“How are we enhancing community care, what’s being delivered in the community , what services can we access , thinking about charities, social prescribing, access to green environments

• Preventive care

• Rehabilitation – Physio and OT’s “Thinking about relevant to case study

• Psychological care “ Models to support someone motivational interviewing, psycho social models etc

• Dementia care “Really big in NHS Plan, a lot of work to live well and age well with dementia

• Evidence and strategies for integration

“What is there out their that supports the integration of services, we have talked about this , bring some knowledge from working in integrated services . look for the evidence, guidelines and policies around integration

Patient outcomes, cost-effectiveness, patient experience

“Thinking about pt centred care, single point of assessment, cutting down on waiting times, thinking about access to health care, gp practices in relation to your case study

“When talking about integrated work force is there some integrated work forces, physios ordering equipment, OT’s functional ax , apps and remote consultations , NROLE (NEURO

TITLE: In relation to the NHS Long Term Plan and using the available evidence, discuss

the integration of health and social care to support the elderly population  

Providing a definition / classification/ aetiology of the presenting health issue/s 

Outlining the impact of the health issue on the patient and the wider family.

Consider access to health/ determinants of health and influencing factors addressing the

following, as appropriate and relevant: 

Social determinants of health 

Factors influencing health

Access to health and social care 

Health inequalities 

The social determinants of health are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels.

What do you think

Poverty, deprivation Live in disadvantage  background, stigamsed more like

Denied access to housing, education

Limited access to basic life necessities

Racism, discrimination “Still going on”

Those living in disadvantaged backgrounds are likely to be excluded, and have a greater risk of developing health problems and premature life expectancy.

Some people living in poverty and depravation

Social interaction provides emotional and physical support

Social networks

Feeling of being valued and loved

Supportive relationships can encourage good health

Basic necessity

poor access to healthy food

Overeating,

Unhealthy diet

Poverty

Education on good diet lacking

“Do people need educating on a better diet, unhealthy lifestyle under eating, overeating. 

Needed for:

Exercise

Access to services

Transportation to services

Social contact

Well being

“ If [people haven’t got access to transport makes it difficult for the above , limit access to services , factors can have impact if someone is motivated to access help.  If stuck at home or middle of no where , cant use transport, to busy will affect well being

Inequalities in health

•        Ask yourself: does everyone have the same access to healthcare?

•        Does this question relate to your case study?

Ask yourself does everyone have the same access to health care, does this question relate to you case study .  For example doesn’t fit all wider determinants of health,  use inequalities   relates to case study, not gong to use all of them “

“Must be related to case study, look at blackboard.  What factors may have lead for your patient to be how they are, what things in their life influence them to be how they are”

•        Working closely with the MDT “Not just a physio , team of professionals

“How are we enhancing community care, what’s being delivered in the community , what services can we access , thinking about charities, social prescribing, access to green environments  

“Relevant to your case study

falls alarm

Crawford, R., Stoye, G., & Zaranko, B. (2021). Long-term care spending and hospital use among the older population in England. Journal of Health Economics, 78, 102477.