Health and Social Care Report: Diabetes in London Borough of Ealing

This report provides a comprehensive analysis of health and social care in the London Borough of Ealing, focusing on the prevalence of Type 2 Diabetes. It begins with a demographic profile of the area, highlighting key factors like population, ethnicity, age, and socioeconomic indicators. The report then delves into the health issues, specifically Type 2 Diabetes, and examines health inequalities within the borough, exploring how social determinants such as income, education, and housing affect health outcomes. It discusses relevant policy issues, including the Care Act 2014 and the Health and Social Care Act 2008, and their implications for managing Type 2 Diabetes. Finally, the report outlines the public health provisions in Ealing, such as the Joint Strategic Need Assessment (JSNA) and Ealing Community and Voluntary Services (ECVS), and how these provisions aim to improve health and social care services, with a focus on addressing the challenges posed by Type 2 Diabetes. The report concludes by emphasizing the importance of proactive policies and interventions to improve the health and well-being of the residents of Ealing.

HEALTH AND SOCIAL CARE

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 21st Rank
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

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:
 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.
 Health and Social Care Act 2008: This act will help in providing suitable health 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),
Ealing Community and Voluntary Services(ECVS) etc, which collaborate with Clinical
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

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

REFERENCES
Books and Journals
Aveyard, H., 2014. Doing a literature review in health and social care: A practical guide.
McGraw-Hill Education (UK).
Brett, J. and et.al., 2014. Mapping the impact of patient and public involvement on health and
social care research: a systematic review. Health Expectations, 17(5), pp.637-650.
Cameron, A. and et.al., 2014. Factors that promote and hinder joint and integrated working
between health and social care services: a review of research literature. Health & social
care in the community, 22(3), pp.225-233.
Cho, H.A. and Shin, H., 2015. Dental care utilization patterns by the status of ADL and IADL in
the elderly. Journal of Korean Academy of Oral Health, 39(2), pp.102-109.
Costa-Font, J. and Greer, S. eds., 2016. Federalism and decentralization in European health and
social care. Springer.
Dave, K. and et.al., 2018. P075 Anti-fungal therapeutic drug monitoring in adults with cystic
fibrosis. Journal of Cystic Fibrosis, 17, p.S80.
Gessner, M. and et.al., 2018. EPS4. 03 Clinical implications of the cystic fibrosis airway
microbial metagenome. Journal of Cystic Fibrosis, 17, pp.S43-S44.
Glasby, J., 2017. Understanding health and social care. Policy Press.
McGettigan, C. and et.al., 2018. EPS4. 05 Determining the relationship between absolute
quantification and relative abundance as determined by next generation
sequencing. Journal of Cystic Fibrosis, 17, p.S44.
MCGettigan, C. and et.al., 2018. P073 Use of qPCR to analyse changes in total bacterial and
Pseudomonas aeruginosa load in cystic fibrosis patients when clinically stable and during
exacerbations. Journal of Cystic Fibrosis, 17, p.S80.
Reece, E. and et.al., 2018. EPS4. 06 Mutual antagonism: a complex coexistence of Aspergillus
fumigatus and Pseudomonas aeruginosa in the cystic fibrosis airway. Journal of Cystic
Fibrosis, 17, pp.S44-S45.
Trimble, M. and Hamilton, P., 2016. The thinking doctor: clinical decision making in
contemporary medicine. Clinical Medicine, 16(4), pp.343-346.
Online
7

Health and social care, 2018. [Online]. Available through:
<https://www.worldskills.org/what/career/skills-explained/social-and-personal-services/
health-and-social-care/>
8