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Community Profile

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Community Profile Word Count: 3,938 Introduction The World Health Organisation (1999) states that everyone is entitled to the best possible level of health, however this is difficult to define (Ewles and Simnett 2003, Watkins et al 2003). Townsend (1980) recognized that a combination of social, economic and environmental factors affect an individual's health in different ways at different times. Better Health, Better Wales (1998) also states that a person's social and economic circumstance has a high impact on mortality; it also states that there is a high correlation between a pattern of deprivation and a pattern of ill-health and disease. In this essay I intend to outline community health needs within a chosen area. I will firstly study the area using a community profiling system and secondly identify a health need for this particular area. A community profiling system will allow me to look at quantitative data on areas such as population, age, ethnicity, crime, housing and education as well as general health and well-being of my chosen Ward. Using this information it is possible to distinguish the main health needs of the community and where these needs can be amended to improve the quality of the health service provided, Clinical Governance gives us the framework for assessing the quality of the care provided. In addition this profile will allow me to gain a greater knowledge of the ward and help me to analyse the resources within the area as well as providing evidence for shortfalls. The essay will also allow me to look at the impact that the primary, secondary and voluntary sectors have on health in a community. All names and locations have been changed in order to maintain confidentiality in accordance with NMC (2008) Code of Professional Conduct. Geography The Ward is located on a steep hill and overlooks the city centre. It is know by the Welsh assembly as a first area due to long-term social and economic disadvantages. ...read more.


Shopping facilities within the area are limited and consists only of 2 small supermarkets, a butcher and a newsagent. These can impact on a community in many ways, for example the supermarkets offer limited choice of food which offers little nutritional value to its customers. Fruit and vegetables are expensive in small supermarkets along with fish and meat, which can deter individuals from buying such products and going for the cheaper less healthy option. The lack of option and poor diet will eventually lead to health complications. Whilst the Ward is only a short distance from the City centre families with young children or older members may find it difficult to get about. The Doctors surgery isn't based directly in the Ward, but in the City centre, yet people with difficulty reaching the surgery are probably the people that need it the most. Hart (1971) stated, "The availability of good medical care tends to vary inversely with the need for it in the population served." This tends to run true for most deprived Wards as GP's do not have enough incentive to set up practices in these areas although they have the greatest need. Epidemiology & Health Need To fully understand the health needs of the Ward area the epidemiology as well as the demographic needs to be looked at. Complete accuracy is difficult to achieve however as a multitude of sources need to be used and may skew some of the results. Gray (2001) acknowledges that evidence-based comparisons are seldom exact, and results need to be expressed as a probability. Within the Ward there are various health services available to the residents, the primary health care team consisting of District nurses, Health Visitors: Chronic conditions Nurses, Doctors, Social workers and a Dentist. Although there is no GP Surgery within the Ward the area is covered by teams working primarily out of a nearby surgery. ...read more.


3.65 2.46 2.66 People aged 10-14 (Persons)1 Count 747 14,175 195,976 People aged 15 (Persons)1 Count 148 2,926 37,951 People aged 16-17 (Persons)1 Count 258 5,611 75,234 People aged 18-19 (Persons)1 Count 215 6,348 71,519 People aged 20-24 (Persons)1 Count 528 15,474 169,493 People aged 25-29 (Persons)1 Count 460 12,654 166,348 People aged 30-44 (Persons)1 Count 1,714 45,758 605,962 People aged 45-59 (Persons)1 Count 1,427 42,623 569,676 People aged 60-64 (Persons)1 Count 395 11,744 152,924 People aged 65-74 (Persons)1 Count 716 21,202 264,191 People aged 75-84 (Persons)1 Count 391 14,762 182,202 People aged 85-89 (Persons)1 Count 79 3,264 38,977 People aged 90 and over (Persons)1 Count 47 1,575 19,404 Mean age of population in the area (Persons)1 y 35.9 39.96 39.5 Median age of population in the area (Persons)1 y 34 39 39 Last Updated: 09 November 2004 Source: Office for National Statistics Appendix 2 Top of Form Bottom of Form All lone parent households with dependent children1 Male lone parent : Total1 Female lone parent: Total 1 City 7,106 567 6,539 Unitary Authority Wales 87,965 8,134 79,831 Country Ward 672 49 623 Ward Last Updated: 13 April 2006 Source: Office for National Statistics Appendix 3 Appendix 4 Appendix 4 Appendix 5 Appendix 6 Appendix 7 Appendix 8 3.2 Reported health status and illnesses of children (a) Per cent 2003-04 2004-05 2005-06 2007 Illnesses: Long-standing illness .. .. .. 20 limiting long-standing illness .. .. .. 7 Selected long-standing illnesses: Asthma .. .. .. 7 Skin complaint .. .. .. 3 Mental illness .. .. .. 2 Illnesses currently being treated: Asthma 12 11 11 9 Other respiratory condition (b) 1 1 1 2 Skin complaint 10 9 11 10 Ear complaint 4 3 4 4 Eye complaint (c) 6 5 5 10 Musculoskeletal problems 3 2 2 4 Any mental illness .. .. .. 1 Source: Welsh Health Survey (a) Aged under 16. Questions changed from 2007 which may affect comparability of results. (b) Other than asthma. (c) From 2007, includes wearing glasses. ...read more.

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