Welcome to the Healthy Workplace - PowerPoint Presentation

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Welcome to the Healthy Workplace Business Forum Kindly Hosted by:Cornwall Energy Recovery Centre

www.behealthyatwork.org

Thursday 31st October 2019

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Today’s Presentations & InformationNatalie ChardGraham Hicks: Healthy Workplace updateAllye Brown: Mental Health and Man Down CornwallChristine Nagle: Male Cancer InformationTable stands:

Allye Brown (Healthy Cornwall) Training Department Amy Bromfield (Healthy Workplace) Healthy Weight in the WorkplaceInformation Station

Plus: Mini tour at 12pm for approx. 20 minutes (there are a couple of spaces still available – see one of the team if you are interested)

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Natalie Chard

Community Liaison Manager

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Let’s introduce ourselves…Please tell us: Your nameWho you work for.

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Graham HicksHealthy Workplace

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Natasha Howard: Healthy Workplace Team LeadAmy Bromfield: Healthy Lifestyle Delivery Advisor: leading on weight management and healthy eating / Award Assessment and supportLucy Brown: Healthy Lifestyle Delivery Advisor: leading on musculoskeletal health / Joint pain / the Micro Award specialising in supporting small businesses of 1-9 personnel plus; Award Assessment and support Ben Harris: Healthy Lifestyle Delivery Advisor: leading on physical activity / Award assessment and supportGraham Hicks: Outreach Health Check Practitioner delivering free NHS Health Checks for people aged 40 – 74 years. Addressing: BP, Cholesterol, BMI etc. Assessing the risk of: Stroke and Cardiovascular disease in the next 10 years.

The Healthy Workplace Team

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Wellbeing and Physical Activity Offer A diverse range of wellbeing & physical activity partners offering free taster sessions or discounts for all Healthy Workplace members to promote to their staff to access & enjoy. Some of the providers are willing to come into your workplace and deliver sessions during lunchtimes or at other times during the day.To access the Wellbeing and Physical Activity Offer just login and in the top corner you will see a purple box. Simply click on the wellbeing and physical activity offer to view the providers.

New Providers:

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Healthy Workplace Award Assessments are now fully booked for 2019. Assessments are available to book April-November 2020. Book in early to avoid disappointment!

2020

2020

2020

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Allye BrownHealthy CornwallMental Health

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Mens HealthAllye

Brown

Public Health Skills Development

www.healthycornwall.org.uk

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Looking at numbers……………What is the recommended highest safer limit of alcohol units per week?

7 units

14 units

21 units

28 units

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Looking at numbers……………What is the danger measurement for a hazardous waist?

35.5 inches

37 inches

38 inches

40 inches

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Looking at numbers……………On the day that they were knocked out of Euro 96 on penalties, heart attack deaths in the Netherlands in men increased by how much?

20%

30%

40%

50%

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Looking at numbers……………How many men in the UK die before they retire?

12% (1 in 8)

20% (1 in 5)

25% (1 in 4)

40% (2 in 5)

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Why are numbers important?

men are 32 % less likely to open up to a GP about a health issue that’s bugging them than women (BMJ)

47% of men feel they are unable to confide in friends about their problems (

Movember

2018)

27% reported they simply did not have any close friends they could talk to.  (

Movember

2018)

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Why are numbers important?

40% of men polled said it would take thoughts of suicide or self-harm to compel them to seek professional help (Priory Group 2018)

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Looking at numbers……………75%

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Support for men in CornwallSee separate link for Man Down video

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LocationsSt Agnes

PenzanceFalmouth/Penryn

Helston

Redruth

Bodmin

Newquay

Perranporth

St Austell

Truro

“It doesn’t matter where you think you are on the mental well-being spectrum, these guys are awesome support. Bringing all perfectly normal blokes together to talk about their experiences should be exactly that – NORMAL”

.

“An informal, supportive and social atmosphere to share problems and provide mutual help. “

“Great to meet other gents and share their experiences as nobody should feel they have to suffer in silence!”

“

man down gave me support and more help then any pills can do I recommend it”

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Thank you www.healthycornwall.org.uk

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‘Every Mind Matters’ is the first national mental health campaign from Public Health England It’s an NHS-approved digital hub full of expert advice and practical tips to achieve good mental healthWe all have mental healthJust like our physical health, it goes up and downHaving good mental health can help us feel better, sleep better and support us in doing the things we want to do. It can also help us have more positive relationships with those around us Every year 1 in 4 people in the UK experience a mental health problem.

Every Mind Matters

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Every Mind MattersSee separate link for Every Mind Matters video

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Every Mind Matters ‘Your Mind Plan’‘Your Mind Plan’ is an online tool to get top tips and advice on mental wellbeingSimply answer 5 questions about your mood, your sleep, if you are stressed, have anxiety, and if you‘re worried about anything elseYou then receive an action plan just for you, with simple ideas on how to improve your wellbeing and look after your mental health. The plan can be emailed to you, so you can keep referring to it

If you don’t want to try one of the actions, you can swap it out for something else.

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Time for a breakPlease see: Amy for your chance to be weighed on the

‘Tanita’ Body Composition Scales

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Christine NagleCancer Research UKMale Cancer Information

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Prostate and Testicular CancerRachel ByfordChristine NagleImportance of Bowel Screening

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Prostate cancer

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What does the prostate do?Found at the base of the bladderAbout the size of a walnut but increases in size as men get olderProduces a fluid that mixes with sperm This fluid is stored in the seminal vesicleDuring sex the muscle part of the prostate helps ejaculation of the prostate fluid and spermProstate also produces PSA (prostate specific antigen) which makes semen more wateryWe can measure PSA with a blood testImage from Macmillan

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How common is prostate cancer and what is the survival?Around 48,000 men each year are diagnosed with prostate cancer – about 130 men each day26% of all new cancer cases in menAround 12,000 men die from prostate cancer each yearSurvival (all stages) has tripled in the last 40 years now:After 1 year – 94% After 5 years –

85%After 10 years – 84%Stage I or II – 100% of men will survive at least 5yStage III or IV – around 30% of men will survive at least 5y

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What causes prostate cancer?An increased risk does not mean you are going to get a cancer!There is a lot of research happening about what can increase a man’s chance of developing prostate cancer, but this is what we know so far:AgeEthnicityFamily history and genesOverweight and obesityHeightPrevious cancerVasectomyCadmium and cadmium compounds

At present we do not know if there is anything that a man can do to prevent prostate cancer

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What are the symptoms of prostate cancer?Whilst all of these are symptoms of prostate cancer, if you have any of them it is probably not cancer and instead an enlarged prostateNeeding to pee more frequentlyNeeding to pee during the nightDifficulties peeing: weaker flow, not emptying the bladder completely, straining when starting to empty the bladderNeeding to pee more urgentlyLeaking peeBlood or semen in peeErection problems

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What happens if you have any of these symptoms?See your GP who will:Take a blood test to measure your PSA levelFeel your prostateDigital rectal examination

Your GP can feel your prostate by putting their finger into your bum.A normal prostate will feel like a peach!

PSA test

Your GP may ask you to arrange to have a blood test to find out if you have a high PSA level

A high PSA level can be a sign of prostate problems including: enlarged prostate, prostatitis, prostate cancer

But other things can cause the PSA level to be high

Some men have a naturally high PSA level

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What can cause high PSA levels?Urine infectionVigorous exerciseEjaculationAnal sex and prostate stimulationDigital rectal examinationProstate biopsySome medicationsOther tests/surgery eg catheter inserted, bladder surgery

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What will the GP do next?Your GP may decide to refer you to see a consultantIf they suspect cancer then that appointment will happen within 2 weeks – 2WW referralThe consultant will then do more tests, these may includeAnother DREProstate biopsyMRI scan

Prostate biopsy

MRI scanner

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How is prostate cancer treated?Treatment depends on:AgeStage of cancerGrade of tumour ie fast or slow growingGeneral health and fitness (performance status)Some men will not need immediate treatment: active surveillance or watchful waitingSurgery to remove whole prostate (radical prostatectomy) or a part of the prostate, some men have their

testicles removed to control the growth of the tumourHormone therapy: to control growth of the tumour: injections, tablets or surgeryRadiotherapy: external or internal (brachytherapy)

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Testicular cancer

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What do your testicles do?Testes are oval shaped organs housed by a loose sack of skin called the scrotumThe scrotum functions to protect the testes and also to keep them cooler than body temperatureTestes produce sperm and testosteroneCan produce up to 200,000 sperm per minute on averageTestosterone is responsible for the development of the male reproductive organs and sperm production Image from Macmillan

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How common is testicular cancer and what is the survival? This is a rare cancer with around 2000 men being diagnosed each year: 6 per dayThere are around 65 deaths from testicular cancer each year17th most common cancer in males and accounts for 1% of all new cases of cancer diagnosedSurvival has improved a lot since the 1970’s and continues to do so:1 year: 99%5 years:

98%10 years: 99%If diagnosed at stage I or II all men will survive at least 5yIf diagnosed at stage III or IV 80% of men will survive at least 5y

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What causes testicular cancer?Undescended testicles (cryptorchidism)Abnormal cells in the testicle (carcinoma in situ)Fertility problemsPrevious testicular cancerFamily history of testicular cancerHypospadiasInguinal herniaHIV/AIDSEthnicityCalcium specks (testicular microlithiasis)HeightPregnancy problems

At present we do not know if there is anything that a man can do to prevent prostate cancer

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What are the symptoms of testicular cancer?Most common symptomsLump or swelling in a testicle Unusual difference between the testiclesScrotum feeling heavyDiscomfort or pain in testicle or scrotumLess common symptomsIf cancer has spread to lymph nodes in groin or stomach: lumps/swelling in those areas, or neck/collarbone if it has spread thereLump/swelling in centre of chest (mediastinum) if spread to lymph nodes in that areaTender or swollen breasts due to hormonal changesMost testicular lumps are not cancer

Even if this cancer has spread it is still treatable and most men will survive

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How is testicular cancer diagnosed?If you develop any of the symptoms, you need to go to your GP who will probably refer you for an ultrasound investigationThis will show whether the lump is solid or a fluid filled cyst (less likely to be cancer)You may also have blood tests to test for the presence of tumour markers: for testicular cancer these are Alpha feta protein (AFP)Human chorionic gonadotrophin (HCG)Lactate dehydrogenase (LDH)

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How is testicular cancer treated?The main treatment is removal of the affected testicle (orchidectomy) which is also for confirming the diagnosis and provides information on type, stage etcMay also have surgery to remove affected lymph glands or small secondary tumours in the lungsFollowing surgery – generally one dose of chemotherapy to reduce chance of cancer coming backSome men may require a course of chemotherapySome men with spread to their lymph nodes in abdomen will be offered radiotherapyMonitoring and surveillance after is important – if the cancer is going to recur then it is very likely to be in the first 2 years, but if this happens the cancer can still be cured

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Prevention and screening

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Why is screening important?Screening reduces the number of people dying from cancer by:Detecting cancer early63% of cancers detected through screening are at an early stage (stage I)Preventing cancer Bowel screening and cervical screening can both prevent cancer

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Bowel cancer:Bowel cancer is one of the most common cancers in the UKOver 42,000 people are diagnosed each yearIt accounts for 16,000 deaths each yearCurrently, only 57% of people survive more than 5 years If caught at stage I or II 90% of people will surviveBut if caught at stage III or IV this reduces to 40%

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What is the bowel screening programme?Increase the chances of preventing bowel cancer & finding the cancer earlyDetect and remove polyps in the bowel that may develop into cancer in some peopleSimple test (FIT test) for hidden (occult) blood in your pooOffered every two years to people aged 60-74 years & 74+ can request a kitTest sent through the post – complete it – send it backIf any occult blood is detected in your poo then you will be invited to have further investigations One-off bowel scope screening at 55 yrs

(flexible sigmoidoscopy)

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Any Questions?

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Thank YouRachel.Byford@cancer.org.uk07900 748 334Christine.Nagle@cancer.org.uk07467 000 413

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Visit and promote www.movember.com for facts, information, resources, stories, events and challenges.

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Dates for your diary:Annual Healthy Workplace Awards Monday 9th March 2020 at The Pavilion, Royal Cornwall Showground, WadebridgeHealthy Workplace Business Forum 7

th May 2020 at Goonhilly Earth Station

Cornwall Beach Games May 2020

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Natalie Chard The Cornwall Energy Recovery CentreNatasha, Amy, Lucy, Ben, Allye and ChristineAND a BIG!Thank you to: All of You for coming today. The Mini Tour will start at 12pm

A big thank you to…