Bradford Obesity Scrutiny
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The Bradford District obesity and overweight scrutiny review collected background information through written evidence and public hearings over 2005. They also held an open event for voluntary organizations, surveyed 2,500 residents, and met with major supermarkets to discuss key issues like leadership, working with partners, research, and implementing decisions. Public engagement activities included Councillors participating in fitness activities, an open meeting in Keighley, and a workshop on obesity in South Asian communities.
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The National Health Service (NHS) was established in 1948 to provide universal healthcare for all UK citizens, funded through general taxation rather than private insurance. It was created based on recommendations from the 1942 Beveridge Report and the 1944 White Paper that proposed a comprehensive health service. The NHS has since expanded and evolved, including taking responsibility for community care in 1974, undergoing major reorganization in the 1980s and 1990s, increasing public involvement in decisions, and facing ongoing challenges around funding and an aging population.
How can our Labour government’s health inequalities targets become achievable?
How can our Labour government’s health inequalities targets become achievable?Socialist Health Association
The document discusses strategies to reduce health inequalities in the UK. It argues that current Labour government targets have failed to adequately address the root causes of inequality, such as economic policies that cause poverty. Instead, it advocates for a commission to review health inequalities and inform policy reforms, focusing on upstream social and economic factors beyond just outcome targets. The document also critiques New Labour's approach as emphasizing rhetoric over meaningful action on inequality issues.25 years after the Black report
1) 25 years after the Black report on health inequalities, little has changed in terms of the underlying causes and explanations of inequality.
2) New Labour's policies since 1997 have been ineffective at reducing health inequalities and have in some ways exacerbated them through privatization and marketization of the healthcare system.
3) The aim of capitalism is the unequal distribution of resources in order to create private profit, which inherently leads to inequality that is detrimental to health.
2011 survey article_chartpack
The document summarizes key findings from a 2011 survey of sicker adults in 11 countries that assessed access, affordability, quality of care and health system performance. Some of the main results presented include: 1) Out-of-pocket costs and problems paying medical bills were highest in the U.S. compared to other countries; 2) Access to same-day doctor appointments was best in Norway, Sweden and the UK, and worst in the U.S.; 3) Difficulty obtaining after-hours care without going to the emergency room was also greatest in the U.S.
Integration presentation spa sha oct 2012 cameron
The document summarizes a review of literature on integration between health and social care services. The review found that most studies focused on the process of joint working rather than why it should be done or its outcomes. Evidence showed some improvements in quality of life from integrated services but differences were marginal. Factors promoting integration included stability, continuity of relationships, and previous positive experiences, while factors hindering it included difficulties in communication, differences in perspectives, and lack of trust. There remains a need for more clarity on what integration means, new approaches to address persistent obstacles, and more robust evidence on its impact including users' experiences.
York integration seminar [5.4.12] (c brand et al)
This study examined community mental health teams for older people and the outcomes and costs of different integration approaches. It found that integrated teams with social work membership facilitated access to specialist skills and resources, while non-integrated teams faced challenges in communication and joint working. Integrated teams showed higher community mental health service costs but did not reduce inpatient or care home admissions compared to low integration teams. The impact of integration on staff outcomes was unclear. Overall, the study suggests integration supports holistic care but other factors also influence outcomes.
Community development, transformation and deprived communities
This document discusses community development and its potential benefits for improving population health outcomes. It summarizes the HELP (Health Empowerment Leveraging Partnerships) project approach, which involves working with local residents and services to tackle issues, build social networks and make services more responsive. Evidence suggests that stronger social networks can reduce mortality risk and help address health inequalities. The HELP model has led to improved outcomes such as more responsive local services and reductions in health indicators like CVD admissions. Cost-benefit analysis indicates the HELP approach can save money compared to the investment required.
Community development, transformation and deprived communities
This document discusses community development and its potential benefits for improving population health outcomes. It summarizes the HELP (Health Empowerment Leveraging Partnerships) project approach, which involves working with local residents and services to tackle issues, build social networks and make services more responsive. Evidence suggests that stronger social networks can reduce mortality risk and help address health inequalities. The HELP model has led to improved outcomes such as more responsive local services and reductions in health indicators like CVD admissions. Cost-benefit analysis indicates the HELP approach can save money compared to the investment required.
Disparaties in access sha
This document summarizes evidence of ethnic inequalities in access to and outcomes of healthcare in the UK. It finds that while primary care use is not matched by greater secondary care, ethnic minorities experience longer wait times, poorer quality of infrastructure, and less access to follow-up and specialist care. The study aims to examine inequalities in access to primary, outpatient, and inpatient care, as well as outcomes for conditions like hypertension, cholesterol, and diabetes using UK health surveys from 1999-2004. Logistic regression is used to analyze differences in access after adjusting for demographics and health status.
Sha sustrans presentation final
The document discusses how transport policy has negatively impacted public health by contributing to issues like climate change, air pollution, obesity, and road danger. It notes that global climate change poses significant health risks and that many countries, especially the US, are experiencing obesity epidemics due to inactive lifestyles. The document argues that environments can be made more "obesogenic" and that physical activity should be incorporated into everyday activities like walking and cycling instead of driving. It provides examples from places like the UK, Switzerland, Germany, and Denmark that have successfully increased active transport through measures like reallocating road space, building bike infrastructure networks, and restricting car traffic.
Groningen 2006 12 mar07
Richard Armitage gave a presentation about cycling in Groningen, Netherlands, a city known as a "cycling heaven." Some key points: Over 60% of journeys within a 3km radius of the city center are made by bike. The city has invested heavily in cycling infrastructure since the 1970s, allocating 42% of its transportation budget to cycling facilities in 1976. Groningen's success is attributed to ambitious long-term planning, large investments in cycling networks and facilities, prioritizing cycling over cars in the city center, and establishing cycling as part of local culture.
Groningen2006
The document discusses the city of Groningen in the Netherlands as a model "cycle city" that has invested heavily in cycling infrastructure and policies since the 1970s. Some key facts about Groningen are that over 37% of all trips within a 3km radius of the city center are made by bike. The city has over 10,000 bikes parked at its rail station every day. The document contrasts Groningen's success in promoting cycling with the lack of progress in the UK, citing issues such as poor leadership, low funding for cycling projects compared to driving projects, and a lack of long-term strategic vision and planning for cycling.
Reintroductioncompetition
The introduction of competition into the English NHS appears to have had some positive effects according to evidence from the Health Reform Evaluation Programme. Competition was associated with improved clinical outcomes and shorter hospital stays. Payment by results reduced lengths of stay and increased day surgery rates more in foundation trusts. However, patient choice directly affected only a small percentage of patients and barriers limited new provider entry. Overall, the evidence suggests the NHS market reforms have had some success in improving quality but implementation has been variable.
Post election
The document discusses the state of the NHS after the 2010 UK general election. It summarizes the key health policies of the new Conservative-Liberal Democrat coalition government, the previous New Labour government, and the Conservative and Liberal Democrat opposition parties. It notes that the coalition government has introduced significant reforms through the "Equity and Excellence" white paper, including abolishing Primary Care Trusts and Strategic Health Authorities and establishing independent GP commissioning consortia. It also discusses the financial challenges facing the NHS from austerity measures and the need to make substantial efficiency savings.
Whistle1
PCaW is an independent charity founded in 1993 that provides confidential advice to employees concerned about wrongdoing in their workplace. It also trains organizations on accountability, whistleblowing and risk management, and campaigns for public policy and whistleblowing laws. PCaW promotes a tiered disclosure model that emphasizes internal reporting but recognizes wider accountability, and signals a culture change in whistleblowing.
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Health and well being seen from the ground march 13
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Are you looking for a long-lasting solution to your missing tooth?
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Breast cancer: Post menopausal endocrine therapy
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
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Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
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Gastrointestinal Infections
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These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
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Bradford Obesity Scrutiny
- 1. SCRUTINY OF OBESITY AND OVERWEIGHT IN THE BRADFORD DISTRICT
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- 5. Open meeting in Keighley
- 6. Meeting with local supermarkets
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