Public Health Provisions in Waltham Forest

This report discusses the public health provisions in Waltham Forest and their impact on reducing diabetes. It explores the outcomes, policy alignment, and tackling of social determinants of health. The provisions include integrated community teams, a well-being strategy, and improved access to healthcare services. While effective, there are some gaps in the provisions that need to be addressed.

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Contents
Introduction...........................................................................................................................................2
Demographic Profile of XXX (200 words)..............................................................................................2
Health Issue in xxx (100 words).............................................................................................................2
Who is affected? Health Inequalities (criteria 1) (300 words)...............................................................3
Social Determinants of health (200 words)..........................................................................................3
Policy issues relating to xxxx (500 words)..............................................................................................3
National or Local Policy.....................................................................................................................3
Describe the policies..........................................................................................................................3
Public Health Provisions in your borough (500 words )........................................................................3
Conclusion.............................................................................................................................................4
Reference List........................................................................................................................................5

Introduction
Public health can be defined as the science of improving and protecting the health aspects of
people who are suffering from any type of disease. The improvement in health can be achieved by
promoting the healthy life style and preventing injury and also by controlling the infectious disease.
The present report will discuss diabetes as the health issue faced by the people living in Waltham
forest. There are various social determinants which are been linked to this health issue such as life
style factor, economic stability, education, health care access. It will lay emphasis on demographic
profile of Waltham Forest.
Orientate the reader to the topic – maybe give a brief introduction to the area or highlight the link
between health and the social determinants – catch the readers’ attention, spark some interest in
the topic
Signpost the reader to different sections in the report
Demographic Profile of Waltham Forest (200 words)
It has been evaluated from the research that around 16000 people above the age of 17 has
been diagnosed with Diabetes type 1. Also there are 6000 residents who have been living in
Waltham Forest without being diagnosed for this condition and basically for diabetes type 2. (Taylor
and et.al., 2019). It has also been analysed that most of the people who have been facing problem of
diabetes are of south Asian ethnicity. Most of the pregnant women in Waltham forest suffers from
gestational diabetes. They have also been suffering from this disease because of the obesity. There
are so many people who are obese and going through the problem of diabetes. The mortality rate in
Waltham forest has also increased because of this as diabetes leads to other more severe disease
such as cardio-vascular. Mostly the people who are suffering from diabetes are of older age. This has
affected their health outcome.
Health Issue in Waltham Forest (100 words) (diabetes)
Health issue which has been faced by Waltham Forest is diabetes. The statistics shows that around
16000 people is been suffering from type 1 diabetes. The groups which are most affected are under-
deprived and living in poor conditions. It means that about 10% of the population who are living in
Waltham forest are been suffering from this disease. It has been evaluated that most of the people
who are suffering from this disease is because they are poor and also they have limited access to the
health care services It is because of the reason that there exist health inequalities in Waltham Forest
(Diabetes, 2019). Poverty and deprivation has been relatively increased in Waltham. It has been
analysed that diabetes is the condition where the blood sugar level of person increases. One of the
main reason can be smoking and drinking. The prevalence rate of diabetes is higher among men than
women. This disease has affected the health outcome of people living in Waltham severely.

Who is affected? Health Inequalities (criteria 1) (300
words)
Define health inequalities/ a brief discussion of health inequalities e.g. consider Marmot Review
The Marmot Review provides us with a robust framework for developing Waltham Forest's Health
Inequalities Strategy (Clokie and et.al., 2017). The groups which are most affected are under-
deprived and living in poor conditions. The diabetes contributes 34.1% for males and 28.4% for
females of health inequalities. The Waltham forest has ranked 7th lowest related to the life
expectancy for both men and women According to the Marmot Review, the health inequalities
basically means that no fair treatment has been provided to patients as most of the people live in
poor and deprived areas. It has also been analysed that proper education is not been provided to
them related to early signs and symptoms of disease. The health inequalities can also exist because
of the gaps in income. There are chances that only rich are been provided with better treatment.
This has affected the health aspects of people and they have been severely affected because of it.
Relate it to your health issues
The diabetes contributes 34.1% for males and 28.4% for females of health inequalities. The Waltham
forest has ranked 7th lowest related to the life expectancy for both men and women (Clokie and
et.al., 2017). It has been analysed that the prevalence rate of the diabetes is higher in people of
older age. It has led to the development of other health related problems such as cardio-vascular
disease, cancer, blood pressure. Mostly obese people are being suffering from the problem of
diabetes.
Relate to your social determinants of health – i.e. how can the health inequality be explained
considering the social determinants of health (this links onto the following sub-section)
There are various social determinants which is been leading to the increase in the cases of diabetes
in Waltham forest. It has been analysed that life style patterns are one of the reason that more and
more people are suffering from diabetes. Most of the people are been engaged in smoking and
drinking which leads to the increase in case of diabetes. It has also been analysed that health
inequalities are also been affecting the health and well-being of the people suffering from it. These
people are also not provided with proper access to health care services. This has denigrated the
health aspect of people living in Waltham forest.
Social Determinants of health (200 words)
Define social determinants of health
Social determinants of health can be taken as the condition in which the people live and also have
grown up. These factors have significant impact on the health aspects of people who have been
suffering from various disease (Krentz, 2019). Economic stability and educational aspects can also be
considered as social determinants which are responsible for the people suffering from the disease.
The government needs to ensure that the health inequalities does not exist when providing
treatment to the patients who have been suffering from diabetes.
Identify social determinant that relates to your health issue
There are various social determinants which are been linked to diabetes. These determinants have
affected the life of people who are living in Waltham Forest. Education has affected both the

physical and mental condition of patient. It has been analysed that people of Waltham do not have
knowledge related to early signs and symptoms of this disease. This is the main reason that the rate
of the diabetes has been increased in Waltham forest. People living in deprived and poor area is also
suffering more from this disease. It has affected their lives negatively and also their health outcome
has been reduced because of this. It has also been analysed that because of life style factor their
health outcome has been reduced.
Policy issues relating to diabetes (500 words)
Introduce the section
The diabetes management is related to social determinant which is maintain the life style of patient.
Economic stability and educational aspects can also be considered as social determinants which are
responsible for the people suffering from the disease. In this section the policy related to diabetes
management in Waltham forest will be introduced. It will provide the details about whether the
policy exists in national or local level.
Introduce policy in general
In this area the NHS diabetes prevention programme has been implemented. This has been launched
in order to reduce the cases related to diabetes. This policy has been implemented in order to
enhance the health condition of patients who have been suffering from type 1 and type 2 diabetes.
National or Local Policy
Identify local or national policies that relate to your health or social care issue.
The NHS diabetes prevention programme is being implemented at national level. In this policy the
health care professional has been engaged in providing education related to type 1 and type 2
diabetes. They are making sure that patient have an idea and knowledge about the early signs and
symptoms of this disease. This will assist in enhancing the health outcome of patient and also they
will be able to reduce down the prevalence rate of this disease. In this policy National health service
organization also make sure that fair treatment is been provided to all men and women who do not
have access to treatment.
What do they intend to do?
These policies intend to enhance the health outcome of patients who have been suffering from the
type 1 and type 2 diabetes (Dyson and et.al., 2018). In this the NHS makes sure that evidence based
care is being provided to patient suffering from diabetes in Waltham forest. So many GP’s are
appointed in order to provide the better health care services to the people suffering from diabetes.
Patients with type 2 diabetes should also be offered a referral to a specialist education programme.
There are also so many gaps identified in this policies. All these gaps needs to be fulfilled by the
government in order to enhance health outcome.
Describe the policies
The policy name is NHS DPP. These policies have intended to take the approach of motivating
patients to be engaged in doing routine check-ups. People with diabetes receive personalised advice
on nutrition and physical activity from an appropriately trained healthcare professional or as part of
a structured educational programme. This will assist the health care professionals in knowing about

the risk factors related to disease. The policy has also recommended that patients with diabetes
needs to be provided with better education so that they can determine the early signs and
symptoms related to disease. This will assist health care professional in enhancing the health
outcome of patients. The policy has also laid focus on the determinants of health so that the health
issues can be overcome. The existing polices are really effective. They have some gaps which can be
overcome by continuous monitoring and controlling. It has also been analysed that these policies
also aim to motivate patients to be engaged in doing physical activity and changing their life style
pattern so that the health outcome of patients improve. This will assist them in reducing the
prevalence rate of diabetes.
Public Health Provisions in Waltham forest (500 words )
Introduce the section
It is necessary to take some health provisions in that area. they are useful in improving lifestyle of
people. the provisions are taken to resolve health inequality in it. so, in Waltham Forest some
provision are taken which has led to giving useful outcomes.
Define and presents a brief background on public health – what does public health aim to do?
Public health is defined as protecting and improving the life of people. it aims to enhance
social life of people by providing them high quality health and social care services (Taylor and et.al.,
2019). this is done by promoting healthy lifestyle, prevention of disease, etc. Along with it, the
disparities are found and then removed by taking proper health measures. so, in UK the NHS is
public health system. the aim is to improve life of people.
Identify the provisions
There are several provisions which are taken by local authority of Waltham Forest in order to
reduce diabetes. the public health provision support in improving social life of people. However,
there are some integrated community team set up by NHS in that area. also, a well being strategy is
being implemented which consists of many themes. it focuses on building a healthier community.
You may wish to consider:
What are the outcomes? Are they effective?
It is analysed by obtaining data that outcomes obtained from it are effective from public
health provision. This is because well being strategy has created a healthier environment in society.
it has led to engage children in many activities.
besides that, integrated team has adopted a new model CCG. it has led to improve in patient
access and delivering services with planned care. a cluster of services are made to reduce diabetes.
Do they follow the policies? ( this links back to the previous section) Does the provision follow the
policy suggestions?
It is evaluated that public health provision made by them is according to policy. the
suggestion mentioned in it are followed. it has led to bring in certain changes in delivering health

care services. in this policy of diabetes strategy is followed. the suggestion of helping people to
recover illness is considered.
Do they tackle the social determinants of health that you focus on?
Yes, the provisions made are useful in tackling social determinate of health people. In this
SDH of health care is accessible. It has led to change in things of their diet and condition of it. along
with it, there is ease in access of health care services. now, primary care services are easily available
to people. this has resulted in reducing of diabetes in it.
Do they relate to the groups most in need?
It is stated that provision made are related to Waltham Forest people. here, the team
work in different area of that community of Waltham Forest. this is done to reduce diabetes within
people.
Are there any gaps in the provisions?
It is identified that there are certain gaps in provision made into it. the main is that the
integrated teams are formed only to emphasis on diabetes (Krentz, 2019). It does not cover overall
health care policy. also, there is no criteria to measure outcomes of teams. besides, there is no
proper standards set on basis of which team will work.
Conclusion
From above it has been Summarised that the prevalence rate of diabetes in Waltham forest is really
high. It has affected the health outcome of various people who have been living in that area. It has
also been analysed that the main reason of increase in rate of diabetes among male and female is
because of the life style factor. These people have been engaged in smoking and consuming liquor.
They have also not been involved in any type of physical activity because of which the diabetes
among these people have been increased. The people of Waltham forest also do not have equal
access to treatment facilities.

Reference List
Dyson, P.A. and et.al., 2018. Diabetes UK evidence based nutrition guidelines for the prevention and‐
management of diabetes. Diabetic medicine, 35(5), pp.541-547.
Diabetes, U.K., 2019. NHS and diabetes.
Taylor, R. and et.al., 2019. Prevention and reversal of type 2 diabetes: highlights from a symposium
at the 2019 Diabetes UK annual professional conference. Diabetic Medicine, 36(3), pp.359-365.
Clokie, M. and et.al., 2017. New horizons in the understanding of the causes and management of
diabetic foot disease: report from the 2017 Diabetes UK Annual Professional Conference
Symposium. Diabetic medicine, 34(3), pp.305-315.
Krentz, A.J., 2019. DiRECT and indirect paths to reducing cardiovascular risk in diabetes: insights
from Diabetes UK 2019. Cardiovascular endocrinology & metabolism, 8(2), p.67.