This document discusses challenges and opportunities related to caring for the long-term condition population in the South West region of England. It notes that almost 1 in 8 people have hypertension and 1 in 17 have asthma based on Quality and Outcomes Framework data. Key areas discussed include prevention, early detection, proactive integrated care, self-care, specialist care, and rehabilitation. Specific local best practices and challenges are also outlined such as improving access to diagnostics and addressing barriers between organizations.
This document discusses the changing landscape for integration between the NHS and social care in England. It outlines the new legislative, fiscal, and ideological contexts, including the creation of clinical commissioning groups, health and wellbeing boards, and increased competition in the healthcare system. It questions how compatible competition and collaboration are and whether these changes will facilitate deeper integration or more tactical partnerships between organizations.
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.
This document discusses challenges facing the nursing profession in the UK, including criticisms of nurses in the media, reforms prioritizing efficiency over care, and the impacts of market-based reforms on nursing. It argues that an overemphasis on throughput and cost-cutting has undermined nursing's focus on individualized, holistic care and led to problems like neglect and poor care outcomes. Recent surveys also find high nurse dissatisfaction and difficulties providing adequate staffing levels.
This document proposes amendments to the Labour Health Policy 2008. It includes over 40 proposals to strengthen policies around public health, the NHS, health inequalities, and access to healthcare. Many proposals aim to reduce health risks like smoking, obesity, and alcohol abuse. Others seek to improve access to services for vulnerable groups and increase support for prevention. While some proposals were accepted, many were watered down or rejected due to concerns over costs, enforcement, and limiting individual choice.
This document discusses hospital parking management and policies. It notes that hospital parking is often uncontrolled, leading to issues like emergency vehicles being blocked, pedestrians being obstructed, and neighbors being inconvenienced. The document recommends that hospitals implement parking policies and permit systems to allocate parking spaces fairly based on need. It provides examples from hospitals that have successfully implemented new parking management strategies through permit systems, public transportation incentives, and travel plans.
The document evaluates service users' experiences with an Individual Budgets Pilot program run by Coventry City Council. It finds that the pilot program increased choice, autonomy, and flexibility for service users. Users were able to set care agendas that addressed their holistic needs rather than just tasks. However, some challenges remained around knowledge, availability of services and staff, and transitioning to user-directed care. Overall service users found the pilot promoted independence though the process could be difficult.
This document discusses the challenges of integrating health and social care services between local authorities and the NHS. It argues that while integration has been a goal for decades, there have been many missed opportunities to truly integrate services. The current policy landscape claims things will be different now, but the document expresses skepticism, noting the systemic failures and that proposed solutions often try the same structural approaches rather than changing institutional designs. It advocates considering outcomes before structures and focusing on relationships, leadership, and flexibility to shift resources locally rather than just coordinating separate services.
The document summarizes a presentation given by John Middleton on health inequalities in Sandwell, England. It discusses the history of public health in Sandwell, the current state of health inequalities across its towns, and the impact of economic factors like precarious work and job loss on health. Maps show higher rates of heart disease in more deprived towns in Sandwell.
This document discusses the changing landscape for integration between the NHS and social care in England. It outlines the new legislative, fiscal, and ideological contexts, including the creation of clinical commissioning groups, health and wellbeing boards, and increased competition in the healthcare system. It questions how compatible competition and collaboration are and whether these changes will facilitate deeper integration or more tactical partnerships between organizations.
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.
This document discusses challenges facing the nursing profession in the UK, including criticisms of nurses in the media, reforms prioritizing efficiency over care, and the impacts of market-based reforms on nursing. It argues that an overemphasis on throughput and cost-cutting has undermined nursing's focus on individualized, holistic care and led to problems like neglect and poor care outcomes. Recent surveys also find high nurse dissatisfaction and difficulties providing adequate staffing levels.
This document proposes amendments to the Labour Health Policy 2008. It includes over 40 proposals to strengthen policies around public health, the NHS, health inequalities, and access to healthcare. Many proposals aim to reduce health risks like smoking, obesity, and alcohol abuse. Others seek to improve access to services for vulnerable groups and increase support for prevention. While some proposals were accepted, many were watered down or rejected due to concerns over costs, enforcement, and limiting individual choice.
This document discusses hospital parking management and policies. It notes that hospital parking is often uncontrolled, leading to issues like emergency vehicles being blocked, pedestrians being obstructed, and neighbors being inconvenienced. The document recommends that hospitals implement parking policies and permit systems to allocate parking spaces fairly based on need. It provides examples from hospitals that have successfully implemented new parking management strategies through permit systems, public transportation incentives, and travel plans.
The document evaluates service users' experiences with an Individual Budgets Pilot program run by Coventry City Council. It finds that the pilot program increased choice, autonomy, and flexibility for service users. Users were able to set care agendas that addressed their holistic needs rather than just tasks. However, some challenges remained around knowledge, availability of services and staff, and transitioning to user-directed care. Overall service users found the pilot promoted independence though the process could be difficult.
This document discusses the challenges of integrating health and social care services between local authorities and the NHS. It argues that while integration has been a goal for decades, there have been many missed opportunities to truly integrate services. The current policy landscape claims things will be different now, but the document expresses skepticism, noting the systemic failures and that proposed solutions often try the same structural approaches rather than changing institutional designs. It advocates considering outcomes before structures and focusing on relationships, leadership, and flexibility to shift resources locally rather than just coordinating separate services.
The document summarizes a presentation given by John Middleton on health inequalities in Sandwell, England. It discusses the history of public health in Sandwell, the current state of health inequalities across its towns, and the impact of economic factors like precarious work and job loss on health. Maps show higher rates of heart disease in more deprived towns in Sandwell.
The National Health Service (NHS) in England is organized into several levels with NHS England overseeing local clinical commissioning groups that purchase services from hospitals and other providers to deliver healthcare. Key parts of the NHS structure include NHS England, 211 clinical commissioning groups, 146 foundation trusts, and partnerships with public health organizations, local councils, and other social care providers. The devolved health services of Scotland, Wales, and Northern Ireland each have their own governance and funding structures but similar models of public healthcare delivery.
The document is a website URL for www.cartoonkate.co.uk. It likely contains cartoons or illustrations by an artist named Kate. The exact content and purpose of the site is unclear from just the URL alone.
The document discusses issues around health and wellbeing seen from the perspective of local communities in east London. It summarizes that people are fearful of changes to benefits, the future of the NHS, and their ability to work. When accessing healthcare, people report that GPs are too busy, only prescribe paracetamol, and won't refer them to specialists. The document advocates for an approach that starts with the community, empowers people, and tackles social determinants of health through collaboration between communities and healthcare providers. It outlines the work of the Social Action for Health organization in bringing local people together to take responsibility for their health through training, information sharing, and advocacy.
The document discusses concerns about changes to the UK benefits system and NHS from the perspective of local communities in East London. It describes people's fears about these issues and negative experiences accessing healthcare. It then outlines the approach of Social Action for Health (SAfH) in working with local communities to empower people and improve health and well-being by addressing social determinants of health like poverty and racism. SAfH aims to build relationships, provide health information to communities, and advocate for the voices of local people.
This document discusses the negative impacts of austerity and shrinking the state, including threats to mental health, weakened social networks, and democratic accountability. It advocates for asset-based community development and participatory accountability to promote community resilience, tackle health inequalities, and save money. Strong social networks are shown to reduce mortality risk and enhance control. A resident-led partnership approach can lead to responsive services that address community needs and improve outcomes. Modest investments in these programs can yield high social returns through health and social benefits.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
The National Health Service (NHS) in England is organized into several levels with NHS England overseeing local clinical commissioning groups that purchase services from hospitals and other providers to deliver healthcare. Key parts of the NHS structure include NHS England, 211 clinical commissioning groups, 146 foundation trusts, and partnerships with public health organizations, local councils, and other social care providers. The devolved health services of Scotland, Wales, and Northern Ireland each have their own governance and funding structures but similar models of public healthcare delivery.
The document is a website URL for www.cartoonkate.co.uk. It likely contains cartoons or illustrations by an artist named Kate. The exact content and purpose of the site is unclear from just the URL alone.
The document discusses issues around health and wellbeing seen from the perspective of local communities in east London. It summarizes that people are fearful of changes to benefits, the future of the NHS, and their ability to work. When accessing healthcare, people report that GPs are too busy, only prescribe paracetamol, and won't refer them to specialists. The document advocates for an approach that starts with the community, empowers people, and tackles social determinants of health through collaboration between communities and healthcare providers. It outlines the work of the Social Action for Health organization in bringing local people together to take responsibility for their health through training, information sharing, and advocacy.
The document discusses concerns about changes to the UK benefits system and NHS from the perspective of local communities in East London. It describes people's fears about these issues and negative experiences accessing healthcare. It then outlines the approach of Social Action for Health (SAfH) in working with local communities to empower people and improve health and well-being by addressing social determinants of health like poverty and racism. SAfH aims to build relationships, provide health information to communities, and advocate for the voices of local people.
This document discusses the negative impacts of austerity and shrinking the state, including threats to mental health, weakened social networks, and democratic accountability. It advocates for asset-based community development and participatory accountability to promote community resilience, tackle health inequalities, and save money. Strong social networks are shown to reduce mortality risk and enhance control. A resident-led partnership approach can lead to responsive services that address community needs and improve outcomes. Modest investments in these programs can yield high social returns through health and social benefits.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
2. DISCUSSION DOCUMENT
Prevalence of specific long-term conditions
Prevalence of Long-Term Conditions known to GPs through QOF
As part of the Quality and Outcomes Framework (QOF) GPs are rewarded for compilation of registers of the
prevalence of certain long-term conditions. These registers show that almost one in eight people in England are
being treated/monitored for hypertension and one in seventeen people are being treated/monitored for asthma.
Prevalence of QOF conditions, 2005-06
14%
Unadjusted Prevalence (% of population)
6.37
12%
NHS Next Stage Review
10%
8%
Prevalence in millions
3.1
6%
1.9 1.89
4%
1.26
0.73 0.83
2%
0.38 0.32 0.23 0.32
0%
Asthma
Cancer
COPD
Coronary Heart
Diabetes
Epilepsy
Hyper-tension
Hypo-thyroidism
Left Ventricular
Mental Health
Stroke and TIA
Dysfunction
Disease
*
QOF Condition
Source: Quality and Outcomes Framework 2005-06, Health & Social Care Information Centre
5
3. South West
• Five million population
• 17.4% registered with LTC (870,000)
Most Recent Census
• 70-74 39.9%
• Over 90 74.1%
4. Immediate Areas for Improvement
• Promoting health, disease prevention and self-care
• Meeting the 18 week target for elective referral and providing
fast track services for urgent referral
• Reducing emergency admissions and delayed transfers of
care
• Further improving stroke services
• Improving mental health services for older people, including
dementia care
• Making available assistive technology and equipment
• Improving dignity in care in all settings
• Providing access to appropriate palliative care services
5. Local Examples of Best Practice
• Partnerships for Older People Projects
• Cornwall and Isles of Scilly falls prevention and
management
• ‘Look after your legs’ initiative in Gloucester,
• Age Concern in Devon to provide mentoring to
isolated older people
• Fast track services in Bournemouth and South
Devon, for people suspected of having a stroke;
• use of the FAST (Face-Arm-Speech-Test) scheme in
Cheltenham
6. Local Examples of Best Practice
• Improving housing pathways work in
Plymouth
• Pathways to Work Somerset
• Telecare programme in Gloucestershire
• Expert carers programmes, for example in
Bath and North East Somerset
7. Headings and Challenges
• Prevention
• Early Detection
• Proactive and Integrated Care
• Self Care
• Specialist Care
• Rehabilitation
8. Prevention
• local identification and ownership of the needs of
the community: Ensuring the Joint Health and Social Care Needs
Assessment, being undertaken by Primary Care Trusts and Local
Authorities across the South West, links effectively with local communities;
• organisational planning cycles: Ensuring alignment of
planning timetables for Local Area Agreements and Local Delivery Plans;
• shift in funding: Achieving flexible approaches to use of health and
social care funding to support the prevention agenda, ensuring this is
underpinned by strong governance arrangements.
9. Early Detection
• health inequalities: Ensuring information, personal to
circumstances, in range of styles and formats, is accessed by all social
groups especially those in areas of deprivation
• access to diagnostics: Improving direct community based
access to diagnostics with view to improving early identification and
management of long term conditions and resulting in a subsequent
decrease in number of referrals to secondary care specialist services
10. Self Care
• system change: Ensuring the concept of self-care is fundamental
to all long term condition services and interventions;
• information and advice: Making information and advice
available in local communities in a way that will encourage access by
individuals to support self care;
• professional understanding: Professional attitudes and
comments made to patients can, if solely based on a ‘medical’ model, be
detrimental to promotion of self care
11. Proactive and Integrated Care
• policy direction: Management of tensions between differing
government policies and minimising the risk this presents to achieving a
whole systems approach;
• organisational boundaries: These may include:
• differing organisational priorities including investment priorities;
• barriers between primary and secondary care;
• differing understanding of concepts and use of language between
organisations;
• capacity and capability: This includes supporting the
development of the third sector
• addressing rurality: Minimising the impact of rurality issues
on equity of access to services
12. Specialist Care
• commissioning flexibilities: improving flexibility to commission
for whole needs of an individual i.e. beyond health care
• professional specialisms: Professional specialisms can foster a
continued adherence to a medical model for long term conditions
• location of specialist care: Location of specialist care is
currently to a large extent within acute hospital settings and does not
support the shift to localised care in the community and the concept of
empowering the individual to manage his or her own condition
• data systems: Current data systems are not always in line with
current and planned models of care
13. Rehabilitation
• perception of rehabilitation: community based bio-
psychosocial rehabilitation model including community, social and
voluntary services
• long term condition skills base: Ensuring community services
achieve the critical mass required to achieve and maintain disease specific
skills within the workforce, whilst retaining a patient-centred approach to
care
• current rehabilitation model: Most rehabilitation models and
services operate within office hours, have limited availability out-of-hours,
are often only available in an inpatient setting, and within limited
timeframes, for example six or nine weeks
15. All Partners
Public services,
Voluntary
organisations,
faith
communities
Health,
social care,
housing
16. Vision of for LTCs
Community
Input Social Input
Specialist
Input Medical
Input
Community Community
owned owned Care Pathway
Health Health Care Pathway
Inequality
Data
Campus Care Pathway
17. LTC Ambitions
• Ambitious re-alignment of our engagement
with LTC to reflect the change of direction in
acknowledging the patient as being the locus
of control for the condition with which they
are living on a day-to-day basis
• Health services should align themselves
around this patient rather than fitting the
patient around the health service
18. A joint health and social care
commissioning strategy
• plans for raising awareness of individuals and communities
around local health issues
• provision of good early information
• local initiatives which support people to access healthy
lifestyles
• structures and protocols for early detection and screening
• mechanisms agreed by which practice-based disease
registers can inform local commissioning and planning
• structures to support specialist provision closer to peoples
homes
• plans for structured approach to commissioning from
voluntary sector
20. 1. Community HNA
• at least one local community within each
Primary Care Trust area has become engaged
in their own heath needs analysis in at least by
September 2008
21. 1. Health Campus
• each area has developed at least one Health
Campus based on the Community Health
Model through which lay people become the
local resource for their population
22. 1. Self Management Plans
• 75% of patients with one of the more
common long term conditions will have been
offered an action plan that supports self
management, by March 2009
– patient centred goals and outcomes
– describes what carers, agencies and professionals
will do
– supports individuals to cope with exacerbations,
crisis and changes
23. 1. General Practice
• over 75% of general practices to have adopted
the self care policy for their locality by July
2009
24. 1. Single Point of Access
• all Primary Care Trusts to establish a single
point of access or coordination system by
which they support their long term conditions
Health Campus to ensure existing range of
services both statutory and voluntary are
accessed appropriately by people with long
term conditions by March 2010
25. 1. Community Based Services
• all Primary Care Trusts to review existing
community based services to ensure a
coordinated multidisciplinary team approach
to the management of long term conditions,
reflecting local need and part of a managed
network of care, by 2010
26. 1. PBC and the Public
• Practice Based Commissioners will have
infrastructure in place through which patients
with long term conditions are fully involved in
the commissioning of their own services
including the development of choice where
appropriate by March 2009
27. 1. Specialist Services
• specialist input to long term conditions will be
re-specified from the community perspective
for at least three conditions by April 2009
28. 1. Public Experience Surveys
• performance management metrics will be
developed locally for each long term
conditions based on individual surveys of
patient experience in addition to more
traditional process markers