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Social Marketing For Public Health
Interestingly, a key focus in Cheng, Kotler and Lee's 'Social Marketing for Public Health' book remains not only relevant but significant in current
social marketing interventions. The authors' discussion of public health issues found that for such social issues to experience a behavioural change,
"no single agency is able to make a dent by itself," (Cheng, Kotler, and Lee, 2011) hence it was recognised that a global trend in using 'partnerships'
at; "local, national or international levels" is a better way to enforce individuals to get involved (Cheng, Kotler, and Lee, 2011).
At present, the five–year ambition to introduce early intervention services through psychological therapies remain encouraged by policy–makers, in the
belief that the more awareness for the project at a local scale, will help reduce "the stigma and discrimination that surrounds mental health" (Gov.uk,
2015) and encourage more people to speak out and seek the medical support they need. (Gov.uk, 2015). The NHS programme runs through the
partnership of Child & Adolescent Mental Health Services (CAMHS) to actively focus on the needs of children and young people by offering
assessment and treatment for those who may suffer from emotional, behavioural, or mental health difficulties.
Prior to the financial increase in psychological therapies, the programme ran a pilot scheme in 2011 to test out whether the intervention was able to
benefit "those struggling with stress, anxiety or depression"
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Laboratory Medicine And Pathology Services
Laboratory medicine and pathology services play an important central role in the provision of healthcare services and are involved in approximately
70% of health care diagnoses (Department of Health, 2008). Most acute hospital trusts will provide pathology and laboratory medicine services through
the four main sub divisions – microbiology, haematology, biochemistry, and histopathology departments. Pathology services are fundamental to the
running of medicine and healthcare systems and provide a wide–ranging assortment of services to both the local primary care providers and hospitals.
Services provided by pathology and laboratory medicine include screening programmes, monitoring the prognosis of diseases, public health and health
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However as laboratory medicine does not provide this direct patient care they are not always recognised as an important clinical provision.
In 1999 the Department of Health introduced the Pathology Modernisation Programme, with the aims of introducing new practices and technologies
to deliver the highest possible quality of care to patients whilst improving the quality and efficiency of the services provided by NHS pathology and
laboratory medicine departments. In delivering pathology and laboratory medicine services, it is important that the accuracy, timeliness and
interpretation of the tests provided are of the highest standard (Moore, 2015), and at this time not all pathology and laboratory medicine services
were able to provide this. It was thought unsustainable for a standard district style of hospital trust to be able to deliver the wide range of services
necessary to meet future needs. The programme also recognised the need for faster access to diagnostics in primary care, A&E, out–patient clinics and
on the wards for staff and patients (Department of Health, 2004). With the development of the NHS Plan (Department of Health, 2000) setting national
standards for diabetes, cancer, coronary heart disease, mental health and the care of older
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Strengths And Weaknesses Of The NHS
The NHS was first launched in 1948. It was created to provide good healthcare services and it was available to everyone. It didn't matter if you were
rich or poor, that was the principle (NHS choices, 2015). With the NHS confronting its greatest difficulties throughout the following decade, there are
numerous reasons that the NHS is coming to emergency point. Each test should be tended to and a successful method for adapting and giving better
treatment to patients should be involved.
The organisation was established to provide treatment to individuals with illnesses. Many illnesses that would have killed individuals 65 years prior,
have been cured, which is a huge improvement. This implies that individuals are living longer, it additionally ... Show more content on Helpwriting.net
...
Either that or the Department of Health lets the NHS overspend. A survey also claimed that 90% of hospital trust are struggling financially, which is
a rise from the previous few years (Meikle J, 2015). As David Cameron said at the beginning of June 2010, 'Spending cuts will change everyone's way
of life' (Black P, 2015).
The department of health responded by suggesting that it's an ongoing battle for the NHS to provide an ever efficient service. A big claim to help
fight these financial issues, was to restrict the amount of agency staff and management consultants, who earn a considerably larger wage compared to
that of your regular NHS staff member (Meikle J, 2015).
Since 2010 there has been a rapid increase of people going in to A&E departments in England. The figure is believe to be around 32% over the past
decade. People over the age of 65 only account for 17% of the total population, but take the vast majority of bed spaces within an NHS hospital (Gov.uk,
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High Quality Healthcare At Today 's National Health Service
High quality healthcare in today's National Health Service (NHS) is defined by NHS England (2013) as having three essential components.
Firstly clinically effective care that is seen by patients not just clinicians; secondly that care is safe; and third, care that delivers a positive
experience for the patient. As quality care is the focus for NHS England, it advocates NHS employees all working towards this goal. Having a
common purpose promotes a sense of direction (Storey and Holti, 2013), and Ham, C. (2014), report that the systems used within the NHS, along
with leadership and culture within the organisation, need to be transformed and aligned so that quality of care is the organising principle. Add to this
the financial challenges faced (Bevan 2010) and the health professionals today have a difficult time ahead in trying to harmonise all factors in their
pursuit of quality care for their patients. Bevan also adds the challenge that when trying to energise the whole healthcare workforce, what skills will be
needed? ; And additionally cites that to deliver excellence in healthcare in the context of cost and quality, there has to be a sustainable and systematic
approach to improvement methods. Of the three factors equating to quality, enriching the patient experience may be seen as the newcomer compared
to clinical effectiveness and safety (Churchill and Warden, 2014), having been highlighted by Lord Darzi in 2008 (DoH, 2008). In addition reports and
reviews from Keogh
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A Brief Note On The United Kingdom ( Uk ) Essay
Overview of the Healthcare System in the United Kingdom (UK) With over 65 million inhabitants, the United Kingdom (UK) is the 21st most
populated country in the world, behind China, India and the US as the top three ranked countries in terms of population (Worldometers, 2016).
However, its healthcare system is ranked as 5th worldwide (GBD2015 SDG Collaborators, 2016). The UK health system is financed primarily via
general taxation. The system is lauded for providing universal coverage of all people "ordinarily resident," and generally at no charge for the patient
at the point of care (Mossialos, 2016). The breadth of covered services derives from the 2006 Health Act that put forth the Secretary of State's duty to
promote "a comprehensive health service to secure improvement in the physical and mental health of the people of England, and the prevention,
diagnosis and treatment of illness" (Legislation.gov.uk, 2006). On an annual basis, the Secretary of State sets health and efficiency goals for NHS
England, the organization tasked with plan and budget management (Mossialos, 2016). Quality of care concerns are overseen by the Care Quality
Commission (CQC), which requires all healthcare providers to be registered, so their performance can be assessed against national quality standards.
These national quality standards are developed by the National Institute for Health and Clinical Excellence (NICE), and include measures such as
maximum wait times for key
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NHS Health Check Programmes
This guidance can be used alongside the NHS Health Check programme, the national vascular risk assessment and management programme for those
aged 40–74. This is an integrated approach to identifying and preventing four diseases: diabetes, cardiovascular disease, stroke and kidney disease
(NHS Health Check Programme, 2009). The programme is being rolled out throughout England. The aim is to ensure everyone aged 40–74 who has
not already been diagnosed with one of these conditions is offered a risk assessment and given advice and support to help them reduce and manage that
risk.
Health check programmes are effective only if the lifestyle interventions offered prevent or delay type 2 diabetes. Currently the interventions offered to
people identified
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Health And Social Health Promotion
Health and Social Care Study Unit 5: P. 1, P.2, M.1 2A.P1 Describe Health Promotion including the purpose and aims Of Different Health Promotion
Activities What is health promotion? Health promotion is a process that has been applied to a wide range of approaches to improving health of
people, communities and populations of enabling people to increase control over, their health. Health promotion makes it possible for people to
increase control on their health and start to improve their health by health promotion. What is its purpose? The purpose of health promotion is to
advise people about thinking on how to live healthy. Health promotion should be in health related challenges and issues. An example of an issue that
can be targeted by healthy promotion is the incidence obesity problems from this such as cost of NHS of treatment and conditions from increase in
obesity related deaths. Aims for health promotion The aim for health promotion is to help an individual of complete physical and social well–being this
can cause a change in environment and identify aspirations. –Raise health awareness of: To raise awareness using campaigns of dangers of high blood
pressure and how to keep the blood pressure down –Encourage safety and reduce accidents: TV campaign might show a child being hit by car
travelling at 40 mph to demonstrate that even speeds quite slow still kill. The aim of this would be to encourage people to drive more slowly and
reduce the incidence of such accidents.
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Medical And Clinical Services For The National Health Service
1.Introduction:
The healthcare employees are fundamental part of medical and clinical service these days. They are responsible for prevention, diagnosis, treatment
and rehabilitation of patients. Therefore, it is crucial to provide them with an appropriate training and professional development plan which will help
to improve the service offered to patients. Modernising Scientific Careers (MSC) is a UK–wide initiative which was established in 2008 by the
Department of Health (DH) led by the Chief Scientific Officer (CSO) to address education and training needs to the whole healthcare workforce in the
National Health Service (NHS) and associated bodies (MSC: The facts, 2013). Before MSC programme has been established healthcare science ... Show
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The main aim of MSC initiative was to ensure that all healthcare professionals will be able to respond to the upcoming advances and difficulties
facing health and social care system as well as deliver high–quality services to patients and continue to play a major role in healthcare future (An
overview of Modernising Scientific Careers, 2010). Therefore, this piece of work will concentrate mainly on evaluation of MSC programme and
presentation of benefits for patients, medical professionals and their employers.
2.Aims of MSC programme and its implications:
The main aim of the MSC scheme is to deal with challenges within the healthcare science workforce in terms of education, skill differences and
planning, by providing a clear framework of education and workforce development (MSC: The facts, 2013). Suitable education and professional
development plan is essential for scientific workforce to provide best service to the patients. It also helps to ensure that all employees are directed
into clear career pathways, education and training programmes in a common framework for the whole of the scientific workforce at all levels of
practice (An overview of Modernising Scientific Careers, 2010). MSC has been structured in particular way so all training needs are clearly
recognised for each specialism. The structure of scientific careers was designed into four main levels by MSC representatives as it is presented below
in Table 1.
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Community Profile Essay
UNIVERSITY OF TEESSIDE
SCHOOL OF HEALTH AND SOCIAL CARE
BSc (Hons) Nursing Studies, Adult
The Role of the Nurse in Improving Health and Wellbeing
(CCH1037–N–BJ1–2012)
Community Profile
Megan McCallion
J9238068
Word Count: 3,704
Thursday 24th January 2013
Contents page
Chapter One– Introduction........................................................................Page 3–4
Chapter Two– The Health Improvement Issue......................................Page 5–8
Chapter Three – Service Provision.........................................................Page 9–11
Chapter Four – The Role of the Nurse....................................................Page 12–13
Chapter Five – ... Show more content on Helpwriting.net ...
Chapter Two– The Health Improvement Issue From the various studies, reports and statistics (many of which have been referenced and/or quoted in
the Introduction) it is clearly evident that there are a number of different health improvement issues in the town of Middlesbrough. Whilst these health
improvement issues cover such things as alcohol and drug misuse, from the reports, statistics and studies, it is clear that the key and predominant
health related improvement issue in the town of Middlesbrough, is smoking. The Middlesbrough Health Profile 2012 says that 'smoking is one of the
main priorities for improvement in this area; approximately 30,000 people smoke in Middlesbrough' (Middlesbrough JSNA, 2012). As a result of
this large section of Middlesbrough's population smoking, it would come as no surprise that a high number of people are suffering from smoke
related illnesses and diseases and worst still, dying of these related illnesses and diseases prematurely. The high numbers of people suffering smoke
related illnesses and disease will have an adverse impact on the local NHS and other services and in turn, be a high impact in terms of money, budgets
and increasing costs that the local NHS
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Neighbourhood Study Essay
This Neighbourhood Study aims to examine the demographics of Hillingdon Primary Care Trust (HPCT) such as age, gender, ethnicity, social groups
in relation to the prevention of obesity. An insight into the prevalence of obesity as well as the causes and its effects shall be evaluated. Public health
strategies regarding the prevention of obesity and its effects in comparison to Government strategies shall be addressed. The nurse's role as an educator
in relation to this public health issue, strategies formulated by HPCT to prevent obesity and how it focuses on other diseases associated with obesity
shall be discussed. The following section gives a definition of obesity, health education and health prevention.
The World Health... Show more content on Helpwriting.net ...
According to the National Audit Office (2007) the National Health Service (NHS) spends around ВЈ4.2 billion a year in curing obesity and its
associated illnesses.
The Hillingdon Profile (2008) put forward that out of 149 local authorities in England, Hillingdon is classified as the 58th most deprived in terms of
income deprivation affecting children. Hillingdon is also one of the least diverse in terms of ethnicity (appendices 1–3). In 2008 the number of obese
cases recorded by HPCT amongst adolescents was 6.9%. In comparison with England it was estimated that 14% of boys and 17% of girls aged
between 2 and 15 were obese. The National Institute of Clinical Health and Excellence (2006) propound that Asian children are four times more likely
to be obese than children of other ethnic groups. In Central Hillingdon Asians and Afro Caribbeans make up most of the population and have a higher
percentage of obesity.
Causes of obesity include lifestyle choices such as diets, lack of physical activity, psychological, environmental, genetics, medical conditions, effects of
medication, lack of awareness and its implications as well as lack of education in the community. According to Sethi & Vidal
–Puig (2007) there is a
high risk of developing a wide range of health problems including type 2 diabetes, high blood pressure, infertility and osteoarthritis when obese and puts
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Healthcare Services And Continuous Treatment
The NHS was first launched in 1948. It was created to provide good healthcare services and it was available to everyone. It didn't matter if you were rich
or poor, that was the principle. http://www.nhs.uk/NHSEngland/thenhs/about/Pages/overview.aspx With the NHS confronting its greatest difficulties
throughout the following decade, there are numerous reasons that the NHS is coming to emergency point. Each test should be tended to and a
successful method for adapting and giving better treatment to patients should be involved.
The organisation was established to provide treatment to individuals with illnesses. A significant number of the sicknesses that would have killed
individuals 65 years prior, have been cured, which is a huge ... Show more content on Helpwriting.net ...
When they are admitted in to hospital, older patients stay longer and will probably be readmitted. The amount of older people is expected to rise in the
next 10 years. https://www.england.nhs.uk/wp–content/uploads/2013/07/nhs_belongs.pdf (http://www.kingsfund.org.uk/sites/files/kf/field
/field_publication_file/continuity–of–care–for–older–hospital–patients–mar–2012.pdf)
Since the NHS formed 50 years ago, it was always their goal to decreasing the length of hospital stays. Any patient that is admitted long–term, without
medical indication, should not be kept in hospital. If a patient that is over the age of 65 is admitted and kept in for over 7 days, has more chance of
another admission within the following year. Readmission rates should be aimed to be reduced and helping a patient to keep their independence should
be realistic aims.
Hughes L, Pearson A. Encouraging healthy ageing: A vital Element of NHS reform. British Journal of Nursing. Mark Allen Group;2013 Feb
14;22(3):174–175 (NHS, AGEING POPULATION)– journal (100 words conclusion)
There is a rising tide of patients who experience the ill effects of long term conditions, for example, diabetes, hypertension, sorrow, dementia and joint
pain. In the meantime the quantity of patients who experience the ill effects of more than one long term condition is additionally quickly expanding.
Nurturing
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Wohl's Theory Of Health And Social Care
Wohl (1983) produced a well researched and documented account of public health and development in Britain; starting from the middle of the 19th
century to the early 20th century. The author eloquently described the horrendous and devastating levels of the nations poverty and poor health. Within
Victorian society few people were free from illness/disease, average lifespan, stench and impurified water. The shift in socioeconomic differences,
intolerable living conditions and significantly poor working conditions took on an added dimension because of the increasing number of rural residents
relocating to towns in order to seek employment. This "urban revolution" resulted in a major health crisis for the nation due to the rapid growths of
towns ... Show more content on Helpwriting.net ...
It proposed to address the social determinants of health, the conditions in which individuals are conceived, develop, live, work and age and which can
prompt health inequalities. It attracts further thoughtfulness regarding that a greater number of people are living longer, however spending more time
in illness due to things such as poverty, lack of equitable service etc. The report, titled 'Fair Society, Healthy Lives', proposes another approach to
reduce health inequalities in England post–2010. It contends that, customarily, government strategies have centered assets just on a specific areas of
society. To enhance wellbeing for every one of us and to decrease unfair and antiquated health inequalities, greater movement and activity is required
from a social perspective. The in depth report contains numerous critical discoveries, some of which are condensed underneath. Individuals living in
the poorest regions in England will by and large have a mortality rate seven years earlier than individuals living in the wealthiest neighbourhoods.
Alongside this, individuals living in poorer areas will not only have a reduced mortality but will have a greater chance of having greater chance of
illness and disability – a normal distinction of 17 years. The Review highlights the social scale of health inequalities – put basically, the lower an
individuals social economic status is can have a significant
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Should The NHS Treat Smoking-Related Diseases?
Should the NHS treat smoking related diseases?
Smoking can bring about lung infection by harming your airways routes and the little air sacs (alveoli) found in your lungs. Smoking can bring about
lethal infections, for example, pneumonia, lung growth and emphysema. Additionally smoking causes 83% of deaths from chronic obstructive
pulmonary disease (COPD) and smoking causes 84% of deaths from lung cancer (NHS , 2017) . However, there is a considerable measure of terrible
illnesses connected to smoking cigarettes. Illnesses like throat malignancy, mouth tumour, bladder growth, lung growth, constant bronchitis,
emphysema, and coronary illness are altogether brought about by smoking. Also smoking is addictive. Nicotine is the addictive substance ... Show more
content on Helpwriting.net ...
This figure is up 1billion pounds when compared to the same figure last year, which was 1.7billion. And the only reason it is not higher is because so
many smokers have given up in recent years – a fall from 12 million to 9 million. Also the government has made significant cuts to the healthcare
budget (Around ВЈ800million between 2010 and 2012) (BBC News Channel, 2009). Therefore, the NHS should not pay for smoking related diseases.
However, firstly, Smokers contributed to the UK economy by 10billion According to statistics from theTobacco Manufacturers' Association (TMA) in
the 2006/07 financial year in revenue tax (Tma, 2017). According to lobby group forest argues that smokers pay over ВЈ9billion a year in tobacco tax.
It has also been claimed that the government has made tobacco manufacturers not allowed to have any kind of trademarks on any of their smoking
product its illegal. It has been stated tax revenue from tobacco in 2012/2013 amounted to ВЈ12.3billion – ВЈ9.7billion in excise duty plus 2.6billion in
VAT. In addition, on a usual box of 20 cigarettes the total tax burden of В
Ј6.98 accounts for 82% of the recommended retail price (RRP) of ВЈ8.50. On
some of the least expensive brands the total tax burden accounts for up to 90% of the RRP (Tma, 2017). Therefore, the NHS should pay for smoking
related diseases as smokers have already contributed by paying taxes on tobacco and taxes that go to the NHS
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My Msc Specialist Community Public Health
I am completing this ethics submission as part of my Msc Specialist Community Public Health Nurse/ School Nursing. This course has further
increased my professional interest as a School Nurse, in obesity and the impact this has on the individual as well as society. Given this is a continuing
problem despite various government interventions I would like to explore whether school nurses' have a role to play in childhood obesity.
Background
If current trends continue unchanged by 2034 one in three people will be obese (Public Health England) (PHE 2014). Society has normalised being
overweight with obesity increasing throughout a person's life span (PHE 2014). The National Child Measurement Programme (NCMP) data has shown
that there is a ... Show more content on Helpwriting.net ...
The estimated cost to society and the economy stood at ВЈ16 billion in 2007 with a potential rise to about ВЈ50 billion by 2050. An estimated ВЈ2.6
billion of this is attributed to lost earnings due to obesity (DH 2011).
It is now accepted that every aspect of our lives impacts on our health and vice versa (Linsley, Kane and Owen 2011, Dahlgren and Whitehead
1991, PHE 2014), (Fig:1).Although the health service can not alter this epidemic single handed it needs to work in partnership and create a
community wide approach to tackling obesity (NHS 2014, PHE 2014). By adopting a proactive rather than a reactive approach we may be able to
impact on future data (PHE 2014). 12 years ago Derek Wanless warned that unless the country takes prevention seriously there would be a sharp rise
in the burden of unavoidable illness (NHS 2014). This warning was not heeded, and now it is acknowledged to create the best outcomes for children's
health, the sustainability of the NHS and the economic prosperity of Britain there needs to be a radical upgrade in prevention and public health (NHS
2014).
Fig 1: Dahgren and Whitehead (1991) Illustration showing the many social, environmental, cultural and biological influences on health.
Public health is about empowering individuals as well as communities to live healthy, happy lives and reach their
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History of Mental Health by Mind
Article from MIND better mental health Histort of mental health factsheets: You are welcome to print and photocopy this page of Mind's website.
Organisations are free to distribute copies to service users and colleagues, but must ensure they always use the latest version, as available on the
website, at the time of distribution. 1601 The Poor Law was introduced and clearly defined the responsibility of every parish to support those who
were incapable of looking after themselves. This responsibility was limited to people born or defined as being 'settled' in a parish. Other people who
did not fit these categories could be expelled from the parish. 1808 The County Asylums Act 1808 gave permissive powers to the Justices of each...
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This, together with the recent introduction of welfare benefits, encouraged the beginning of the move from institutional to community–based care.
1950s Day hospitals began to be established, providing greater flexibility in psychiatric services and reducing the use of hospital beds. Hostels and
therapeutic social clubs were set up to provide support for discharged patients. The introduction of neuroleptic drugs helped to shorten the time that
newly admitted patients spent in hospitals and encouraged the discharge of many into the community. Some new district psychiatric services were
developed in general hospitals, so that beds in regional mental hospitals were no longer needed; this provided a model for future service changes. 1954
The first outpatient nurses were appointed at Warlingham Park Hospital, Croydon. Their duties included visiting outpatients, supporting inpatients who
had been discharged and helping them to find jobs and accommodation, and being available to give advice at outpatient clinics and therapeutic social
clubs. 1954 After rising steadily throughout the first half of the century,
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Seven Day Service Improvement
Abstract/Executive Summary This report aims to inform and guide healthcare professionals looking to implement the NHS 'Seven Day Service'
improvement programme within a radiotherapy department. The report highlights some of the current issues in the NHS and its' impact on clinical
standards. It also focuses on how the leaders of a radiotherapy department worked to accomplish a seven day service whilst giving due consideration to
existing organisational policies, customer service and management changes. Introduction Contemporary Issues in the NHS – The Seven Day Service
Improvement Programme Is five day working costing lives? The subject of the NHS' seven day service has received significant coverage in the
national media. The public debate... Show more content on Helpwriting.net ...
The use of learning and networking forums enabled the team to find out what the public and staff hoped to achieve from the transformation, as well as
support them through this change. Through this knowledge–sharing activity the wider engagement and adoption of seven day service models was
encouraged4. The responsibility for the new way of working was shared across the whole staff group so that the change was seen to be fair and
inclusive of all staff
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Bowel Screening Essay
In this essay I will be discussing the current recommendations for large bowel screening, to diagnose bowel cancer, including those categorised as
high risk. I will also be discussing the role of imaging in the initial diagnosis and the subsequent follow up.
The NHS have found that bowel cancer is one of the most common cancers in the UK, with around 40,000 new cases being diagnosed every single
year. This means that approximately 1 in every 20 people will develop bowel cancer at some point within their lifetime. However, the earlier it is
detected, the higher the rate of successful treatment and survival. This is why bowel screening is so important. It has been found that around 90% of
those who suffer from bowel cancer are over the age of ... Show more content on Helpwriting.net ...
This is appropriate as this is the usual age range involved in bowel screening. If there are major contraindications to a colonoscopy, CT colonography
may be used. Anxieties related to screening and false hope/ignorance due to a normal result have not been formally investigated as of right now, but it
is considered a risk by many experts as mentioned by Rhodes, J.M. (2000) in a "Joint Position Statement" by the British Society of Gastroenterology,
the Royal College of Physicians, and the Association of Coloproctology of Great Britain and
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What Are the Arguments In Favour Of Private Health Care?...
What Are the Arguments In Favour Of Private Health Care?
Privatisation is a word which is commonly used to describe the practice of medical patients 'going private' and paying for the services of GPs,
hospital doctors or hospital provision, rather than using the NHS. Privatisation can also be used to describe the charge imposed for such health care
services such as drugs, appliances, dentures and spectacles.
There are many arguments which are in favour of private health care in
Britain, such as that private treatment is not the luxury that most people seem to think it is. Most people believe it is a treatment that only rich people
can afford. This however, is simply not true as patients in the independent sector now... Show more content on Helpwriting.net ...
When people spend their money on private medicine they are helping to add to the total amount of resources spent on health care, which cannot be a
bad thing.
Private health care is better than the NHS in many ways, but most obviously, as it does not have the famously long waiting lists of the
NHS. Waiting lists are a huge and notorious problem in the NHS and many people have to wait many months before they can have surgery or
treatment. Furthermore, private companies such as BUPA (British United
Provident Association) and PPP (Private Patients Plan) offer some treatment which is unavailable from the NHS, such as cosmetic surgery.
Private Finance Initiative (PFI) also supports the argument, which is supportive of private health care. A department of health spokesperson said that
PFI was providing the NHS and patients with the biggest hospital building programme in its history. PFI is a scheme, separate from the NHS which
provides value for money and is the best way of meeting the costs of the hospital building programme. It has shown to be a sound way of securing
funding for a new hospital as at present, more than 400 PFI contracts, worth more than ВЈ100bn are currently in effect or on the agenda. It is said that
sixty to seventy new hospitals over the next few years is the most extensive building programme the NHS have seen for decades, worth billions of
pounds.
Also, it has been shown
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Biopsychosocial Model
Within this assignment, it will discuss the case study which looks at 'Jane' whom is 34 and has a diagnosis of Bipolar disorder. A Mental Health
Nurse (MHN) should utilise the case study to discuss the knowledge and skills required to plan and evaluate person–centred care. The essay will
reference to the Nursing and Midwifery Council (NMC) Code of Conduct (2015) and the National Institute for Health and Care Excellence (NICE)
which has clear guidelines for high quality care. The essay will also discuss the principles in which a nurse should implement person centred care and
its importance.
When researching the prevalence of Bipolar, on the Mental Health Foundation website, it discussed how Bipolar disorder could potentially be after
depression ... Show more content on Helpwriting.net ...
First and foremost, it is significant that the MHN complies with keeping complete confidentiality in terms with the NHS Code of Practice
(Department of Health, 2003). Jane has been informed by her doctor that she has a diagnosis of Bipolar mood disorder. Using the biopsychosocial
model (Engel, 1977) the MHN should determine the biological, psychological and social aspects for Jane's treatments, to give her the best care
possible. This relates to person–centred care as the biopsychosocial model is providing a modern and holistic approach to care (Borrell–Carrio,
Suchman & Epstein, 2004). Within the NMC Code, it writes to prioritise people which includes treating service users with respect, encouraging
service users to make decisions about their care and act in the best interest of people (NMC Code of Conduct, 2015). This is imperative to
developing a relationship with the service user that is professional yet also caring and compassionate. This also links to the 6Cs: care, compassion,
communication, competence, courage and commitment, which should be adhered to by the MHN in Jane's care plan. (NHS England, 2016). The
MHN should develop a care programme with Jane, using the Care Programme Approach, whereby a care programme should be conducted and
monitored throughout Jane's treatment (Kingdon, 1994). This will help Jane and the MHN as it gives a clear view of the treatment plan that is also
patient–centred and Jane will feel involved in her care plan, which will ensure that Jane's care is provided in a therapeutic manner and at the highest
standard
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Chronic Conditions That Can Not Be Cured
LTC's are chronic conditions that cannot be cured but can be maintained and symptomatically controlled with medication and therapies (World Health
Organisation [WHO], 2015; Department of Health [DOH], 2005). The management of LTC's has been implemented due to the increase in the ageing
population which in turn produces an increase in the incidence of LTC's such as diabetes, Parkinson Disease [PD], pernicious anaemia, chronic
obstructive pulmonary disease, neurological and heart conditions. Due to word restriction the author will discuss diabetes and Parkinson's disease.
Diabetes is a lifelong condition that causes a person's blood sugar to become too high or too low as the pancreas no longer produces the right amount,
or any, insulin (NHS Choices, 2014). Insulin is a hormone which is released from the pancreas, working by moving sugar from the blood into other
body tissues enabling the liver to stop producing excessive glucose. There are two main types of diabetes, type1 and type 2. Once known as
childhood diabetes or insulin dependent diabetes, type 1 is much rarer than type 2 diabetes which occurs when the body becomes resistant to the
effects of insulin (Mayo Clinic, 2016; MedlinePlus, 2016). Symptoms of diabetes include excessive thirst, frequent urination, tiredness, long healing
wounds and unexplained weight loss which occurs due to glucose staying in the blood (Diabetes UK, 2016). If a patient develops diabetes and diet
change or medications are unable to control
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Patient Focus And Public Involvement (PFPI)
Patient focus and public involvement:
The Bristol Inquiry panel provided recommendations to reform UK healthcare system which included public involvement in medical audit and
favoured public involvement in formation of health policy. Organizations like National Institute for Clinical Excellence (NICE) were advised to be
responsive and maintain a dialogue with public that would help in building public trust. The NHS has made a move from an organisation that only
delivered healthcare services to people, to being an organization that provides services based totally on patient–led and which responds to their
necessities and desires. There have been many national level initiatives and drivers for involvement of patient such as the NHS Plan (2000), ... Show
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In PFPI, public involvement has been termed as a catalyst for change that can help major improvement in public health and strengthen public
confidence in NHS. Establishing a network of staff and public engagement at national and at all levels have been envisaged. Public involvement has
been placed not as an end process but as an on–going process. Along with public involvement, responsiveness is involved in the framework. The
framework has suggested for strategies of responsiveness through considering public feedback, flexibility in responding to needs of individuals,
responding to specific needs, culturally competent response and considering and taking appropriate action on the complaints of the individuals (NHS
Scotland, 2001). In 2003, Scotland's white paper confirmed the commitment to patient– centred health service. It outlined the principles of 'Fair for All'
that would recognise and respond to individual needs and background. Following this white paper, Scottish Health Council was set up in 2005.
Guidelines for management of patient and public involvement have been developed in areas such as long term conditions, emergency services,
maternity care, mental health, etc. (Savory,
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Scottish Patient Safety Programme and the Early Detection...
Scottish Patient Safety Programme and the Early Detection of the Deteriorating Patient The aim of this reflection is to discuss patient safety in an acute
setting according to the Scottish Patient Safety Programme. I will be using a model of reflection, Gibbs Reflective Cycle to structure my essay (Gibbs
1988 cited in Paterson and Chapman, 2013). In accordance with the Nursing and Midwifery Council identifiable information will not be written,
maintaining confidentiality (NMC, 2010a). Description Health Improvement Scotland coordinated the Scottish Patient Safety Programme created to
improve the safety of patients across Scotland (NHS Scotland, 2010a). Four groups were created to manage patient safety, one of which was established
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Staff reacted quickly and appropriately and when safe transferred the patient into the resuscitation area. I witnessed good communication between staff
with the use of SBAR, giving structure to the information being provided by ambulance staff and by nurses to medical staff. Communication between
staff and the patient promoted a good therapeutic relationship. Communication is vital in the nurse patient relationship to build trust and gain
information (Webb, 2011). Vital observations were carried out efficiently, they were recorded every 15 minutes and a cardiac monitor was attached
to continuously monitor for any deterioration. As a student nurse I assisted by recording vital observations using NEWS and assessing consciousness
by using the Glasgow coma scale to ensure there were no signs of brain trauma (Le Roux, Levine and Kofke, 2013). In line with the NMC, my
mentor supervised and countersigned my observations (NMC, 2011b). I promoted good patient safety as deterioration would be recognised early and
appropriate care provided. Throughout the treatment process I witnessed and provided person centred care. Nursing and medical staff continuously
checked patient comfort and obtained consent for treatment being provided. Analysis The Scottish Patient Safety Programme was implemented in
2008 and by 2012, 8500 patient's lives were saved (Nursing Management, 2013). In 2012 the programme was extended to 2015 with the aim of further
reducing the risk of
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unit 12 public health p1 and p2
P1 Meaning of Public Health: Public health is concerned with improving the health of population, rather than treating the diseases of individual
patients. If a condition has been discovered –they want to make sure they live longer by promoting and preventing diseases and complications. Public
health is everyone around you and the involvement of the community. If public health is really effective then it will also help the NHS save money.
Monitoring the health status of the community: When we are monitoring the health status of the community we are trying to identify and solve the
certain problems of the community. We will be looking for the trends and patterns which will then be compared to other communities. This will help us
to... Show more content on Helpwriting.net ...
Immunisation and other control measures are put in place to control them so that the diseases do not affect the whole population. This also may include
food hygiene measures in restaurants and takeaways to control the spread of food poising. Communicable disease is carried out by microorganisms and
then transmitted through people, animals, foods and pollution. In the UK, the government promotes health related points such as five–a–day this
promotes to eat five fruit or vegetable a day, do regular exercise, eat a balanced diet. When people have a baby they are advised that they should take
their child too regular check–ups and it is important to get their immunisation as it will protect the child from infectious disease. A way the
government control diseases in the population is by planning and evaluating the health and social care provision, they do this by assessing the
services that are being provided and see if they are helping problems that take place. It is also important that when infectious diseases have come up,
it is a legal requirement that it is reported to the appropriate people, by doing this measures can be put in place to stop them spreading. An example
for this is when diseases such as Tuberculosis (TB) and Measles are diagnosed or suspected, the local medical officer is responsible for monitoring the
disease and
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P6 Unit 6 Health and Social Care
A health service is a service that provides care and is under the NHS. For examples hospitals or a G.P. They provide treatments but also prevent
illnesses through health promotions. A social care service is about providing support to individuals to help them get by and who ever needs it such
as emotional support or practical support with daily living tasks. Statutory care is care that's paid for and provided by the government and is
welcome to everyone. For example, the children's hospital. Private care is care that is paid for and isn't funded by the government. People go private
to get things such as scar deduction, moles and lumps removed or operations that they don't want to wait a long time for. Voluntary care is care provided
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The types of services they provide is primary, secondary and tertiary. It is a statutory type of care. A trust co
–ordinates care. They make decisions
about the service and they co–ordinate and decide what type of care and what services they provide, how many service users, staff and beds available
etc. An example of a type of trust is a hospital trust. A hospital trust is an NHS trust that provides secondary health services. Hospital trusts are ordered
to provide these services by primary care trusts and clinical commissioning groups. A hospital trust co–ordinates the health care services. The Care
Quality Commission makes sure that hospitals, care homes, dental and GP surgeries, and all other care services in England provide people with
safe, effective, compassionate and high quality care, and they encourage these services to make improvements. The Social Care Institute for
Excellence aims to improve the lives of people who use care services by sharing knowledge about what works. They provide practical resources
including learning materials and offer training and consultancy services for people who plan, deliver and use adults, children's and families services.
Service provider: Sheffield Children's Hospital. Sheffield Children's Hospital is funded by the government. It is a public/statutory type of care. To
access this service, you can self–refer yourself but you can also be referred by your GP. Policies and procedures: The Trust works with local
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Challenges to the UK Health Care System Essay
Introduction In line with the majority of other developed countries, the United Kingdom (UK) has offered its citizens a universal health care system
that is free at the point of service. Funded primarily by taxation, the system is popular and efficient. However, along with most other health care
systems around the world, it faces a series of challenges if it is to maintain viability, in the twenty–first century. These issues include; long waiting
times, an aging population, funding challenges and the increasing cost of technology. History of Health Care in the UK The UK is a sovereign country
of almost 61,000,000 people comprising the nations of England, Scotland, Wales and Northern Ireland. A highly evolved democratic country
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It also monitors the quality of services provided and develops new policies. The performance of the NHS is also monitored by the Health–Care
Commission, an independent executive agency that performs annual reviews and ratings, and investigates complaints. According to Johnson and
Stoskopf (2008) there are a number of dimensions for measuring health care systems. The three most frequent include: "population health
measures, system efficiency measures, and patient perceptions" (p.74). Other clinical measurements commonly used include infant mortality rates
and life expectancy. The UK has an infant mortality rate of 4.93 deaths per 1,000 live births, and an average life expectancy of 78.85 years.
Funding for the NHS is a combination of private and public sources. All legal UK residents have access to the NHS and pay a payroll tax, which
equates approximately to 10% of earnings. Although health care provided by the NHS is largely free, there are fees for certain services such as
prescriptions, dental and optician services, which are paid by all citizens who are working and make more than minimum wage. Recent Reforms In
2000, an effort was made by the UK government to resolve certain inequalities that had developed within the NHS by releasing the "NHS Plan of
2000." This plan greatly increased spending on employee pay, infrastructure, and access to services. Despite almost doubling spending in a ten year
period,
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Significant Developments From The Welfare State
Identify and explain two significant developments resulting from the welfare state.
The NHS came around in July 5, 1948. The Health Minister Aneurin (also known as Nye) Bevan purely nationalised the existing system across the
UK. The groundbreaking change was to make all services freely available to everyone. Half of Scotland's landmass was already covered by a
state–funded health system serving the entire community and directly run from Edinburgh. Additionally, the war years had seen a state–funded hospital
building programme in Scotland on a scale unknown in Europe. This was combined into the new NHS. Scotland also had its own individual medical
tradition, this is centred on its medical schools rather than private practice. The legislation that empowered the UK to have the NHS is National Health
Service Act (1948), this despite opposition from doctors, who maintained on the right to continue treating some patients privately. The NHS ensured
that Doctors, hospital, dentists, opticians, ambulances, midwives and health visitors were available, free to everybody. This Reason why we have
health services is because it developments a view that health care was a right, not something given unreliably by charity, also two–party's agreement
that the existing services were in a mess and had to be sorted out, it stopped financial difficulties for the voluntary hospitals and After the second
world war it ensured the creation of an emergency medical service as part of the war effort
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The Tower Of Borough Demography
Contents
1.Introduction3
2.The Tower Hamlet Borough Demography4
3.Diabetes prevalence in London Borough Tower Hamlets7
3.1 Diabetes and health inequalities in Tower Hamlets9
4.Social Determinant of Health10
4.1 Examples of social determinants include:10
5.National and Local Policy for diabetes11
Contrarily, the recommended standard the National Audit Office report published in 2009 finds that NHS is performing below the expected levels of
care, low achievement of treatment standards and high numbers of avoidable death, and concludes diabetes services in England are not delivering
value for money. There were an estimated 3.1 million adults with diabetes in England and the number of people with the condition is expected to...
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(National Audit Office, 2013)12
6.Public Health Provision in Tower Hamlets13
Conclusion14
References15
Public Health England, (2013) Diabetes prevalence model for local authorities and CCGs, (Online), Available at: http://www.yhpho.org.uk
/default.aspx?RID=154049 Accessed [12/06/2015]16
1.Introduction
Health is determined by some social conditions such as people's work, area of birth, living and working environment. it also includes housing,
education, built environment, financial security, and the health system. The world health organisation (WHO) stated that the above conditions are
influenced by some very powerful forces which include social policies, economic policy, and political instances.
However, the term social determinants are nowadays greatly perceived as the responsibility of large amount of unwarranted health imbalance. While
some imbalances are the consequence of free choice or usual natural differences, others are of external management of some people or groups of
people and invariably these could be and could be circumvented
This report intends to focus on diabetes frequency in tower hamlet Borough. Hence, the demographic features of borough of Tower Hamlet will be
highlighted with reference to the consideration of social determinant of diabetes in London Borough of Tower Hamlets. The report will likewise
evaluate the national, local policy
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Marmot Review: The National Health Service
The National Health Service founded in 1948 is based on three principles which issue the key aspects of providing healthcare to all no matter how
rich or poor they are and providing a service designed to diagnose, improve and treat both physical and mental health. Should the NHS go against its
main principles and values of promoting equality through the services it provides and possibly denying treatment for tobacco users. " It is estimated
that around 460,000 adult admissions to NHS hospitals in England every year are due to smoking. Treating diseases caused by smoking costs the NHS
more than ВЈ5 billion per year, about 5 per cent of its annual budget, despite the fact that smoking is preventable and treatable" This issue with the
scarcity... Show more content on Helpwriting.net ...
In the "Marmot Review: Fair Society Healthy Lives" written by "Professor Michael Marmot" himself, he proposes the most effective evidence–based
strategies for reducing health inequalities in England. Inequality is unjust and unfair and therefore it is a matter of social justice in cases where
everyone has an equal,social, political and economical rights and opportunities.He simply stated that to reduce the steepness of the gradient sufficiently
"actions must be universal, but with a scale and intensity that is proportionate to the level of disadvantage" Even though resources may be scarce and
it is tempting to focus these limited resources on the most needy, we are eliminating some parts of the society and therefore only tackling a small part
of the overall problem. Part of his solution was to "implement an evidence–based programme of ill health preventive interventions that are effective
across the social gradient such as Increasing and improving the scale and quality of treatment programmes and focusing on public health interventions
such as smoking cessation programmes on reducing the social gradient" Michael Marmot also raises the benefits to which reducing health inequalities
will help the economy as well as socially. "It is estimated that inequality in illness accounts for productivity losses of ВЈ31–33 billion per year, lost
taxes and higher welfare payments in the range of ВЈ20–32 billion per
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Implementing A Dementia Care Programme For Patients With...
From: Mrs Susana Jones, Head of Patient Care Services, Fawks Hospital
To:Mrs Forever Powerdo, Chief Executive, Fawks Hospital, NHS Trust
REPORT: A proposed strategy to introduce a Dementia Care programme for patients with dementia within hospitals.
ContentsPage
(Executive) summary
Rationale for the introduction of Dementia Care Programme
Critical Discussion
Devising a Dementia Care Team
Current System
Model of Improvement
Implementation Plan
Question 1: What are we trying to accomplish?
Question 2: How will we know if a change is an improvement?
Question 3: What changes can we make that will result in improvement?
Plan
Do
Study
Act
Conclusion and Recommendations
References
Appendix 1
3
5
6
7
9
10
10
11
12
13
13
14
14 14
17
20
1.Executive summary
1.1This report will assess the limitations in the current approach to patients with dementia following an observation undertaken within the hospital
observing the care and awareness of patients with dementia.
1.2The report proposed the introduction of a Dementia Care programme, proven to increase the quality of life by supporting them to increase standards
of care and patient outcomes.
1.3This initiative is investigated based on government policies, National Clinical Care guidelines.
1.4The implementation of change of this proposal will be based on the PLAN–DO–STUDY–ACT cycle to ensure a successful approach to the change.
1.5By focusing on existing strategies, the report proposes a
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A Brief Note On John Snow As A Surgeon And A Doctor
19th Century
John Snow was a qualified as a surgeon and a doctor in 1838. Dr Snow was interested in how cholera spread through drinking water and observed
that people who drank water and drank water from the one company was most likely to come across this disease than the people who do not drink
that company's water. Dr Snow planned a map which he noted all the cases of cholera and then realised that all the people who were ill were getting
their water from the same and only pump, which it supplied water that came from the sewage contained river Thames. People also used different
pumps to get water but did not get the infected. This is when Dr Snow established that was connection between cholera and contaminated water. He
identified all the aspects and also looked at the sources of the infected water, and realised that all the contaminated water came from the broad street
water pump, so he went to the broad street water pump and took the handle of the pump and got rid of the outbreak of cholera. (Stretch and
Whitehouse 2010)
Edwin Chadwick– Edwin Chadwick was a social advocate in England. Edwin Chadwick was studying in London to become a lawyer. He was well
known for his work he did which was to improve the conditions that people were living in and wanted to improve public health. He then was interested
in political and social reform. In the 1800s he became one of the most important public health activists. Edwin believed that for social improvement
they should use sciences
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This essay aims to discuss health issues related to...
This essay aims to discuss health issues related to obesity including causes, prevention and dietary aspects as well as underpinning principles and
policies related to obesity. WHO (2011) defines health policy as the mandated aspect that must be standardizing to meet vital tasks of the health care as
well as the society. Ham (2006) defines health policy as a product of interaction between different interests articulated by pressure groups,
organizations and social movements. Buse, Mays and Walt (2012) defines policy as a broad statement of goals that create the framework for activities
and ideas in the form of written document or unwritten. Policy implementation monitors, controls and review issues or demands that are addressed as
policy ... Show more content on Helpwriting.net ...
According to Department of Health (2012) one of the major issues that need immediate attention is obesity. As of today approximately more than 1
billion people are overweight and 300 million people are obese worldwide, this was estimated by WHO (2013) Statistics by the Department of Health
(2013) showed that a total of 23% of adults are obese (with a body mass index – BMI – of over 30); 61.3% are either overweight or obese (with a BMI
of over 25). For children, 23.1% of 4–5–year–olds are overweight or obese, and 33.3% of 10–11–year–olds.There is strong evidence by the Department
of Health suggesting that health checks have shown that people with learning disabilities had a higher rate of obesity of about 35% of the general
population. Naidoo (2008) stated that WHO defines obesity as a condition of abnormal or excessive fat accumulating in the tissues to the extent that
health maybe at risk. Obesity may cause heart diseases, cancer, type 2 diabetes, respiratory problems and lack of self– esteem and reduced quality of
life. Upton and Thirlaway (2010) stated that an average of 35% of premature death is associated with obesity.
It is reported that 73 000 cardiovascular deaths and 34000 other deaths a year are related to the type and quantity of food we eat. There are so many
factors that cause obesity and diet, lifestyle and genetics are the main contributors to obesity even though
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The Importance of Continuing Professional Development in...
This essay aims to discuss the importance of Continuing Professional Development (CPD) within a National Health Service (NHS) medical imaging
department; and how it contributes to delivering high quality patient–centred care. It will include any associated advantages and/or disadvantages to the
NHS and imaging department; and discuss the impact of compulsory CPD associated with management and service delivery. Finally, radiography
specific examples of CPD currently documented within the NHS will we stated with suggestions for increased uptake of CPD within imaging
departments.
CPD is described by the Health Professionals Council (HPC) as 'a range of learning activities through which individuals can maintain and develop
throughout their ... Show more content on Helpwriting.net ...
An essential element of CPD is being able to reflect and learn from experiences, including service failures (SCoR, 2005: 1). Understanding why
something has happened and implementing a positive change in practice, as a result, will contribute to continual improvement in services systems
(RCR, 2006: 10). Gibbs (2011: 2) suggests that CPD helps the NHS comply with local and national strategies, in addition to quality monitoring and
good governance. This helps provide patient safety whilst minimising medical negligence penalties; in 2008–2009 alone the claims against the NHS
were ВЈ769 million (Shekar, 2010: 31).
The Agenda for Change resulted from a workforce crisis, resulting from low staff morale, lack of professional progression and unchallenging careers.
The importance of lifelong learning was recognised as being pivotal in addressing these issues (Jones and Jenkins, 2007: 10). It introduced a four–tier
structure, incorporating a competency based system for continual learning, the Knowledge and Skills Framework (KSF); this provided fair CPD
access to all (Gould et al, 2007: 27). Within the imaging department it promoted, encouraged and expedited role development and generated new
radiographic roles (Woodford, 2005: 321). It was highlighted that in order to meet service needs and radiographer aspirations role development was
necessary
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P1 Public Health
P1 describe key aspects of public health strategies
Public health is concerned with protecting and improving the health of the population rather than individual health.
DIET AND NUTRITION
Most children and adults do not read nourishing recommendations. The more you exercise, the better you feel about yourself. That's why bodily
activity is important for a healthy and happy life. Infants who are breastfed are five times less probable to be admitted to hospital in the first year of
life with infections and are less likely to become obese in later childhood. Reducing fat intake, particularly saturated fat can help reduce the risk of
coronary heart disease and some cancers.
The government will continue to work with 5 A DAY, working with retailers,... Show more content on Helpwriting.net ...
To support this, the Agency is helping to improve diagnostic, treatment and prevention services, and identifying areas for action. In particular, the
government is helping to increase Chlamydia screening and reduce the levels of undiagnosed HIV infection among men who have sex with men. Study
conveys advice that sexual danger taking attitude is increasing across the society. Chlamydia is the most common sexually transmitted infection and
affects an estimated number of sexually active women. Delays in access to diagnosis and treatment can lead to more people being
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Paperless Nursing Records
INTRODUCTION Paperless healthcare record is a longitudinal management system of keeping patients' health information electronically 24/7 and
being able to share it (Greenhalgh and Keen 2013). Paperless healthcare records continue to grow in popularity as health care organizations are
implementing or soon will be implementing a system of electronic patient records on the promise that paperless healthcare records provide faster and
efficient access to healthcare (Kossman and Scheidenhelm, 2008; Top et al. 2013, Boonstra et al. 2014). Electronic patient records have various forms
and the term used differs between healthcare organisations. Terms such as electronic health records (EHR), electronic patient records (EPR), Health
Information Technology... Show more content on Helpwriting.net ...
The current state of knowledge demonstrates successful implementation of EHR depends upon user attitude towards the programme, impact on
workflow, interoperability, technical support, communication among users and users' previous experience (Kossman, 2006; DeVliegher et al 2010;
Balllie et al 2012). The NHS has been advised to design EHR that will work well for healthcare staff in the NHS in order for it to be relevant (Sheikh
et al. 2011, Edwards, 2013). Authors like Holden (2010) and Wilkins (2013) have investigated attitudes of physicians towards EHR while researchers
like Alquraini et al. (2007) and Huryk (2010) have investigated nurses' attitude nurses towards computers but not towards EHR. Although many studies
had used the Technology Acceptance Model (TAM) or the Nurses Attitudes towards Computerization (NATC) tool to assess nurses attitudes about
information technology or computer usage in healthcare industry, these studies and tools are different to the paperless mandate expected in the NHS by
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Information Officer Of Imperial College Nhs Trust
Syndicate Group 4: Health Informatics Coursework "As the Chief Information Officer of Imperial College NHS Trust (one of the UKs largest
multi–site hospital providers) what are the factors and issues that need to be considered and planned for to achieve a successful implementation of a
new IT solution?" Part One: Introduction 1.1: Backdrop In 2007, the Imperial College Healthcare NHS Trust (ICHT) planned to roll out a new IT
solution: A shift from paper based to fully Electronic Health Records (EHR). This was intended to provide clinicians with a single, comprehensive
digital profile of a patient 's medical history (ICHT, 2014). 1.2: Mission Statement To consider and plan for potential organizational and cultural
resistance... Show more content on Helpwriting.net ...
On this basis, we have developed a strategy to address each of the CSFs. Part Three: Strategy 3.1: Who is involved? The participants of this strategy
can be categorized as follows: Sponsor Imperial College NHS Trust Facilitator Chief Information Officer (CIO) of the ICHT Team Heads of
Department, Physician and Nurse Champions, IT specialists and all other ICHT staff 3.2: Critical Success Factor 1 – Staff Buy–In As the day to day
users of the IT system, staff involvement in the design of the system cannot be discounted and their concerns should be fully incorporated during the
early stages of the process. We suggest the following as the MCP's related to this factor: Management of staff ideas, concerns and expectations
Designating staff 'champions' The ICHT will host 'Discussion Workshops ' commencing in late April 2014, setting out measurable objectives
beforehand to ensure the right level of staff buy–in. These include, facilitating discussion about the EHR system between departments and its impact
vis a vis data recording, and expressing any concerns about the proposed EHR system and its functionality (Cusack and Hook, 2013). Prior to the first
workshop, 'Physician and Nurse Champions' will be appointed. These are influential and well–respected staff members from different departments
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Comparing Nursing Careers
Within this essay I shall be writing about what is required to be a registered nurse and what is required to be an occupational therapist. I shall also be
comparing both professions with regards to differences and Similarities within both professions. To qualify as a nurse within the uk you must
undertake a degree programme which can be in the form of a Bachelor degree in nursing which can take between 3–4 years to complete, and a Master's
degree in nursing which takes 2 years to complete. Entry needs for nursing degrees are different for each university. In Scotland generally, all
universities look for an applicant to hold a SQA Higher BBC grades, which include English and science/biology or a pass in National five English and
maths either... Show more content on Helpwriting.net ...
This route to nursing is designed for people who have been out of education for a while and would like to gain the necessary qualifications and skills
to progress onto university to pursue a nursing career. The wider access programme has no necessary entry needs although it is desired that applicant
have general education behind them such as maths, science, English (NHS Education for Scotland,2016). A nursing degree is delivered in two formats
which are in conjunction with one another, these are theory and practical which is obtained through placements at health care settings. Both formats of
education used are of equal value within the course and each one accounts for 50% of the course (Edinburgh Napier University, 2017). Currently there
should be 2,300 practical placement hours (Royal College of Nursing, 2017). Whilst undertaking the practical side of the degree you will work within a
variety of health care settings such as in hospital wards, nursing homes and out in the community. Within the placement
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Impact Of Opt Out Systems
IMPACT OF OPT OUT SYSTEMS
The Taskforce consider opting out information to be more sensitive in nature than information provided by opting in Organ Donation Register ( Organ
Donation Taskforce , 20). The current is based on an open access website with an electronic register that is available to all hospital staff. In anopt–out
system, not registering in this register may mean that someone's organs may be taken when they have had a serious objection to this. Theoretically, it
is possible for someone to re–enter someone's name on the register without them knowing, although there is no evidence to suggest that this will
happen on a wide scale. This is why some may argue that an opt–out system would require far greater security due to the sensitive nature of the
information. This information could be accommodated on the Personal Demographics Service ( Organ Donation Taskforce , 2008) but entering all this
data would be a drain on the NHS resources especially at the start of an opt–out system which would involve entering the data of several million
people. People may also choose to be increasingly specific about which organs or tissues they choose to donate as medicine advances so the
framework required for would be rather complex. This would also take a large toll on the funds provided to the NHS with the costs of for the setup of
IT and communications approximating to ВЈ45 million. An additional ВЈ5 million per year is needed to refresh public messages and an estimated ВЈ10
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The Importance of Lifestyle Factors in the Maintenance of...
BTEC NATIONAL DIPLOMA IN SPORT UNIT 14: EXERCISE, HEALTH AND LIFESTYLE TITLE: KNOW THE IMPORTANCE OF
LIFESTYLE FACTORS IN THE MAINTENANCE OF HEALTH AND WELL
– BEING ASSESSMENT TASK ONE SCENARIO You are a physical
activity and health development officer working at Lewisham Council. Your role involves educating the local community on physical activity and
health and working with individuals to help them improve their lifestyle. You assess the lifestyle of individuals, provide advice on lifestyle
improvement and plan health–related physical activity programmes. dukatTASKS You have been asked to produce an information booklet for
individuals to help promote health living. Your booklet should describe lifestyle factors... Show more content on Helpwriting.net ...
| | B| This information should be included in a separate reference booklet for use by other development officers| | This assessment assesses grading
criteria P3, M3, D2 Deadline for final submission: BTEC NATIONAL DIPLOMA IN SPORT UNIT 14: EXERCISE, HEALTH AND LIFESTYLE
TITLE: BE ABLE TO PLAN A HEALTH RELATED PHYSICAL ACTIVITY PROGRAMME FOR A SELECTED INDIVIDUAL ASSESSMENT
TASK FOUR SCENARIO Level of physical activity is a common area that needs to be improved among the individuals you work with. Your chosen
individual has asked if you could plan a safe and effective six–week physical activity programme for them. You will follow the stages that your
department has created when planning a physical activity programme. TASKS Stage 1: Conduct an introductory interview with the individual selected,
complete a medical screening form and collect relevant information that you do not already have e.g goals, physical activity history, motivation,
lifestyle, likes and dislikes Stage 2: Choose activities that reflect the individual's likes and dislikes and fit in with their lifestyle Stage 3: Design the
programme
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How successful were the Labour reforms of 1945
How successful were the Labour Government reforms of 1945–51 in improving social and economic conditions? From 1945 to 1951, Clement Attlee
was prime minister of the Labour Government. He aimed to improve the Social and Economic Conditions. The main aims to improve the social
conditions were: to create a fairer society and improve the lives of ordinary people, build on the recommendations of the Beveridge Report, and slay
the five giants (Want, Disease, Squalor, Ignorance, and Idleness). The main aims to improve the economic conditions were: fulfilling the
Nationalisation programme and reducing unemployment. Labour had to recover from being identified with the failures of the 1930s. The Beveridge
Report of 1942, written by William... Show more content on Helpwriting.net ...
Housing was quite successful in a way (Squalor was another giant); many houses were built. 1.5 million Council houses were built and quarter of a
million pre–fabricated houses were built. Although, with the amount of houses being destroyed by bombs, not enough houses were built. It was
successful because many people were able to move into one of these homes. Ignorance and Idleness were two of the five giants; ignorance was
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Social Marketing For Public Health Interventions

  • 1. Social Marketing For Public Health Interestingly, a key focus in Cheng, Kotler and Lee's 'Social Marketing for Public Health' book remains not only relevant but significant in current social marketing interventions. The authors' discussion of public health issues found that for such social issues to experience a behavioural change, "no single agency is able to make a dent by itself," (Cheng, Kotler, and Lee, 2011) hence it was recognised that a global trend in using 'partnerships' at; "local, national or international levels" is a better way to enforce individuals to get involved (Cheng, Kotler, and Lee, 2011). At present, the five–year ambition to introduce early intervention services through psychological therapies remain encouraged by policy–makers, in the belief that the more awareness for the project at a local scale, will help reduce "the stigma and discrimination that surrounds mental health" (Gov.uk, 2015) and encourage more people to speak out and seek the medical support they need. (Gov.uk, 2015). The NHS programme runs through the partnership of Child & Adolescent Mental Health Services (CAMHS) to actively focus on the needs of children and young people by offering assessment and treatment for those who may suffer from emotional, behavioural, or mental health difficulties. Prior to the financial increase in psychological therapies, the programme ran a pilot scheme in 2011 to test out whether the intervention was able to benefit "those struggling with stress, anxiety or depression" ... Get more on HelpWriting.net ...
  • 2. Laboratory Medicine And Pathology Services Laboratory medicine and pathology services play an important central role in the provision of healthcare services and are involved in approximately 70% of health care diagnoses (Department of Health, 2008). Most acute hospital trusts will provide pathology and laboratory medicine services through the four main sub divisions – microbiology, haematology, biochemistry, and histopathology departments. Pathology services are fundamental to the running of medicine and healthcare systems and provide a wide–ranging assortment of services to both the local primary care providers and hospitals. Services provided by pathology and laboratory medicine include screening programmes, monitoring the prognosis of diseases, public health and health ... Show more content on Helpwriting.net ... However as laboratory medicine does not provide this direct patient care they are not always recognised as an important clinical provision. In 1999 the Department of Health introduced the Pathology Modernisation Programme, with the aims of introducing new practices and technologies to deliver the highest possible quality of care to patients whilst improving the quality and efficiency of the services provided by NHS pathology and laboratory medicine departments. In delivering pathology and laboratory medicine services, it is important that the accuracy, timeliness and interpretation of the tests provided are of the highest standard (Moore, 2015), and at this time not all pathology and laboratory medicine services were able to provide this. It was thought unsustainable for a standard district style of hospital trust to be able to deliver the wide range of services necessary to meet future needs. The programme also recognised the need for faster access to diagnostics in primary care, A&E, out–patient clinics and on the wards for staff and patients (Department of Health, 2004). With the development of the NHS Plan (Department of Health, 2000) setting national standards for diabetes, cancer, coronary heart disease, mental health and the care of older ... Get more on HelpWriting.net ...
  • 3. Strengths And Weaknesses Of The NHS The NHS was first launched in 1948. It was created to provide good healthcare services and it was available to everyone. It didn't matter if you were rich or poor, that was the principle (NHS choices, 2015). With the NHS confronting its greatest difficulties throughout the following decade, there are numerous reasons that the NHS is coming to emergency point. Each test should be tended to and a successful method for adapting and giving better treatment to patients should be involved. The organisation was established to provide treatment to individuals with illnesses. Many illnesses that would have killed individuals 65 years prior, have been cured, which is a huge improvement. This implies that individuals are living longer, it additionally ... Show more content on Helpwriting.net ... Either that or the Department of Health lets the NHS overspend. A survey also claimed that 90% of hospital trust are struggling financially, which is a rise from the previous few years (Meikle J, 2015). As David Cameron said at the beginning of June 2010, 'Spending cuts will change everyone's way of life' (Black P, 2015). The department of health responded by suggesting that it's an ongoing battle for the NHS to provide an ever efficient service. A big claim to help fight these financial issues, was to restrict the amount of agency staff and management consultants, who earn a considerably larger wage compared to that of your regular NHS staff member (Meikle J, 2015). Since 2010 there has been a rapid increase of people going in to A&E departments in England. The figure is believe to be around 32% over the past decade. People over the age of 65 only account for 17% of the total population, but take the vast majority of bed spaces within an NHS hospital (Gov.uk, ... Get more on HelpWriting.net ...
  • 4. High Quality Healthcare At Today 's National Health Service High quality healthcare in today's National Health Service (NHS) is defined by NHS England (2013) as having three essential components. Firstly clinically effective care that is seen by patients not just clinicians; secondly that care is safe; and third, care that delivers a positive experience for the patient. As quality care is the focus for NHS England, it advocates NHS employees all working towards this goal. Having a common purpose promotes a sense of direction (Storey and Holti, 2013), and Ham, C. (2014), report that the systems used within the NHS, along with leadership and culture within the organisation, need to be transformed and aligned so that quality of care is the organising principle. Add to this the financial challenges faced (Bevan 2010) and the health professionals today have a difficult time ahead in trying to harmonise all factors in their pursuit of quality care for their patients. Bevan also adds the challenge that when trying to energise the whole healthcare workforce, what skills will be needed? ; And additionally cites that to deliver excellence in healthcare in the context of cost and quality, there has to be a sustainable and systematic approach to improvement methods. Of the three factors equating to quality, enriching the patient experience may be seen as the newcomer compared to clinical effectiveness and safety (Churchill and Warden, 2014), having been highlighted by Lord Darzi in 2008 (DoH, 2008). In addition reports and reviews from Keogh ... Get more on HelpWriting.net ...
  • 5. A Brief Note On The United Kingdom ( Uk ) Essay Overview of the Healthcare System in the United Kingdom (UK) With over 65 million inhabitants, the United Kingdom (UK) is the 21st most populated country in the world, behind China, India and the US as the top three ranked countries in terms of population (Worldometers, 2016). However, its healthcare system is ranked as 5th worldwide (GBD2015 SDG Collaborators, 2016). The UK health system is financed primarily via general taxation. The system is lauded for providing universal coverage of all people "ordinarily resident," and generally at no charge for the patient at the point of care (Mossialos, 2016). The breadth of covered services derives from the 2006 Health Act that put forth the Secretary of State's duty to promote "a comprehensive health service to secure improvement in the physical and mental health of the people of England, and the prevention, diagnosis and treatment of illness" (Legislation.gov.uk, 2006). On an annual basis, the Secretary of State sets health and efficiency goals for NHS England, the organization tasked with plan and budget management (Mossialos, 2016). Quality of care concerns are overseen by the Care Quality Commission (CQC), which requires all healthcare providers to be registered, so their performance can be assessed against national quality standards. These national quality standards are developed by the National Institute for Health and Clinical Excellence (NICE), and include measures such as maximum wait times for key ... Get more on HelpWriting.net ...
  • 6. NHS Health Check Programmes This guidance can be used alongside the NHS Health Check programme, the national vascular risk assessment and management programme for those aged 40–74. This is an integrated approach to identifying and preventing four diseases: diabetes, cardiovascular disease, stroke and kidney disease (NHS Health Check Programme, 2009). The programme is being rolled out throughout England. The aim is to ensure everyone aged 40–74 who has not already been diagnosed with one of these conditions is offered a risk assessment and given advice and support to help them reduce and manage that risk. Health check programmes are effective only if the lifestyle interventions offered prevent or delay type 2 diabetes. Currently the interventions offered to people identified ... Get more on HelpWriting.net ...
  • 7. Health And Social Health Promotion Health and Social Care Study Unit 5: P. 1, P.2, M.1 2A.P1 Describe Health Promotion including the purpose and aims Of Different Health Promotion Activities What is health promotion? Health promotion is a process that has been applied to a wide range of approaches to improving health of people, communities and populations of enabling people to increase control over, their health. Health promotion makes it possible for people to increase control on their health and start to improve their health by health promotion. What is its purpose? The purpose of health promotion is to advise people about thinking on how to live healthy. Health promotion should be in health related challenges and issues. An example of an issue that can be targeted by healthy promotion is the incidence obesity problems from this such as cost of NHS of treatment and conditions from increase in obesity related deaths. Aims for health promotion The aim for health promotion is to help an individual of complete physical and social well–being this can cause a change in environment and identify aspirations. –Raise health awareness of: To raise awareness using campaigns of dangers of high blood pressure and how to keep the blood pressure down –Encourage safety and reduce accidents: TV campaign might show a child being hit by car travelling at 40 mph to demonstrate that even speeds quite slow still kill. The aim of this would be to encourage people to drive more slowly and reduce the incidence of such accidents. ... Get more on HelpWriting.net ...
  • 8. Medical And Clinical Services For The National Health Service 1.Introduction: The healthcare employees are fundamental part of medical and clinical service these days. They are responsible for prevention, diagnosis, treatment and rehabilitation of patients. Therefore, it is crucial to provide them with an appropriate training and professional development plan which will help to improve the service offered to patients. Modernising Scientific Careers (MSC) is a UK–wide initiative which was established in 2008 by the Department of Health (DH) led by the Chief Scientific Officer (CSO) to address education and training needs to the whole healthcare workforce in the National Health Service (NHS) and associated bodies (MSC: The facts, 2013). Before MSC programme has been established healthcare science ... Show more content on Helpwriting.net ... The main aim of MSC initiative was to ensure that all healthcare professionals will be able to respond to the upcoming advances and difficulties facing health and social care system as well as deliver high–quality services to patients and continue to play a major role in healthcare future (An overview of Modernising Scientific Careers, 2010). Therefore, this piece of work will concentrate mainly on evaluation of MSC programme and presentation of benefits for patients, medical professionals and their employers. 2.Aims of MSC programme and its implications: The main aim of the MSC scheme is to deal with challenges within the healthcare science workforce in terms of education, skill differences and planning, by providing a clear framework of education and workforce development (MSC: The facts, 2013). Suitable education and professional development plan is essential for scientific workforce to provide best service to the patients. It also helps to ensure that all employees are directed into clear career pathways, education and training programmes in a common framework for the whole of the scientific workforce at all levels of practice (An overview of Modernising Scientific Careers, 2010). MSC has been structured in particular way so all training needs are clearly recognised for each specialism. The structure of scientific careers was designed into four main levels by MSC representatives as it is presented below in Table 1. ... Get more on HelpWriting.net ...
  • 9. Community Profile Essay UNIVERSITY OF TEESSIDE SCHOOL OF HEALTH AND SOCIAL CARE BSc (Hons) Nursing Studies, Adult The Role of the Nurse in Improving Health and Wellbeing (CCH1037–N–BJ1–2012) Community Profile Megan McCallion J9238068 Word Count: 3,704 Thursday 24th January 2013 Contents page Chapter One– Introduction........................................................................Page 3–4 Chapter Two– The Health Improvement Issue......................................Page 5–8 Chapter Three – Service Provision.........................................................Page 9–11 Chapter Four – The Role of the Nurse....................................................Page 12–13
  • 10. Chapter Five – ... Show more content on Helpwriting.net ... Chapter Two– The Health Improvement Issue From the various studies, reports and statistics (many of which have been referenced and/or quoted in the Introduction) it is clearly evident that there are a number of different health improvement issues in the town of Middlesbrough. Whilst these health improvement issues cover such things as alcohol and drug misuse, from the reports, statistics and studies, it is clear that the key and predominant health related improvement issue in the town of Middlesbrough, is smoking. The Middlesbrough Health Profile 2012 says that 'smoking is one of the main priorities for improvement in this area; approximately 30,000 people smoke in Middlesbrough' (Middlesbrough JSNA, 2012). As a result of this large section of Middlesbrough's population smoking, it would come as no surprise that a high number of people are suffering from smoke related illnesses and diseases and worst still, dying of these related illnesses and diseases prematurely. The high numbers of people suffering smoke related illnesses and disease will have an adverse impact on the local NHS and other services and in turn, be a high impact in terms of money, budgets and increasing costs that the local NHS ... Get more on HelpWriting.net ...
  • 11. Neighbourhood Study Essay This Neighbourhood Study aims to examine the demographics of Hillingdon Primary Care Trust (HPCT) such as age, gender, ethnicity, social groups in relation to the prevention of obesity. An insight into the prevalence of obesity as well as the causes and its effects shall be evaluated. Public health strategies regarding the prevention of obesity and its effects in comparison to Government strategies shall be addressed. The nurse's role as an educator in relation to this public health issue, strategies formulated by HPCT to prevent obesity and how it focuses on other diseases associated with obesity shall be discussed. The following section gives a definition of obesity, health education and health prevention. The World Health... Show more content on Helpwriting.net ... According to the National Audit Office (2007) the National Health Service (NHS) spends around ВЈ4.2 billion a year in curing obesity and its associated illnesses. The Hillingdon Profile (2008) put forward that out of 149 local authorities in England, Hillingdon is classified as the 58th most deprived in terms of income deprivation affecting children. Hillingdon is also one of the least diverse in terms of ethnicity (appendices 1–3). In 2008 the number of obese cases recorded by HPCT amongst adolescents was 6.9%. In comparison with England it was estimated that 14% of boys and 17% of girls aged between 2 and 15 were obese. The National Institute of Clinical Health and Excellence (2006) propound that Asian children are four times more likely to be obese than children of other ethnic groups. In Central Hillingdon Asians and Afro Caribbeans make up most of the population and have a higher percentage of obesity. Causes of obesity include lifestyle choices such as diets, lack of physical activity, psychological, environmental, genetics, medical conditions, effects of medication, lack of awareness and its implications as well as lack of education in the community. According to Sethi & Vidal –Puig (2007) there is a high risk of developing a wide range of health problems including type 2 diabetes, high blood pressure, infertility and osteoarthritis when obese and puts ... Get more on HelpWriting.net ...
  • 12. Healthcare Services And Continuous Treatment The NHS was first launched in 1948. It was created to provide good healthcare services and it was available to everyone. It didn't matter if you were rich or poor, that was the principle. http://www.nhs.uk/NHSEngland/thenhs/about/Pages/overview.aspx With the NHS confronting its greatest difficulties throughout the following decade, there are numerous reasons that the NHS is coming to emergency point. Each test should be tended to and a successful method for adapting and giving better treatment to patients should be involved. The organisation was established to provide treatment to individuals with illnesses. A significant number of the sicknesses that would have killed individuals 65 years prior, have been cured, which is a huge ... Show more content on Helpwriting.net ... When they are admitted in to hospital, older patients stay longer and will probably be readmitted. The amount of older people is expected to rise in the next 10 years. https://www.england.nhs.uk/wp–content/uploads/2013/07/nhs_belongs.pdf (http://www.kingsfund.org.uk/sites/files/kf/field /field_publication_file/continuity–of–care–for–older–hospital–patients–mar–2012.pdf) Since the NHS formed 50 years ago, it was always their goal to decreasing the length of hospital stays. Any patient that is admitted long–term, without medical indication, should not be kept in hospital. If a patient that is over the age of 65 is admitted and kept in for over 7 days, has more chance of another admission within the following year. Readmission rates should be aimed to be reduced and helping a patient to keep their independence should be realistic aims. Hughes L, Pearson A. Encouraging healthy ageing: A vital Element of NHS reform. British Journal of Nursing. Mark Allen Group;2013 Feb 14;22(3):174–175 (NHS, AGEING POPULATION)– journal (100 words conclusion) There is a rising tide of patients who experience the ill effects of long term conditions, for example, diabetes, hypertension, sorrow, dementia and joint pain. In the meantime the quantity of patients who experience the ill effects of more than one long term condition is additionally quickly expanding. Nurturing ... Get more on HelpWriting.net ...
  • 13. Wohl's Theory Of Health And Social Care Wohl (1983) produced a well researched and documented account of public health and development in Britain; starting from the middle of the 19th century to the early 20th century. The author eloquently described the horrendous and devastating levels of the nations poverty and poor health. Within Victorian society few people were free from illness/disease, average lifespan, stench and impurified water. The shift in socioeconomic differences, intolerable living conditions and significantly poor working conditions took on an added dimension because of the increasing number of rural residents relocating to towns in order to seek employment. This "urban revolution" resulted in a major health crisis for the nation due to the rapid growths of towns ... Show more content on Helpwriting.net ... It proposed to address the social determinants of health, the conditions in which individuals are conceived, develop, live, work and age and which can prompt health inequalities. It attracts further thoughtfulness regarding that a greater number of people are living longer, however spending more time in illness due to things such as poverty, lack of equitable service etc. The report, titled 'Fair Society, Healthy Lives', proposes another approach to reduce health inequalities in England post–2010. It contends that, customarily, government strategies have centered assets just on a specific areas of society. To enhance wellbeing for every one of us and to decrease unfair and antiquated health inequalities, greater movement and activity is required from a social perspective. The in depth report contains numerous critical discoveries, some of which are condensed underneath. Individuals living in the poorest regions in England will by and large have a mortality rate seven years earlier than individuals living in the wealthiest neighbourhoods. Alongside this, individuals living in poorer areas will not only have a reduced mortality but will have a greater chance of having greater chance of illness and disability – a normal distinction of 17 years. The Review highlights the social scale of health inequalities – put basically, the lower an individuals social economic status is can have a significant ... Get more on HelpWriting.net ...
  • 14. Should The NHS Treat Smoking-Related Diseases? Should the NHS treat smoking related diseases? Smoking can bring about lung infection by harming your airways routes and the little air sacs (alveoli) found in your lungs. Smoking can bring about lethal infections, for example, pneumonia, lung growth and emphysema. Additionally smoking causes 83% of deaths from chronic obstructive pulmonary disease (COPD) and smoking causes 84% of deaths from lung cancer (NHS , 2017) . However, there is a considerable measure of terrible illnesses connected to smoking cigarettes. Illnesses like throat malignancy, mouth tumour, bladder growth, lung growth, constant bronchitis, emphysema, and coronary illness are altogether brought about by smoking. Also smoking is addictive. Nicotine is the addictive substance ... Show more content on Helpwriting.net ... This figure is up 1billion pounds when compared to the same figure last year, which was 1.7billion. And the only reason it is not higher is because so many smokers have given up in recent years – a fall from 12 million to 9 million. Also the government has made significant cuts to the healthcare budget (Around ВЈ800million between 2010 and 2012) (BBC News Channel, 2009). Therefore, the NHS should not pay for smoking related diseases. However, firstly, Smokers contributed to the UK economy by 10billion According to statistics from theTobacco Manufacturers' Association (TMA) in the 2006/07 financial year in revenue tax (Tma, 2017). According to lobby group forest argues that smokers pay over ВЈ9billion a year in tobacco tax. It has also been claimed that the government has made tobacco manufacturers not allowed to have any kind of trademarks on any of their smoking product its illegal. It has been stated tax revenue from tobacco in 2012/2013 amounted to ВЈ12.3billion – ВЈ9.7billion in excise duty plus 2.6billion in VAT. In addition, on a usual box of 20 cigarettes the total tax burden of В Ј6.98 accounts for 82% of the recommended retail price (RRP) of ВЈ8.50. On some of the least expensive brands the total tax burden accounts for up to 90% of the RRP (Tma, 2017). Therefore, the NHS should pay for smoking related diseases as smokers have already contributed by paying taxes on tobacco and taxes that go to the NHS ... Get more on HelpWriting.net ...
  • 15. My Msc Specialist Community Public Health I am completing this ethics submission as part of my Msc Specialist Community Public Health Nurse/ School Nursing. This course has further increased my professional interest as a School Nurse, in obesity and the impact this has on the individual as well as society. Given this is a continuing problem despite various government interventions I would like to explore whether school nurses' have a role to play in childhood obesity. Background If current trends continue unchanged by 2034 one in three people will be obese (Public Health England) (PHE 2014). Society has normalised being overweight with obesity increasing throughout a person's life span (PHE 2014). The National Child Measurement Programme (NCMP) data has shown that there is a ... Show more content on Helpwriting.net ... The estimated cost to society and the economy stood at ВЈ16 billion in 2007 with a potential rise to about ВЈ50 billion by 2050. An estimated ВЈ2.6 billion of this is attributed to lost earnings due to obesity (DH 2011). It is now accepted that every aspect of our lives impacts on our health and vice versa (Linsley, Kane and Owen 2011, Dahlgren and Whitehead 1991, PHE 2014), (Fig:1).Although the health service can not alter this epidemic single handed it needs to work in partnership and create a community wide approach to tackling obesity (NHS 2014, PHE 2014). By adopting a proactive rather than a reactive approach we may be able to impact on future data (PHE 2014). 12 years ago Derek Wanless warned that unless the country takes prevention seriously there would be a sharp rise in the burden of unavoidable illness (NHS 2014). This warning was not heeded, and now it is acknowledged to create the best outcomes for children's health, the sustainability of the NHS and the economic prosperity of Britain there needs to be a radical upgrade in prevention and public health (NHS 2014). Fig 1: Dahgren and Whitehead (1991) Illustration showing the many social, environmental, cultural and biological influences on health. Public health is about empowering individuals as well as communities to live healthy, happy lives and reach their ... Get more on HelpWriting.net ...
  • 16. History of Mental Health by Mind Article from MIND better mental health Histort of mental health factsheets: You are welcome to print and photocopy this page of Mind's website. Organisations are free to distribute copies to service users and colleagues, but must ensure they always use the latest version, as available on the website, at the time of distribution. 1601 The Poor Law was introduced and clearly defined the responsibility of every parish to support those who were incapable of looking after themselves. This responsibility was limited to people born or defined as being 'settled' in a parish. Other people who did not fit these categories could be expelled from the parish. 1808 The County Asylums Act 1808 gave permissive powers to the Justices of each... Show more content on Helpwriting.net ... This, together with the recent introduction of welfare benefits, encouraged the beginning of the move from institutional to community–based care. 1950s Day hospitals began to be established, providing greater flexibility in psychiatric services and reducing the use of hospital beds. Hostels and therapeutic social clubs were set up to provide support for discharged patients. The introduction of neuroleptic drugs helped to shorten the time that newly admitted patients spent in hospitals and encouraged the discharge of many into the community. Some new district psychiatric services were developed in general hospitals, so that beds in regional mental hospitals were no longer needed; this provided a model for future service changes. 1954 The first outpatient nurses were appointed at Warlingham Park Hospital, Croydon. Their duties included visiting outpatients, supporting inpatients who had been discharged and helping them to find jobs and accommodation, and being available to give advice at outpatient clinics and therapeutic social clubs. 1954 After rising steadily throughout the first half of the century, ... Get more on HelpWriting.net ...
  • 17. Seven Day Service Improvement Abstract/Executive Summary This report aims to inform and guide healthcare professionals looking to implement the NHS 'Seven Day Service' improvement programme within a radiotherapy department. The report highlights some of the current issues in the NHS and its' impact on clinical standards. It also focuses on how the leaders of a radiotherapy department worked to accomplish a seven day service whilst giving due consideration to existing organisational policies, customer service and management changes. Introduction Contemporary Issues in the NHS – The Seven Day Service Improvement Programme Is five day working costing lives? The subject of the NHS' seven day service has received significant coverage in the national media. The public debate... Show more content on Helpwriting.net ... The use of learning and networking forums enabled the team to find out what the public and staff hoped to achieve from the transformation, as well as support them through this change. Through this knowledge–sharing activity the wider engagement and adoption of seven day service models was encouraged4. The responsibility for the new way of working was shared across the whole staff group so that the change was seen to be fair and inclusive of all staff ... Get more on HelpWriting.net ...
  • 18. Bowel Screening Essay In this essay I will be discussing the current recommendations for large bowel screening, to diagnose bowel cancer, including those categorised as high risk. I will also be discussing the role of imaging in the initial diagnosis and the subsequent follow up. The NHS have found that bowel cancer is one of the most common cancers in the UK, with around 40,000 new cases being diagnosed every single year. This means that approximately 1 in every 20 people will develop bowel cancer at some point within their lifetime. However, the earlier it is detected, the higher the rate of successful treatment and survival. This is why bowel screening is so important. It has been found that around 90% of those who suffer from bowel cancer are over the age of ... Show more content on Helpwriting.net ... This is appropriate as this is the usual age range involved in bowel screening. If there are major contraindications to a colonoscopy, CT colonography may be used. Anxieties related to screening and false hope/ignorance due to a normal result have not been formally investigated as of right now, but it is considered a risk by many experts as mentioned by Rhodes, J.M. (2000) in a "Joint Position Statement" by the British Society of Gastroenterology, the Royal College of Physicians, and the Association of Coloproctology of Great Britain and ... Get more on HelpWriting.net ...
  • 19. What Are the Arguments In Favour Of Private Health Care?... What Are the Arguments In Favour Of Private Health Care? Privatisation is a word which is commonly used to describe the practice of medical patients 'going private' and paying for the services of GPs, hospital doctors or hospital provision, rather than using the NHS. Privatisation can also be used to describe the charge imposed for such health care services such as drugs, appliances, dentures and spectacles. There are many arguments which are in favour of private health care in Britain, such as that private treatment is not the luxury that most people seem to think it is. Most people believe it is a treatment that only rich people can afford. This however, is simply not true as patients in the independent sector now... Show more content on Helpwriting.net ... When people spend their money on private medicine they are helping to add to the total amount of resources spent on health care, which cannot be a bad thing. Private health care is better than the NHS in many ways, but most obviously, as it does not have the famously long waiting lists of the NHS. Waiting lists are a huge and notorious problem in the NHS and many people have to wait many months before they can have surgery or treatment. Furthermore, private companies such as BUPA (British United Provident Association) and PPP (Private Patients Plan) offer some treatment which is unavailable from the NHS, such as cosmetic surgery. Private Finance Initiative (PFI) also supports the argument, which is supportive of private health care. A department of health spokesperson said that PFI was providing the NHS and patients with the biggest hospital building programme in its history. PFI is a scheme, separate from the NHS which provides value for money and is the best way of meeting the costs of the hospital building programme. It has shown to be a sound way of securing funding for a new hospital as at present, more than 400 PFI contracts, worth more than ВЈ100bn are currently in effect or on the agenda. It is said that sixty to seventy new hospitals over the next few years is the most extensive building programme the NHS have seen for decades, worth billions of pounds. Also, it has been shown
  • 20. ... Get more on HelpWriting.net ...
  • 21. Biopsychosocial Model Within this assignment, it will discuss the case study which looks at 'Jane' whom is 34 and has a diagnosis of Bipolar disorder. A Mental Health Nurse (MHN) should utilise the case study to discuss the knowledge and skills required to plan and evaluate person–centred care. The essay will reference to the Nursing and Midwifery Council (NMC) Code of Conduct (2015) and the National Institute for Health and Care Excellence (NICE) which has clear guidelines for high quality care. The essay will also discuss the principles in which a nurse should implement person centred care and its importance. When researching the prevalence of Bipolar, on the Mental Health Foundation website, it discussed how Bipolar disorder could potentially be after depression ... Show more content on Helpwriting.net ... First and foremost, it is significant that the MHN complies with keeping complete confidentiality in terms with the NHS Code of Practice (Department of Health, 2003). Jane has been informed by her doctor that she has a diagnosis of Bipolar mood disorder. Using the biopsychosocial model (Engel, 1977) the MHN should determine the biological, psychological and social aspects for Jane's treatments, to give her the best care possible. This relates to person–centred care as the biopsychosocial model is providing a modern and holistic approach to care (Borrell–Carrio, Suchman & Epstein, 2004). Within the NMC Code, it writes to prioritise people which includes treating service users with respect, encouraging service users to make decisions about their care and act in the best interest of people (NMC Code of Conduct, 2015). This is imperative to developing a relationship with the service user that is professional yet also caring and compassionate. This also links to the 6Cs: care, compassion, communication, competence, courage and commitment, which should be adhered to by the MHN in Jane's care plan. (NHS England, 2016). The MHN should develop a care programme with Jane, using the Care Programme Approach, whereby a care programme should be conducted and monitored throughout Jane's treatment (Kingdon, 1994). This will help Jane and the MHN as it gives a clear view of the treatment plan that is also patient–centred and Jane will feel involved in her care plan, which will ensure that Jane's care is provided in a therapeutic manner and at the highest standard ... Get more on HelpWriting.net ...
  • 22. Chronic Conditions That Can Not Be Cured LTC's are chronic conditions that cannot be cured but can be maintained and symptomatically controlled with medication and therapies (World Health Organisation [WHO], 2015; Department of Health [DOH], 2005). The management of LTC's has been implemented due to the increase in the ageing population which in turn produces an increase in the incidence of LTC's such as diabetes, Parkinson Disease [PD], pernicious anaemia, chronic obstructive pulmonary disease, neurological and heart conditions. Due to word restriction the author will discuss diabetes and Parkinson's disease. Diabetes is a lifelong condition that causes a person's blood sugar to become too high or too low as the pancreas no longer produces the right amount, or any, insulin (NHS Choices, 2014). Insulin is a hormone which is released from the pancreas, working by moving sugar from the blood into other body tissues enabling the liver to stop producing excessive glucose. There are two main types of diabetes, type1 and type 2. Once known as childhood diabetes or insulin dependent diabetes, type 1 is much rarer than type 2 diabetes which occurs when the body becomes resistant to the effects of insulin (Mayo Clinic, 2016; MedlinePlus, 2016). Symptoms of diabetes include excessive thirst, frequent urination, tiredness, long healing wounds and unexplained weight loss which occurs due to glucose staying in the blood (Diabetes UK, 2016). If a patient develops diabetes and diet change or medications are unable to control ... Get more on HelpWriting.net ...
  • 23. Patient Focus And Public Involvement (PFPI) Patient focus and public involvement: The Bristol Inquiry panel provided recommendations to reform UK healthcare system which included public involvement in medical audit and favoured public involvement in formation of health policy. Organizations like National Institute for Clinical Excellence (NICE) were advised to be responsive and maintain a dialogue with public that would help in building public trust. The NHS has made a move from an organisation that only delivered healthcare services to people, to being an organization that provides services based totally on patient–led and which responds to their necessities and desires. There have been many national level initiatives and drivers for involvement of patient such as the NHS Plan (2000), ... Show more content on Helpwriting.net ... In PFPI, public involvement has been termed as a catalyst for change that can help major improvement in public health and strengthen public confidence in NHS. Establishing a network of staff and public engagement at national and at all levels have been envisaged. Public involvement has been placed not as an end process but as an on–going process. Along with public involvement, responsiveness is involved in the framework. The framework has suggested for strategies of responsiveness through considering public feedback, flexibility in responding to needs of individuals, responding to specific needs, culturally competent response and considering and taking appropriate action on the complaints of the individuals (NHS Scotland, 2001). In 2003, Scotland's white paper confirmed the commitment to patient– centred health service. It outlined the principles of 'Fair for All' that would recognise and respond to individual needs and background. Following this white paper, Scottish Health Council was set up in 2005. Guidelines for management of patient and public involvement have been developed in areas such as long term conditions, emergency services, maternity care, mental health, etc. (Savory, ... Get more on HelpWriting.net ...
  • 24. Scottish Patient Safety Programme and the Early Detection... Scottish Patient Safety Programme and the Early Detection of the Deteriorating Patient The aim of this reflection is to discuss patient safety in an acute setting according to the Scottish Patient Safety Programme. I will be using a model of reflection, Gibbs Reflective Cycle to structure my essay (Gibbs 1988 cited in Paterson and Chapman, 2013). In accordance with the Nursing and Midwifery Council identifiable information will not be written, maintaining confidentiality (NMC, 2010a). Description Health Improvement Scotland coordinated the Scottish Patient Safety Programme created to improve the safety of patients across Scotland (NHS Scotland, 2010a). Four groups were created to manage patient safety, one of which was established ... Show more content on Helpwriting.net ... Staff reacted quickly and appropriately and when safe transferred the patient into the resuscitation area. I witnessed good communication between staff with the use of SBAR, giving structure to the information being provided by ambulance staff and by nurses to medical staff. Communication between staff and the patient promoted a good therapeutic relationship. Communication is vital in the nurse patient relationship to build trust and gain information (Webb, 2011). Vital observations were carried out efficiently, they were recorded every 15 minutes and a cardiac monitor was attached to continuously monitor for any deterioration. As a student nurse I assisted by recording vital observations using NEWS and assessing consciousness by using the Glasgow coma scale to ensure there were no signs of brain trauma (Le Roux, Levine and Kofke, 2013). In line with the NMC, my mentor supervised and countersigned my observations (NMC, 2011b). I promoted good patient safety as deterioration would be recognised early and appropriate care provided. Throughout the treatment process I witnessed and provided person centred care. Nursing and medical staff continuously checked patient comfort and obtained consent for treatment being provided. Analysis The Scottish Patient Safety Programme was implemented in 2008 and by 2012, 8500 patient's lives were saved (Nursing Management, 2013). In 2012 the programme was extended to 2015 with the aim of further reducing the risk of ... Get more on HelpWriting.net ...
  • 25. unit 12 public health p1 and p2 P1 Meaning of Public Health: Public health is concerned with improving the health of population, rather than treating the diseases of individual patients. If a condition has been discovered –they want to make sure they live longer by promoting and preventing diseases and complications. Public health is everyone around you and the involvement of the community. If public health is really effective then it will also help the NHS save money. Monitoring the health status of the community: When we are monitoring the health status of the community we are trying to identify and solve the certain problems of the community. We will be looking for the trends and patterns which will then be compared to other communities. This will help us to... Show more content on Helpwriting.net ... Immunisation and other control measures are put in place to control them so that the diseases do not affect the whole population. This also may include food hygiene measures in restaurants and takeaways to control the spread of food poising. Communicable disease is carried out by microorganisms and then transmitted through people, animals, foods and pollution. In the UK, the government promotes health related points such as five–a–day this promotes to eat five fruit or vegetable a day, do regular exercise, eat a balanced diet. When people have a baby they are advised that they should take their child too regular check–ups and it is important to get their immunisation as it will protect the child from infectious disease. A way the government control diseases in the population is by planning and evaluating the health and social care provision, they do this by assessing the services that are being provided and see if they are helping problems that take place. It is also important that when infectious diseases have come up, it is a legal requirement that it is reported to the appropriate people, by doing this measures can be put in place to stop them spreading. An example for this is when diseases such as Tuberculosis (TB) and Measles are diagnosed or suspected, the local medical officer is responsible for monitoring the disease and ... Get more on HelpWriting.net ...
  • 26. P6 Unit 6 Health and Social Care A health service is a service that provides care and is under the NHS. For examples hospitals or a G.P. They provide treatments but also prevent illnesses through health promotions. A social care service is about providing support to individuals to help them get by and who ever needs it such as emotional support or practical support with daily living tasks. Statutory care is care that's paid for and provided by the government and is welcome to everyone. For example, the children's hospital. Private care is care that is paid for and isn't funded by the government. People go private to get things such as scar deduction, moles and lumps removed or operations that they don't want to wait a long time for. Voluntary care is care provided ... Show more content on Helpwriting.net ... The types of services they provide is primary, secondary and tertiary. It is a statutory type of care. A trust co –ordinates care. They make decisions about the service and they co–ordinate and decide what type of care and what services they provide, how many service users, staff and beds available etc. An example of a type of trust is a hospital trust. A hospital trust is an NHS trust that provides secondary health services. Hospital trusts are ordered to provide these services by primary care trusts and clinical commissioning groups. A hospital trust co–ordinates the health care services. The Care Quality Commission makes sure that hospitals, care homes, dental and GP surgeries, and all other care services in England provide people with safe, effective, compassionate and high quality care, and they encourage these services to make improvements. The Social Care Institute for Excellence aims to improve the lives of people who use care services by sharing knowledge about what works. They provide practical resources including learning materials and offer training and consultancy services for people who plan, deliver and use adults, children's and families services. Service provider: Sheffield Children's Hospital. Sheffield Children's Hospital is funded by the government. It is a public/statutory type of care. To access this service, you can self–refer yourself but you can also be referred by your GP. Policies and procedures: The Trust works with local ... Get more on HelpWriting.net ...
  • 27. Challenges to the UK Health Care System Essay Introduction In line with the majority of other developed countries, the United Kingdom (UK) has offered its citizens a universal health care system that is free at the point of service. Funded primarily by taxation, the system is popular and efficient. However, along with most other health care systems around the world, it faces a series of challenges if it is to maintain viability, in the twenty–first century. These issues include; long waiting times, an aging population, funding challenges and the increasing cost of technology. History of Health Care in the UK The UK is a sovereign country of almost 61,000,000 people comprising the nations of England, Scotland, Wales and Northern Ireland. A highly evolved democratic country ... Show more content on Helpwriting.net ... It also monitors the quality of services provided and develops new policies. The performance of the NHS is also monitored by the Health–Care Commission, an independent executive agency that performs annual reviews and ratings, and investigates complaints. According to Johnson and Stoskopf (2008) there are a number of dimensions for measuring health care systems. The three most frequent include: "population health measures, system efficiency measures, and patient perceptions" (p.74). Other clinical measurements commonly used include infant mortality rates and life expectancy. The UK has an infant mortality rate of 4.93 deaths per 1,000 live births, and an average life expectancy of 78.85 years. Funding for the NHS is a combination of private and public sources. All legal UK residents have access to the NHS and pay a payroll tax, which equates approximately to 10% of earnings. Although health care provided by the NHS is largely free, there are fees for certain services such as prescriptions, dental and optician services, which are paid by all citizens who are working and make more than minimum wage. Recent Reforms In 2000, an effort was made by the UK government to resolve certain inequalities that had developed within the NHS by releasing the "NHS Plan of 2000." This plan greatly increased spending on employee pay, infrastructure, and access to services. Despite almost doubling spending in a ten year period, ... Get more on HelpWriting.net ...
  • 28. Significant Developments From The Welfare State Identify and explain two significant developments resulting from the welfare state. The NHS came around in July 5, 1948. The Health Minister Aneurin (also known as Nye) Bevan purely nationalised the existing system across the UK. The groundbreaking change was to make all services freely available to everyone. Half of Scotland's landmass was already covered by a state–funded health system serving the entire community and directly run from Edinburgh. Additionally, the war years had seen a state–funded hospital building programme in Scotland on a scale unknown in Europe. This was combined into the new NHS. Scotland also had its own individual medical tradition, this is centred on its medical schools rather than private practice. The legislation that empowered the UK to have the NHS is National Health Service Act (1948), this despite opposition from doctors, who maintained on the right to continue treating some patients privately. The NHS ensured that Doctors, hospital, dentists, opticians, ambulances, midwives and health visitors were available, free to everybody. This Reason why we have health services is because it developments a view that health care was a right, not something given unreliably by charity, also two–party's agreement that the existing services were in a mess and had to be sorted out, it stopped financial difficulties for the voluntary hospitals and After the second world war it ensured the creation of an emergency medical service as part of the war effort ... Get more on HelpWriting.net ...
  • 29. The Tower Of Borough Demography Contents 1.Introduction3 2.The Tower Hamlet Borough Demography4 3.Diabetes prevalence in London Borough Tower Hamlets7 3.1 Diabetes and health inequalities in Tower Hamlets9 4.Social Determinant of Health10 4.1 Examples of social determinants include:10 5.National and Local Policy for diabetes11 Contrarily, the recommended standard the National Audit Office report published in 2009 finds that NHS is performing below the expected levels of care, low achievement of treatment standards and high numbers of avoidable death, and concludes diabetes services in England are not delivering value for money. There were an estimated 3.1 million adults with diabetes in England and the number of people with the condition is expected to... Show more content on Helpwriting.net ... (National Audit Office, 2013)12 6.Public Health Provision in Tower Hamlets13 Conclusion14 References15 Public Health England, (2013) Diabetes prevalence model for local authorities and CCGs, (Online), Available at: http://www.yhpho.org.uk /default.aspx?RID=154049 Accessed [12/06/2015]16 1.Introduction Health is determined by some social conditions such as people's work, area of birth, living and working environment. it also includes housing, education, built environment, financial security, and the health system. The world health organisation (WHO) stated that the above conditions are influenced by some very powerful forces which include social policies, economic policy, and political instances. However, the term social determinants are nowadays greatly perceived as the responsibility of large amount of unwarranted health imbalance. While some imbalances are the consequence of free choice or usual natural differences, others are of external management of some people or groups of people and invariably these could be and could be circumvented This report intends to focus on diabetes frequency in tower hamlet Borough. Hence, the demographic features of borough of Tower Hamlet will be
  • 30. highlighted with reference to the consideration of social determinant of diabetes in London Borough of Tower Hamlets. The report will likewise evaluate the national, local policy ... Get more on HelpWriting.net ...
  • 31. Marmot Review: The National Health Service The National Health Service founded in 1948 is based on three principles which issue the key aspects of providing healthcare to all no matter how rich or poor they are and providing a service designed to diagnose, improve and treat both physical and mental health. Should the NHS go against its main principles and values of promoting equality through the services it provides and possibly denying treatment for tobacco users. " It is estimated that around 460,000 adult admissions to NHS hospitals in England every year are due to smoking. Treating diseases caused by smoking costs the NHS more than ВЈ5 billion per year, about 5 per cent of its annual budget, despite the fact that smoking is preventable and treatable" This issue with the scarcity... Show more content on Helpwriting.net ... In the "Marmot Review: Fair Society Healthy Lives" written by "Professor Michael Marmot" himself, he proposes the most effective evidence–based strategies for reducing health inequalities in England. Inequality is unjust and unfair and therefore it is a matter of social justice in cases where everyone has an equal,social, political and economical rights and opportunities.He simply stated that to reduce the steepness of the gradient sufficiently "actions must be universal, but with a scale and intensity that is proportionate to the level of disadvantage" Even though resources may be scarce and it is tempting to focus these limited resources on the most needy, we are eliminating some parts of the society and therefore only tackling a small part of the overall problem. Part of his solution was to "implement an evidence–based programme of ill health preventive interventions that are effective across the social gradient such as Increasing and improving the scale and quality of treatment programmes and focusing on public health interventions such as smoking cessation programmes on reducing the social gradient" Michael Marmot also raises the benefits to which reducing health inequalities will help the economy as well as socially. "It is estimated that inequality in illness accounts for productivity losses of ВЈ31–33 billion per year, lost taxes and higher welfare payments in the range of ВЈ20–32 billion per ... Get more on HelpWriting.net ...
  • 32. Implementing A Dementia Care Programme For Patients With... From: Mrs Susana Jones, Head of Patient Care Services, Fawks Hospital To:Mrs Forever Powerdo, Chief Executive, Fawks Hospital, NHS Trust REPORT: A proposed strategy to introduce a Dementia Care programme for patients with dementia within hospitals. ContentsPage (Executive) summary Rationale for the introduction of Dementia Care Programme Critical Discussion Devising a Dementia Care Team Current System Model of Improvement Implementation Plan Question 1: What are we trying to accomplish? Question 2: How will we know if a change is an improvement? Question 3: What changes can we make that will result in improvement? Plan Do Study Act Conclusion and Recommendations References Appendix 1 3 5 6 7 9
  • 33. 10 10 11 12 13 13 14 14 14 17 20 1.Executive summary 1.1This report will assess the limitations in the current approach to patients with dementia following an observation undertaken within the hospital observing the care and awareness of patients with dementia. 1.2The report proposed the introduction of a Dementia Care programme, proven to increase the quality of life by supporting them to increase standards of care and patient outcomes. 1.3This initiative is investigated based on government policies, National Clinical Care guidelines. 1.4The implementation of change of this proposal will be based on the PLAN–DO–STUDY–ACT cycle to ensure a successful approach to the change. 1.5By focusing on existing strategies, the report proposes a ... Get more on HelpWriting.net ...
  • 34. A Brief Note On John Snow As A Surgeon And A Doctor 19th Century John Snow was a qualified as a surgeon and a doctor in 1838. Dr Snow was interested in how cholera spread through drinking water and observed that people who drank water and drank water from the one company was most likely to come across this disease than the people who do not drink that company's water. Dr Snow planned a map which he noted all the cases of cholera and then realised that all the people who were ill were getting their water from the same and only pump, which it supplied water that came from the sewage contained river Thames. People also used different pumps to get water but did not get the infected. This is when Dr Snow established that was connection between cholera and contaminated water. He identified all the aspects and also looked at the sources of the infected water, and realised that all the contaminated water came from the broad street water pump, so he went to the broad street water pump and took the handle of the pump and got rid of the outbreak of cholera. (Stretch and Whitehouse 2010) Edwin Chadwick– Edwin Chadwick was a social advocate in England. Edwin Chadwick was studying in London to become a lawyer. He was well known for his work he did which was to improve the conditions that people were living in and wanted to improve public health. He then was interested in political and social reform. In the 1800s he became one of the most important public health activists. Edwin believed that for social improvement they should use sciences ... Get more on HelpWriting.net ...
  • 35. This essay aims to discuss health issues related to... This essay aims to discuss health issues related to obesity including causes, prevention and dietary aspects as well as underpinning principles and policies related to obesity. WHO (2011) defines health policy as the mandated aspect that must be standardizing to meet vital tasks of the health care as well as the society. Ham (2006) defines health policy as a product of interaction between different interests articulated by pressure groups, organizations and social movements. Buse, Mays and Walt (2012) defines policy as a broad statement of goals that create the framework for activities and ideas in the form of written document or unwritten. Policy implementation monitors, controls and review issues or demands that are addressed as policy ... Show more content on Helpwriting.net ... According to Department of Health (2012) one of the major issues that need immediate attention is obesity. As of today approximately more than 1 billion people are overweight and 300 million people are obese worldwide, this was estimated by WHO (2013) Statistics by the Department of Health (2013) showed that a total of 23% of adults are obese (with a body mass index – BMI – of over 30); 61.3% are either overweight or obese (with a BMI of over 25). For children, 23.1% of 4–5–year–olds are overweight or obese, and 33.3% of 10–11–year–olds.There is strong evidence by the Department of Health suggesting that health checks have shown that people with learning disabilities had a higher rate of obesity of about 35% of the general population. Naidoo (2008) stated that WHO defines obesity as a condition of abnormal or excessive fat accumulating in the tissues to the extent that health maybe at risk. Obesity may cause heart diseases, cancer, type 2 diabetes, respiratory problems and lack of self– esteem and reduced quality of life. Upton and Thirlaway (2010) stated that an average of 35% of premature death is associated with obesity. It is reported that 73 000 cardiovascular deaths and 34000 other deaths a year are related to the type and quantity of food we eat. There are so many factors that cause obesity and diet, lifestyle and genetics are the main contributors to obesity even though ... Get more on HelpWriting.net ...
  • 36. The Importance of Continuing Professional Development in... This essay aims to discuss the importance of Continuing Professional Development (CPD) within a National Health Service (NHS) medical imaging department; and how it contributes to delivering high quality patient–centred care. It will include any associated advantages and/or disadvantages to the NHS and imaging department; and discuss the impact of compulsory CPD associated with management and service delivery. Finally, radiography specific examples of CPD currently documented within the NHS will we stated with suggestions for increased uptake of CPD within imaging departments. CPD is described by the Health Professionals Council (HPC) as 'a range of learning activities through which individuals can maintain and develop throughout their ... Show more content on Helpwriting.net ... An essential element of CPD is being able to reflect and learn from experiences, including service failures (SCoR, 2005: 1). Understanding why something has happened and implementing a positive change in practice, as a result, will contribute to continual improvement in services systems (RCR, 2006: 10). Gibbs (2011: 2) suggests that CPD helps the NHS comply with local and national strategies, in addition to quality monitoring and good governance. This helps provide patient safety whilst minimising medical negligence penalties; in 2008–2009 alone the claims against the NHS were ВЈ769 million (Shekar, 2010: 31). The Agenda for Change resulted from a workforce crisis, resulting from low staff morale, lack of professional progression and unchallenging careers. The importance of lifelong learning was recognised as being pivotal in addressing these issues (Jones and Jenkins, 2007: 10). It introduced a four–tier structure, incorporating a competency based system for continual learning, the Knowledge and Skills Framework (KSF); this provided fair CPD access to all (Gould et al, 2007: 27). Within the imaging department it promoted, encouraged and expedited role development and generated new radiographic roles (Woodford, 2005: 321). It was highlighted that in order to meet service needs and radiographer aspirations role development was necessary ... Get more on HelpWriting.net ...
  • 37. P1 Public Health P1 describe key aspects of public health strategies Public health is concerned with protecting and improving the health of the population rather than individual health. DIET AND NUTRITION Most children and adults do not read nourishing recommendations. The more you exercise, the better you feel about yourself. That's why bodily activity is important for a healthy and happy life. Infants who are breastfed are five times less probable to be admitted to hospital in the first year of life with infections and are less likely to become obese in later childhood. Reducing fat intake, particularly saturated fat can help reduce the risk of coronary heart disease and some cancers. The government will continue to work with 5 A DAY, working with retailers,... Show more content on Helpwriting.net ... To support this, the Agency is helping to improve diagnostic, treatment and prevention services, and identifying areas for action. In particular, the government is helping to increase Chlamydia screening and reduce the levels of undiagnosed HIV infection among men who have sex with men. Study conveys advice that sexual danger taking attitude is increasing across the society. Chlamydia is the most common sexually transmitted infection and affects an estimated number of sexually active women. Delays in access to diagnosis and treatment can lead to more people being ... Get more on HelpWriting.net ...
  • 38. Paperless Nursing Records INTRODUCTION Paperless healthcare record is a longitudinal management system of keeping patients' health information electronically 24/7 and being able to share it (Greenhalgh and Keen 2013). Paperless healthcare records continue to grow in popularity as health care organizations are implementing or soon will be implementing a system of electronic patient records on the promise that paperless healthcare records provide faster and efficient access to healthcare (Kossman and Scheidenhelm, 2008; Top et al. 2013, Boonstra et al. 2014). Electronic patient records have various forms and the term used differs between healthcare organisations. Terms such as electronic health records (EHR), electronic patient records (EPR), Health Information Technology... Show more content on Helpwriting.net ... The current state of knowledge demonstrates successful implementation of EHR depends upon user attitude towards the programme, impact on workflow, interoperability, technical support, communication among users and users' previous experience (Kossman, 2006; DeVliegher et al 2010; Balllie et al 2012). The NHS has been advised to design EHR that will work well for healthcare staff in the NHS in order for it to be relevant (Sheikh et al. 2011, Edwards, 2013). Authors like Holden (2010) and Wilkins (2013) have investigated attitudes of physicians towards EHR while researchers like Alquraini et al. (2007) and Huryk (2010) have investigated nurses' attitude nurses towards computers but not towards EHR. Although many studies had used the Technology Acceptance Model (TAM) or the Nurses Attitudes towards Computerization (NATC) tool to assess nurses attitudes about information technology or computer usage in healthcare industry, these studies and tools are different to the paperless mandate expected in the NHS by ... Get more on HelpWriting.net ...
  • 39. Information Officer Of Imperial College Nhs Trust Syndicate Group 4: Health Informatics Coursework "As the Chief Information Officer of Imperial College NHS Trust (one of the UKs largest multi–site hospital providers) what are the factors and issues that need to be considered and planned for to achieve a successful implementation of a new IT solution?" Part One: Introduction 1.1: Backdrop In 2007, the Imperial College Healthcare NHS Trust (ICHT) planned to roll out a new IT solution: A shift from paper based to fully Electronic Health Records (EHR). This was intended to provide clinicians with a single, comprehensive digital profile of a patient 's medical history (ICHT, 2014). 1.2: Mission Statement To consider and plan for potential organizational and cultural resistance... Show more content on Helpwriting.net ... On this basis, we have developed a strategy to address each of the CSFs. Part Three: Strategy 3.1: Who is involved? The participants of this strategy can be categorized as follows: Sponsor Imperial College NHS Trust Facilitator Chief Information Officer (CIO) of the ICHT Team Heads of Department, Physician and Nurse Champions, IT specialists and all other ICHT staff 3.2: Critical Success Factor 1 – Staff Buy–In As the day to day users of the IT system, staff involvement in the design of the system cannot be discounted and their concerns should be fully incorporated during the early stages of the process. We suggest the following as the MCP's related to this factor: Management of staff ideas, concerns and expectations Designating staff 'champions' The ICHT will host 'Discussion Workshops ' commencing in late April 2014, setting out measurable objectives beforehand to ensure the right level of staff buy–in. These include, facilitating discussion about the EHR system between departments and its impact vis a vis data recording, and expressing any concerns about the proposed EHR system and its functionality (Cusack and Hook, 2013). Prior to the first workshop, 'Physician and Nurse Champions' will be appointed. These are influential and well–respected staff members from different departments ... Get more on HelpWriting.net ...
  • 40. Comparing Nursing Careers Within this essay I shall be writing about what is required to be a registered nurse and what is required to be an occupational therapist. I shall also be comparing both professions with regards to differences and Similarities within both professions. To qualify as a nurse within the uk you must undertake a degree programme which can be in the form of a Bachelor degree in nursing which can take between 3–4 years to complete, and a Master's degree in nursing which takes 2 years to complete. Entry needs for nursing degrees are different for each university. In Scotland generally, all universities look for an applicant to hold a SQA Higher BBC grades, which include English and science/biology or a pass in National five English and maths either... Show more content on Helpwriting.net ... This route to nursing is designed for people who have been out of education for a while and would like to gain the necessary qualifications and skills to progress onto university to pursue a nursing career. The wider access programme has no necessary entry needs although it is desired that applicant have general education behind them such as maths, science, English (NHS Education for Scotland,2016). A nursing degree is delivered in two formats which are in conjunction with one another, these are theory and practical which is obtained through placements at health care settings. Both formats of education used are of equal value within the course and each one accounts for 50% of the course (Edinburgh Napier University, 2017). Currently there should be 2,300 practical placement hours (Royal College of Nursing, 2017). Whilst undertaking the practical side of the degree you will work within a variety of health care settings such as in hospital wards, nursing homes and out in the community. Within the placement ... Get more on HelpWriting.net ...
  • 41. Impact Of Opt Out Systems IMPACT OF OPT OUT SYSTEMS The Taskforce consider opting out information to be more sensitive in nature than information provided by opting in Organ Donation Register ( Organ Donation Taskforce , 20). The current is based on an open access website with an electronic register that is available to all hospital staff. In anopt–out system, not registering in this register may mean that someone's organs may be taken when they have had a serious objection to this. Theoretically, it is possible for someone to re–enter someone's name on the register without them knowing, although there is no evidence to suggest that this will happen on a wide scale. This is why some may argue that an opt–out system would require far greater security due to the sensitive nature of the information. This information could be accommodated on the Personal Demographics Service ( Organ Donation Taskforce , 2008) but entering all this data would be a drain on the NHS resources especially at the start of an opt–out system which would involve entering the data of several million people. People may also choose to be increasingly specific about which organs or tissues they choose to donate as medicine advances so the framework required for would be rather complex. This would also take a large toll on the funds provided to the NHS with the costs of for the setup of IT and communications approximating to ВЈ45 million. An additional ВЈ5 million per year is needed to refresh public messages and an estimated ВЈ10 ... Get more on HelpWriting.net ...
  • 42. The Importance of Lifestyle Factors in the Maintenance of... BTEC NATIONAL DIPLOMA IN SPORT UNIT 14: EXERCISE, HEALTH AND LIFESTYLE TITLE: KNOW THE IMPORTANCE OF LIFESTYLE FACTORS IN THE MAINTENANCE OF HEALTH AND WELL – BEING ASSESSMENT TASK ONE SCENARIO You are a physical activity and health development officer working at Lewisham Council. Your role involves educating the local community on physical activity and health and working with individuals to help them improve their lifestyle. You assess the lifestyle of individuals, provide advice on lifestyle improvement and plan health–related physical activity programmes. dukatTASKS You have been asked to produce an information booklet for individuals to help promote health living. Your booklet should describe lifestyle factors... Show more content on Helpwriting.net ... | | B| This information should be included in a separate reference booklet for use by other development officers| | This assessment assesses grading criteria P3, M3, D2 Deadline for final submission: BTEC NATIONAL DIPLOMA IN SPORT UNIT 14: EXERCISE, HEALTH AND LIFESTYLE TITLE: BE ABLE TO PLAN A HEALTH RELATED PHYSICAL ACTIVITY PROGRAMME FOR A SELECTED INDIVIDUAL ASSESSMENT TASK FOUR SCENARIO Level of physical activity is a common area that needs to be improved among the individuals you work with. Your chosen individual has asked if you could plan a safe and effective six–week physical activity programme for them. You will follow the stages that your department has created when planning a physical activity programme. TASKS Stage 1: Conduct an introductory interview with the individual selected, complete a medical screening form and collect relevant information that you do not already have e.g goals, physical activity history, motivation, lifestyle, likes and dislikes Stage 2: Choose activities that reflect the individual's likes and dislikes and fit in with their lifestyle Stage 3: Design the programme ... Get more on HelpWriting.net ...
  • 43. How successful were the Labour reforms of 1945 How successful were the Labour Government reforms of 1945–51 in improving social and economic conditions? From 1945 to 1951, Clement Attlee was prime minister of the Labour Government. He aimed to improve the Social and Economic Conditions. The main aims to improve the social conditions were: to create a fairer society and improve the lives of ordinary people, build on the recommendations of the Beveridge Report, and slay the five giants (Want, Disease, Squalor, Ignorance, and Idleness). The main aims to improve the economic conditions were: fulfilling the Nationalisation programme and reducing unemployment. Labour had to recover from being identified with the failures of the 1930s. The Beveridge Report of 1942, written by William... Show more content on Helpwriting.net ... Housing was quite successful in a way (Squalor was another giant); many houses were built. 1.5 million Council houses were built and quarter of a million pre–fabricated houses were built. Although, with the amount of houses being destroyed by bombs, not enough houses were built. It was successful because many people were able to move into one of these homes. Ignorance and Idleness were two of the five giants; ignorance was ... Get more on HelpWriting.net ...