Dementia in City of Westminster

This report analyzes the public health issue of Dementia in the City of Westminster. It explores the characteristics of the population, health inequalities, and social determinants of health. The report also discusses local public health policies, available services, and workplace settings. It concludes with interventions to improve care and promote awareness.

Dementia in City of
Westminster

Table of Contents
INTRODUCTION...........................................................................................................................3
AREA PRESENTATION................................................................................................................3
PUBLIC HEALTH ISSUE AND JUSTIFICATION; HEALTH INEQUALITIES; MAIN
SOCIAL DETERMINANTS OF HEALTH....................................................................................4
LOCAL PUBLIC HEALTH POLICIES; SERVICES AVAILABLE; WORKPLACE SETTING 7
AREA OF INTERVENTION..........................................................................................................8
CONCLUSIONS..............................................................................................................................9
REFERENCES................................................................................................................................1

INTRODUCTION
Public health can be defined as a science and art with the help of which disease can be
presented within the society in such a manner that the quality of life can be improved. To ensure
this various public, private and community organisation implement policies so that major
influence on the larger section of the society are managed (Hughes and Williamson, 2019).
Analysis of several determinants of health within the population and threats which are faced by
them are considered to be the basis for the public health. In this report the problem of Dementia
is analysed in the city of Westminster. For the report the analysis of the characteristics of
population is facilitated along with the health status of the population. The issues which are
commonly faced by the population of the Westminster i.e., Dementia is taken in the report for
the selected group of population along with the inequalities which people belonging to different
classes faces. In addition to this different social determinants are identified related to dementia
for which the policies and strategies incorporated within the location are identified.
AREA PRESENTATION
Profile of the whole of practice area: I have been working as a care worker at the Carlton
Dene Residential Care Home which provide day care services as well as residential services to
the paints suffering from Dementia, Alzheimer and any other physical disability so that better
care are provided to the people suffering from Dementia in Westminster. The organisation is
mainly offering services to the elder patients. I have to take care of the patients which have
staying in the centre as well as for the day in term of giving them medicines on time, encourage
them to learn how the patient must behave when they forget about sometimes (Hayashi, 2017).
Also my responsibility is to make the workplace safe for the patients as may are not aware of the
use of various equipments due to dementia which can lead to significant level of accident. The
person related to the patients that I have to deal with are to be managed as they have to provided
reports in context of their recovery and the care that they have to provide them at the home or at
personal level. Along with this the GP's who has been treating the patients must also be
consulted time to time so that changes in the schedule of the patients can be ensured as per their
behaviour in different situation.
Overview of the Location i.e., Westminster: Dementia is considered to be the situation in
which people faces various symptoms such as memory loss, confusion, problems in thinking and

communication etc. For managing any health issues it is crucial that various demographic factors
related to locations are considered such as population size, health status etc. In the Westminster
the population is approximately 2.55 lakhs as per data collected in the year 2018. The health
status of the city is considered by analysing the mental health and well being of the person living
in particular location. Dementia is the issues is faced by most of the people in UK as about
850000 people are living with it and around 1800 are in Westminster. People in Westminster are
facing significant amount of pressure and challenges due to which they have been facing various
health issues also they are not able to offer care and support to their family members in case they
are facing any such issue (Kats, 2019). All this lead to increase in number of patient taking
services of day care. The life expectancy gain within the country in between the year 2013 and
2018 has seen improvement since 2011. The life expectancy among the people of Westminster is
considered to be growing by 11.3 times among males while 7.9 times among females. For
ensuring the well being of the parents and other elderly patients the family members aims to
offer better care with strong and positive relationships as key for nurturing a supportive
emotional and social environment through appointing care providers. The health of the people in
Westminster is comparatively more than average of England. Priorities of the local bodies
responsible for managing the health includes obesity in children, reducing smoking rates,
improving sexual health, improving mental well-being, reducing substance misuse etc. In the
country death among elderly people are because of Dementia and Alzheimer while among the
young adult it is because of various heart related disease and other cardiovascular disease (Clark,
Weber and McLaine, 2019).
PUBLIC HEALTH ISSUE AND JUSTIFICATION; HEALTH
INEQUALITIES; MAIN SOCIAL DETERMINANTS OF HEALTH
Public health issue and justification: The public health issue which has been taken into
consideration in the report includes dementia which is a growing concern for the health care
organisation operating within the country. This disease cause progressive decline in the functions
of the brain due to which ability of communication among the brain cells gets affected and make
the person unable to efficiently think, behave, feel etc. It has become a public issue because the
number of patient suffering from this disease are rapidly increasing through the country. Also it
has no significant treatment or the cure due to which the health care system within the country

are focussing upon establishing various care giving centres and mounting their cost (Brandly,
2018).
The people which are in the age bracket of 65 and above are most affected by the disease
due to which they have been targeted most for managing the influence of the disease. Out of 14 ,
1 in this age group are likely to be affected with Dementia. The characteristics that can be seen in
these people when they suffers from the issue includes:
 they become unaware of time and place at which they are at,
 they faces significant difficulty in identifying the people related to them such as family
members, relatives etc.
 they faces higher needs for the assisted care for them,
 they faces various changes in their behaviour,
 they faces difficulty in walking and sometimes in standing,
Health inequalities: The health inequality is considered to be a situation in which the
access to the health care services to different segment of the society is not equal which can be
due to various aspects. The organisation that has been operating within the city for managing the
impact disease and health inequalities includes the impact on the learning disability. The people
who has been suffering from the problem of Dementia faces issues related to learning disability
in comparison to general public. Due to this people become unfamiliar with the situations and
could not take any decisions for them. Various cause that leads to the health inequities are
considered to be fundamental causes for the health inequalities, wider environmental influences,
individual experience etc. for which the effects on the people of the nation must be analysed by
the regulatory organisation. Various cause of health inequality within Westminster are given
below:
 Fundamental causes for the health inequalities: unequal distribution of various
resources such as income, power and wealth as this make the services for the people
unaffordable and keep the patients away from the better treatment. Also it leads to
increase the level of poverty within the national and increase the margins among the
people as the poor also spend the amount to some extend for the treatment which
increases burden on them (Kinghorn, 2016).
 Wider environmental influences: The city of Westminster has been facing various
environmental issues as the people has lower access to the education, work, better quality

of the housing etc. due to which they have to face the individual issues based upon their
experiences, thus increase the number of patients suffering from Dementia within the
city.
To mange the impact and influence of various such health inequalities factors various
actions are taken on national level, local level and community level by establishing various
centre that can make people use such services. Along with this various programs are launched
that can create awareness about the disease among the people so that treatment can be initiated
on beginning stages.
Social determinants of health can be defined as various economic and social conditions
that influences the health status of the individuals and the groups of people. Such determinants
are considered to the promoting factors for the health instead of risk factors for the individual. In
UK two mechanism that is taken into consideration for developing an understanding of the
influence of the health includes: cultural/behavioural with which the changes in the behaviour of
the individuals can be identified that can lead to any disease and materialist/structuralist with
which the material lining conditions of the individual are taken into consideration in the
Westminster. Various factors that are considered to be the social determinants for the Dementia
includes the following:
 Rising age: The rinsing age of the person is considered to be the a social determinant as
with the increase in the age the chances of this disease increases.
 Better Socio-economic Status: The availability of the resources among the people has
impact on the chances of this disease as with difference in the economic status and social
status the services such as care centre or the appointment of the care workers etc. Due to
this the number of patients of such disease increases (Manthorpe and Iliffe, 2018).
 Involvement of the family members: When the family members of the patients are not
involved within the decision making of the patient then they faces various issues as the
patients do not have the capability of decision making due to which the services which
are to be provided to them are not appropriate.
LOCAL PUBLIC HEALTH POLICIES; SERVICES AVAILABLE;
WORKPLACE SETTING
Local public health policies: For managing the impact of Dementia on the people as it has
been taken into consideration as a public issues the local policies has been implemented by the

government and the communities taking care of the city. Various policies that has been
formulated by them in Westminster includes the following:
 They have enter into partnership with NHS colleagues and officers so that they can
formulate various strategy to manage Dementia. Such strategy aims to make the city a
leaders for Dementia friendly community.
 The local government has been planning to launch various programs so that significant
level of understanding can be created among the people so that the rate of detection of the
problem is ensured in the early stage as well as the rate of diagnosis for the patients can
be increased.
 The local government also publishes green paper on social care with the help of which
they can ensure funding for managing the impact of Dementia. This will facilitate the
patients in ensuring that their cost of the treatment can be shared by the governmental
organisation which can reduce the pressure on the local people.
 The local government of Westminster take into consideration the penalty for Dementia so
that the cost associated with the health condition can be covered by the national health
regulator which is NHS. This will reduce the pressure on the local community regularities
to finance the expenses of various services.
Services available: In Westminster various services are offered by the local bodies as
well as other health care service providers in terms of various doctors that can offer better
advices to the patients so that they can recover. Along with this various organisations are
established that are offering various day care services to the patients, residential services to them
so that they can get better treatment and supportive environment. In addition to various
organisations are established that provide enquiry services to the patients and their family
members as they may not have sufficient information. The local communities of Westminster has
various online platform from various funding can be obtained by the local residents for better
treatment (Allen and Allen, 2016).
Workplace setting: Carlton Dene Residential Care Home which is located within the city
of Westminster, London. It is a part of Sanctuary Care Group which has 42 single rooms and the
services which are offered within the room are ensuite facilities. The care centre has four
different individual units with which adaptions of the environment for the patients can be
ensured. The care centre is easily accessible to the patients through various public transport

routes as it has been located to a place that can easily be connected. The aim of the
organisational is to make patients suffering from Dementia and other mental health issues
comfortable. Also the care workers who offer both day care services as well as services to
resident patients are supportive so that the behaviour of the patients which are mostly elderly
people can be managed. The services they offer are satisfactory because they keep on providing
the information about the recovery and other related issues of the patients to both their family
members as well as their GP. They also organisation various day to day activities so that their
patients can feel engaged and can connect with other with high level of participation of all the
patients.
AREA OF INTERVENTION
On the basis of the above report it can be identified that the focus of the organisation
Carlton Dene Residential Care Home must be on the enhancing the services to the patients in
context of increasing the capacity for the number of patients as with the help of this they can
ensure that the increasing number of patients for the disease of Dementia can get better and
effective treatment. The area of intervention can be the health promotion and for this Carlton
Dene Residential Care Home must organise various program so that awareness among the people
related to those who has been suffering from the disease and the person who has been working in
the field of rendering better services to such patients can be enhanced.
In addition to this the health services must be improved in context of various
pharmacological interventions which are related with drug intervention as there does not exist
any specific treatment, in addition to this various non- pharmacological interventions must be
taken into consideration in which cognitive stimulation therapy, reminiscence theory, validation
theory must be incorporated gradually so that the services and the recovery of the patients can be
improved with better rate than existing one (Minett and Brayne, 2016).

CONCLUSIONS
It is concluded from the above report that the local communities and the local bodies
regulating the nations must formulate various policies by analysing the seriousness of the issue
so that its impact can be managed. With the help of this report various fundamental,
environmental, individual issues are taken into consideration along with various social
determinants and factors of health inequalities so that necessary changes can be made in the
services offered related to health care.

REFERENCES
Books and Journals
Allen, J. and Allen, M., 2016. The social determinants of health, empowerment, and
participation. Oxford textbook of creative arts, health, and wellbeing, international
perspectives on practice, policy, and research, pp.27-32.
Brandly, C., 2018. A Good Life with Dementia: Collective Action for Positive Change in the
Capital Regional District, British Columbia (Doctoral dissertation, Royal Roads
University (Canada)).
Clark, K., Weber, C. and McLaine, S., 2019. Reading for Dementia. In Reading and Mental
Health (pp. 91-110). Palgrave Macmillan, Cham.
Hayashi, M., 2017. The Dementia Friends initiative–supporting people with dementia and their
carers: reflections from Japan. International Journal of Care and Caring, 1(2), pp.281-
287.
Hughes, J.C. and Williamson, T., 2019. The dementia manifesto: Putting values-based practice
to work. Cambridge University Press.
Kats, A., 2019. For a Walk With… dementia, residential care and redevelopment. Designing for
Health & Wellbeing: Home, City, Society, p.1.
Kinghorn, W.A., 2016. “I Am Still With You”: Dementia and the Christian Wayfarer. Journal of
Religion, Spirituality & Aging, 28(1-2), pp.98-117.
Manthorpe, J. and Iliffe, S., 2018. Muddling along in the city: framing the cityscape of dementia.
Dementia, p.1471301218817451.
Minett, T. and Brayne, C., 2016. Epidemiology of dementia. Oxford Textbook of Cognitive
Neurology and Dementia, p.211.
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