Module 2: Services in the Local Area

How do you think care services might vary throughout Wales?

• Different population levels• Higher numbers of elderly people

•Higher levels of unemployment

• Higher numbers of young people

Some reasons might be:

Record your ideas here:Record your ideas here:

Care services across Wales

Module 2: Services in the local area

Demography

Marriages

Life expectancy

Demography factors

Birth rates

One reason care services vary is as a result of demography. Demography is the study of human populations, based on factors such as age and race.

These factors are used to plan services for the population such as health and welfare, education and housing.

Can you think of eight more factors? Discuss, then click on the images.

gender

DivorcesEconomic status

Death rates

Level of education

Module 2: Services in the local area

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Using demography to plan local servicesThere are six main demographic characteristics used when planning health, social care and children’s services. These are:

•Age profile of the population•Level of unemployment•Level of deprivation•Number of single parents•Level of disability•Health needs

Read this description of Caerphilly. Which is the main characteristic used and how does this affect service planning?

Caerphilly has an overall health profile that is generally worse than the averagefor Wales. One particular factor is the increasing number of older people in Caerphilly. One result of this is an anticipated rise in age-related illnesses, future demand on health services and deaths from cancers and heart disease.

Wales Centre for Health. Click here to find out more.

Module 2: Services in the local area

Age profile of The population

(1 click)

Health needs (2 clicks)

Numbers ofsingle parents

(3 clicks)

Match the demographic characteristic on the left with the service planning it may affect. Click the services to highlight the colour you think matches the characteristic. Some services can match to multiple characteristics.

More occupationaltherapy needed

More residential homes needed

More day centresneeded

More primary schoolplaces needed

More job centres needed

More childcarefacilities needed

More specialist hospitals

needed

More social housing needed

Services planning

Level of disability(4 clicks)

More GP surgeries needed

Module 2: Services in the local area

Planning local services in two areas

Click here to view more detail on the health profile of Cardiff, Merthyr Tydfil and other areas of Wales.

A picture of health in Cardiff A picture of health in Merthyr Tydfil

Compare the picture of health in these two areas of Wales and discuss how this will affect the planning of local services in these areas.

Worst Average Best

Male LifeExpectancy

Female LifeExpectancy

% Unemployed

Overall Physical Health Score

Self declared Smokers

Alcohol use more than recommended

Worst Average Best

Male LifeExpectancy

Female LifeExpectancy

% Unemployed

Overall Physical Health Score

Self declared Smokers

Alcohol use more than recommended

Module 2: Services in the local area

Local Health Boards in WalesCompare the profiles of the three Local Health Boards in the table below. What are the reasons for the differences and what do they mean for service provision?

Click here to view the demographic profiles of other regions in Wales.

Cardiff and Vale University LHB

Cwn Taf LHB

PowysTeaching LHB

Area size 471 km2 535 km2 5,196 km2

Total population 445,000 289,400 132,000

Life expectancy at birth - males

76.9 years 75.1 years 78.6 years

Life expectancy at birth - females

81.6 years 79.9 years 82.2 years

Persons per km2 944.8 540.8 25.4

Module 2: Services in the local area

Our ageing population

Module 2: Services in the local area

Now watch this video clip about the pressures our ageing population is putting on the health and social care system.

When you have watched the clip, decide if these statements are true or false.

True

• There are now more people over 65 than under 16.

• Local authorities need to do more to plan services.

• Well-being is only concerned with health care issues.

False

• Services are currently accessible for any level of need.

National Standards, targets and priorities

To improve the number of women attending breast-screening programmes.

To reduce the waiting time for appointments following referral to secondary care.To reduce the incidence of

teenage pregnancy and STIs.

Standards, targets and priorities

These are the planning frameworks set by Public Health Wales for all health and social care services, which aim to improve the health of the population, as identified by demographic characteristics. Can you think of four examples of standards, targets and priorities which may be set?

To increase the uptake of immunisation programmes for young children.

Public Health Wales is an NHS organisation providing independent public health advice and services to protect and improve the health and well-being of the population of Wales.

Public Health Wales is an NHS organisation providing independent public health advice and services to protect and improve the health and well-being of the population of Wales.

Module 2: Services in the local area

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Government initiatives Here are some Government initiatives for improving health and service provision in Wales. Click on the images and follow the links to find out what they offer.

Module 2: Services in the local area

How are these initiatives put into action?

Use the blank table to find out more about each plan.

Look at the following national plans and discuss what they aim to reduce. Click on the arrows below to see if you are right.

Fairer Health Outcomes For All

Tobacco Control Strategy for Wales

Sexual Health and Well-being

NHS Annual Operating Framework

reduce inequities in health

reduce the level of smoking

reduce the number of teenage pregnancies

a range of targets – see here

Module 2: Services in the local area

Local initiatives

Local Authorities and Health Boards work together to produce a local plan taking into account the demographic characteristics of their area to meet national targets.

Click here to see Merthyr Tydfil’s local health and well-being strategy.

Module 2: Services in the local area

Service provision in your area

Now, carry out your own research to identify local demographic characteristics and other government policies and strategies which set standards, targets and priorities for specific health conditions in your area. Click here for a table to record your results.

Health Care Standards for Wales

The Chief Medical Officer’s report for Wales

The following reports my also be helpful for your research:

Carry out your own research to find your local health and well-being strategy.Click here for a chart to record your findings.

Module 2: Services in the local area