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Ealing Community Voluntary Services: Role in Long Term Conditions. Dr Bal Kaur Public Health Consultant Tel 07508 277638 kaurb@ealing.gov.uk. Long Term Conditions. Long term conditions = not cured, but can be controlled or lived with.
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Ealing Community Voluntary Services: Role in Long Term Conditions Dr Bal Kaur Public Health Consultant Tel 07508 277638 kaurb@ealing.gov.uk
Long Term Conditions • Long term conditions = not cured, but can be controlled or lived with. • Include diabetes, high blood pressure, mental health, heart disease, arthritis • By the age of 60, half of adults have a long term condition • Lead to 80% of GP consultations & two thirds of hospital admissions in adults
Ealing Health & Well Being Board http://www.ealing.gov.uk/meetings/meeting/89/health_and_well_being_board • Out of Hospital Strategy • Joint Prevention Strategy • Joint Strategic Needs Assessment – Ealing Council website – Sept/Oct
Out of Hospital Care in Future Easy access to high quality, responsive primary care to make out-of-hospital care first point of call for people Rapid response to urgent needs so that fewer patients need to access hospital emergency care Easy access Rapid response Patient Appropriate time in hospital when admitted, with early supported discharge into well organised community care Providers (social and health) working together, with the patient at the centre to proactively manage LTCs, the elderly and end-of-life care out of hospital Appropriatehospitaltime Integratedcare Planned pathways Simplified planned care pathways that ensureout-of-hospital care is not delivered in a hospital setting
Joint Prevention Strategy 2012-16 Improve wider determinants – live well Choose health Treat risks or pre-disease early Manage Long Term Conditions Limit infectious diseases Empower people Source: Adapted from Canadian Public Health Association
Example: Cancer • Survival rates for most of the 20 common cancers improving • 50% of cancer patients survive beyond 5 years • Priorities for action to reduce deaths & impact: • Reduce smoking, increase normal weight & physical activity, fruit & veg consumption, use of sun screens • Increase uptake of cancer screening • Raise local awareness of cancer symptoms • Commission services in line with NICE & national guidance
Long Term Conditions • What is voluntary sector priority for action on long term conditions? How could it make the biggest impact? • What is the role of the voluntary sector in Ealing raising awareness about (choose one/two): • increasing moderate physical activity to 5 times per week for 30 minutes • stopping smoking • benefits of cancer screening • cancer red flag symptoms (blood in poo, urine, lumps etc) • carer support • support for survivors • end of life care What do you need from NHS & LA partners to enable a)-g)? How could voluntary sector impact be identified?