Healthcare Needs Assessment: Gravesham Borough Analysis Report

This report provides a comprehensive analysis of healthcare needs within Gravesham Borough, focusing on the specific health challenges faced by the population, particularly older adults and the prevalence of Type 2 diabetes. The report outlines the demographics of the area, unique community features, and socio-economic factors influencing health outcomes. It examines the roles of the CCG and health commissions in addressing these needs, and the strengths, weaknesses, and challenges faced by the local authority. Furthermore, the report delves into the current healthcare service provisions, including their effectiveness and utilization rates, while also identifying health inequalities and risk factors. It concludes with recommendations for future local priorities, including the need for improved services, resource allocation, and addressing the health needs of the community.

HEALTHCARE PUBLIC HEALTH

Table of Contents
INTRODUCTION...........................................................................................................................1
SECTION-1.....................................................................................................................................1
1.1 Discuss about the GRAVESHAM BOROUGH local authority and place a live..........1
1.2 Demographics profile, unique community feature socio-economic of GRAVESHAM
BOROUGH............................................................................................................................2
1.3 CCG and health commission pay most attention to in context of population health
maintenance and improvement in areas.................................................................................3
1.4 Importance of GRAVESHAM BOROUGH is to flag up key weaknesses, Challenges,
strengths..................................................................................................................................4
SECTION 2 Problem in health needs..............................................................................................6
Demographic discussion on healthcare needs as per HNA reports........................................6
How relevant health needs in the study population expressed...............................................7
What are risk factor and detriments of health problem?........................................................7
Define evidence of heath inequalities and how they are expressed across the population
groups and different areas......................................................................................................9
SECTION 3 CURRENT INTERVENTIONS...............................................................................10
Discussion of the current healthcare service provision to target the healthcare needs and
population in local authority.................................................................................................10
What is the level of service utilisation by the population target group?..............................10
How the current services meet the respective health needs?................................................11
What are the drivers and challenges influencing service provision?...................................12
SECTION 4 Future local priorities for service provision..............................................................12
What needs to be done in order to meet the population health needs..................................12
Relevant issues of health needs in local area and discuss priorities for service provision...13
Recommendation on health care needs................................................................................13

CONCLUSION..............................................................................................................................14
REFRENCES.................................................................................................................................15

INTRODUCTION
Public health termed out as field of study in which individual studies that how heath and
disease affects community or society. Thus, main work of public health is to put main
consideration over the protecting the health of wide range of population. This is term that is
mainly concerned with safeguarding and improving the physical, mental and social well-being of
the community as a whole. In addition to this, individuals with special health care needs are
those who are at the increased risk for a disease.
The present report is based on the healthcare issues such as people over the age of 65 are
not receiving the proper health care facilities and this leads to harm the heath of individuals,
improper care to children that affects the heath of individuals. In the present era, the one of the
issues in respect of heath care is Alcohol related harms. Hence, the present report is based on the
specific health care issue such as Type 2 Diabetes in Older age people 65 and above.
Furthermore, report will outline the demographic discussion of the heath care needs, the
relevant health care needs in the study population expressed. Additionally, description will be
conducted on inequalities exist across the population age of different areas. Also, study will
outline the comprehensive discussion on current healthcare service provision in terms to target
heath care needs and population in the local authority. Furthermore, issues of equity and heath
inequalities will be outlined. Lastly, discussion will be conducted on future local areas and
attention will be given on funding, resources, service capacity and issues relate with service
utilisation.
SECTION-1
1.1 Discuss about the GRAVESHAM BOROUGH local authority and place a live.
GRAVESHAM BOROUGH local authority is working for welfare of social community.
It supports for protecting the people from diseases which come under system of public health.
GRAVESHAM is a type of local government district with located in Borough in England, it
considers as largest town in the Gravesend which is known as Gravesham during incident times.
The authority was formed in 1974 and also merged with the Municipal Borough, part of rural
district. GRAVESHAM BOROUGH was committed towards the society for providing good
health services. In order to measure and helps in bringing the prosperity of health within society
(GALEA, FREUDENBERG and VLAHOV, 2015). In UK, the department of ministerial of
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government which followed the policies and procedures. It provide better health care to society.
It involves the different health service association such as Gravesham.
GRAVESHAM BOROUGH that will take decision in regards of improving health skills.
Many stakeholders are involving for executing various measure after analysing health and safety
issues. In order to distribute the information that require to calculate the entire ration of patients
those are suffering from the diseases. GRAVESHAM BOROUGH, successfully performed the
different task with full support of government (Kleynhans and Coetzee, 2019). They also taking
charges of administrative activities which are considered as important concept. It mainly
involves the issues such as transportation, diseases and other type of medical facilities.
The population of United Kingdom is growing older which become important phenomenon
that mainly described about implication for country health, economic and social. It is an essential
for understanding the demographic and socioeconomic trends to calculate or estimate the size of
older population. It has been identified that rapidly increased in population age 65 and over. The
older group has grown faster, it will continue to increase rate into next century (Masud, Aldakhil
and Azam, 2017).
1.2 Demographics profile, unique community feature socio-economic of GRAVESHAM
BOROUGH
As per identified the demographic profile, unique community feature, socio-economic
circumstances.
Demographics profile
Gravesham has increasingly diverse local population and also understanding the change
in the community. It has been undertaken every 10 years and provide the life health resident. The
population of Gravesham of 1,06,1000 and represent as growth rate of 9.8%. Among the most
important social characteristics that effects on the welfare of elderly, those are pertain to their
health status and living arrangements (Masud, Aldakhil and Azam, 2017). The elderly men are
likely to be married and women to be windowed. As per identified that diabetes is one of most
common issue that has been arise between 65-70 age group of people. Living arrangement of
older people which are different from every group of people. The trends are important which
implicate for identifying requirement of healthcare service.
Sometimes, it declines the proportion of older group which relatively to continue because
many peoples are suffering from diabetes. Furthermore, it has identified that lower percentage
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than national rate of abuse by local residents and community. However, it has increased the
value of family members those are participants. Sometimes, it has been suggested the culture of
expanding use of drugs in the family. On the other hand, it also outlines the Outline the features
and characteristics of GRAVESHAM BOROUGH that influence life and health of the residents.
When consideration of health of resident in Gravesham which mainly faced the problem or issue
relate the diabetes. As per recorded, it has been significantly under age of 65 and above increase
early death rate. Diabetes is one of common issue problem among older age people. In 2017, it
has been estimated the average age for Gravesham resident that was 39.3 years up from 38year
in 2011. All group over 65 recorded more male, female and seeing the highest proportion among
female. There are lot of risk due to diabetes among residents.
1.3 CCG and health commission pay most attention to in context of population health
maintenance and improvement in areas.
The CCG, health commission and local authority such as GRAVESHAM BOROUGH, pay
attention in context of maintenance health of large number of population those are exists in
between older age group (GALEA, FREUDENBERG and VLAHOV, 2015). However, despite
these difference, CCG health commission have something to learn about the population of
community whereas identify the major problem related diabetes. Commission always focused on
the implementing an appropriate that help for controlling the health issue related diabetes those
people age 65 and above. Afterwards, it should be used the different strategies, approaches
which help to control high level diabetes diseases.
Maintenance and improvement
CCG and health commission have been developed the expert team that knowledge about
the good health and its issue contribute in health improvement. The primary step is to spend
money and time as investment in doing assessment of diseases. In particularly, it can easily
measure the health situation or condition of patient (Rahman, 2019). Furthermore, it can be
implementing the manifold strategies which mainly shows figure, facts about the patients
suffering from diabetes.
Afterwards, it has proposed that figure out through GRAVESHAM BOROUGH,
government authority in UK. The strategies are primarily designed by using local agency that
easily tackle the problem by giving proper solution. The effectiveness of control the health
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condition or situation while achieving the goal and objective. It also expressed awareness in
health which comprise with prospect to involve themselves in development.
Apart from that social community, CCG deals with standard of living residents.
GRAVESHAM BOROUGH have responsibilities to evaluate the person who require to handle
health facilities and services (Tung and Chin, 2020). Medical professional practitioners are often
unique position that effects on the long term change. It has made plan to cover social causes in
term of poor health result or outcome. Afterwards, it is understand about the current situation
while health care spectrum can work together. It provide the better insight on program and
innovative approach to healthcare.
1.4 Importance of GRAVESHAM BOROUGH is to flag up key weaknesses, Challenges,
strengths
The significant of GRAVESHAM BOROUGH that account to health care enterprise
ranging from different primary care. Especially, it applicable in the use of disorder treatment. It
is the most common approach that help for improving overall strength, weakness and advantage
of local area in UK whereas identified the health condition of local residents (Masud, Aldakhil
and Azam, 2017). It must be outline the importance of account to flag key strength, weakness,
challenges and advantage of local area in relation to overall state of health of its residents.
Challenges and Weakness
Apart from that it is considerations of challenge of providing the high quality of services.
These are identified the complex situation among patients those were suffered from high level
diabetes. Local community is mainly focused on the particular attention on the capabilities. In
order to transform of practices into identify the specific standards.
The most challenging thing is that when managing entire work load because there are
limited resources, infrastructure and financial resources (Masud, Aldakhil and Azam, 2017). It
will increase the issue or problem but primary goal is to promote understanding and stimulate
discussion about strategies or policies.
Strength
In UK, Strength of GRAVESHAM BOROUGH which mainly implementing the
transformed modern technology into improve care for diabetic patients. It is mainly including
identify the complex situation that occurred for fulfilling specific need of patient in proper
manner. Thus, it has recognised the standards and maintain primary care in the improvement of
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patient (Masud, Aldakhil and Azam, 2017). In this way, it is becoming great opportunities for
provide the health care while influencing on wide range of decision-making. It is important that
involvement in self-care and handle the critical situation in proper manner.
The advantage of Gravesham Borough in relation to overall state of health of residents.
The local community focused on identify their primary need of patient because it is very difficult
to handle critical situation. The age of 65 and above patients have required so much care. In this
way, Gravesham Borough provide the better facilities while providing awareness among people
to change their life style.
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SECTION 2 Problem in health needs.
Demographic discussion on healthcare needs as per HNA reports.
Health care defined as to provide health service and equipment to individuals while they
are home-bound. In addition to this, individuals with special heath care requirements are those
who are at increased risk for disease, medical condition and defect that can hinder the
achievement of the normal physical growth and development. Thus, ineffective facilities for
individual above the age of 65, improper care to children plays crucial to run out better care
practices. Thus, people who are aged 65 and above are facing lot of health issues and Type 2
diabetes is one of common disease. Due to improper nutrition and lack of medical knowledge
people uses to take improper diet and this kind of condition creates disease as Types 2.
Henceforth, Old aged people may need special support service that is inclusive of medicine and
medical equipment’s. In addition to this, senior citizen requiring medical service are not legally
able to provide consent for treatment. Change in the population size, race, gender and ethnicity
impacts the heath care resources requirements. Health care enterprise mainly framed out to meet
out the changing needs of patients. Thus, demographic discussion on healthcare needs are
outlined as-:
 Ageing population- This is crucial to offer the best facilities for the people who are
above the age of 65. Thus, it is one of healthcare issue as improper care affects the lives
of many individuals. Thus, heath care organisation as GRAVESHAM BOROUGH must
offer better facilities to patients who are in the conditions ageing and they must offer
palliative and hospice care. Therefore, Local authorities such as Gravesham Borough
taking crucial steps to educate older people aged 65 and above to take the proper diet so
that their health need assessment can be fulfilled. To cope with Type 2 diabetes, they are
educating people to be aware of health care needs. By giving proper medical assistance
and to keep monitoring on their health condition aids to cope up with disease.
 Cultural and religious differences- This also create the major hurdles and impact the
healthcare facilities to patients. Thus, cultural differences create the major impact on
health status of people. Due to this, the lot of people do not give the proper health care
assistance and their medical condition remain worse. Hence, some people do not get
enough advice on health needs and due to this their condition get effected. Cultural and
religion difference affects the health condition of people in worst manner. Thus,
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providers of the healthcare also need to keep the patient’s religious beliefs and traditions
in mind. Some of the male physicians do not see female patients. In addition to this,
health care professionals must take efforts to cognizant of these differences within their
patient community. Herein, everyone needs to communicating each other in clear
manner. To provide the better care facilities the hospitals and other health care enterprise
GRAVESHAM BOROUGH needs to continually assess the plan for changing patient
population care needs.
 Racial diversity- Enhanced diversity of the heath care workforce can lead to bring
improvement satisfaction for racial and ethnic minority patients. In addition to this,
patients who are treated by physicians of their own racial or ethnic background are more
likely report to receiving the higher quality care. In addition to this, prevalence of type 2
diabetes in Older aged people above 65 is increasing, especially in some racial and ethnic
groups.
How relevant health needs in the study population expressed.
Health needs assessment can be termed out as new phrase to define the development and
refinement of well-established approaches to understanding the needs of local population. Need
assessment termed out help that identify group that are not receiving the decision support they
need. Healthcare needs assessment mainly undertaken with help of public health professionals
looks over the needs to local population. In addition to this, hospital and primary care termed out
as both aim to develop services to match the needs of their local population. It is termed out as
systematic approach that ensure that the health service uses its resources that improve the health
of the population in the most efficient way. GRAVESHAM BOROUGH as a local authority
taking initiatives to be better organized around older people’s needs and preferences and they
must have designed to enhance older people’s intrinsic capacity. Actions in this area are closely
aligned with other work across the Organization to strengthen universal health care It is inclusive
of epidemiological, qualitative and comparative techniques to define the health problems of
population. Therefore, the heath requirements defined can be beneficial from wider solution and
environment changes. Successful heath requirements assessment need practical understanding of
what is involved in, the time and resources crucial to undertake assessment and sufficient
integration of the result into planning and commissioning of local services. Health needs
assessment termed out as process determining the health care needs of any given population or
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sub-group in an area. Thus, GRAVESHAM BOROUGH takes steps to undertake health
improvement programs offer opportunities to engage in such assessment in the national and
regional population. In addition to this, health requirements of individual patients coming
through the consulting room that may not reflect the wider heath needs of the community. In
addition to this, it can be stated that in 2014, 14.5% of the UK population was aged 65 or older
and is projected to reach 23.5% (98 million) by 2060. Therefore, this has been analysed that
Aging adults experience higher risk of Health issues such as Type 2 diabetes.
What are risk factor and detriments of health problem?
There are range of personal, social, economic and environmental components that
supports to influence status of heath are termed out as determinant of health. Thus, local
authority such as GRAVESHAM BOROUGH is taking initiatives to undertake the current
planning and initiating policies for future in which there is need to give proper care facilities to
the increasing number of older people by proving more resources. Henceforth, these are outlined
as-:
Social determinate- It is term that reflect the social components and physical condition in the
environment in which individual are born, live, play, work and age (Houtrow, Perrin and Stein,
2020). Thus, social determinants affect the health status of older age people in wider context as
they environment affects the health condition in huge manner. These kind of components termed
out as social and physical determinants to heath and this also affect wide range of the health,
functioning and quality of the health outcomes. In some of the part, older age people do not get
the enough resources to meet out their health care needs. Type 2 diabetes is one of the health
issue that is majorly facing by the people in UK due to ineffective care. Henceforth, example of
social determinant is inclusive of things such as-:
1. This is one of the effective that aids to enhance availability of resources to meet out the
daily needs such as educational and job opportunities, healthful foods and living wages.
2. It leads to create the issues such as social support and social interaction.
3. Thus, number of social-economic conditions as concentrated poverty includes as-
 quality schools.
 Lack of transportation options.
 Ineffective public safety.
 Residential segregation.
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Health service- The both kind of access to health service and quality of the health can impact
the heath o older age people in huge aspect. In addition to this, lack of access or limited access to
health service widely affect the health status older people aged above 65 (Stoop, Pouwer and
Nefs, 2019). Thus, most of people are facing health care issues as Type 2 diabetes due to barriers
to accessing health service inclusive of components such as-:
 Lack of availability.
 High cost.
 Lack of insurance coverage.
 Limited language access.
These barriers to accessing health service leads to-:
 Unmet health needs.
 Inability to get preventive service.
 Delay in receiving the appropriate care.
Individual behaviour- This is term that plays crucial role in health outcomes. There are number
of public health and heath care intervention put the major focus on the changing behaviour of
individual such as diet, substance abuse and physical activity (Wild, Heider and Slaets, 2019). In
addition to this, positive change in the individual behaviour can leads to reduce the rate of
chronic disease within the country. Thus, lot of people in UK are addicted to substance uses etc.
and this leads to affects their medical condition in worse manner. They are not properly
educating about the health care needs. This situation creates huge impact on health status of
people.
Biology and genetics- There are some of the bio-logical components that affect the specific
population more than the others. Thus, older adults are biologically prone to being in proper
health than adolescents due to the cognitive and physical effects of ageing. Thus, they require
proper medical assessment. In order to cope up with it, the local authority such as
GRAVESHAM BOROUGH is taking initiatives to cope with the health care needs of
employees.
Henceforth, this can be stated that social determinants of the heath can be termed out as
economic and social conditions that leads to influences the health of people and communities. In
addition to this, these condition are mainly shaped with amount of money, power, resources
which are influenced by choices of individuals (Reiss, Gibson and Walker, 2015). Determinants
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