Health and Social Care Practice and Provision Essay Sample

9 September 2017

In this piece of coursework I will choose two demographic factors which have influenced the planning and proviso of services. I will utilize written look which uses appropriate specializer vocabulary to comprehensively depict how relevant demographic tendencies are used to measure local demands and inform the planning and proviso of services.

I will so bring forth a comprehensive description of the planning of services and eventually give a comprehensive account of the influence of national and local criterions. marks and aims on the planning and proviso of services. Task sheet

Health and Social Care Practice and Provision Essay Sample Essay Example

A public assistance province

William Beveridge proposed puting up a public assistance province with societal security. NHS. free instruction. council lodging and full employment. After the war. the labour authorities tried to do this vision come true. The issues that needed to be tackled were want. disease. ignorance. sordidness. idling. Class notes

During my life-time I have used many services that provide wellness and societal attention such as infirmaries. baby’s room. physicians. playgroups. schools. wellness visitants. etc. We have all used some of these wellness attention suppliers and found that the quality of life has improved as a consequence. Class notes

There are four sectors supplying wellness and societal attention in the UK. public sector. voluntary sector. private sector. informal sector. For illustration an aged individual treated by the NHS in a infirmary but at place she receives informal attention from her family- informal and public. Class notes

Assorted economic system of attention
During the 1980s the Concervative authorities were faced with the job of keeping the NHS whilst maintaining costs down. This was caused by three things go oning at the same clip: an aging population. the lifting cost of new medical engineering. and increasing public outlooks of the NHS. Class notes

The authorities did non desire to raise revenue enhancements therefore it turned to the thought of ‘market forces’ . Markets are all about purchasing and merchandising of goods and services. To hold a market you need more than one marketer so the purchaser has a pick of who to purchase from. To acquire the best value for our money we all shop around. Class notes

In relation to wellness and societal attention services the NHS was split into separate buyers ( purchasers ) and suppliers ( Sellerss ) . For illustration G. P’s become buyers and infirmaries become suppliers. Buyers shop around for the best value wellness attention for their patients. Besides. alternatively of most services being provided by statutory services. the focal point moved towards private and voluntary services. Class notes

This system appealed to Mrs Thatcher because it: created competition. created pick. cut costs and saved money. Class notes

The determination to divide up the NHS into an internal market was one of the biggest and most extremist in history. The strategy came into operation in 1991 and a similar attack is in operation today. Class notes

How democratic tendencies are used to measure local demands and program for services

‘Swansea is a vivacious topographic point with some of the most beautiful natural milieus in the state. Our purpose is that the 229. 100 people who live in Swansea will be supported to populate longer. healthier lives’ . Health. societal attention and well-being scheme 2011-2014

Swansea is a Unitary Authority located at the Western End of the former industrial part of South Wales and is the regional Centre of South West Wales. It covers 378 square kilometers and is a mixture of coastal landscapes. unfastened Moor land. rural small towns and a university metropolis. Over 80 % of Swansea is some signifier of green infinite. Swansea has a population of 229. 100. The population has been bit by bit increasing since 2001. averaging additions of merely over 800 people per annum. Health. societal attention and well-being scheme 2011-2014

Presently about one in five people are over 65 old ages in Swansea. The population is expected to age farther as life anticipation additions. Many older people remain healthy. active and independent with small or no trust on wellness and societal attention services. However increasing age is by and large associated with increasing disablement and loss of independance and functional damages such as loss of mobility. sight and hearing. significance that there are turning demands for wellness services and societal attention support. Health. societal attention and well-being scheme 2011-2014 Key Findingss:

• A rise in the older population. 75 year and over. from 9 % to 13 % ( 29. 000 ) of the entire population is estimated by 2031 for Swansea. Neath and Port Talbot. • An addition in chronic conditions such as circulatory. respiratory diseases. malignant neoplastic diseases and in the economically and care dependent populations is hence likely. • Over one tierce of families in Swansea contain at least one older individual with 26 % of families being occupied entirely by older occupants – this will doubtless hold deductions for future lovingness and service proviso demands. • Admissions for prosaic hurts in 70-89 twelvemonth old remain higher in those from the most compared to the least disadvantaged countries as the spread remains unchanged. 30 • The petroleum hip fracture admittances rate in Swansea occupants over 75 old ages has remained mostly unchanged over the last decennary with adult females being approximately double the rate of work forces. • There are differing rates of hospital use in Swansea in occupants aged under 75. with statistically significiantly high exigency admittance in 18 of Swansea’s 31 countries. but with a little proportion of countries with high rates of elected admittance. Health. societal attention and well-being scheme 2011-2014

The life anticipation for males and females in Swansea is 73. 7 old ages and 79. 1 old ages severally. this is below the Welsh degrees at 75. 8 and 80. 3.

The European age standardised mortality rate ( EASMR ) for all causes of decease for Swansea occupants is 684. 1 per 100. 000 population. This is somewhat lower than the Welsh norm ( 688. 5 ) nevertheless Wales is higher than both England ( 650. 3 ) and Northern Ireland ( 675. 8 ) and above the norm for the UK ( 664. 2 ) . ‘ Health. societal attention and well-being demands assessment summary The major causes of decease in Swansea are circulative disease. malignant neoplastic disease and respiratory disease. Swansea is the 3rd highest LHB for the per centum of people describing they are being treated for a respiratory unwellness and 2nd highest for those describing asthma. Health. societal attention and well-being demands assessment sum-up

Mortality from a scope of unwellnesss is highest in the most socio-economically disadvantaged parts of Swansea for illustration self-destruction rates are dual in most disadvantaged countries compared to least disadvantaged countries. Similar forms besides seen for lung malignant neoplastic disease. diabetes. restricting long-run unwellness. treated arthritis. and back hurting. Health. societal attention and well-being demands assessment sum-up

Older people
From 2006 to 2011 the population of over-50s in Swansea will increase by 4. 6 % ( about 4. 000 people ) . For those over 85 the addition will be 5. 6 % ( about 300 people ) . Presently 250 % more adult females than work forces survive in this age group. but male life anticipation is increasing so the differences will non be as marked in 2011. Health. societal attention and well-being demands assessment sum-up

Swansea has a higher proportion of people of retirement age than England and Wales as a whole. With 7 % of people in Swansea aged 65 and over life in attention constitutions. the jutting addition of 2. 110 persons in this age group by 2011 could intend a possible addition of 148 arrangements. This means that there is a demand for an increased focal point on people remaining in their ain places and staying every bit independent as possible. Health. societal attention and well-being demands assessment sum-up

The degree of income support is a step of comparative poorness which is a cardinal determiner of wellness. A higher proportion of people aged over 65 claim income support in Swansea than in Wales as a whole. Health. societal attention and well-being demands assessment sum-up

Evitable winter deceases are related to ill heated places. Although Swansea has a higher proportion of families with cardinal warming compared to the Welsh norm. families occupied by older people aged 75+ are less likely to hold cardinal warming. Swansea has the 8th highest winter decease rate for individuals over 65 in Wales. 18 % for Swansea vs. 16 % for Wales. Health. societal attention and well-being demands assessment sum-up

In rural countries public conveyance is frequently infrequent or non-existent compared to urban countries. so people without entree to private conveyance will be disadvantaged in accessing services. Swansea has a higher proportion of 75+ people with no auto compared to the Wales norm. Healthy feeding can forestall malignant neoplastic disease. bosom disease and shots. Peoples of all ages in Swansea eat fewer green veggies and salads than the Welsh norm. The figure of elected and exigency admittances to infirmaries in Swansea for those aged 50 and over has increased in the last three old ages. For those between 50 and 74 most of the admittances are elected. whereas for those aged over 75 the admittances are normally an exigency. The European Age Standardised Rate ( EASR ) for those aged 65+ admitted to hospital as exigencies in Swansea is statistically significantly higher than the norm for Wales. The % of 65+ patients in Swansea admitted every bit exigencies as a proportion of all admittances is the 3rd worst in Wales. The EASR for those aged 65+ admitted as electives is statistically lower than the norm for Wales. Health. societal attention and well-being demands assessment sum-up

Swansea has a high prevalence of cerebrovascular disease in 65+ age groups and a higher incidence of prostate malignant neoplastic disease than the Welsh norm. Supplying unpaid attention has been linked with a possible addition in exposure and demand for support. 19 % of people over 50 provide unpaid attention. with 6 % of those over 50 providing and 2. 5 % of those aged 85+ supplying more than 50 hours per hebdomad unpaid attention. Swansea has higher than the Welsh norm claims for Attendance Allowance and Disability Living Allowance. 45 % of pensionary families in Swansea are solitary pensionaries. with 62 % of those solitary pensionaries sing a restricting long-run unwellness. Health. societal attention and well-being demands assessment sum-up

The rate of community-based services for those aged over 65 in Swansea is one of the highest in Wales. With a jutting addition of 2. 110 persons over 65 by 2011 this could intend a important addition in service proviso. Health. societal attention and well-being demands assessment sum-up

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