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Showing results for tags 'Health inequalities'.
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Content ArticleIn 2020, all NHS organisations were instructed to name a single executive board member as their senior responsible person for tackling health inequalities. Across the NHS, there should now be over 450 dedicated health equality named leads in healthcare organisations. This report published by the independent NHS Race & Health Observatory in collaboration with The King’s Fund sets out recommendations to help ensure senior NHS officials responsible for improving health inequalities are able to make a difference.
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- Health inequalities
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Blog - introducing No Wrong Door (22 September 2021)
Patient-Safety-Learning posted an article in Mental health
This blog describes No Wrong Door (NWD), an adult community mental health transformation programme being rolled out across Hampshire, Southampton, Isle of Wight and Portsmouth. The NWD model takes a partnership approach and recognises that mental health is affected by quality of housing, employment, family and personal contacts, leisure and cultural activities, technological solutions and other community resources such as green spaces. Mental health services will work together with the community to ensure that care can be provided locally, and that support can be received in several settings for multiple aspects of a person’s life.- Posted
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- Mental health
- England
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Content ArticleMany people will experience mental health problems in their lives. Around one in six adults in England have a common mental health disorder, and around half of mental health problems start by the age of 14. This report from the National Audit Office focuses on the implementation of NHS commitments as set out in the Five Year Forward View for Mental Health, Stepping forward to 2020/21: The mental health workforce plan for England and the the NHS Long Term Plan. It examines whether the government has achieved value for money in its efforts to date to expand and improve NHS-funded mental health services by evaluating whether DHSC, NHSE and other national bodies: have a clear understanding of how much their work to date has reduced the gap between mental and physical health services met ambitions to increase access, capacity, workforce and funding for mental health services are well placed to overcome the risks and challenges, including the impact from COVID-19, to achieving future ambitions.
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- Mental health
- Health Disparities
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Content ArticlePoor mental health is an important and increasingly prevalent issue facing farmers and the farming industry. This article in the journal Sociologia Ruralis seeks to understand the factors that influence the adaptability of support systems for farmers facing mental health issues, especially at a time of crisis. The authors undertook a literature review as well as conducting interviews with 22 mental health support providers and an online survey of people working within support systems and farmers themselves. The study found that support-giving organisations adapted during the pandemic using a range of interventions, but that implementation was affected by organisational and operational challenges such as limited digital training, funding shortfalls, staff trauma, lack of capacity, the rural digital divide, tension between providers and stigma. The authors discuss how landscapes of support for farming mental health can be made more sustainable to deal with future shocks.
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- Mental health
- Depression
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Content ArticleThis report by NHS Digital presents findings from the third in a series of follow up reports to the 2017 Mental Health of Children and Young People (MHCYP) survey, conducted in 2022. The sample includes 2,866 of the children and young people who took part in the MHCYP 2017 survey. It looks at the mental health of children and young people aged 7 to 24 years living in England in 2022, as well as examining their household circumstances, and their experiences of education, employment and services and of life in their families and communities.
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- Mental health
- Mental health - CAMHS
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Content ArticlePeople with poor mental health tend to experience poorer physical health and are more likely to die younger. This perspective article by consultant psychiatrist Peter Byrne aims to apply public health principles to improving the physical health of selected groups with mental health issues. It presents evidence of the lifetime effects of adverse childhood experiences and inequalities: the ‘causes of the causes’, outlines seven drivers of physical disorders that cause preventable deaths, and describes how psychiatrists must work with mental health teams to reverse rising mortality.
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- Mental health
- Patient death
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Content ArticleIn this podcast, host Thea Joshi is joined by Emma Bailey and Hannah Moore from the Equally Well campaign, which the Centre for Mental Health runs in partnership with Rethink Mental Illness. They share how Equally Well UK is working to improve the physical health of people with severe mental illness, with the critical aim of reducing the unacceptable mortality gap that affects people with severe mental illness. Emma and Hannah discuss how physical health is often neglected in mental health inpatient services, and give examples of good work that is being done to change this.
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- Mental health
- Health inequalities
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Content ArticleThis report, from the The Mental Health Policy Group, considers the steps that must be taken if the ambition of ‘parity of esteem’ for mental health is to be achieved in England. Its starting point is the belief that improving the nation’s mental health cannot be achieved through a focus on health services alone, vital though these are. A much more ambitious, cross-government approach to mental health is also required.
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- Mental health
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Content ArticleIn this blog, Debbie Ivanova, Deputy Chief Inspector — People with a learning disability and autistic people, and Jemima Burnage, Deputy Chief Inspector and Mental Health Lead, update on progress since the Care Quality Commission’s (CQC) 'Out of Sight' report published in October 2020. Their blog discusses the findings of the authors' 'Restraint, segregation and seclusion review: Progress report' published in December 2021.
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- Mental health unit
- Mental health
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Content ArticleIn this report, the Care Quality Commission (CQC) comments on progress following publication of its 'Out of sight – who cares?' report in October 2020, and highlights the main areas where further work is still needed.
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- Mental health
- Mental health unit
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Content ArticleThe stark and enduring inequality in mental health outcomes between black and white people is being addressed by two psychiatrists who want to tackle decades of unfounded assumptions. Keith Cooper reports
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Content ArticleThe NHS has declared climate change a health emergency, but are trust leaders and healthcare staff talking and acting on this? Angela Hayes, Clinical Lead Sustainability at the Christie Foundation Trust, discusses climate change and the impact it has on all of our lives and health. She believes healthcare professionals have a moral duty to act, to protect and improve public health, and should demand stronger action in tackling climate change.
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- Physical environment
- Work / environment factors
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Content ArticleIn this blog, Soojin Jun, Cofounder of Patients for Patient Safety US, argues that it makes sense for healthcare organisations to be at the forefront of conservation efforts, as they exist to promote people's wellbeing. She points to a 2020 study that demonstrated how the global healthcare supply chain contributes to environmental damage, counteracting what healthcare exists to promote. Going forward, people will want to know how much waste healthcare systems generate, and how efficiently they use resources, and the article looks at how organisations and patients can be proactive in promoting sustainability.
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- Climate change
- Organisational culture
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Content ArticleIs it possible to tackle climate change without further widening health inequalities? Jo Vigor speaks to Dr Dominique Allwood, Chief Medical Officer at UCL Partners and Director of Population Health at Imperial College Healthcare NHS Trust, about her leadership journey, why clarity of mission is so important and the challenge of creating a sustainable and equitable health and care system.
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- Healthcare
- Leadership
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Content ArticleWhat a subway killing reveals about New York City’s revolving-door approach to mental illness and homelessness.
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- Mental health
- USA
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Content ArticleMandy Anderton is a Clinical Nurse specialising in learning disability and a hub Topic Leader. In this new blog, Mandy explains how they are using shared decision making and reasonable adjustments to implement a new care pathway, where patients with a learning disability needing to undergo a medical investigation can receive deep sedation within their own home. Working with patients, carers, relatives, anaesthetists and others, the aim is to improve access to important medical investigations with minimal distress, where other avenues have been exhausted.
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- Learning disabilities
- Anaesthesia
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Content ArticleThe Accessible Information Standard gives disabled people and people with sensory loss the right to get healthcare information they can understand and communications support if needed. A survey conducted by HealthWatch between February and May 2022 aimed to investigate whether the standard is being delivered by health services, and whether it offers enough support to patients. While the survey participants were self-selected, their views are likely to reflect those of a significant group of people who need communications support. HealthWatch hopes that the survey's findings will help NHS and social care decision-makers hear what is working and what could be better from the public's perspective.
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- Learning disabilities
- Information sharing
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Content ArticleThis report by the Care Quality Commission (CQC) looks what people with a learning disability and autistic people experience when they need physical health care and treatment in hospital. People with a learning disability face huge inequalities when accessing and receiving health care, and initiatives to try and improve people’s experiences have not brought about improvement at the speed or scale needed. The consequences of this are serious, as when people do not get care and support that meets their individual needs, it can lead to avoidable harm and premature death. Equity for people with a learning disability and autistic people is therefore a critical patient safety issue.
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- Autism
- Learning disabilities
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Content ArticlePeople with a learning disability are more than twice as likely to die from avoidable causes than the rest of the population. Actor Tommy Jessop and BBC Panorama investigated some of the stories of families who say they were let down by their medical care.
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- Learning disabilities
- Healthcare
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Content ArticlePeople with developmental disability have higher healthcare needs and lower life expectancy compared with the general population. Poor quality of care resulting from interpersonal and systemic discrimination may further entrench existing inequalities.
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- Learning disabilities
- Disability
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Content ArticleMandy Anderton is a Clinical Nurse specialising in learning disability and a hub Topic Leader. Last month we asked her how GP practices can help improve health outcomes for people with learning disabilities. In this new blog, Mandy talks in depth about the cross-system programme they launched in Salford to improve the health of people with learning disabilities and reduce inequalities across primary care. Mandy shares their award-winning poster (attached), summarising the programme’s activities and outcomes, and gives her top tips for delivering a successful patient safety improvement project.
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- Learning disabilities
- Health inequalities
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Content ArticleDeveloped by David Havard, this poster shows a number of ways in which reasonable adjustments can easily be made for patients with a learning disability.
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- Learning disabilities
- Health inequalities
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Content ArticleSinead Heneghan is a GP based in the North West of England with a passion for reducing health inequalities. In this interview for Patient Safety Learning, Sinead tells us how she made sure COVID-19 vaccinations were prioritised for people with learning disabilities, when national guidance advised otherwise. She also explains how they took the opportunity locally to combine these face-to-face immunisation appointments with annual health checks, identifying unmet health needs that needed addressing.
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Content Article
Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers (28 January 2022)
Patient-Safety-Learning posted an article in Learning disabilities
This study in the International Journal for Equity in Health aimed to understand the care experiences of people with learning disabilities, and explore the potential patient safety issues that they and their carers raised. The authors examined the lived experience of care for people with learning disabilities through focus groups and narratives posted on the public platform Care Opinion. The study identified a series of safety inequities and gaps in systems affecting people with learning disabilities. The authors recommend considering interventions to protect against these inequities at a policy and organisational level and highlight that policy needs to span both health and social care.- Posted
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- Learning disabilities
- Health inequalities
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Content ArticleIn this Episode of the 'This Is Nursing' podcast series, Gavin Portier speaks to Amanda McKie, Matron -for Learning Disabilities & Complex Needs Coordinator at Calderdale & Huddersfield NHS Foundation Trust. In this episode Amanda talks about health inequalities, mental capacity, advocacy and high profile key documents such as Death by Indifference, the LeDer Mortality programme and the current case of Oliver McGowan. Learning disabilities is a life long condition and they can present in any areas of health care. In this podcast we discover how important it is to have an understanding an appreciation and insight into the care experience of a person with a learning disability and their parents or carers.
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- Learning disabilities
- Learning disorders
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