Health Improvement Service

Annual Report 2013 - 2014

Contents

Page No. Introduction

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Healthy Lifestyle Service Healthy Lifestyle Service Hub Adult Weight Management - Slimming on Referral - Lifestyle Advisors Food and Health Team Stop Smoking Service

4 5 6 7 9

Health Improvement Programme Areas Tobacco Control ASSIST SHINE Food in Educational Settings Eat Out, Eat Well Workplace Wellbeing Charter Sexual Health Improvement Key Contacts

11 11 12 13 14 14 15 16

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Introduction 

The organising and leading of Wellbeing Walks with Age UK

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The delivery of Cook It courses to the Bath Area Play Project and training the project’s leaders to deliver the course themselves

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Extensive partnership work with numerous teams in Bath and North East Somerset Council including Active Lifestyles, Public Protection (co-delivery of Eat Out Eat Well Award) and School Improvement (contribution to the Director of Public Health Award)

I was particularly proud that Sirona was one of the first organisations in Bath and North East Somerset to gain the Workplace Wellbeing Charter and that we are working with a number of employers across the area to help them introduce healthy initiatives, policies and environments for their staff. Through this report you will see the achievements that we have made to date, however, we are also increasingly developing new and exciting opportunities for the wider engagement and involvement of individuals in the provision of support to extend the reach of our service and to give greater flexibility and choice to individuals.

I am pleased to be introducing this annual report on behalf of Sirona Care & Health. Sirona is passionate about the prevention of ill health and promotion of healthy lifestyles — we play an active role in both primary and secondary prevention initiatives, linked closely to the public health strategies of our key commissioners and we work closely with our partners in other sectors both in supporting their activities and signposting individuals to their services as appropriate.

Some examples of these include:

In addition to the provision of direct services and initiatives, we also use the expertise and knowledge of our dedicated specialists to integrate the principles and practice of ill health prevention and health promotion across all our service areas to enhance the range and levels of service that can be offered to individuals. Some examples of this include: 

School nursing staff supporting SHINE and a range of sexual health improvement initiatives aimed at young people

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Health Visitors referring families onto HENRY and Cook It courses

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Joint work with the Learning Disabilities Service through the development of healthy lifestyle learning materials for people with learning difficulties

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Brief intervention training for the Hearing and Vision Service

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Introduction of Making Every Contact Count

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Introduction of Counterweight, weight management programme

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Expansion of Monksdale Road Allotment Project, “Grow It 4 Cook It”

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Further development of Wellbeing Walks in partnership with Age UK

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Development of the Outdoor Lifestyle Service

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Recruitment of volunteers and sessional workers who assist with community engagement

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Development of the sexual health SAFE website and exploration of app development

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Partnership work with the new Wellbeing College

Understanding the different approaches to behavioural change and their relevance to health promotion and self-care is key to changing individual behaviour and we will continue to work with others to help people to understand issues such as work/life balance and the effects of smoking, alcohol and drugs on them and their family so that we develop a shared understanding of the problems and their management (including selfmanagement) to empower people to look after their own health and develop a commitment to healthy living.

By working with others we are helping to ensure that we maximise the opportunities for joint working that will build individual and community resilience and strengthen the provision of services to improve people’s overall health, wellbeing and functioning:

Janet Rowse, Chief Executive 3

Healthy Lifestyle Service Hub What is it? The Healthy Lifestyle Service “Hub” provides a single referral access point that allows clients or health professionals a quick and easy way of accessing our services. The Healthy Lifestyle Service Hub has developed over the last two years to meet the changing needs of the service and our clients.

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Deployment of SystmOne database linked to Sirona’s clinical system - One Patient Record

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Robust procedures and guidance have been implemented which have improved better appropriateness of referrals

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The service is consistent with and reinforces national key messages around physical activity, healthy eating, and stopping smoking. It also actively promotes Public Health England Campaigns e.g. Change 4 Life locally, as appropriate.

What are we developing in 2014-15? 

Implementation of SystmOne. SystmOne allows patient information to be shared electronically between a variety of healthcare professionals who are providing care. The first ‘Go Live’ for SystmOne in Sirona went live on the 3rd March 2014 which the Health Improvement Service was part of

What did we achieve in 2013-14?

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To update the referrer with the outcome and continue to inform them of all relevant developments in connection with the referral

The majority of people referred into the Hub have multiple not single unhealthy behaviours and this encourages cross referral.  The Hub provides clients with access to the most appropriate services

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Evaluation

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Making Every Contact Count (MECC) is a coordinated approach across all lifestyle areas, concentrating on giving staff the knowledge and skills to have brief conversations around lifestyle issues and then signposting or referring on as appropriate.

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One Stop Shop for healthy lifestyles advice

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Clients and Health Professionals can access the Healthy Lifestyle Services easily when they need to by using the dedicated telephone number: 01225 831852

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The Hub reduces duplication and improves the quality and consistency of the referral process

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Positive patient experience

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Slimming on Referral What is it?

“Lost 21lbs in the 12 weeks”

Anyone 16 years old and over can be referred to Slimming on Referral by their GP or a health or social care professional, subject to eligibility. Free vouchers are offered to either Slimming World or Weight Watchers for a twelve week programme with the aim of a 5% – 10% weight loss over this period.

“Will continue to pay” “Very enjoyable” “Enjoyed attending the group very much”

Aims: 

Primary Outcome: 5% weight loss at 12 weeks

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Secondary Outcomes: Dietary and physical activity behavioural modifications

What are we developing in 2014-15?

What did we achieve in 2013-14? 

Issued 641 Slimming World (SW) vouchers (Target 737)

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Issued 282 Weight Watchers (WW) vouchers (Target 246)

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Engaging in more work to educate and prepare GPs for referring into the scheme to avoid unnecessary or inappropriate referrals

Robust guidance and procedures for the scheme have been established

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Providing feedback to GPs and Health Professionals of success stories

Clients who meet the eligibility criteria are assessed for motivation and directed into the most appropriate group most suitable for them - a pre-assessment tool is used

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Review publicity and marketing of service

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Revise follow-up questionnaire

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Six-month follow-up

Involving family members (usually spouses) in the programme has shown to be effective for uptake and weight loss rather than targeting the individual only

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Investigate ways of attracting more men to use the service

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Explore easier and more robust methods of data collection

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Accepting self-reported measurements. The use of self -reported weight may provide results that are not 100% accurate but would help by increasing self-referrals

When clients attended one session and then wished to change to another provider, this initially meant that two sets of 12 week vouchers had to be issued. To overcome this, a taster session is offered to ensure clients make the choice that is right for them Slimming on Referral direct referrals from GPs have been most effective

“Wouldn’t have done it if I hadn’t been given the vouchers”

“The support I received was very good, Sirona is extremely good”

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Lifestyle Advisors What is it?

What are we developing in 2014-15?

To provide lifestyle and weight management support for adults (aged 16 years or over) with a BMI of >25 to support them to lose weight and learn how to maintain a healthier weight.

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What did we achieve in 2013-14? 

Saw 304 clients on a 1-1 face to face basis (Target 240)

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Developed telephone support based on NHS Choices, ‘Losing Weight Getting Started’ 12 week weight loss programme which combines multicomponent advice on healthy eating and physical activity

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Procedure for telephone screening developed and delivered using a standardised protocol.

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Advantages of telephone-based support for the service have been numerous

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Telephone contacts have be tailored to the client’s needs

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Telephone contact has offered social support to clients with a degree of anonymity

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It has been done proactively, which has encouraged a certain level of accountability in clients

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Time Effective.

Clarity regarding the role and boundaries of the service especially in relation to working with people with complex medical and psychosocial needs

Client Case Study I have just completed the 12 week NHS Choices programme and wanted to pass on my thanks. For many years I have been struggling to get my weight under control and tried numerous diets and eating plans but with no success. On my first session I wondered how I would survive on 1400 calories a day and manage 150 minutes of exercise a week. I weighed in and we set my 5% loss target which at the time looked so daunting. However the principles are simple and by sticking to them I have managed to lose 26lbs. Having the support of a Lifestyle Advisor has been invaluable. I am now equipped with the knowledge and motivation to continue eating healthily and exercising regularly to reach my goal weight and of moving from the obese to normal category. For me this programme has been the means to regain control of my health and enable me to greatly reduce the risk of developing weight related illnesses. Programmes like this are vital in educating people and giving them the tools to take control of their health and wellbeing.

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Food and Health Team What is it? A team of Food and Health Workers deliver healthy eating ‘Cook It‘ courses. Cook It courses are for parents and carers of children and young people up to the age of 17 years in order to improve their diet. HENRY courses are for parents and carers of children aged up to five years of age to improve parenting and nutritional skills. The programme aims to improve cooking skills and confidence in the kitchen by running free six week cooking courses. Courses are delivered to improve the health of children and families by reducing overweight and obesity rates targeting those at greatest risk of health inequalities. The work includes supporting target communities to have food and health as an integral part of their wellbeing.

health information and recipes

This is done with the support of a wide range of partners e.g. B&NES Council and local charities such as Bath Area Play Project and other services within Sirona.

What did we achieve in 2013-14? 

32 courses delivered across the year (target 24)

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Cook It booklet developed containing all food and

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Cook It course accredited by APT (formally OCN) Cook It Entry Level 3 Award

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Since its introduction in Sept 2013, 50 clients have achieved the qualification

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Polish Cook It – course provided in the Polish language

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Dads’ Family Cook It at Radstock Children’s Centre, Saturdays

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Three HENRY Courses delivered – two with follow on cooking courses

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Linking with ‘SHINE in Pregnancy’ clients offered a Cook It course

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Three sessional staff recruited to ensure a flexible approach to the delivery of the service

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Bath Spa University students from Diet & Health, BSc degree course, undertook workplace module with the team to deliver two projects – ‘Evaluation of Cook it’, and ‘Field to Fork Allotment Project’

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Development of growing projects to link cooking and growing

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Developed a working relationship with partners e.g. Bath Area Play Project, Bath City Farm, and the Food Bank

What are we developing in 2014-15? 

Introducing nutritional information on all Cook It recipes

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Investigating demand and opportunities to deliver Cook It to target Healthy Lifestyle Service clients without children e.g. older people, weight loss clients and stop smoking clients

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Further developing allotment plot and the opportunity to deliver horticultural and cooking courses

Cook It Case Study A.M came along to the Cook It course held at Southdown Methodist Centre along with five other clients. A.M lives in an SOA five area. Three other members of the group would be classed as 'hard to reach' clients and included a couple expecting a baby (three of Mum's previous children had been adopted) and a young Mum who had also had previous children adopted. A.M was instrumental in bringing and encouraging them to complete the course with her. On a Friday, A.M would meet up with the other three and then walk to the course together as a group. The group completed the five week Cook It course and went on to complete a three week Cook it plus. Four of the group of six completed the APT qualification. A.M felt that the course had helped her and her family to eat a lot more healthily. A.M also expressed how she feels her family now had a healthier lifestyle and was pleased to have learned about food portions. A.M felt that as a family they now eat less chips and more fruit and vegetables. A.M liked all the recipes we cooked but particularly liked the baked bean wraps and the flatbread. A.M stated that she often cooks these at home. Since coming on the course A.M cooks more from scratch and buys more fruit and vegetables from the local greengrocers. Following the course A.M was keen to carry on cooking and extend her knowledge. I suggested that A.M may like to become a volunteer for Sirona's new growing project at Monksdale Road allotment. A.M is now going through the process of becoming a volunteer and is looking forward to 'getting stuck in' even though she has little or no horticultural experience. With our support she is now about to join a horticulture course at Bath City Farm. It is hoped that, like Cook it, A.M will be a catalyst and local champion and encourage others to participate in this new project.

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Stop Smoking Service What is it? The service provides direct support to smokers who wish to stop on a 1-1 basis through clinic provision. The service supports and updates community stop smoking advisors working in primary care through mentoring, refresher training and network meetings. In addition, training is provided for new community advisors. The specialist service continues to evolve to meet new challenges, e.g. lower footfall into the whole service and the extensive use of ecigarettes.

more time in the community 

The specialist service had met its target on training support to community advisors through new advisor training, refresher training and meetings

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The specialist stop smoking service supported 158 people to stop smoking with a further 672 helped by community stop smoking advisors

What are we developing in 2014-15?

What did we achieve in 2013-14?  Greater intensity of support to GP practices to reverse

the downward trend in footfall  Continuing to increase footfall through pharmacies  Ensuring that the RUH and the Mineral Hospital

provide stop smoking support for patients and staff  Introducing Harm Reduction ‘cut down to quit’ pathway

as a further offer to support smokers to quit  Increasing the number of smokers quitting via groups

by targeting more workplaces  Increasing community development in each locality in

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areas of deprivation, building new partnerships to increase access to smokers particularly from routine and manual workers, ethnic minorities, unemployed people and pregnant women

Although footfall into the whole service had fallen by 25% compared with the same period in the previous year, the quit rate was up by 2% to 58%

 Developing new initiatives with other agencies and

The quit rate for the specialist service was 75% (up 17%), pharmacists 59% (up 10%) and GPs 52% (down 4%)

 Brief Interventions with teams internal and external to

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Footfall into pharmacies had increased due to more intensive support by the specialist service

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High quality training for advisors had been maintained with positive feedback

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Monitored progress of specialist service run clinics and closed those that were not achieving a standard level of footfall. This enabled the specialist team to spend

organisations to provide cross referrals in order to increase access to the service Sirona.

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Stop Smoking Case Study Keeping up with her five grandchildren over the summer holidays has made Anne Hale realise how much she has gained from tackling her smoking habit. From Gromit-hunting in Bristol to long days out exploring, Paulton resident Anne, 58, says the youngsters have been keeping her busy – but now she can take it all in her stride thanks to Sirona Care & Health. She said: “When we were out looking for Gromits we walked miles and miles up hills! Before, I would get halfway up a hill and have to stop because I couldn’t breathe. You suddenly notice the difference and think ‘I couldn’t have done that before’.” Despite not having had a cigarette for 16 weeks Anne, who began smoking at the age of 14, says she is still taking it one day at a time. “I had tried to give up before and it would be a month if I was lucky,” she said. “I think this time I have looked at it differently. I won’t say I’ve given up, I just say I haven’t smoked for however many days or weeks, then you don’t set yourself up for a fall. I am quite pleased with myself for reaching 16 weeks.” Anne, a team leader at Tesco in Midsomer Norton, said it was a colleague who encouraged her to join her at weekly advice sessions held by Sirona’s Healthy Lifestyles team at Paulton Hospital, where she instantly liked the informal atmosphere. “The girls up there are absolutely brilliant,” she said. “There is no pressure on you and you can have a laugh and a joke with them. You aren’t just in a little room with the advisor, you meet other people who are giving up, too, and you don’t feel awkward about butting in to say ‘Have you tried this or that?’ Afterwards we will all sit down and chat generally about how we are doing, which is what I like.” Anne has used a combination of patches, sprays, an inhalator and lozenges to beat the cravings – but found she has had days recently where she hasn’t needed anything at all. “Before, if I knew I didn’t have any cigarettes in the house I would go to bed and feel panicky all night,” she said. “Smoking was like a comfort blanket and if I can get this far then I know other people can do it.” Anne is also attending a Weight Watchers slimming club through the Healthy Lifestyle Service, losing 11 pounds so far.

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Health Improvement Programme Areas Tobacco Control — What is it?

ASSIST — What is it?

Tobacco Control broadly involves a number of measures carried out to assist smokers to quit and to support programmes in order to create a smokefree environment. This includes, supporting national campaigns such as ‘Stoptober’ and regional campaigns around ‘Illicit Tobacco’ and ‘Smokefree Homes’.

ASSIST (A Stop Smoking in Schools Trial) is a peer influence programme which identifies and trains influential year 8 pupils (12 – 13 year olds) to act as peer supporters during informal interactions outside the classroom to encourage their peers not to smoke.

What did we achieve in 2013-14? 

What did we achieve in 2013-14?

Worked with B&NES Council’s parks departments to arrange for all 61 play parks to have smoke free signage up at the entrance to the parks

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The signage carries the message ‘Don’t smoke where I play’, with the artwork developed with Smokefree South West and young children

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A number of major tobacco control campaigns took place in 2013/14 including:

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‘Don’t Go Cold Turkey’ (June 2013)

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‘We all have to die of something!’ (September 2013)

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‘Stoptober’ Campaign (October 2013)

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‘Quit Squad’ (October / November 2013)

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‘Dear Santa’ Campaign (December 2013 /January 2014)

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‘No Smoking Day’ (12th March 2014)

What are we developing in 2014-15? 

Smokefree signage at all Children’s Centres

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Continued support for local, regional and national Tobacco Control campaigns

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A total of 225 students from seven schools participated in the programme this year

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Schools included were: Beechen Cliff, Broadlands, Wellsway, Ralph Allen, Somervale, Writhlington

Teacher’s Feedback 2013-2014

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75% of teachers felt that the programme has impacted smoking behaviour across their schools

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100% reported that they have seen a reduction in smoking prevalence, since taking part in ASSIST

What are we developing in 2014-15? 

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To continue to deliver the ASSIST programme in secondary schools, targeting schools in areas of higher deprivation

SHINE What is it? SHINE (Self Help Independence Nutrition and Exercise) is a weight management programme for young people aged 10 17. SHINE is a detailed programme incorporating nutritional knowledge, physical activity and behaviour change. Courses running in Bath, Keynsham and Norton Radstock from 2013 – 2015.

What did we achieve in 2013-14? 

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11 SHINE Trainers have been appointed and trained at Level 2 - a five day course delivered by Kath Sharman, Director of SHINE 11 health professionals who refer young people onto SHINE have been trained at Level 1—a two day course

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Pilot course in Bath successfully delivered, 10 young people committed to over 60% attendance

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Results from pilot course in Bath:

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Two young people saw a 3% reduction in weight

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70% of the group saw a reduction of 0.5 in their BMI (Body Mass Index)

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90% of the young people saw a reduction in waist circumference overall, with six young people losing 3cm (extremely encouraging and played a big role in motivating the young people to continue leading a healthy lifestyle and to take up SHINE maintenance)

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All of the young people increased their peak flow readings (fitness/lung function)

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Vegetable consumption increased by 40% and fruit consumption by 30%

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Depression and anxiety saw a huge reduction across 70% of the young people and an increase (90%) in self -esteem (results are really encouraging and essentially can be seen as one of the most important aspects of the SHINE programme)

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First course in Radstock successfully underway with nine young people regularly attending

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Identified that ‘group support’ was the most effective way of supporting young people through SHINE

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Partnership work across the Sirona SHINE model:

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NCMP – working in close partnership with the School Nurse Team

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Sportivate – a Sport England Lottery funded programme, received funding for the delivery of the SHINE physical activity maintenance sessions

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Promotion of SHINE with local primary and secondary schools

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Campaign work, in partnership with Sportivate, filmed one of the SHINE physical activity sessions and recorded interviews with some of the young people who took part

What are we developing in 2014-15?

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Delivery of first course in Keynsham, Spring/Summer 2014

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Delivery of courses in Peasedown and Bath, Autumn 2014

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Buddying Training – young people who have completed SHINE support other young people who are starting to attend SHINE and make lifestyle changes

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Trailing a School Based SHINE model, working in partnership with Secondary Schools where SHINE runs after school for young people

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Developing a Young People’s Committee where young people who have taken part in SHINE help steer the future of SHINE in B&NES

Food in Educational Settings  Delivered Cooking in the Curriculum Training, a

requirement from Sept 14 for key stages 1-3 to support schools to cook with pupils

 Supported 100% of schools working towards the Healthy

Eating component of the DPH award Healthy Schools Certificate and carried out specific projects with four schools working towards a Healthy Outcomes Certificate

What are we developing in 2014-15? What is it? Works in partnership with other agencies to develop, implement and evaluate interventions to improve the health of children, young people and their families, by tackling inequalities and addressing dietary/food issues within educational settings. The primary focus is on schools working towards the healthy eating requirements of the Director of Public Health (DPH) Award. Support is also provided to other settings, specifically early years and further education colleges in their work on promoting healthy eating.

What did we achieve in 2013-14? 

Supported schools towards the implementation of the School Food Plan, provided training to schools on improving the quality of packed lunches, ways to improve the dining environment and standards for school meals.

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Chaired the B&NES Food Forum, the steering group for the implementation of the School Food plan.

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Successful worked in partnership with B&NES Catering Service to implement Universal Infant Free School Meals (UIFSM) from 14th September

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Visited and observed 52/54 infant and primary school lunchtimes to provide tips around improving the dining environment

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Delivered a variety of competitions and events including: What’s for Tea, and B&NES Young Chef Competition 13

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Carrying out follow up visits to schools implementing UIFSM to provide further advice and guidance to improve the dining experience for pupils

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Delivering training on Raising Attainment through Health and Well-being, linking nutrition to educational outcomes by considering the new School Food Standards

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Engaging Junior and Secondary schools in ‘Make School Meals Count’ – a programme of support to increase school meals uptake through effective marketing and by small step improvements to the dining environment

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2015 B&NES Young Chef Competition also involving a new Junior Chef element

Eat Out Eat Well

Workplace Wellbeing Charter

What is it?

What is it?

Eat Out Eat Well is an award scheme which supports food outlets to make changes to their menus to enable them to reduce the fat, sugar and salt content of the food prepared.

The Workplace Wellbeing Charter is an opportunity for employers to demonstrate their commitment to the health and wellbeing of their workforce. Local facilitation enables employers to initially self-assess before addressing priority areas to improve the health and wellbeing of their workforce.

It is delivered in partnership with Bath and North East Somerset Council’s Public Protection Team to encourage healthier lifestyles in the local community and to encourage food providers to develop healthier ways of preparing and serving food.

What did we achieve in 2013-14?

What did we achieve in 2013-14?

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Supported 40 food providers to achieve an Eat Out Eat Well Award

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Delivered five training courses with 41 members of staff from food providers achieving either a Level 2 or Level 3 RSPH Award in Special Food and Healthier Diets

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Carried out an evaluation of the Eat Out Eat Well Scheme with food providers and members of the community

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Two businesses achieved a Workplace Wellbeing Charter Award (Midland Road Depot and Sirona Care and Health)

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Eleven health promotion interventions delivered in partnership with health promotion providers

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Shared best practice and developed collaborative working with local providers in the five main health promotion areas; smoking and tobacco related ill health, alcohol and substance misuse, healthy eating, physical activity and mental health and wellbeing

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Resources and tools developed for businesses including an online staff survey tool and Workplace Wellbeing Charter self - assessment tool

What are we developing in 2014-15? 

Continuing to increase the number of food providers participating in the award scheme

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Raising awareness of the scheme throughout B&NES

What are we developing in 2014-15?

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Developing a toolkit of resources and core offer for all businesses to help them become more health promoting

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Identifying the different needs of groups within workplace settings, in particular the needs of Small and Medium sized Enterprises (SMEs), and how best to meet those needs

Sexual Health Improvement What is it?

 Training provided on STIs/HIV Awareness, SAFE & C

Card, Pharmacy Accreditation, Keeping SAFE Online  SAFE Promotional events at a wide range of venues

including numerous FE and HE establishments

Overall aim is to reduce unwanted teenage pregnancy and reduce sexually transmitted infections. This is undertaken through a range of initiatives including: C Card, MediVend, Chlamydia Screening, Sexual Health Education and Prevention Strategy, Media and Campaign Activity, Contributions to Sexual Health Training and SAFE Branding.

What are we developing in 2014-15?

What did we achieve in 2013-14? 

Audit of the C Card Scheme was conducted in order to gain the views of both service providers and service users in terms of the usability and viability of the scheme

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Annual usage of the C Card scheme appears to have decreased which could be due to less young people registering for C Card and accessing on-going supplies or issues regarding how services report usage of the scheme

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4,800 condom packs were issued to services signed up to the C Card scheme yet only 2,941 monitoring returns were made which indicates that services are not fully reporting back on issues directed to young people Tendency for services to report a reduction in C Card registrations but not necessarily for on-going supplies. This fits with data which indicates that there were 1,787 new registrations in 2012/13 compared to 1,287 in 2013/14 and 1,570 repeat visits in 2012/13 compared to a slight increase in 2013/14 of 1,654

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Audit of Medivend C Card condom distribution machines undertaken and recommendations made

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Chlamydia Screening: total of 156 have been undertaken (target 250)

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Media and Campaigns: Three sexual health campaigns were delivered: Sexual Health Week (Sept 2013); HIV Awareness (Dec 2013); Contraception Awareness (Feb 2014)

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Contribution to sexual health training programme delivered training to 54 professionals 15

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Implement changes to C card scheme resulting from audit

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Thorough audit of MediVend usage with young people which will aim to explore uptake of the provision and suggestions for improvements in order to determine whether or not this service is a viable long-term proposition

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Change to Screening Activity, focus on positivity, focus on accessing hard-to-reach groups of young people, marginalised groups and those at higher risk of poor sexual health outcomes

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SAFE re-invigorate the website ensuring all information is up-to-date and accessible to young people in particular

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Proposed Smartphone App development in collaboration with young people and devised to provide an interactive platform with which young people can access sexual health information and local provision

Key Contacts

Health Improvement Service Resource Centre The Health Improvement Resource Centre is available to all health and social care professionals. The Centre offers leaflets, posters, display materials on a wide range of health improvement topics. If you would like your lifestyle to be healthier, please contact us for support, advice and resources. Tel.

01225 831852

Email: [email protected]

Head of Health Improvement Martyn Price Mobile No. 07795252443 Email: [email protected]

Health Development Managers Sarah Button Mobile No.07730285800 Email:[email protected] Richard Merrett Mobile No. 07889592072 Email: [email protected] Justin Wride Mobile No. 07877469775 Email: [email protected]

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