Housing
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The document discusses housing and health in the London Borough of Barnet. It finds that residents living in social housing report poorer health than those living in private housing. Specifically, 15.3% of households living in council housing reported ill-health due to their home's condition, compared to 7.7% for housing association properties and 7.7% for private rentals. The document also notes that older residents and those with support needs are more likely to live in unsuitable housing. Barnet Housing Services aims to promote health through activities like the Decent Homes program and estate regeneration schemes.
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The Invaluable Contribution Of Informal Carers To Meet NeedsJulie Pal
油
Women are more likely to be informal carers than men. Many carers are over 60 years old and provide over 50 hours of care per week. Carers often suffer from physical injuries and stress-related illnesses. In the borough of Barnet, almost 10% of the population are carers, with over 2,000 being over 75 years old and nearly 5,000 providing over 50 hours of care per week. Support for carers needs to be improved and made more culturally sensitive to reach diverse communities and hidden carers. As more people receive care at home, the role of informal carers will continue to increase pressure on families.Surveying The Perceptions Of Health
Surveying The Perceptions Of HealthJulie Pal
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The document summarizes the results of a survey of 1000 residents in Barnet, UK that was conducted to understand residents' perceptions of health and healthcare services. Some key findings from the survey include:
- 35-44 year olds were most likely to rate their health as good, while 18-24 year olds were least likely.
- Respondents of white ethnicity were more likely than non-white respondents to rate their health as good.
- Satisfaction with healthcare services, including GPs, was generally higher among white respondents, older respondents, and those in lower socioeconomic groups, while satisfaction was lower among ethnic minorities, younger people, and those in higher socioeconomic groups.Social Care And Support Services In Barnet
Social Care And Support Services In BarnetJulie Pal
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1) Referrals and assessments for adult social services in Barnet have generally increased over the past 5 years, though there was a decrease in 2007/08. There has been greater reliance on voluntary services to provide low-level support.
2) There is uncertainty around how well "low to moderate needs" are being met and how much unmet need exists. More data is needed on outcomes for individuals with unmet needs and how this could impact future demand.
3) Referrals have increased from healthcare as hospital stays have shortened, increasing demand for intermediate care services to facilitate discharge. Prevention efforts targeting falls and upstream interventions are important to reduce future health and social care needs.Smoking
SmokingJulie Pal
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Smoking is the most important preventable risk factor for death from cancer and cardiovascular disease. Even in London boroughs with relatively low smoking rates, such as Barnet at 17.9%, tens of thousands of residents still smoke. Smoking causes nearly 440 deaths per year in Barnet alone from smoking-related diseases. Smoking damages nearly every part of the body by reducing blood flow and leads to many serious conditions such as heart disease, COPD, and several types of cancer. Exposure to secondhand smoke also harms non-smokers.Respiratory Disease
Respiratory DiseaseJulie Pal
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COPD is a significant health risk in the UK, affecting over 900,000 diagnosed people. Rates are higher among men but are becoming more equal as smoking rates among women increase. Death from COPD typically occurs in later life, between ages 40-90, with a 30-50 year lag between starting smoking and death. While men have reduced smoking more over time, women's rates remained high until the 1970s, so more women may die from COPD in the coming years. Respiratory disease is linked to deprivation, with higher hospitalization rates in more deprived areas where smoking is also more common. Reducing smoking, influenza vaccination, and pulmonary rehabilitation are key to reducing respiratory disease burden.PSI Predicting Need
PSI Predicting NeedJulie Pal
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Disabled people in Barnet experience poorer life outcomes than non-disabled people. There are over 13,000 households that require support for physical disabilities and over 1,800 people require daily living assistance for neurological conditions. Barnet has adopted a social model of disability that focuses on inclusion, rights, choice and access to mainstream services rather than specialized care. Key priorities include increasing individualized budgets and partnerships with housing agencies. Barnet is also working to improve rehabilitation access and increase community-based therapy and vocational support.Pressures On Hospital Service Provision
Pressures On Hospital Service ProvisionJulie Pal
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Current pressures on hospital services include a focus on prevention over cure, ensuring resources achieve the best outcomes. Acute activity has often exceeded funding growth, exacerbated by 18-week target investments and increased referrals due to shorter waits. Evidence shows many emergency department visits and admissions could be avoided with proactive community care for long-term illnesses. Changes to doctor working hours require an unrealistic number of new hires to maintain service levels at two local hospitals, and regulations threaten accident and emergency and maternity/pediatric services. Specialized hospital treatment is best provided in specialist centers for serious illnesses.Personal Dignity And Respect
Personal Dignity And RespectJulie Pal
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The document discusses personal dignity, respect, abuse, and neglect of vulnerable adults receiving social care services. It notes that abuse negatively impacts health and independence. The local authority is responsible for establishing a multi-agency partnership to lead on safeguarding adults and ensure they can live free from abuse. In 2007/08 there were 258 safeguarding referrals in Barnet, coming mostly from health services. Referral rates in Barnet have been lower than expected but are increasing with improved safeguarding arrangements.Pallative Care
Pallative CareJulie Pal
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Barnet has a population of around 2,400 people who die each year, with most preferring to die at home but still passing away in hospitals. When end of life care is unavailable in the community, patients are more likely to be admitted to hospitals, with 11% of emergency admissions and 21% of bed days due to patients in their last year of life. While some progress has been made, only 16% of Barnet deaths occurred at home compared to the national average of 19%. Palliative care services in Barnet provide high quality care but are fragmented and uncoordinated between different providers. Feedback confirms the experience can be inconsistent and rely on patients advocating for themselves.Older People Predicting Need
Older People Predicting NeedJulie Pal
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1) The 80+ population in the borough is projected to rise 13% over the next decade, with particularly large increases expected in the 90+ age group (46% rise) and 40-54 age group (25% rise).
2) Differences in projected population changes are explained by variations in birth rates during wartime periods and pandemics when different age groups were born.
3) Targeted outreach can help older people claim additional benefits to reduce issues like depression, poor nutrition, and social isolation often linked to low income.Obesity
ObesityJulie Pal
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Obesity rates have been rising nationally, with over 40% of men and 30% of women overweight or obese by 2002. If current trends continue, there will be over 12 million obese adults and 1 million obese children by 2010. Obesity increases the risk of diseases like diabetes, heart disease, and some cancers. Childhood obesity is also rising, and is difficult to address as children depend on adults to guide healthy eating and exercise. Targets aim to reduce the annual rise in childhood obesity rates. Key actions needed include expanding family services, targeting at-risk groups, and establishing referral systems for healthcare professionals.MRSA
MRSAJulie Pal
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Methicillin Resistant Staphylococcus Aureus (MRSA) is a type of staph bacteria that is resistant to certain antibiotics. MRSA can cause infections in wounds, ulcers, intravenous lines, lungs, and the bloodstream. The Healthcare Commission assesses UK hospitals on infection control standards including MRSA rates. Data on three London hospitals from 2005-2008 shows declining MRSA infection numbers, with rates dropping below targets over time at two hospitals and reaching zero at one hospital by 2007-2008.Miscellaneous
MiscellaneousJulie Pal
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Immunisation is one of the most effective ways to improve public health next to clean drinking water. While smallpox has been eradicated through immunization, other infectious diseases remain threats. The only way to protect against avoidable death and complications from diseases is through high immunization rates in the population. Barnet faces the risk of a measles epidemic as immunization rates, particularly for MMR, have fallen below the required safety levels. Key activities to increase rates include improving record accuracy, strengthening reminder systems, providing immunizations in various community locations, and promoting immunization through community leaders and education.Mental Health Predicting Need
Mental Health Predicting NeedJulie Pal
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Risk factors for mental illness include socioeconomic disadvantage, homelessness, unemployment, poor education, minority status, and being a lone or teenage parent. The number of people with mental illness in Barnet is expected to rise 11% by 2025, with levels differing between localities. People with mental illness are less likely to be employed and financially independent, and those who do work face discrimination from employers and higher risks of losing their jobs. Poor mental and physical health are linked, as people with mental illnesses like schizophrenia face higher mortality rates from various health conditions. Addressing the social determinants of mental health like poverty, housing, and lifestyle factors can help improve outcomes.Ad