies and services, including all Health Boards, Welsh Police Forces, Welsh Fire Services and the Youth Justice Board amongst others have endorsed the MHCCC as a sign of a shared commitment to provide support in a mental health crisis.

The Welsh Mental Health Crisis Care Concordat (MHCCC) was published in December 2015. A National Task and Finish Group (NTFG) Board has guided the development of the MHCCC and the local implementation plans in Wales. These plans will now be implemented over the coming months.

We explored the experiences of people involved in developing the Mental Health Crisis Care Concordat implementation plans across Wales in this early and brief evaluation. The aim was to identify opportunities and gaps that have emerged and to provide learning to inform the rollout of the MHCCC. Main findings • Opportunities to move away from silo thinking and working to provide a service that matters to people was seen as important.

• Challenges in taking the MHCCC forward in local areas include agreeing priorities, working within financial constraints and maintaining momentum.

• Local delivery plans include innovative ideas and areas of good practice.

• Crisis care pathways need to be supported by clear decision-making arrangements and real time clinical advice where appropriate.

• Care should be based on recovery principles and professionals should treat people with compassion and dignity.

• Including people who use services and carers is very beneficial and can ensure that services provided meet people’s needs.

The Crisis Concordat brings the need for partnerships to the fore, as mental health is increasingly an issue for all partners(...). It also provides space for partners to better understand each other's approaches and work (CC 10).

Recommendations • Continue developing and strengthening joint working foundations whilst moving from a task-focused to a systems thinking approach.

• Consider overall data needs to be able to document change and compare service provision across Wales.

• Continue enabling meaningful involvement for people who use services and their carers at all stages of the implementation.

There is cause for optimism and excitement looking ahead to the actual implementation of the MHCCC. However, the work is only just beginning and this brief evaluation has identified a number of areas that will be important in the future of crisis care.

Anne Krayer & Catherine Robinson. Centre for Mental Health and Society, School of Social Sciences, Bangor University. For further information about the evaluation please contact: a.krayer@bangor.ac.uk You can find the MHCCC here: http://gov.wales/topics/health/publications/health/reports/concordat/?lang=en This evaluation was funded by Welsh Government We thank all participants for sharing their experiences.

Play: Mental Health and Wellbeing Playing is central to children’s physical, mental, social and emotional health and wellbeing. Through play, children develop resilience and flexibility, contributing to physical and emotional wellbeing and play is enshrined in the United Nations Convention on the Rights of the Child.

It is widely accepted that early playing for infants and young people is vital to the development of their imagination, risk-taking abilities, cognitive functioning, physical skills and social cooperation, and that freely chosen play in adolescents moulds their social brain pathways. Through play, children develop resilience and flexibility, contributing to physical and emotional well-being.

For children themselves, playing is one of the most important aspects of their lives; they value time, freedom and quality places to play. Consultations with children and young people show that they prefer to play outdoors away from adult supervision. In this situation children tend to be physically active and stretch themselves both physically and emotionally to a greater extent than they would if they were supervised.

Children have an inborn urge to play – research suggests that playing has an impact on the physical and chemical development of the brain – it influences children’s ability to adapt to, survive, thrive and shape their social and physical environments.

Playing contributes to the wellbeing and resilience of human beings - particularly young ones. Having welcoming places, enough time and the company of others to play with every day, is of great consequence to all children and young people - as adults we need to foster environments that support this.

Play and emotional wellbeing Playing allows for peer interactions that are important components of social and emotional wellbeing. When playing alone, children begin to recognise their own emotions, feelings, and thoughts, as well as how to control them. Children also learn to feel comfortable with being by themselves and learn ways to manage their boredom on their own.

Through play children experience a range of emotions including frustration, determination, achievement, disappointment and confidence, and through practice, can learn how to manage these feelings.

How playing contributes to children’s emotional well-being: • Creating and encountering risky or uncertain play opportunities develops children’s resilience and adaptability – and can contribute to their confidence and self-esteem.

• Socialising with their friends on their own terms gives children opportunities to build emotional resilience, to have fun and to relax.

• Fantasy play allows for imagination and creativity, but it can also be a way of children making sense of and ‘working through’ difficult and distressing aspects of their lives.

A key finding from evidence is that children’s play provides a primary behaviour for developing resilience, thereby making a significant contribution to children’s wellbeing. This evidence suggests that play contributes to developing resilience through a number of interrelated systems including: • • • • • • •

Emotional regulation Pleasure and enjoyment of promotion of positive feeling The stress response system and the ability to respond to uncertainty Creativity and the ability to make new and different connections Learning Problem solving Attachment to people and place (Masten and Obradovic, 2006)

The generally accepted social, physical and cognitive benefits of play help make the case that playing is an important element in helping to build resilience. Having enough time, space and permission to play helps children to: • • • •

Develop a sense of self sufficiency and independence Feel that they have a sense of control in their world Feel connected to others and their community Experience a range of emotions including frustration, determination, achievement, disappointment and confidence, and through practice, can learn how to manage these feelings • Develop imagination and creativity • Make sense of and ‘work through’ difficult and distressing aspects of their lives • Socialise with their friends and negotiate with others on their own terms.

Nurturing and play-friendly environments – or lack of them – affect the healthy development of children. A rich play environment is flexible, adaptable, varied and interesting. It maximises the potential for socialising, creativity, resourcefulness, challenge and choice. It is a trusted space where children feel free to play in their own way, on their own terms. Characteristics of quality children’s spaces include chances for wonder, excitement and the unexpected, but most of all opportunities that are not overly ordered and controlled by adults. These spaces are crucial to children’s own culture and for their sense of place and belonging.

Children have always needed effective coping skills, and while our changing world brings many advantages, the need to provide time and space to play is as important as ever. Childhood for many has become full of heightened pressures and busy schedules intended to keep children busy and safe.

When children’s time is highly scheduled by others it can hardly be seen as their time. Freely chosen play, when children themselves choose when, how and what to play, not only offers benefits that protect against stress and other pressures, but also gives children opportunities to discover their own interests and competencies.

When children personally direct their play, they decide the rules and roles they take within their play and create the worlds they can master. Unscheduled free time for children should not be seen as nonessential. It is vital to children for their fun and relaxation as well as for their health and wellbeing. It is part of their ‘work/life balance’.

Play is a key mechanism for developing resilience and dealing with stress and anxiety. It provides effective strategies for dealing with uncertainty and contributes to good physical and mental health. A child who has developed their resilience can respond and adjust more effectively to difficult circumstances. www.playwales.org.uk

“Let’s move it, Move it”: Benefit of Physical Exercises in Clinical Depression - Rakesh Kumar, Clinical Specialist Physiotherapist, Mental Health Hergest Unit, Betsi Cadwaladr UHB

The effectiveness of physical activities in mental health is overlooked. There may be various reasons, many researchers and practitioners in medicine, psychology, and public health remain either uninformed or unconvinced about the potential of physical activity to promote mental health1. Many studies have examined the efficacy of exercise to reduce symptoms of depression; moreover, the overwhelming majority of these studies have described a positive benefit associated with exercise involvement.

Royal College of Psychiatrists (RCP)2 described “when we think about mental health issues often we often talk about the mind and body as though they are completely separate – but they aren’t. The mind can’t function unless your body is working properly – but it also works the other way. The state of your mind affects your body”.

Mostly when we feel low or anxious, we are less active – which can make us feel worse. This is the time when we are caught in a harmful vicious cycle.

RCP also mentioned that despite knowing the positive effect of doing physical exercises, people with depression often described themselves as: • • • • • • •

‘I don’t have time’ ‘I’m too tired’ ‘I don’t have the willpower’ ‘I don’t like exercise’ ‘It’s hard work’ ‘The weather is too bad for exercising’ ‘I’ve missed a session. I’ll never get back on track’

According to Global Burden of Disease (GBD) Study, published in the British Journal of Psychiatry in 2000, depression was the fourth leading cause of disease of total disability-adjusted life in 2000; furthermore, it was responsible for the largest portion of non-fatal burden3. There are additional studies which indicate depression will be a second cause of disability worldwide4 by 2030.

From the early 1900s researchers have tried to find what the correlation between exercise and depression is. Studies have shown that moderate-intensity exercise should be beneficial for depression5,6. Evidence also suggests that variety of physical activities are not only an inexpensive way but a very safe and effective lifestyle intervention, which can help to prevent and treat a wide range of mental health problems including depression, this also helps to improve overall quality of life of any person1. Many studies have examined the efficacy of exercise to reduce symptoms of depression, and the overwhelming majority of these studies have described a positive benefit associated with exercise involvement2.

Researchers suggest that people suffering with depression should participate in three to five exercise sessions per week, for 45 to 60 minutes per session. For aerobic exercise, they have suggested to achieve a heart rate that is 50 to 85 percent of the individual’s maximum heart rate. For resistance training, they recommend a variety of upper and lower body exercises, three sets of eight repetitions at 80 percent of the maximum weight that the person can lift one time7. Their findings suggest that people may experience a relief in depression in as little as four weeks after starting exercise, although, it should be continued for at least 10 to 12 weeks to achieve the greatest antidepressant effect. Continue reading this article here

Smoking and Mental Health Ash Wales Cymru

There’s a huge yet widely untargeted health inequality which exists here in Wales, putting those with mental ill health at higher risk from premature death, up to 25 years earlier… smoking.

Research has shown smokers with mental ill health are just as likely to want to quit as the rest of the population – so why do prevalence rates remain 14% higher than the general population?

There are 2 myths which need to be dispelled from the offset - smoking IS a concern for the 33% of those with mental ill health who smoke; it’s a harrowing fact that 50% of those with schizophrenia die from a smokingrelated illness. Secondly, it is simply not true that smoking relieves stress - many of these feelings are down to nicotine withdrawal which would not exist if the person didn’t smoke in the first place.

High smoking rates put those with mental ill health at a much greater risk of premature death, serious illness and a reduced quality of life. A person’s physical health should not be overlooked when treating their mental health, the ‘whole person’ approach which has rapidly been coming to the fore over the past few years is essential.

It is not just a health issue though; high unemployment and the rising cost of tobacco place a heavy financial burden on smokers – a quarter to a third of the entire average income of someone with mental ill health goes on tobacco.

But what can be done in order to properly and successfully help those who want to give up this immeasurable harmful habit?

Earlier this year, ASH Wales held a ‘Welsh Tobacco or Health Network’ event on the topic of smoking and mental ill health. It proved to be a very productive; colleagues from Welsh Government, Public Health Wales, BHF, Royal College of Psychiatrists and NHS Wales came together to discuss the challenges around smoking cessation and mental ill health, and potential solutions to reoccurring issues. From these in-depth discussions, a briefing was produced with a list of recommendations for professionals and key points for organisations.

Hundreds of ideas and suggestions were summarised to 4 key points: • Setting smoking cessation targets in line with the general population • Establishing bespoke smoking cessation services developed by and for those with mental illness • Amending the Welsh Government’s “Together for Mental Health: Delivery plan” to address training of all mental health support staff • Lifting of the exemption that allows smoking in residential mental health units Smokefree policies in mental health units in Wales lag behind England, where residential units are required by law to enforce smokefree policies and have done so since 2008. In Wales designated rooms in mental health units are exempt from this ban. In addition, many English and Scottish health boards have chosen to make their entire NHS sites smokefree zones.

There is significant public support for a change in policy in Wales. According to a 2015 YouGov survey commissioned by ASH Wales, 61% of the Welsh public support a similar law in Welsh mental health provisions.

Suzanne Cass, Chief Executive of ASH Wales Cymru, said: “We know more than 60% of all smokers including those with mental ill health would like to give up therefore we need to ensure every person has as much support as possible to help them quit. We need tailored services, challenging targets and robust cessation training for anyone who works with those with mental ill health.

“There are already proven services out there, such as at Mind Aberystwyth, who are successfully supporting people to take that step away from deadly tobacco. We need to upscale their incredible work to cover all of Wales. We cannot continue to avoid supporting someone to quit smoking based on the fact they also happen to have a mental illness.”

ASH Wales’ briefing on smoking and mental health is available here: http://ashwales.org.uk/en/information-resources/topics/smoking-and-mental-health

Reaching Out to Reduce Self-Harm and Suicide

South Asia self-harm research capability building initiative The risk factors for deliberate self-harm and suicide in European and American populations are well understood, but much less is known about these behaviours in South Asia, where rates are very high. The SASHI project will focus on India and Pakistan, with a strong emphasis on equipping local researchers with the skills they need to develop long-term programmes to reduce death, disability and distress. The project will set up deliberate self-harm registers; conduct household surveys; and collect information from people whose lives have been affected by suicide and deliberate self-harm.

The key to the project is to develop methods of doing all this in rigorous, sensitive and safe ways, creating a platform of new methods and skills that are relevant to South Asia. It will then be possible to address a range of important questions about social stress, help-seeking, and effective intervention. Armed with a greater understanding, the researchers hope to inform public health plans and health service development, setting out an agenda for future research – and using the findings to help high risk populations in the UK.

“Deliberate self-harm and suicide remain punishable offences in Pakistan … Our work will not only provide robust evidence on their prevalence but also on what encourages people to seek help.”

Dr. Nasim Chaudhry, Pakistan Institute of Living and Learning, Pakistan

This project is led by Professor Catherine Robinson, Centre for Mental Health and Society, Bangor University.

Partners include: CSI Holdsworth Memorial and the Swami Vivekananda Youth Movement in India, the Pakistan Institute of Living and Learning, and Manchester and Oxford University.

For more information visit http://sashi.bangor.ac.uk/

Podcasts

You asked us for podcasts and we listened! Public Health Network Cymru have worked with a number of organisations to produce podcasts which can be downloaded and listened to on the go.

All the podcasts are available in the ‘Get Involved’ section of the website. Podcasts currently available to download focus on Mental Health, Well Being of Future Generations, Trans Health, Substance Misuse and Gambling.

Shared Practice

This month’s project is the National Exercise Referral Scheme.

The National Exercise Referral Scheme (NERS) is a Welsh Government funded scheme which has been in development since 2007 to standardise exercise referral opportunities across all Local Authorities and Local Health Boards in Wales. The Scheme targets clients who have a chronic disease or are at risk of developing chronic disease. The Scheme operates in all 22 local authorities and runs for a minimum of 16 consecutive weeks and consists of two fully supervised group-based sessions each week.

If you would like to add your own project to the Shared Practice Directory there is an easy online form (only accessible to members) and once approved by one of the coordinators your project will then appear on the directory. There is also a Self Assessment Toolkit which can be printed off or completed online and allows coordinators to quality assure the development and delivery of new and existing projects.

If you need help completing the toolkit or have any questions please contact one of the coordinators at publichealth.network@wales.nhs.uk

On The Spot This month we have Dafydd Thomas on the spot. Dafydd is Founder of The Wellbeing Planner and is currently a member of Public Health Network Cymru’s Advisory Group.

Where do you currently work and what is your area of expertise?

I’m self-employed as the Wellbeing Planner and my expertise lies with working with people. By that I mean I really enjoy helping individuals and groups of people collaborate so that they can clearly articulate the challenges they face. I often facilitate a process of discovery that captures any client’s and their stakeholder’s insights, which I then use to help them plan a way forward. Using these steps in a continuous process of development, I am able to work with my clients on a virtuous circle of change that leads to better decisions, better services, happier people and improved wellbeing.

One of my clients described it as Experiential Design for Improved Wellbeing. I think that’s a bit of a mouthful, but it’s not a bad description.

I have over 20 years experience in the voluntary and public sector in Wales working with communities and teams on issues that have ranged from community development to wellbeing; and environmental conservation to physical activity. Before becoming self employed, I worked with a small group of people to establish Lles Cymru Wellbeing Wales, a made in Wales charity with the specific aim of incorporating wellbeing principles into Welsh policy and legislation.

I take great delight in seeing wellbeing discussed in ways that many couldn’t imagine ten years ago - and although I don’t always agree with some of the discourse, I’m really pleased with the increased enthusiasm and involvement that organisations and individuals have for the topic.

I also currently sit as an advisor for the UK wide What Works For Wellbeing Centre.

This month’s e-bulletin spotlights World Mental Health Day of which the theme is Mental Health in the Workplace. What do you think are the main challenges facing us in addressing this issue in Wales?

According to the Time to Change Website1 4 in 10 employees are 1 afraid to disclose mental health problems to their employer. I feel this is wrong in so many ways and neatly illustrates some of the underlying challenges we face in Wales.

First of all, it’s extremely disappointing that people can’t be more open about mental ill health in the workplace - but its not totally surprising. Its as if people have a fear of sharing their problems, because they worry that their colleagues might lose sight of their strengths.

Which brings me to my second point. Why do individuals and organisations continue to focus on the problems people have, rather than the skills and assets they might bring to a situation? Building on people’s strengths and celebrating a diverse range of talents can in my mind, create a happier and more productive workforce.

The final challenge is that many factors contribute to someone’s mental health. Preventing poor mental health means addressing a range of issues at home and in work and everything in between. Working with these different contributing factors is a real challenge, but something that will help contribute to better mental health in the workplace.

1 http://www.timetochangewales.org.uk/en/mental-health-stigma/stigma-statistics/

What is the most important message that should be conveyed to professionals and the public around mental health?

Apart from getting in touch with me for a free consultation, the steps I think are necessary are: • Find out what the issues are so that you know where you’re starting from; • Work with people so that they become part of the solution; and • Continue to measure the change so you know what works and learn from the things that don’t.

What do you think Wales could be doing to actively promote or participate in World Mental Health Day?

I can see that having an annual event is great for raising awareness, but what happens for the rest of the year? I’m sure that it isn’t the case, but this important issue is something that needs focus every day. Mental ill health costs Wales £7.2 billion a year - and deserves everyone’s attention as a result.

If you were granted 3 wishes what would they be?

1. Better dialogue and collaboration between individuals, institutions and organisations; 2. More time; and 3. A new bike?! (Isn’t that on everyone’s wish list?)

What are your personal interests/hobbies?

Spending time with the family is really important to me. I feel I get a double hit of wellbeing by combining my personal interests with family activity. This can range from coaching my daughter’s football team to cooking curries with my son. In this way, we get to spend time together and share common interests.

When I can, I love singing with Cor Meibion Taf and I’ve spent the last couple of years trying to play the five string banjo. I’d freely admit that I’ve had more success with the choir, but I’m happy to persevere.

The Grapevine This section of the ebulletin is dedicated to news from the network members. You can submit news on the work being undertaken in your area, write us an article, showcase an upcoming project or show off your achievements!

If you would like to submit an article for the Grapevine, please email publichealth.network@wales.nhs.uk The article should be no longer than 500 words and pictures are always welcome!

Learning Disability Wales Annual Conference Love your health: Because everyone’s health matters Wednesday 25 - Thursday 26 October 2017 Newport, South Wales (Accessible venue) Learning Disability Wales will be holding their annual conference which this year will be focusing on the theme of health and health issues that children, young people and adults who have a learning disability face.

There will be a lively mix of interactive and informative workshops, speakers and drama along with lots of great exhibitors looking at topics such as: • Access to health services • Lifestyle • Mental health • Aging and end of life care • Dental care • Eye care and hearing loss/impairment • Well-being

Kith & Kin - Newport Mind

Kith & Kin is a parallel self-management course for young people (aged 11-17) with experiences of mental health issues, and their parent/ carers.

Each week both the young person group and the parent/carer group will learn similar session content (but in separate rooms) around building well-being & resilience and developing strategies on coping with mental health.

The course is 2 hours every Wednesday evening for 8 weeks. The group will be no bigger than 12 people, refreshments and light snacks will be provided in the 15 minute break.

The course is a chance to meet other parent/carers or young people who may be having similar experiences, and it is a chance for participants to learn some new skills and take some time out for themselves.

Our next cohort is running: • 11th Oct – 6th Dec 2017 (every Wednesday) Note: This includes a 1 week break during the school half term (1st of November) If you would like more information about the dates of the upcoming cohorts, would like to make a referral or if you have any questions or further requirements, please do not hesitate to contact: Rhian Adams, Family Wellbeing and Resilience Worker for the West Tel: 07764 760613 Email: rhian.adams@newportmind.org

Would you like to know more about services in the community which support older people?

If so, you are invited to meet voluntary and community

organisations at Cardiff

and Vale University Health Board’s Keeping in Touch Event

Tuesday, 3rd October at the Boardroom, Llandough Hospital, drop in anytime 10am to 2pm.

Please come along!

Maria Battle, Chair of the Health Board, will open the event at 10am.

If you would like further information about the event please contact GVS, e-mail: enquiries@gvs.wales

Super Ambassadors Super Ambassadors is a scheme from the Children’s Commissioner for Wales that aims to promote children’s rights and the UNCRC in primary schools.

You can sign up to the Super Ambassadors scheme here.

Find out more about the free events we’re running in October 2017.

How it works Schools are asked to elect two Super Ambassadors at the beginning of every year. Super Ambassadors have three jobs. These are to: • Inform other pupils in their school about the Commissioner and her powers • Make sure other pupils know about about children’s rights under the UNCRC • Do special missions for the Commissioner in their school – these inform the work of our office and have a real impact on our work and on children’s rights in Wales 5 Reasons to join • Information collected through the scheme feeds directly into our work, meaning that our Super Ambassadors have a real impact on children’s rights in Wales.

• The scheme provides an exciting and interactive way for children in your school to learn about their rights, in accordance with the UNCRC, which underpins the Welsh Government’s vision for education.

• The scheme supports the Four Purposes of the developing curriculum in Wales, providing meaningful opportunities for children to develop as healthy, confident individuals and participate as ethical, informed citizens in their school and on a national level.

• The scheme supports schools to develop their approaches to Wellbeing and to Care, Support and Guidance, as required by the Estyn Common Inspection Framework 2017 • It’s free!

We’ve also put together a list of FAQs to give you more information.

Sign up - If you would like to register to the scheme, please use this sign up form.

“Top to Toe” Assessments St Non’s Ward Extended Scope Physiotherapist Service St Non’s ward is an Older Adult Psychiatric assessment ward in Hywel Dda University Health Board. We now conduct a Top to Toe physiotherapy assessment on all patients on admission to ensure that, regardless of their reason of admission, they get any co-morbidities assessed and treated during their admission. This involves assessment of all main joints, walking, pain state, chest assessment and the visual field.

Patients are admitted with a variety of conditions, including shoulder impingements, OA knee pain, foot drop related to peripheral neuropathies, lower back pain, hemianopia, etc. These patients are often cognitively impaired to the degree that they are unable to convey this without the physical assessment component that the Physiotherapist conducts. As a result of compliance with the input, regardless of the patients cognitive and behavioural state, this results in improved mobility, reduced pain, better pain control, reduced poly-pharmacy when appropriate, issue of orthoses, improved function and independence.

Working in combination with the Occupational Therapy Department, who offer dressing/washing practice, meaningful tasks, etc, a patient’s admission to the ward for a purely cognitive/behavioural reason can result in a range of other factors improving during their stay.

This in turn helps with reduced admission times and more ease at finding a placement, as well as reduced need to access services following discharge, but most importantly ensures the patient gets the best care available.

For more information please contact the Physiotherapy Department on 01437 773162

News Round-Up Welcome to the News Round-Up. Click on the headings of the news item to take you to the full news story on the Public Health Network Cymru Website.

Smoking Welsh Government Launch New Plan to Stub Out Smoking

A new plan to reduce the number of smokers in Wales to 16% by 2020 for a healthier, smoke-free Wales has been launched by the Welsh Government.

Oral Health 10,000 New NHS Dental Places to be Created in Wales

10,000 new NHS dental places are to be created in some of the most deprived parts of Wales as part of a £3.1m investment by the Welsh Government, Health Secretary Vaughan Gething announced.

Physical Activity New Walking App to Combat Inactivity in Middle Age

Public Health England has recently released a new Active 10 app to encourage adults to walk briskly for at least 10 minutes per day, to gain health benefits and work towards achieving the physical activity recommendations.

Health Inequalities World Health Organization publishes new ‘Investment for Health and Well-being’ report in collaboration with Public Health Wales

The World Health Organization’s Health Evidence Network (WHO HEN) and the European Office for Investment for Health and Development have published a new report on ‘Investment for health and well-being’ in collaboration with Public Health Wales.

Click Here for more news on the Public Health Network Cymru website

November

07 08 11

Tackling Violence Against Women and Girls: Reviewing Government Policy and Providing Improved Support to Victims Central London Supporting Young Carers: Who Cares for the Carers?

Aberystwyth

Attachment and Trauma in the Classroom Birmingham

1 2 2 2

5 2 4 7

13th Annual Meeting and 8th Conference of HEPA Europe Croatia Pupil Wellbeing Event Memorial Hall, Barry

Introduction to Professional Registration for Public Health Practitioners in Wales Events Conwy Business Centre, Llandudno Junction Introduction to Professional Registration for Public Health Practitioners in Wales Events Capital Quarter 2, Cardiff

Click Here for more events on the Public Health Network Cymru website

The Health Buzz

Respect Yourself You can increase your confidence and sense of self-worth. You can get support and guidance for the challenges life throws at you. You can take control of your mental wellbeing, and choose better mental habits.

The Respect Yourself app can help you do all of this in order to achieve your goals, by helping you make sense of your emotions and helping you to develop into the person you want to be.

Elefriends (Free to use. For over 17’s only) Elefriends is a supportive online community from the mental health charity Mind. We all know what it’s like to struggle sometimes, but now there’s a safe place to listen, share and be heard. Whether you’re feeling good right now, or really low, it’s a place to share experiences and listen to others.

Self-Help for Anxiety Management The Self-Help Axiety Management app is a friendly app that offers a range of self-help methods for people who are serious about learning to manage their anxiety.

Contact Us Capital Quarter 2 Floor 5 Tyndall Street Cardiff CF10 4BZ www.publichealthnetwork.cymru If you have any news or events to contribute to the next edition please submit them to publichealth.network@wales.nhs.uk Deadline for submission is the 3rd Friday of every month.

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