Key health messages 3.1.10 Guest presenters, and experts in their field, delivered a series of presentations that covered the full range of contents within the Every Contact Counts guide. Presentations focused on: mental well-being; sexual health; alcohol; smoking; oral health; cancer – signs and symptoms; healthy eating and healthy weight; physical activity. Facilitation skills 3.1.11 A guest presenter provided some guidance and tips about presenting to a group. This was designed to help the participants for when they would cascade the training within their own workplaces. Delivery of training 3.1.12 The expectation that participants would cascade training within their own organisations was underlined and participants, working in pairs, delivered to the whole group a part of the cascade presentation. 3.1.13 Although the precise content and the order of different sessions varied between training, the time-table below gives a clear overview of the structure of the train the trainer delivery. Day 1 Day 2 Day 3 am Welcome & Intro’s What you’re here to do Determinants of Health Recap of day1 The Guide Presentation - Alcohol Recap of day 1 & 2 Prep for delivery Delivery of training
6.1 Overall Lessons 6.1.1 In assessing the content and delivery of Liverpool’s Every Contact Counts training programme, it is important to reflect on and consider its implementation in the light of the experience of other training programmes leading to the delivery of brief interventions and advice. Overall, the literature suggests that training can have a positive impact on the delivery of brief interventions. It affirms that it can improve the knowledge and confidence of the professionals delivering brief interventions and increase the frequency that they engage in brief intervention tasks. 6.1.2 Evidence from assessments of other training programmes flags up key lessons about: the content of effective training programmes; training methods; addressing known barriers to delivery of brief interventions; other training considerations. 6.1.3 This section also highlights several examples of good practice training that illustrate these important elements. The final section of this report considers to what extent wider lessons and good practice evidence are apparent in the Every Contact Counts training in Liverpool and the implications that this has for recommendations about future training possibilities. Box 3 also summarises existing evidence about the of brief interventions.
expanded, though the years, to embrace a broad behavioural change training agenda that, like the Swedish project, tailored its training to the specific routines and conditions of the health care settings. training workshops are three days duration and utilise a mixture of didactic input, interactive demonstrations and many practical opportunities. Success factors include: restricting participant numbers to a maximum of 12 for each workshop, in order to enhance interactive discussion and practical opportunities. adopting a person-centred rather than a practitioner driven approach; a focus on maximising the efficiencies of staff working time and improving partnership working with patients; programme development stages and training resources have been determined and constructed by community and participant feedback and ongoing involvement in the process. NHS Yorkshire and Humberside’s Competence framework 6.3.6 In the UK, NHS Yorkshire and Humberside’s Competence framework for Making Every Contact Count has been used as a platform by a growing number of programmes which aim to implement the ECC agenda. It is a “commissioning led framework for workforce change” designed to enable commissioners and providers to identify where additional learning, new ways of working and service redesign may be required. A key goal is to ensure that the “right workforce has the right skills in the right place” to meet the health needs of the local population. 6.3.7 The framework adopts a tiered approach that it defines as (a) generic and (b) intervention based levels and competencies. The former are those required by all staff. The latter builds on the generic skills set but focuses on more specific and advanced approaches to behaviour change – including Cognitive Behavioural Therapy, Solutions Focused Therapy and Motivational Interviewing. 6.3.8 It also distinguishes between providing opportunistic brief advice and brief interventions. It defines the latter as “single or multiple sessions of motivational discussion focused on increasing the individual’s insight and awareness regarding specified health behaviours and their motivation for change”. This stage is structured around focused brief interventions with