TABLE OF CONTENTS INTRODUCTION...........................................................................................................................1 MAIN BODY...................................................................................................................................1 DEMOGRAPHIC PROFILE OF LONDON...................................................................................1 HEALTH ISSUE IN LONDON BOROUGH OF EALING...........................................................2 HEALTH INEQUALITIES IN LONDON BOROUGH.................................................................2 SOCIAL DETERMINANTS OF HEALTH....................................................................................3 POLICY ISSUES RELATING TO MANAGEMENT OF TYPE 2 DIABETES in LONDON BOROUGH OF EALING................................................................................................................3 PUBLIC HEALTH PROVISION S IN LONDON BOROUGH OF EALING...............................5 CONCLUSION................................................................................................................................6 REFERENCES...............................................................................................................................7
INTRODUCTION Health and social care plays a very crucial role in handling wide range of business activities and actions that will help in improving the performance of a society. The health describes an extent of development and well-being of people in a society (Glasby, 2017). The report will cover details of health care conditions and provisions related to diabetes type 2 in the demographic region of London borough of Ealing. It will lay emphasis on selected geographical area with relation to various inequalities in health conditions. Other than this, proper policies and public health interventions will be discussed. MAIN BODY DEMOGRAPHIC PROFILE OF LONDON The demographic details of an area like London Borough of Ealing will lay an impact on social and welfare condition that will impact the performance and well-being of people that will help in suitable rise in capabilities and thus will help in good management of business operations. The demographic details of the area related to the London borough of Ealing is as follows: Population and ethnicity:As it was estimated in the mid of 2017, population of Borough of Ealing is 342,700 with majority of White British and people with Asian ethnicity. Gender/sex:the population of males and females are evenly spread within Borough of Ealing with 171,600 males and 170,900 females. Age:area has the higher proportion of population between age group of 0-44 with the lowest population of people in age group of 60+ years (Costa-Font and Greer, 2016). Life expectancy:people of Ealing have a good life expectancy with an average age of 50-65 years. Mortality / Morbidity:the London borough of Ealing has fairly low mortality rate with a ration of 470 deaths per 100,000 between the age group of 55 to 64. Unemployment:Ealing has the worst poverty profile in the England region. It holds 21stRank out of 32 boroughs of London city for unemployment. Poverty:it has major poverty profile with 25% employees who are low paid and 21% personal rent owners has low income. 1
Housing:it has the lowest housing affordability ratio and majority population prefers the rented house. HEALTH ISSUE IN LONDON BOROUGH OF EALING The major health issue that is prevailing in the area is Type 2 Diabetes. The Type 2 diabetes is a serious health condition where the pancreas fail to make enough insulin to maintain blood sugar level; it causes excessive hunger, thirst and irregular weight gain and blurred vision (Cameron and et.al., 2014). As per an estimate, about 15% of London's population i.e. 140,000 people between age group 30 - 64 are suffering from Type 2 diabetes. HEALTH INEQUALITIES IN LONDON BOROUGH The health inequality is the condition or difference in health status or health deferments where a person or social and population group that affects the health conditions. This covers the factors like variation in mobility between younger and elderly people or difference in mortality rate. This differentiation in attributes may be variant in case of biological or attributable to external environment. The factors must be ethically or ideologically acceptable only when the factors are not affecting someone's well being. In accordance with Marmot review, the society has to be fair and equally well behaved in order to have healthy lives. Inequalities that lead to the differences are required to be effectively eradicated from social framework in order to maintain the equality within diversity. Some findings of this research report states that the conditions of people in the poorest neighbourhood of London (especially Borough region) die 7 years early due to lack of proper health factors and deferments. The socio economic differences that prevails within society impact the performance of health care services and implementation of certain policies that help in meeting of requirements in a better way (Brett and et.al., 2014). On the ground fact, health inequalities are largely preventable and proper implementation of certain policies will help an organisation to handle various related operations. For instance, population in Ealing Borough is not well accessible to health care measures that are taken in case of prevention of Type 2 diabetes. On the basis of social determinant of health care like education, income or social environment, effective policies and preventive measures are followed to carry 2
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out operations and activities in a better way. The removal of indifferences and health inequalities is based on handling of social determinants affecting prevention of type 2 diabetes. SOCIAL DETERMINANTS OF HEALTH Social determinants of health are the factors that help in identifying well-being of people in a social structure and setting of policies that will help in maintaining the health and social care at London borough of Ealing. The social determinants factor like economy, low income, social beliefs, level of lifestyle, poor housing, unemployment etc will impact well-being of people. These elements must be effectively taken into consideration in order to develop health care policies and take effective steps to control spreading of Type 2 diabetes. This will help in effective growth and development of operations and actions, which will support a suitable rise in health condition of people in a social setting (Aveyard, 2014). In order to maintain health and social care services that are taken in consideration by an organisation to help in developing and meeting of operations and activities that will help in effective growth and rise in meeting of targeted health and social care issues. The assessment of social determinant will help in making and implementing policies like National Health Care Policy, Health and Safety Policy, Care Act that will help local authorities and liable bodies to take proper measures, which will impact their well-being. The proper assessment or determination of social restrictions like unemployment, low income, poverty etc will lead to setting of high quality standards to meet health care requirements of people at London Borough of Ealing (Glasby, 2017). These social determinants will help the authorities and actions to have a proper and effective management of the people in area and develop strategic policies and effective health and social well-being. It will also lead to proper planning of rectification or mitigating issues related to setting up of different policies and actions, which will help in improving quality of services and thus will help in improving the conditions of people. POLICY ISSUES RELATING TO MANAGEMENT OF TYPE 2 DIABETES in LONDON BOROUGH OF EALING From the above assessment, this can be said that health and social care conditions within London Borough of Ealing is very pathetic and decomposing. Thus, in order to provide proper 3
health and social care services to people in locality, local and national authorities must consider certain policies. This will help in improving people well being and social status in cited country region. A policy, in general is a form of actions and activities that are taken in consideration by the business entity or governing bodies. This will help in effective handling of operations related to health and social care (MCGettigan and et.al., 2018). Some major policies and procedures that have been taken in consideration for betterment of people of London borough of Ealing are as follows: ď‚·Care Act 2014:it is a legal obligation that is followed by local as well as national authorities to provide effective care services to people within a region. It will help organisation to have a suitable control over health measures and different activities or actions related to controlling diseases like Type 2 diabetes within the region. ď‚·Health and Social Care Act 2008:This act will help in providing suitablehealth and social care services and assist professionals to supply appropriate medications, which will support in improving the quality of products and services. It will assist an organisation to handle or manage proper health care planning of procedures and actions to mitigate the risk associated with people in London Borough of Ealing (Cho and Shin, 2015). The effective management and following of these policies and business activities that will lead to proper management of diseases and health care measures. It will provide proper health and social care guidance within the region. It supports controlling spreading of diseases within a social setting and thus will help in improving the quality of services and actions in a better way. The improvement in health care services and actions will further lead in increasing the quality of products and services in a better way. However, the scope and extendability of these policies and procedures are not fully dependable. There are chances that these legal obligations may have certain glitches and practical restrictions. As it involves administration that can face manual errors that impact the performance of a health or social care setting in an effective way (McGettigan and et.al., 2018). Proper recommendations and actions are taken in consideration for proper screening and identification of potential patients and people with susceptibility to suffer with diabetes. The assessment of individual behaviour, choices and their needs or requirements will be very beneficial approach for governing bodies, working for health and social care within the area. 4
Many researchers and authors believe that the government must effectively look after proper implementation of health and safety care measures at London borough of Ealing. To make these measures more effective and realistic, proper screening, identification and marking of people with serious health issues like type 2 diabetes must be performed. PUBLIC HEALTH PROVISION S IN LONDON BOROUGH OF EALING Maintaining of proper public health is a major challenge for the authorities within a region. The public health is a major concern for government and health care measures for proper physical, mental, psychological and social care measures in improving quality of services and actions that took within an area or region like London borough of Ealing (Dave and et.al., 2018). In the cited area, various legal or operational actions or activities are required to be performed. The public health provisions will look after effective following of health services within borough region. They will also see through functioning that every individual gets proper medical and social attention without discrimination. Various policies and action plans are followed within the mentioned area, which helps in effective growth and improvement of health care services and measures. The operations or health care procedures Joint Strategic Need Assessment (JSNA), EalingCommunityandVoluntaryServices(ECVS)etc,whichcollaboratewithClinical Commissioning Group (CCG). This will help in improving health and social care services that are followed within the business entity in an effective and superficial manner by implementing certain effective and caring provisions (Reece and et.al., 2018). Even on operational level, investors and stakeholders will see through that services that are offered by these agencies should be of high quality and provide effective health and social care services in the form of outcomes. It will help in providing effective, economic and appropriate health and social care to people in London borough of Ealing. For instance, regular check ups and medical camps will be organised by these agencies for better identification of type 2 diabetes. Other than this, provision of providing of medical help, treatment and post operations care will be looked after by them. Besides this, provisional following of different polices developed under Health and Social Care Act 2008 or Care Act 2014 will help in increasing quality of different products and services (Trimble and Hamilton, 2016). 5
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In the present scenario, provision of health and social care services will cover proper management of type 2 diabetes. It will include routine check ups, providing major social determinants associated with cause of diseases like improper lifestyle and taking suitable actions to prevent them. This will help in increasing the quality of different products and services. These provisions will cover major age group of people suffering with diseases i.e. 40- 64 years old. This age group is the most requirements of such provisions and thus, it helps in meeting their demands in an effective way. However, there are certain gaps in system like proper management of patients’ information and supplying effective medications accordingly. Thus, these measures are required to be managed with high level of knowledge and caution (Gessner and et.al., 2018). CONCLUSION Thus, it can be said that effective following of proper health and social care measures helped in increasing the quality of different products and services. Effective assessment of demographic details of London Borough of Ealing with health issue of type 2 diabetes would help in suitable planning of business activities and actions. Other than this, different social determinants of health and superior polices issues were discussed. In addition, health provisions operating within mentioned regions were also assessed. 6
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