Becoming a Health Literacy Friendly Organisation Stoke-on-Trent City

Becoming a Health Literacy Friendly Organisation Stoke-on-Trent City

Becoming a Health Literacy Friendly Organisation Stoke-on-Trent City Council and The Community Health and Learning Foundation This document covers What is Health Literacy? Why become a Health Literacy Friendly Organisation? What does a Health Literacy friendly Organisation look like? How do you become a Health Literacy Friendly organisation? What is Health Literacy?

The personal characteristics and social resources needed for individuals and communities to access, understand, appraise and use information and services to make decisions about health World Health Organisation 2015 Health Literacy: a two way street? Personal Health Literacy is about people having the skills they need to be able to make decisions about their health and wellbeing; People with the lowest levels of language, literacy and numeracy are the people who suffer the poorest health outcomes in society. Societal It is also about how well information is provided to people and how well services are set up to ensure that they can be accessed, understood, appraised and used by everyone who needs them. To improve Health Literacy we need to 1. Work with individuals and communities to ensure their skills are as good as they can be to help

them manage their health and wellbeing; 2. Ensure the information and services we are offering are designed to be able to be accessed by everyone, including and especially people with low skills. Health Literacy affects us all Poor Health Literacy is not just about having low skills, although this is one of the most basic barriers to good Health Literacy. Most people will have Health Literacy needs at some time during their life, regardless of their skills level When managing multiple/new health conditions; Because healthcare/illness is a frightening thing for many people; The language of health can be unfamiliar to everyone; Because there is often stress and anxiety associated with health e.g. illness, diagnosis. Some examples of how low Health Literacy can

affect health These are all examples of how having low Health Literacy can impact on peoples health outcomes. People with limited Health Literacy: Find it harder to access the right services; Find it more difficult to navigate health services; Are more likely to miss appointments; Are less likely to engage with disease prevention e.g. cancer screening, immunisation; Are more likely to wait until they are sicker before getting help; Are less able to communicate with health staff;

Are more likely to engage in unhealthy behaviours; alcohol, unhealthy eating, smoking; Are less likely to engage in healthy behaviours; good diet/normal weight, physical activity; Find it harder to understand labelling and take medicines correctly. How big is the problem? In England 43% of adults (18-65) do not have adequate literacy skills to routinely understand health information. 61% of adults (18-65) do not have adequate numeracy skills to routinely understand health information. (Rowlands et al 2015) Levels of Health Literacy in Stoke-on-Trent People

Organisations 49% Very few organisations are Health Literacy Friendly of the adult population of Stoke-on-Trent has inadequate Health Literacy We have local

examples of best practice Who are the 49%? Those who have inadequate Health Literacy in Stoke on Trent are: In the older age group (65 and over) Significantly less likely to be close to relatives or friends whom they speak to or see regularly Significantly more likely to rate their general health as fair, bad or very bad

Significantly less likely to be White British Significantly more likely to be retired or not working due to long-term illness or disability and less likely to be working as an employee Significantly less likely to have access to the internet Significantly less likely to have qualifications This has implications for healthcare practices Local examples of best practice

Currently trialling Health Literacy intervention through community pharmacies to older patients receiving prescription deliveries at home Ideas Exchange event brought together interested groups and acted as a catalyst to begin to develop multi-agency approaches to e.g. adult learning, embedding health literacy messages, patient groups as advocates, intergenerational sharing Why become a Health Literacy friendly organisation? It is good for the people you are aiming to help 49% of adults in Stoke on Trent have inadequate Health Literacy It is good for your organisation, in terms of

Economics How effective you are Reputation Being recognised by the WHO and the NHS as best practice in terms of health care delivery It is good for the people you are aiming to help By becoming a Health Literacy Friendly Organisation you will be able to help the 49% of adults in Stoke on Trent who have inadequate Health Literacy to: Access the right services at the right time; Navigate health services; Attend appointments; Engage with disease prevention e.g. cancer screening, immunisation;

Understand when they need help and feel confident accessing it in a timely manner; Communicate better with health staff; Avoid unhealthy behaviours; alcohol, unhealthy eating, smoking; Engage in healthy behaviours; good diet/normal weight, physical activity; Better understand labelling and how to take medicines correctly. It is good for your organisation Economics - e.g. fewer missed appointments, less need for treatment of preventable illnesses, less waste of medications; How effective you are more likely to achieve aims by being accessible to all, may improve Health Literacy, confidence and productivity of own staff; Reputation enhanced when providing an effective, high quality service, if people feel their needs are being met; Being recognised by the WHO and the NHS as best practice in terms of health care delivery

What does a Health Literacy friendly organisation look like? A Health Literacy friendly organisation does everything it possibly can to ensure that everyone is able to access, understand, appraise and use its information and services relating to making decisions about their health Good communication (verbal and written); Helping people get around premises; Staff and volunteer training; Offering help to everyone as a matter of routine. How do you become a Health Literacy friendly organisation? 1. Planning 5. Monitoring

and evaluating 4. Implementing actions 2. Health Literacy Audit 3. Action Planning 1. Know what Health Literacy is 2. Sign up for the

Award 3. Identify Health Literacy Team or Champion 6. First audit to give baseline 5. Request Award documentation 4. Attend Health Literacy Training 7. Identify criteria needed to work on to achieve

Award 8. Develop action plan 9. Work through action plan 12. Documentation will be assessed 11. Provide documentation as proof 10. Second audit to establish that criteria has been met

13. Award achieved Process Timeline Contact details Appendices Appendix 1: Health Literacy The Theoretical Framework Appendix 2: Health conditions by socio-economic class Appendix 3: Health Literacy Curated Collection Appendix 1 Health Literacy the theoretical framework Conceptual thinking about Health Literacy has developed in the last decade. Three types or levels of Health Literacy have been put forward for consideration:

Functional Basic or core knowledge of risks and health services, compliance with prescribed actions and ability to complete or comply with systems and procedures and access, prompted, basic web based sites and information; Interactive Improved capacity and skills to act independently on knowledge, improved motivation and self-confidence, ability to chose between sites and web based information and to support others; Critical - Improved individual resilience to social and economic factors and capacity to review information critically and to challenge. Nutbeam D. The evolving concept of Health Literacy. Social Science and Medicine. 2008 December;67(12):2072-8. Appendix 2 Health conditions by socio-economic class (diagram provided by the Department of Health) Condition by socio-economic group (rate per 1,000 reporting long-standing condition by socio-economic group of household reference person General Household Survey 2006)

CHD Higher than expected need (Lung) Cancer Cancers Diabetes Neurotic disorders Psychotic disorders Asthma Expected level of need given

population size Epilepsy Stroke Lower than expected need COPD Renal I Professional & technical II - Managerial IIIN - skilled (non-manual)

IIIM - skilled (manual) Socio-economic class IV - partly skilled V - unskilled Drug dependence Alcohol dependence Appendix 3

Health Literacy Curated Collection The Health Literacy Curated Collection aims to help everyone who has an interest in Health Literacy, by gathering together all the resources you might need in one place. You will find the resources under five main themes; Policy Evaluation Research and key publications Resources Tools We have included the most important, useful and current resources as considered by our health literacy experts. www.healthliteracy.org.uk

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