Hampshire & Isle of Wight Core20PLUS5 Ambassadors

What inspired you to apply to be a Core20PLUS5 Ambassador? 
The Core20PLUS5 Ambassador role is a great opportunity to raise awareness of the importance prevention and health inequalities health interventions. I applied because I want my work to make a difference to health outcomes for those who can find it difficult to access healthcare services, whether that is due to physical/language barriers, cultural reasons, lack of understanding or trust of healthcare services. As a system we should be working together to improve access, experience and outcomes of healthcare for all. 

What are your areas of interest / specialism within Core20PLUS5?
I have been leading on the NHS Tobacco prevention workstream for the ICB and smoking cessation runs through all five of the clinical areas of Core20PLUS5.  I am really keen to see further progress in tobacco prevention for people with serious mental illness as this is a population group where there can be stark health inequalities with the rest of the population. 

Projects / initiatives / work programmes relating to prevention and health inequalities which you are currently working on: 
Currently my main work programmes include the NHS Long Term Plan tobacco prevention treatment programme, alcohol treatment care pathways, and the NHS Digital Weight Management Programme.  
In my role as Prevention lead I have also helped to co-ordinate our local Core20PLUS5 Ambassador network and I attend regular NHSE South East prevention and health inequalities forums to share and learn how we can improve our Core20PLUS5 focus in our patch. 

Contact: alina.mackenzie1@nhs.net

What inspired you to apply to be a Core20PLUS5 Ambassador? 
I am passionate about reducing the inequalities faced by our most vulnerable and deprived communities.  My role as the Race Equality Lead naturally leans me towards a focus on Ethnic Minority communities and my role involves specific engagement with communities who have a lower vaccine uptake and lower access to healthcare. 

What are your areas of interest / specialism within Core20PLUS5?
I am a member of a local systemwide Health Inequalities Network and also work alongside another colleague who has previously registered as a core20Plus ambassador. 

Projects / initiatives / work programmes relating to prevention and health inequalities which you are currently working on: 
My role spans both the NHS Workforce and Local Populations with a specific focus on reducing Race related inequalities.
I am currently working on increasing access to the Covid vaccine by using a data led approach to focus on specific communities with lower uptake. We recognise that there is some vaccine fatigue amongst communities so we are hosting a series of events whereby we are able to use local expert clinicians from the specified community to support these events by providing information relevant to the community on a range of health related topics as well as the vaccine. 

Contact: l.ghulam@nhs.net

What inspired you to apply to be a Core20PLUS5 Ambassador? 
As a general practitioner and member of Hampshire Autism Partnership Board, one of my main interests is that there is a premature mortality gap of 15-20 years for people with severe mental illness, learning disability and autism. Population groups for autism need to be identified locally in a consistent manner so that the reasons for these inequalities are recognised and properly understood. 

What are your areas of interest / specialism within Core20PLUS5?
Learning Disability and Autism.
As autism significantly overlaps with Severe Mental Illness, it will be beneficial to analyse autism prevalence within the five ‘Plus5’ priorities. 80% of autistic people experience mental health issues, mainly anxiety and depression, at some time during their life, some meeting the criteria for Severe Mental Illness. 
Autism is explicitly mentioned in the Children and Young People’s epilepsy inequality, and it is recognised that the prevalence of epilepsy in autism is well above the prevalence in a matched neurotypical population. 

Projects / initiatives / work programmes relating to prevention and health inequalities which you are currently working on: 
Hampshire Autism Partnership Board (HAPB):  

  • Involvement in the development of Hampshire Autism Strategy, member of Health Inequalities Task & Finish Group (TFG) 
  • Discussion and analysis of how the Core20PLUS5 program should be linked with the role of the HAPB to reduce health inequalities 
  • Providing medical clinical insight around medical issues and their significance regarding health inequalities 
  • Personalisation Expert Panel (PEP), Hampshire County Council,  
  • Contributing to discussions about insights into health inequalities in the context of Hampshire’s Adult Health and Care Department  
  • Hampshire Carers Partnership Associate Member

Contact: michael.white2@nhs.net

What inspired you to apply to be a Core20PLUS5 Ambassador?
I would like to really improve patients lives as part of the Core20PLUS5 agenda and help sustain changes which give all patients equitable access to healthcare no matter who they are or where they live. I also think it's important that all patients have choice, and their voice is incorporated into clinical decision making.

What are your areas of interest / specialism within Core20PLUS5? 
I currently work in primary care and I support Primary Care Networks and help reduce health inequalities particularly with regarding to early cancer diagnosis and CVD. 

Projects / initiatives / work programmes relating to prevention and health inequalities which you are currently working on: 
Nepalese Community event in Eastleigh focusing on CVD and diabetes prevention. 

Contact: natalie.gall2@nhs.net

What inspired you to apply to be a Core20PLUS5 Ambassador? 
The areas I lead within Primary Care quality is children's vaccinations uptake, influenza uptake looking at the at risk groups, improving uptake.  

What are your areas of interest / specialism within Core20PLUS5?
I am a LeDeR reviewer so the recommendations following a review are communicated to Primary Care and any good learning, reasonable adjustments annual health checks, this also include SMI health checks.  Review any learning from significant events that include delays in cancer 2 weeks and following the new pathway 62 referral to treatment. 

Projects / initiatives / work programmes relating to prevention and health inequalities which you are currently working on:
I am supporting a JSNA with LA colleagues looking at improving MMR uptake, produced a workforce questionnaire looking for best practice to share learning once the key recommendation are known.  As a LeDeR reviewer I will support the inequalities work making sure that reasonable adjustments are provided which include access to health care.  I undertake mini CQC assessments, looking at processes to check for quality, inequalities, making sure that practices understand their patients and can provide literature in the known languages, supporting practices engage a PPG to tackle inequalities and improve access.  

Contact: sarahrochford@nhs.net

What inspired you to apply to be a Core20PLUS5 Ambassador? 
Although, I have a professional interest in Learning Disabilities and Autism, my personal interest is more generic of health inequalities. 
I aspire to increase awareness of LD/Autism and health inequalities as a whole. In the last 12 months, I have been predominantly working with our Primary Care colleagues to look at the delivery of Learning Disability Annual Health Checks and addressing health inequalities. I am looking to have a minimum set of standards that become common knowledge in a healthcare setting so that health inequalities become more of a day-to-day consideration within other services, rather than an afterthought. 

What are your areas of interest / specialism within Core20PLUS5?
My particular area of professional interest would be supporting our local population of both adults and children with a learning disability and/or autism to live longer and more meaningful lives. Statistically, this cohort of people have a life expectancy of 20% less on average than those without a learning disability and/or autism. I have an invested interest in addressing the health inequalities that lead to this gap, such as increasing accessibility to services and enabling people to remain well to thereby live their best lives.  

Projects / initiatives / work programmes relating to prevention and health inequalities which you are currently working on: 

  • Numerous Learning Disability and Autism awareness drives
  • Partaking in localised Core20PLUS working groups and initial scoping exercises with peers within Core20PLUS remit to identify potential crossover and collaborative goals. 
  • Increasing uptake of LD Annual Health Checks and Quality assurance review, design and auditing 
  • A GP survey designed to understand challenges on the ground in relation to the provision of Annual Health Checks and to create a GL LD Directory for more direct and improved communication. 
  • Review of patient documentation, increasing easy read provisions and ensuring that Annual Health Check information is available in top 21 most spoken languages via an easy read format. 
  • Explore key health themes and ways of supporting people to remain well (e.g cancer screening, vaccination drives etc) 
  • Implementation of an ICB-wide LD Friendly GP Practice accreditation programme 
  • Primary Care Sensory and Communication Box initiative in GP Practices 
  • Creation of bespoke communication tools for Primary care alongside reasonable adjustment and MCA prompts. 
  • Exploring Advocacy provisions for our LD/A population 
  • Review services in line with national initiatives/drives 
  • Align LeDeR learning into workstream developments  
  • Housing and placement schemes 

Contact: t.sedgemore@nhs.net 

You might also be interested in...