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MAKING EVERY CONTACT COUNT WORKBOOKmak · PDF fileMAKING EVERY CONTACT COUNT WORKBOOK ... Level 2 Brief Interventions. These are delivered to people in "at risk" groups....

Jul 26, 2018




  • The Training Tree Making Every Contact Count and helping good health go viral



    Start the

    healthcare settings

    Providers of NHSfunded care should build the prevention of

    poor health and promotion of healthy living into their

    daytoday business, to help healthcare professionals make

    every contact count.

    Deryn Bishop

  • The Training Tree Making Every Contact Count and helping good health go viral

    If you work in health, then you can Make Every Contact Count.

    This workbook is for you if you are a Doctor, Nurse, Ambulance

    Staff, Physiotherapist, Dentist, Podiatrist, Optician, Occupational

    Therapist, Pharmacist......whatever your role you can start the

    conversation about having a healthier lifestyle

    "Millions of people talk with a member of NHS staff every day,

    spanning a diverse range of professions: from doctors and nurses

    to pharmacists and midwives, from optometrists and dentists to

    physiotherapists and health visitors and far beyond.

    Each day, GPs and practice nurses see over 800,000 people and

    dentists see over 250,000 NHS patients. There are 31,000 NHS

    sight tests, while approximately 1.6 million people visit a

    pharmacy. We can encounter healthcare professionals in our

    schools, at home and in practices, surgeries and hospitals.

    Outreach activities by many also means we can meet the NHS in

    less traditional locations: on high streets, at sports grounds and at


    Every healthcare professional should make every contact count:

    use every contact with an individual to maintain or improve their

    mental and physical health and wellbeing where possible,

    whatever their specialty or the purpose of the contact." NHS

    Future Forum

  • The Training Tree Making Every Contact Count and helping good health go viral


    What is Making Every Contact Count (MECC)?

    Making Every Contact Count means that all staff, when the opportunity arises, are confident

    and competent in starting a very brief conversation which will help the person involved to

    consider change, feel encouraged and supported to change, and know where to go for

    further support if they feel ready to change.

    MECC conversations are very brief: usually just 30 seconds -5 minutes. They are sometimes

    called "Chats for Change" or "Health Chats"

    A MECC chat is NOT focused on helping people to change their behaviour, as it is too short

    an interaction to do that. It IS focused on helping people to think about changing by raising

    their awareness of issues, being encouraging and supportive of change, and signposting to

    further supporting agencies

    Most commonly a MECC chat will be about a health behaviour, such as Smoking, Alcohol,

    Physical Activity and Healthy Eating.

    However, you will also discover that the skills needed to have an effective chat for change

    are TRANSFERABLE. This means that you will be encouraged to think of other opportunities

    you may have to encourage and support people to make changes, access services or seek

    further information about issues which are important and relevant to them. So a chat about

    support for a Carer; signposting someone to a GP to get an assessment for memory

    problems or to advice and support regarding sexual health.....

    ...all of these and more can be examples of a MECC chat



    extended brief interventions

    delivered to people whose health behaviours are causing problems

    Health Trainers

    brief interventions

    Ask, Assess, Advise, Assist

    delivered to at risk groups

    very brief interventions (MECC)

    Ask, Advise, Assist

    delivered by everyone, to everyone

    MECC is the first level of a behaviour change

    conversation. Delivered to anyone when

    appropriate opportunity arises. Aims to

    raise awareness, encourage, support and


    Some staff may also wish to be trained in

    Level 2 Brief Interventions. These are

    delivered to people in "at risk" groups.

    Includes assessment and feedback of risk.

  • The Training Tree Making Every Contact Count and helping good health go viral


    Skills Base:

    1.1: Ability to work and communicate effectively with individuals

    1.2: Ability to develop rapport

    1.3: Support and enable individuals to access appropriate information to manage their self-

    care needs

    1.4: Ensure individuals are able to make informed choices to manage their self-care needs

    1.5: Communicate with individuals about promoting their health and well-being

    1.6: Ability to deliver information in a way that can be understood by the individual

    1.7: Ability to manage endings

    1.8: Ability to recognise barriers and facilitators of conversations about health behaviours

    including own beliefs and attitudes.

    Knowledge Base:

    1.9: Knowledge of the determinants of health and well-being

    1.10: Knowledge of key health messages

    1.11: Knowledge of local support services and routes of access

    MECC Principles:

    MECC is a person centred approach. It utilises effective communication skills within an Ask,

    Advise, Assist structure to have a conversation which is based on the person's needs, goals,

    concerns and strengths.

    A MECC chat for change is very brief.

    30 seconds to 5 minutes maximum

    Delivered by everyone to everyone

    Can be about health behaviours or other pertinent issues

    Whatever your role...start the conversation!

  • The Training Tree Making Every Contact Count and helping good health go viral

    Benefits of MECC

    MECC helps people to access better quality of care and can help staff to meet some of the

    outcomes as defined in Outcome Frameworks. Here are some examples:

    Public Health Outcomes Framework

    Improving the wider determinants of health Health Improvement Health Protection Preventing premature mortality

    Encourage use of local green gyms and outside activities which support good mental health Encourage people to adopt healthier lifestyle behaviours Signpost people to local services and support networks

    Adult Social Care Outcomes Framework

    Ensuring quality of life for people with care and support needs Delay and reduce the need for care and support Ensure people have a positive experience of care and support Safeguard vulnerable adults and protect them from avoidable harms

    Support people to get timely health and social care Enable easier access to services Support people holistically

    NHS Outcomes Framework Prevent people from dying prematurely Enhance quality of life for people with long term conditions Help people to recover from ill-health Ensure people have a positive experience of care Treat and care for people and protect from avoidable harms

    Encourage people to adopt healthier lifestyle behaviours to prevent ill-health and to manage their medical conditions more effectively


    MECC is person-centred

    Treat the person with dignity and respect

    Value their experience. Be sensitive and responsive to their needs They are the expert on

    themselves. Only they know what really interests, motivates or is important to them

  • The Training Tree Making Every Contact Count and helping good health go viral

    A little background about health behaviours:

    We are lucky enough to live at a time when we are living longer than ever before. Yet there

    are still significant discrepancies across the country in terms of our relative chances of living

    a long life, as well as our relative chances of living with a good quality of health and well-

    being. Lifestyle factors, particularly smoking, are some of the biggest contributors to health

    inequalities in England.

    Over the past 10 years the need to improve the health of our population has been

    highlighted in a series of reports. The Wanless report (2004) Securing Good Health for the

    Whole Population set out the need for individuals to be fully engaged in their own health

    and health care. The Darzi Review (2008), High Quality Care for All set out the need to put

    prevention first and the Marmot Review on Health Inequalities in England post 2010, set out

    six objectives to tackle health inequalities, one of which was to strengthen the role and

    impact of ill health prevention.

    In the Nice Public Health Guidance 49 Behaviour Change: Individual Approaches, it is

    recommended that commissioners and providers of behaviour change services should

    "Encourage health, wellbeing and social care staff in direct contact with the general public

    to use a very brief intervention to motivate people to change behaviours that may

    damage their health. The interventions should also be used to inform people about

    services or interventions that can help them improve their general health and wellbeing".


    What other benefits can you think of?

    For the public:



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