In Oadby and Wigston, 64% of the men are diagnosed with cancer and for men; the highest survival rate for prostate cancer is 1 year. The number of new cases of cancer is anticipated to increase over the next few years due to the increasing of number of people (2). So this will affect the planning of services because they need to consider he health issues of the population to promote good health. If they don’t promote good health, then most people will be sick as a result they will be absent to their work. This means that the majority of the work won’t be done that is needed as a result he economy will collapse.
This means people are collecting benefits for more years. That’s good for people and expensive for the government. (3)
The universal services that is needed in the local area is schools, childcare for 3-19, job seekers allowance, student finance, Maternity ward for 20-60 and for 60+, the residential home or mobility services. In Oadby and Wigston, they have over all 9 doctors, there 4 doctors in Wigston and 5 doctors in Oadby. This meets the people’s needs because if they have something wrong with the ir physical state. They could go to one of the doctors in the area.
In 2008, there was an estimate of 10,700 people aged 65 and over. In this research shown, it may rise to 13,800 by 2025(2). This could affect the planning of the services because most elderly people are retired and if there are a lot of elderly people in an area, it will bring down because the retired people rely on the government which means that the employed people have pay through tax, even though there is not enough employed people. This will bring the whole economy down. To improve this, they should increase the retiring age to prevent the economy to collapse or they could promote families to have more children so in the future, they could work as a result it will balanced population.
The ages which entail the highest levels of health care involvement are neonatal and infancy, where advances in hygiene, treatment for infectious diseases, and immunisation have greatly reduced deaths in children, especially in the developed world, fertile years for women, particularly in the developed world, where pregnancy and childbirth has tended to be seen as a medical condition, requiring medical supervision and intervention, and Old age, when multiple pathologies are common, healing tends to be slower, many treatments are palliative rather than curative, and the likelihood of an additional illness or condition arising increases with age. (4)
21% of the population smoke and the biggest killers of people in the area are smoking related illness e.g. coronary heart disease and cancer. This means that health services are required to provide the treatment but there is a need for focused stop smoking campaign
Stakeholders are people who plan services. Their responsibility lies in seeing the provision that they represent has resources to provide an effective service. The main planners could include local authorities; these are legislative body of local establishment who offer finances for community provision. There are private fund holders who offer insurance that pays for the care as well as voluntary and community sector which are organisation such as charities, support groups and so on. Furthermore, there are local education departments who offer services within sure start centres and full extended schools on top of NHS who are part of the primary care trust which buys the care that is need for patients.
A big contract of the monitoring and evaluation of planning and provision of services will be handled by the foundation hospitals themselves. They will have the access to money, to utilize staff and to locate funds.
The monitoring and evaluation of the provision offered by the foundation hospitals will be approved by themselves and by strategic health authorities. The organisation of health and social care statutory services is currently department of health then strategic health authority, this is the leadership and performance management then is primary care organisation, this is major purchaser and provider in the healthcare. Lastly NHS trust, this is a provider of secondary care and specialist services in hospital.
Methods that can be used for monitoring and evaluation can include questionnaires, interviews, observations and statistics.
In the local area, there are more old people than young people. They have estimated that there will be 97% of old people aged 65+. In 2009, 95% of old people were aged 65 or more. Therefore, elderly people are living longer as a result of this there will a bigger need for services such as residential homes. Elderly are more likely to develop health problems. Instead people are living to ages where what had previously been uncommon conditions in a relatively small number of elderly people are becoming the dominant causes of illness and mortality (4)
Health issues arise from migration and the social status of migrants. There are citizens legally permitted to travel and work as they wish within the other member states. Around 700,000 are believed to have come to the UK However, some countries, the UK among them, have place limits on their rights to work, and to avail themselves of benefits. In some parts of the newer states tuberculosis is endemic. This has resulted in a pool of unknown size of carriers of TB, unable or unwilling to declare them and seek treatment for fear of their presence or mode of living being declared illegal. Overall cases of TB in the UK were at their lowest in 1987, when just over 5,000 cases were notified. These have now risen to about 8,500 cases per year. (4)
In Oadby and Wigston, there are more females than males of adult age because the highest population concentration is between the ages of 75 and 85 and women live longer. As a result 29 old people’s homes are in the area. Women appear to use the health services more regularly than men so they appear to suffer poor physical and mental health due to them being to prideful to go because they want to be known of their strength
Certain cultural practices can also have unexpected effects on health. The skeletal disorders rickets and osteomalacia arise from lack of vitamin D. The main source of vitamin D is the action of sunlight on human skin, and this is most efficient on paler skins, as the effect of melanin is to mitigate the process. The adoption of all covering dress, for religious reasons, has resulted in these diseases recurring among certain communities in the UK, especially where housing conditions do not allow for private gardens (where the cultural dress rules are relaxed). Sufficient vitamin D to make up the difference cannot be obtained from a normal diet (4)
Section b
‘Every child matters ‘and the subsequent children act passed in 2004. For children and young people there are five outcomes that are key to well-being in childhood and later life. These are being healthy, staying safe, enjoying and achieving, making a positive contribution and achieving economic well-being. These five constitute the focus of government attention for all pupils. Local change programmes will be stronger if set within a supportive national framework. (6)
Enforced by the Children Act 2004, ECM took a radically new approach to improving the wellbeing of children from birth. It was designed to end the disjointed services that failed to protect eight-year-old Victoria Climbié, and aimed to achieve better outcomes for all children by making organisations that provide services to children work better together. It also set out five key outcomes it hoped the services would help provide for children: being healthy, staying safe, enjoying and achieving, making a positive contribution to society and achieving economic wellbeing.(5)
The Government has worked with partners from the statutory and voluntary and community sectors to define what the five outcomes mean. We have identified 25 specific aims for children and young people and the support needed from parents, carers and families in order to achieve those aims. For example the first outcome which is children must be healthy, means that they must be physically, emotionally, and sexually healthy, as well as choosing not to take drugs.(6)This also means that parents, carers or guardians must promote healthy choices and the children must have healthy lifestyles. This will increase the obesity
The services that fit with this national standard are childcare and schools. Early years and childcare provision gives a good start to young children’s development as well as appropriate support to their parents. The Government has made significant progress in giving a good start to families with very young children through Sure Start local programmes and children’s centres, combining health and family support with early education and childcare. Schools already support children’s wider well-being. They increasingly take a personalised approach to pupils’ learning to help them reach the highest possible standards. They ensure that pupils attend school and behave responsibly and thoughtfully. They engage parents and carer as partners in children’s learning.
In general, children’s health is decent, but a quarter of children in UK struggle to maintain healthy because their parents, carer or guardian have some financial issues to deal with, so sometimes they cut down on necessities. This could affect the planning of services because they may have to consider the children’s health in the population. So they may have to take a long time to meet the needs of the children.
There are a growing number of obese children who will need specialist services and education. There are more obese boys than girls and so planning of services will be influence d to have focused programmes to encourage healthier eating and exercise. These children grow into obese adults needing further services. There are more boys being born in Oadby and Wigston so the number of obese boys will increase.
Every child matters targets set by the government can affect the way the GP practice is run. If the target was to receive more than a thousand patients in the practice, then the GP would be working hard and provide a variety of services to gain more patients as well as more funding from the government, this enables improvement. This would affect the practice because it helps set out accountability and have and efficient use of the money.
In conclusion, demographics are probably the only variable that powerfully affects the future of a country that can be predicted with nearly 100% accuracy. For example, by only looking at the people alive at the moment you can almost exactly say exactly how many people will be what age in 10 years’ time. Demographics has an impact on the health care, it brings a lot of burden because of ageing population and needing more services for patient to meet their health. Demographic sometimes enables improvement in health care sectors and provides more services so that everyone is eventually happy and healthy. Without the demographic factors, practitioner would not know how to improve the health care sector. This provides a guide for practitioners to follow as well promoting a better standard of care. The services are fit for a purpose to have more patient’s means more funding towards. The practitioner will put the main funding in areas where patient got to more often so for example women patient tend to go to breast cancer clinics and maternity ward so they put most the funding in there because they want to maintain the amount of patient as well gain more. If they gain more patients that means they will have more funding. It is important for planners and decision makers to know the structure and distribution of the population, as well as how it changed in recent years. For pupils at the age of 19 and under, educational planning cannot be separated from the consideration about dynamics of the population i.e. its growth and change because it deals with a target population, which is constantly changing numbers.there are a population that is aged 65 and more with predicted depression. In 2008,It is estimated that between 1070 and 1605 people have depression. I hope in the future, there will be a cure for depression so more people can live an ordinary life and work which I will balance the population and then employed people won’t have to pay for all of the finance for the elderly
Reference
1.
2.
3..
4.
5.
6.