Health Need Assessment on a Boruogh of London

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Health Needs of the Community
Throughout this assignment I aim to carry out a health need assessment on the borough of Brent. In this health needs assessment I will identify and discuss two key factors that influence the health and well-being of the local population of Brent. I will also discuss government policy that addresses the key factors and how the government have decided to better the community with these policies. I have chosen to look into ethnicity and overcrowding as my 2 key factors and discuss how these affect the health of the population of Brent. I will also investigate whether there is a correlation between ethnicity and overcrowding in the likelihood of contracting tuberculosis. While discussing these I will include how this policy or legislation helps to promote the health and well-being in Brent. I will then describe the role of the nurse, other health care professionals and other agencies in promoting health to address the identified health needs of the population of Brent and discuss the importance of effective inter-professional and inter-agency working in promoting health and well-being of this population. It will conclude by summarising the main issues addressed within the content.

I decided to do my health needs assessment on Brent. The NHS defines a health needs assessment as a “systematic method for reviewing the health issues facing a population, leading to agreed priorities and resource allocation that will improve health and reduce inequalities”. The reason I choose Brent is because I am on clinical practice in Northwick Park so I was interested to research the area. I also carried out my health assessment in Brent as I live close by to the borough and it is interesting to see what affects the community of Brent. Brent is located in North West London. It borders Barnet to the north-east, Camden to the east and Ealing, Hammersmith & Fulham, and Kensington & Chelsea to the south, and Westminster to the southeast and Harrow to the north-west. There are 21 wards in Brent as you can see from this image.

Brent is a borough with very distinguishing characteristics. Brent council (2010) It has one of the highest levels of migration in London with the second highest number of adults entering the country and applying for a national insurance number last year. It is one of the most culturally diverse areas in the UK where 71% the population of Brent come from a different ethnic group than white British. The biggest ethnic group in Brent is black and black minority groups. There are predominately more females than males residing in Brent. The health of the population off Brent is very mixed as the life expectancy is over the London average but the rates of new cases of stroke, heart disease and tuberculosis are a lot worse than the London average. There is also an 8year difference in the life expectancy for men who live in the least deprived areas over the men who live in the most deprived areas. The north of the borough is generally wealthier, and the south more disadvantaged. In June 2009 the Office of National statistics (ONS) estimated the population of Brent at 255,500. ONS (2009) the population is relatively young with 43% under the age of 30yrs old.

As Brent is a very multicultural and diverse borough I have chosen to look into ethnicity and how this has an affect on health. There is evidence to prove that different ethnic groups are more prone to develop different diseases for example black African are more susceptible to sickle cell disease. The Office of National statistics (ONS) uses the phrase ethnic minority to refer to people who are not white. Although Redfern.S et al(1999) defines ethnicity as a mixture of “race and culture”. She also states that “almost anything can be used to create ethnic divisions, though, after skin colour, religion and language are the most common factors”. So my understanding of ethnicity is a group of people with the same common factor. In Brent BME...
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