This assignment delves into the management of HIV in the UK, covering public health efforts, statistics, and research studies. It examines the impact of proper planning, adoption of suitable approaches, and education on promoting healthy lifestyles and controlling infectious diseases.
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The Role of Public Health in Health and Social Care
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TABLE OF CONTENTS INTRODUCTION..........................................................................................................................2 MAIN BODY...................................................................................................................................2 TASK 1............................................................................................................................................2 1.1 Role of agencies in analyzing health status and disease occurrence....................................2 1.2 Epidemiology of infectious and non-infectious disease......................................................3 1.3 Effectiveness of different approaches and strategies.............................................................5 2.1 Use relevant research to determine current priorities and approaches..................................5 TASK 2............................................................................................................................................6 2.2 Explain the relationship between prevalence of diseases and requirements of services to support an individual....................................................................................................................6 2.3 Analyse the impact of current lifestyle choices on future needs for health and social care services.........................................................................................................................................6 TASK 3............................................................................................................................................6 3.1 Priorities of an individual in relation to health and well being..............................................6 3.2 Effectiveness of strategies, policies and systems at PHE.....................................................7 3.4 Evaluate an activity to encourage a behavioural change for improving individual health at PHE..............................................................................................................................................8 CONCLUSION................................................................................................................................9 REFERENCES.............................................................................................................................10 1
INTRODUCTION Public health is defined as the method to prevent and control diseases so that health and quality life can be promoted in society. Public health plays a significant role in improving the qualityofhealthandsocialcare(HSC)settings.Thereportwilldiscusstherolesand responsibilities of a public health officer. These officers regulate the health care settings so that public health can be improved. The agencies like Public Health England (PHE) works for the welfare of people and HSC infrastructures. The document will also analyse the various strategies which is used by public healthcare organisations to control, regulate and measure the occurrence of diseases among people. It will also analyse the factors which influences the effectiveness of healthcare settings and well-being priorities for the communities as well as for individuals. Further the study will also discuss the relation between disease prevalence and healthcare services so that public healthcare objectives can be achieved. MAIN BODY TASK 1 1.1 Role of agencies in analyzing health status and disease occurrence For achieving the public health objectives in UK significant number of agencies monitor and regulate the quality of health services. The key agencies which plays active role in evaluating epidemiology of the diseases and to improve HSC infrastructure are Public Health England (PHE), Care quality commission (CQC), National institute of health and care excellence (NICE) and National health service (NHS). Along with the study of disease epidemiology these agencies also formulate the framework for improving the quality of health services (Stiglitz and Rosengard, 2015). Agencies such as NICE ensure that all health care service providers has sufficient resources to improve the health outcomes of people. The agency also regulate that all legal and ethical aspects are followed in health practices. PHE conducts the statistical analysis so the impact and other epidemiological factors of the particular diseases can be determined. On the basis of these studies CQC and NHS monitor that what improvement strategies can be adopted and followed by health professionals. The regular interference of these agencies in public health 2
services not only improve the quality of healthcare services but also guides individual and communities so that they can also understand the diseases. 1.2 Epidemiology of infectious and non-infectious disease Epidemiology is defined as the study which focuses on analyzing the incidence, control mechanism, distribution pattern of diseases so that its impact can be eliminated or minimized. With rapidly degrading health status of individual it has become essential for the healthcare agencies to take necessary actions. Thus these agencies are aiming to identify the variety of infectious diseases which needs quick control action. As per the current analysis by health agencies HIV-AIDS is one of the most hazardous infectious diseases which must be prevented. While in non-infectious obesity is the key issue which needs immediate attention and prevention strategy. Infectious disease- HIV AIDS Though currently UK does not have much higher number of people with HIV but there has been significant progress in number of such people. (Source:HIV IN THE UK STATISTICS, 2017) 3 Illustration1: Condition of monitoring and measuring HIV in UK
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From the health surveys and records of health agencies it has been found that around 101,600 people are suffering from HIV. Thus, out of 12 every one person in UK is having the disease. However, the most alarming fact which is raising concern of health agencies is that most of the people are not aware that they are victim of this critical and life-threatening infectious disease (Duckett and Willcox, 2015). The regular awareness campaign by healthcare agencies and improved treatment methods has made it possible that almost 98% of the infected people have been successfully identified and are taking treatment for the disease. Ithas helped the health and social care service providers like NHS to reduce the severity and further growth and expansion of disease. It is observed that 69% of diagnosed people are Males andremaining31% are females with White ethnics which constitute the highest number of sufferers. These statistics indicates that the presents status of HIV patients is under control in UK, but needs improvement (Manners, 2017). CQC provide guidelines to healthcare service providers so that the disease can be controlledandpreventedamongcommunities.PHEwillregulatesthemanagementand implementation of HIV prevention approaches underhealthand social care Act, 2012. Non infectiousDisease- Obesity Obesity is one of the key reasons which encourages the growth of cancer and other life- threatening diseases among people after alcoholism and smoking. Obesity leads to generation of other health issues such as hypertension, low blood pressure, cardiovascular disease and gastrointestinal cancers (Cesari andet.al., 2016). It has been analysed that around 6% of cancer victims are resulted due to obesity. In 2016, about 26% of adults inUKwere identified as obese and this fraction is rapidly increasing. The major cause of obesity among people in UK is the lack of physical activity and active participation in luxurious and unhealthy life style for prolong period. From the statistical analysis by different health agencies, inUK, 6 out of 10 men and 5 out of 10 women are obese. NHS has carried out the care management program thatcostedaboutĀ£27 billion which aims at preventing and eliminating obesity. CQC is also assuring that obesity-controlled programs are effectively implemented all over UK. PHE has implemented health framework for managing the health issues related to obesity in UK. 4
Besides this, different health care agencies like public health observatories, health protection strategies and National statistics office also plays a significant role in improving the quality of health and social care services (Beard and Bloom, 2015). These prevention strategies and frameworks also controls the incidence rate of disease so by guiding people and providing them necessary services for improving the health outcomes. 1.3Effectivenessof different approaches and strategies There are approaches such as health education, disease surveillance and immunization and few strategies like screening, social welfare, legislation etc. to control the incidence of disease in communities. In this regard, it is important to know that Public Health England has undertaken all these approaches and strategies to prevent, implement planning for controllingdiseaseslike Diabetes, HIV and Obesity. Such usage is proved beneficial in making people aware and imparting them useful information and details to tackle any diseases or issues in more profound manner. There is an advent of programs, public meetings or sessions to bring changes at ground level to lay the foundation of preventive measures in controlling the incidence rate. Along with, there is also surveillance that shed light on detecting any major changes in context to any new-found evidence that might be useful to evaluate the alerts and control measures in effective ways. This also provided knowledge and updates to the professionals like GP's, Counsellors, nurses etc. 2.1 Use relevant research to determine current priorities and approaches The current priorities and approaches which has been undertaken by the PHE consists of promoting a healthy and active lifestyle, reducingintakeofhigh fatfood and exercisingregularly to controloccurrenceof these diseases within community. The major emphasis is on helping people to live longer by minimising the preventable deaths and burden in context to smoking, poordiet,anxiety,depressionandotherrelatedconditions(Edwardsandet.al.,2015). Furthermore, the families are supported by the professional setup to bring changes in their lifestyle habits and modern living patterns by adopting healthy diet to nurture healthier lifestyles. Lastly, the current priority is to minimise the sugar intake in all the food products and processed items to bring down the incidence rate at drastic levels among all ages of population. 5
TASK 2 2.2 Explain the relationship betweenprevalenceof diseases and requirements of services to support an individual Covered in PPT 2.3 Analyse the impact of current lifestyle choices on future needs for health and social care services Covered in PPT TASK 3 3.1 Priorities of an individual in relation to health andwell being There are diverse priorities that are set by individuals forproperassessment of their well-being and mental health in terms of health and social care setting. Along with, this sector facilitates wide platform to underpin different policies and operations that has an impact on the overall assessment of individuals and professionals in the health and social care setting (McCoyd and Kerson, 2016). These priorities are directly linked with socio- emotionalandintellectualneedsofan individual. It has emphasized on safeguarding theessentialneedsrelatedtofulfillingthe standards of living by bringing changes at both individual level and community level as well. Additionally,itinvolveshygiene,dietand active participation of people that accelerated theirdevelopmentalgrowthinpositive direction. These components are necessary to makeanindividualstrongbymakingthe immunity levels stronger. The following image represents PHE's motto to make the public aware about importance of adopting healthy lifestyles. This organisation is consistentlyincorporatingcampaigns,events and other such engaging activities to deal with controlling of diseases and related components. 6
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3.2 Effectivenessof strategies, policies and systems at PHE Public Health England is one of the leading organisations which have carved its prominent positioning in the health and social care setting due to a systematic arrangement in the setup. It has outlined their service provisions in proper segregation to maintain the quality and safety factors. Along with this, their ulterior aim is to makechoiceswhichbenefitstheirpatients, employees, staff and others. In order to build trustandloyaltybetweenthepatientsand professionals, they have created a channel to take honest feedbacks, reviews, complaints in context to their services. With implementing policies, the focus is on ensuring the efficient economiccapabilitiesonthefamilyand friends. Theyhavebeenworkingsincerelytowards usingthesystemsunderalegislative framework.PoliciessuchasEqualityAct 2010, Health and Social Care Act 2012 etc. are useful in guiding the employees to be well equipped and knowledgeable about issues and thesuitablemeasuresforitsprevention (Davies and Challis, 2018). This organisation has managed their strategic planningbyincorporatingthepoliciesand overall requirements in terms of giving the best servicestotheirpatients.Theypromote partnershipswithotherregulatorybodies, organisations, NGO's and also encourage the families and friends to collaborate and gain support to work for the betterment of the entire community on the whole. Further, the implementation of any legal policy and strategy by PHE with respect to promoting healthyliving,settingupofchoices, flourishing partnership with friends and family should be followed to bring improvements at larger scale for complete effectiveness. 7
3.3 Changes to be made at individual level with the help of PHE efforts PHEgroupofprofessionals togetherwithsupportstaff have laid a system to generate awarenessandusing educationalprogramsfor enhancingthebehavioural changesofpatients. Consultationexerciseshave been considered to make the patientseducateaboutthe benefitsandadvantagesof beingphysicallyactiveto eradicatetheroot-causesof anydisease(Coyteand McKeever, 2016). They used differentactivitiessuchas cycling,marathonevents, swimmingcompetitionsand more to gain the attention of people from all ages. Theadministrativebodyat PHE formed a department to classify the issues in different smaller sections and suggested the individuals to join it as per theirspecificationssothat there is an ease while making them educate about the side- effectsofnoexerciserule. Moreover,joiningfocus groupswiththehelpof specialists has also beenused tobringchangesinallthe aspects of an individual's life. 3.4 Evaluate an activity to encourage a behavioural change for improving individual health at PHE PHE has been consistently working towards tackling obesity which has become a menace in all age groups of United Kingdom. They initiateda program of marathon in the year 2015 in which they conducted separate sessions to bring awareness about the side-effects of obesity. This framework was undertaken to promotea positive outlookin improving individualās health and wellbeing. There was a mapping and data collection through direct interactions for better understanding of the people outlook in managing their weight and related effects such as 8
diabetes type 2, cardiovascular disease etc. (Jumaa and Alleyne, 2017). This was framed for building an environment to adopt healthy lifestyles habits and bringing a forwarding developmental process that assist in making populations healthier. Along with this, the focus was on cutting down the intake of sugarandrelatedfoodproductsthat acceleratedthisobesityissueinthemost adverse manner. Lastly, it helped in bringing sustainable changes by using guidelines from PHE. CONCLUSION On the basis ofthis assessment, it canbe concluded thatproper planning from all the involved people in this sector has helped in bringing concrete changes and promoting healthy lifestyles. Additionally, Public Health England efforts has also emphasised on adoption of suitableapproachesthathashelpedincontrollingdifferentinfectiousandnon-infectious diseases. Their efforts have minimised the overall impact in better manner and educated individuals to become more vigilant while taking any counselling, medication or treatments. Furthermore, this has summed up that it is necessary to have an understanding to overcome the challenges and issues related to bring changes in positive and proficient order. 9
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REFERENCES Books and journals Beard, H.P.J.R. and Bloom, D.E., 2015. Towards a comprehensive public health response to population ageing.Lancet (London, England).385(9968). pp.658. Cesari, M. and et.al., 2016. Frailty: an emerging public health priority.Journal of the American Medical Directors Association.17(3). pp.188-192. Coyte, P.C. and McKeever, P., 2016. Home care in Canada: Passing the buck.Canadian Journal of Nursing Research Archive.33(2). Davies, B. and Challis, D., 2018.Matching resources to needs in community care: An evaluated demonstration of a long-term care model. Routledge. Duckett, S. and Willcox, S., 2015.The Australian health care system(No. Ed. 5). Oxford University Press. Edwards, M. and et.al., 2015. āDistributed health literacyā: longitudinal qualitative analysis of the roles of health literacy mediators and social networks of people living with a longāterm health condition.Health Expectations.18(5). pp.1180-1193. Jumaa,M.O.andAlleyne,J.,2017.Strategicleadershipinhealthcareinchallenging times.Organisation Development in Health Care: Strategic Issuesin Health Care Management. Manners, R.A., 2017.Professional dominance: The social structure of medical care. Routledge. McCoyd, J.L. and Kerson, T.S., 2016.Social work in health settings: Practice in context. Routledge. Stiglitz, J.E. and Rosengard, J.K., 2015.Economics of the public sector: Fourth international student edition. WW Norton & Company. Online HIV IN THE UK STATISTICS,2017. [online] Available Through : < https://www.nat.org.uk/we- inform/HIV-statistics/UK-statistics> 10
Jumaa and Alleyne, 2017.Coyte and McKeever, 2016.Davies and Challis, 2018.McCoyd and Kerson, 2016Edwards and et.al., 2015Cesari and et.al., 2016.Duckett and Willcox, 2015.Stiglitz and Rosengard, 2015Manners, 2017Beard and Bloom, 2015 11