Developing an effective collaborative and partnerships systems in addressing inequalities in health of people living with Long-term conditions in Staffordshire
Background
The quality of healthcare provided in long term (LTC) conditions remains uneven despite improvements in equal access to healthcare since the last decade .While there have been substantial improvements in health over this period, health inequalities have been persistent and difficult to change . The enduing pattern of patients from deprived neighbourhoods receiving poorer care remains a problem , as socioeconomic disparities in overall health outcomes are superimposed upon on geographical areas, with burdens borne by the most disadvantaged groups . LTCs are not just a health
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14% having LTC are in best parts, compared to 23% in deprived areas; 5% versus 19% are employment deprived; 4% versus 28% live in deprived households; 8% versus 32% lives in poverty aged over 60 years and over .
Problem Statement
Although it has been identified that addressing health inequalities in Staffordshire requires both organisational change in the ways public sector designs and commissions services and behavioural change in the number of people making healthy lifestyle choices , however gaps in health and care provided across Staffordshire reflect they are reactive, driven by disjointed incentives and priorities , with very little attention paid to initiatives to address social determinants of health.
Aim: The aim of this study is to reduce socioeconomic and geographical inequalities in health by exploring how organisations like NHS, Local Authority, private and third sector could work with communities and individuals on service delivery model(s) that tackles wider determinants of health and
The need to distribute wealth amongst the population is another way to promote health equity as it pertains to ensuring that the balance of power is not too one-sided by the rich. Another example of improving the health state is to improve the gap of economic levels by making sure that the poor does not get poorer and the middle class does not become too strained. Lastly, health is dependent on the resources available. If communities are empowered and advocate for change in their health, there is a better chance of improving the health disparities within communities (Adelman, 2008).
Everyone should have the opportunity to achieve a healthy life and have comprehensive health care services available to them. To achieve this healthy life, people need to have access to the health care system and to a health care provider with whom they can develop a trusting relationship. However, existing barriers to attaining health care services often lead to disparities which in turn lead to differences in life expectancy, health status and a higher prevalence of certain chronic diseases (HealthyPeople.gov, 2012).
“Health is a state of complete physical, mental, spiritual and social wellbeing, and not just the absence of disease” (WHO, 1974). Health inequalities are the differences in health or healthcare opportunities in different societies this may be due to income,
The National health services (NHS) provides a comprehensive healthcare services across the entire nation. It is considered to be UK’s proudest institution, and is envied by many other countries because of its free of cost health delivery to its population. Nevertheless, it is often seen as a ‘political football’ as it affects all of us in some way and hence everyone carry an opinion about it (Cass, 2006). Factors such as government policies, funding, number of service users, taxation etc all make up small parts of this large complex organisation. Therefore, any imbalances within one sector can pose a substantial risk on the overall NHS (Wheeler & Grice, 2000). This essay will discuss whether the NHS aim of reducing the nations need
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 £31-33 billion per year, lost taxes and higher welfare payments in the range of £20-32 billion per
Health is dynamic and determined by the determinants of health that have factors that can both benefit and hinder our overall health (Liamputtong, Fanany, & Verrinder, 2012, p. 9). The primary health care (PHC) principles accessibility, inter-sectorial collaboration, appropriate technology, emphasis on health promotion and public participation helps all individuals at different social standings based on income levels and geographical location determined by the social determinants of health to access PHC and make an equitable health care system (McMurray & Clendon, 2011, pp. 36-44; Liamputtong, Fanany, & Verrinder, 2012, pp. 13-14).
|Healthcare – A Framework for Local Action 2007; organisational policies, local and regional guidelines for |
This assignment will discuss the core values that underpin social and health service delivery and will compare the current health service provision with health care services at the inception of the NHS. The NHS has seven core values that aim to ensure that quality care is delivered to everyone regardless of their gender, religion, race, age, wealth or sexual orientation. These values have been developed by the general public, patients and staff, with local authorities having to develop and adapt these to provide personalised care. These values not only underpin the social and health delivery service, but also influence the legislation regarding care. For example the Care Act 2014 looks at integrating care, involving the patient and carer
Evidence show that people from lower class backgrounds and ethnic minority’s backgrounds are more likely to suffer more health problems to the majority ethnic group this shows a pattern of inequality.
For example, in 2014 the disadvantaged were 23% more likely to have arthritis (compared to 15% for advantaged), alongside 1/3rd of disadvantage population being obese (compared to 1/5th of advantaged persons) (Australian Bureau of Statistics 2014 para. 12 and 23). This constitutes structural inequality as those born in lower income locations are more likely to contract medical issues compared to those that are born in higher income areas. The lack of good health in disadvantaged communities can be presumed from the inaccessibility to health care facilities. In 2006 there was approximately 1 in 10 general practitioners working in poverty-stricken areas compared to 1 in 4 working in advantaged areas (ABS 2014, para. 25).
classes are perhaps not as clear as they used to be. But it is just as
For a better understanding of the policies, it is necessary to define the term health inequality. The term health inequality is defined as a differences in health status or the differences among the different populations (WHO, 2015). The purpose of a policy to address health inequality is to reduce the gaps in the differences that arises due to race, gender, and ethnicity (Healthy people, 2015). For example, health policies help to promote healthy behavior and ban cigarette and tobacco advertisements (WHO, 2015). There are policies that do not focus on such practices and thus they do not impact the people (WHO, 2015). Furthermore, creating a policy helps people to meet the goals of reducing health disparity (WHO, 2015). There has been a national level policy named “Saving Lives: Our Healthier Nation”, which aims to improve health for the population in England (WHO, 2015). By implementing
Inequalities in health still exist and are mainly blamed on the stratification system in the UK. The Black Report suggested there were 4 main reasons for this:
This essay will be discussing the extent to which social class and poverty affects health and illness. Firstly, what is social class? Each person’s perception of social class can be different; is social class defined by a person’s accent, the area they live in, or something as simple as their income? Project Britain describes social class as “The grouping of people by occupations and lifestyle”. (Cress, 2014). To find social class Sociologists group people according to common factors, they compare people and various criteria can be conveniently used to place people in social groups or classes. Next we ask the question what determines a person’s health, the NHS defines health as “Physical and mental, it is the absence of disease”. (NHS 2017).
This paper discusses the ideas presented by Richard Wilkinson, in the video How economic inequality harms societies (2011). Three compelling concepts arise from the video which are that there was no longer a correlation between gross national income and health and social problems; it is also possible to attain greater equality as evidenced by what some countries are doing to reduce the income gap; and inequalities vary based on their health impact across the social gradient but nonetheless is present from top to bottom. In order to tackle the health problems and improve the health of individuals within societies, social justice actions geared at the inequalities seen in the healthcare system and other institutions are crucial. This paper also