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Community case study. The authors chosen township has a higher than national average of smoking and obesity rates which is reflected by the DH (2011b) which has identified health generally of individuals in this area is poorer than the average in England.

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The aim of this community case study is to focus upon important health issues around the challenges to adult health and well being of a selected township. It will look at a particular health issue and consider the influencing factors such as perceptions of health, behaviours, and socio-economic status. The author will also look at health education, health promotion, plans and services that are in place in relation to the identified health issue within that community, and provide epidemiological statistics. Throughout this piece of work the author will be maintaining confidentiality at all times by not identifying the Health Trust as under the Nursing and Midwifery Council (NMC) code of conduct on how to maintain confidentiality within a healthcare setting and state that we must treat information about patients and clients as confidential and use it only for the purpose in which it was given (NMC Code of Conduct, 2008). A community is commonly known as a place where individuals and families live, for example a neighbourhood. The term community has many definitions, one of which can be described as a group of individuals whom share same government and have share some common characteristics and interests (Oxford, 2011). The community in which this case study is based on is a township located in the Northwest of England, a working class community well known for its coal mines and cotton mills in the 18th and 19th century. In 2001, the Census recorded 301,415 people living in the community and mid-year estimates for 2009 suggest that this has now increased to 306,500 (Office of National Statistics (ONS), 2010a). Deprivation in the township as of 2007 is �31.5% with the national average standing at 19.9% which shows that this is a concern for the community as a whole (Department of Health (DH), 2011a) In the local area that the case study will be focused upon, they have a number of local shops and large supermarket chains which sell a range of foods which can be easy accessed by people with cars or on public transport. ...read more.


The author will now discuss and analyse some of the health promotion strategies in place that are in place in current practice throughout the township to aim to individuals live a healthy lifestyle and therefore dramatically cut the number of cases of coronary heart disease. One service that launched in the area in 2007 was the Health Trainer's Service; this was launched in the area in March 2007. They work with the clients for up to 6 months and appointments are available within a wide variety of accessible venues. Their aim is to work on a one-to-one basis with individuals wanting to make a lifestyle behaviour change, such as stopping smoking, changing diet or taking more exercise. They key aims of the health trainers are to tackle local health inequalities by offering personalised support to people at risk of developing poor health. They also provide additional support to those who need it to enable people to make healthier choices, access the services they need and take greater control over their health and well being. Another one of their aims is to increase skills, knowledge and capacity for the promotion of health and well being within local communities, they want to develop their knowledge on what causes certain illness and diseases (*****, ***** and ***** Community Healthcare Trust, 2011a). Also on the agenda for the local township is to get individuals active, **** Leisure and Culture Trust (WLCT) (2011a) was set up in 2004 and is a charitable trust working on behalf of the local council to manage and support leisure and cultural facilities, initiatives and events for residents across the borough. The trust is responsible for many events and activities, however, for the purpose of this study the author will just comment on two services they offer. The Community Weight Management service, Lose Weight Feel Great (2011), an NHS service which aims to help people who are heavier than they should be to lose weight. ...read more.


last accessed 10 June 2011 at URL http://www.apho.org.uk/resource/item Department of Health (2011c) Association of public health observations (APHO): health profile Wigan 2011 (online) last accessed 10 June 2011 at URL http://www.apho.org.uk/resource/item Department of Health (2011d) Association of public health observations (APHO): health profile Wigan 2011 (online) last accessed 10 June 2011 at URL http://www.apho.org.uk/resource/item Department of Health (DH) (2011e) online last accessed 15 July 2011 at URL http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/ Hart,C.L., Smith, G.D., Hole, J.D., Hawthorne, M.H. (2006) Carboxyhaemoglobin concentration, smoking habit, and mortality in 25 years Heart Vol. 92, pp. 321-324 Lose Weight Feel Great (2011) Slimming world (online) last accessed 26 August 2011 at URL http://www.lwfg.co.uk/service-information/slimming-world.aspx National Health Service (NHS) Information Centre (2011) Statistics on stop smoking service in Wigan (online) last accessed 5 September at URL http://signposting.ic.nhs.uk/ National Institute of Clinical Excellence (NICE) (2007) Post myocardial infarction May 2007 (online) last accessed 15 July 2011 at URL www.nice.org.uk/CG048fullguideline Nursing & Midwifery Council (NMC) (2008b) The NMC code of professional conduct: standards for conduct, performance and ethics London: NMC Office of National Statistics (ONS) (2007) Mid-year population estimates by ethnic group (online) last accessed 20 August 2011 at URL http://wisdom.wiganlife.com/profiles/ Office of National Statistics (ONS) (2010a) 2008 Sub-national population projections by sex and age (online) last accessed 8 July 2011 at URL http://www.statistics.gov.uk/snpp Office of National Statistics (ONS) (2010b) Life expectancy at birth and at age 65 by local areas in the United Kingdom (online) last accessed 8 July 2011 at URL www.statistics.gov.uk Oxford English Dictionary (2010) (10th Edition) Oxford: Oxford University Press. West, R., McNeill, A., & Raw, M., (2000) Smoking cessation guidelines for health professionals Thorax Vol. 55, No. 12, Pg. 987-999 Wigan Leisure and Culture Trust (WLCT) (2011a) Healthy living zone (online) last accessed 25 August 2011 at URL http://www.wlct.org/ Wigan Culture and Leisure Trust (2011b) Welcome to lifestyle (online) last accessed 25 August 2011 at URL http://www.wlct.org/Sport-and-Healthy-Living/lifestyle/lifestyle.htm Wrightington Wigan & Leigh (WWL) NHS Foundation Trust (2009a) (online) last accessed 15 July 2011 at URL http://www.wwl.nhs.uk/ Wrightington Wigan & Leigh (WWL) NHS Foundation Trust (2009b) (online) last accessed 15 July 2011 at URL http://www.wwl.nhs.uk/ ?? ?? ?? ?? 1 ...read more.

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