health needs assessment

Topics: Obesity, Public health, Nutrition Pages: 17 (5334 words) Published: December 12, 2014
The aim of this assignment is to carry out a health needs assessment in my practice area, which will include a profile of the community with the intention to identify the main health needs. For the purpose of this assignment the borough B will be used as the authors borough of practice with the health visiting service and ward x as the authors practice area. The project will gather and analyse data to identify all the health needs of the area, then focus on one key health need. The rationale for using it will be discussed and will then be critically evaluated. The current statutory, private and voluntary service provision which have been put in place to meet the identified health need will be looked into, opportunities and limitations which affect this provision will also be examined. Finally a critical examination of the implications for professional practice will be discussed also local and government policies will be looked at and how changes are being made to reduce health inequalities.

The government have set up a new public health framework entitled the Public Health Outcomes Framework it sets the context which is structured from local to national level. It sets out the comprehensive scope to improve and protect health during a lifespan and to reduce inequalities in health that still persist (Department of Health 2012). One of the essential ideologies of health visiting is the search for health needs (Twinn and Cowley, 1992). Health visitors are at the forefront for carrying out public health and have a vast array of knowledge and skills which help in identifying any health and social problems, they offer a core evidenced based programme (Department of Health, 2009) therefore they are well equipped to carry out a health needs assessment. Through the implementation of the Healthy Child Programme (Department of Heath, 2009) the government have made a resolve to improve the health and wellbeing of all children by ensuring they all receive essential immunisations, development checks and any additional child and family advice. Through this it will enable health visitors to access health needs, evaluate care and if necessary make referrals to the multi professional team.

A health needs assessment (HNA) examines and identifies the health issues in any given area (Cavanagh & Chadwick, 2005) in order to make an achievable change to improve health and reduce inequalities (Summers and McKeown, 1996). The rationale for undertaking a HNA is to recognise needs and highlight the problems in any given population, also to present proposals for clinical interventions in order to deliver a positive change in health outcomes.

In order to gather data for this assignment a community profile needs to be reviewed. Hawtin & Percy-Smith (2007) defines a community profile as a complete description of the needs of a community, for the purpose of developing an action plan of how to improve the quality of life of the community. This health need assessment is based in a PCT in the North West of London. The PCT which is based in Borough B is one of the most culturally diverse areas in England and has a population of approximately 240,000 which makes it one of the largest populated areas in England. According to (Office for National Statistics (ONS) 2012) the borough has 119,900 males and 122,400 females. 20.2% of the Borough’s residents are aged under 16 (48,900). This proportion is roughly the same as for London overall which is (20.1%), 65.5 % (158,800) of the population fall within the new working age group (16 to 64), below the London level of 68.7%.

There are 21 wards in this borough all of which are culturally diverse with a variety of ethnic groups, 82.1% of school children are from black or minority ethnic (BME) group as stated in the (Child and Maternal Health Observatory(Chimat) (2013). In total 6.7% of the Borough’s residents are children aged four and under. 81.6 % of all children aged 0 to 4 are from...

References: Association of public health observatory. (2013). Health profile. [www]. Available from: http://www.apho.org.uk/resource/item.aspx?RID=50278 .[Accessed 20th October 2013].
Bogen. D. l, Hanusa. B.H, Whitaker. R. C. (2004). The Effect of Breast-Feeding with and without Formula Use on the Risk of Obesity at 4 Years of Age. Obesity Research. 12, 1527-1535.
Cavanagh, S. & Chadwick, K. (2005). Health needs assessment at a glance. [www].Available at: http://www.nice.org.uk/media/150/35/health_needs_assessment_a_practical_guide.pdf. [Accessed 23rd October 2013].
Child and Maternal Health Observatory. (2013). Child health profile. [www]. Available from: http://www.chimat.org.uk/resource/item.aspx?RID=120013 [Accessed 20th October 2013].
Child and Maternal Health Observatory
Cole T.J, Freeman J.V, Preece M.A. (1998). British  1990  growth reference  centiles for weight,  height,  body mass  index  and  head  circumference fitted  by maximum penalized likelihood. Statistics in Medicine. 17: 407‐29
Department of Health (1999)
Department of Health. (2009). The Healthy Child Programme 0-19. [www]. Available from: https://www.gov.uk/government/news/supporting-partnership-working-for-delivery-of-healthy-child-programme. [Accessed 26th October 2013].
Department of Health. (2010). Tackling Health Inequalities: 10 Years On: A review of developments in tackling health inequalities in England over the last 10 years. London: The Stationary Office.
Department of Health. (2012). Measuring child poverty: A consultation on better measures of child poverty. London: The Stationary Office.
Department of Health
Field, F. (2010). The foundation years: preventing poor children becoming poor adults. [www]. Available from: http://www.bristol.ac.uk/ifssoca/outputs/ffreport.pdf. [Accessed 20th October 2013].
Foresight Report (2007)
Garnham, A. (2012). Child Poverty Action Group: Ending Child Poverty by 2020. [www]. Available from: http://www.cpag.org.uk/sites/default/files/CPAG-Ending-child-poverty-by-2020-progress-made-lessons-learned-0612_0.pdf. [Accessed 13th April 2014].
Hall. D, Elliman. D. (2003). Health For All Children: Revised 4th Ed. Oxford University Press: New York.
Harrow Council (2010)
Harrow Council (2013). Homelessness Strategy Harrow. [www]. Available from: http://www.harrow.gov.uk/www2/documents/s106489/HCR%20-%20Appendix%203%20-%20Homelessness%20Strategy.pdf. [Accessed 17th April 2014].
Harrow Council (2014). Harrow’s unemployment figures drop below London average. [www]. Available from: http://www.harrow.gov.uk/news/article/19/harrow%E2%80%99s_unemployment_figures_drop_below_london_average. [Accessed 14th April 2014].
Hawtin. M, Percy-Smith. J. (2007). Community Profiling: A practical guide. Open University Press: England.
Holden, R.J. 1991: Responsibility and autonomous practice. Journal of Advanced Nursing. 16(4). p. 398–403.
Houston. A, Clifton. J. (2001). Corporate working in health visiting: a concept analysis. Journal of Advanced Nursing. Volume 34 (3). p.356–366.
Hunsberger
Hunt. R. (2009). Introduction to community-based nursing. 4th ed. Wolters Kluwer Health/Lippincott Williams & Wilkins: Philadelphia
Institute of Race Relations (2014)
Joint strategic needs assessment. (2010). Health and social. [www]. Available from: http://www.harrow.gov.uk/info/100010/health_and_social_care/130/harrow_s_joint_strategic_needs_assessment. [Accessed 20th October 2013].
Joint strategic needs assessment (Refreshed). (2013/14). Children and young people – Harrow. [www]. Available from: http://www.harrow.gov.uk/info/100010/health_and_social_care/130/harrow_s_joint_strategic_needs_assessment/2. [Accessed 20th April 2014].
Lumeng. J. (2005). What can we do to prevent Childhood Obesity? [www]. Available from: http://www.zerotothree.org/child-development/health-nutrition/vol_25-3b.pdf. [Accessed 20th April 2014].
MEND Programme (2008). Mind, Exercise, Nutrition…Do It! [www]. Available from: www.mendprogramme.org. [Accessed 20th April 2014].
National Obesity Observatory (2010)
National Obesity Observatory (2011). A simple guide to classifying body mass index in children. [www]. Available from: http://www.noo.org.uk/uploads/doc/vid_11601_A_simple_guide_to_classifying_BMI_in_children.pdf. [Accessed 17th April 2014].
NHS Information Centre (2010). [www]. National Child Measurement Programme: England, 2009/10 school year. Available from: http://www.ic.nhs.uk/webfiles/publications/003_Health_Lifestyles/ncmp/NCMP_2009-10_report.pdf. [Accessed 20th April 2014].
Office For National Statistics. (2011). Harrow Council. [www].Available from:http://www.harrow.gov.uk/info/200088/statistics_and_census_information/496/census_2011-detailed_results_and_reports. [Accessed 20th October 2013].
Palmer, G. (2011). The poverty site. [www.] Available from: http://www.poverty.org.uk. [Accessed 24th October 2013].
Redsell, S.A, Atkinson, P, Nathan, D, Siriwardena, A
Rudolf, M. (2009). Tackling Obesity through the Healthy Child Programme: A Framework for Action. Available from: http://www.noo.org.uk/uploads/doc/vid_4865_rudolf_TacklingObesity1_210110.pdf. [Accessed 18th April 2014].
Sloan. S, Gildea. A, Stewart. M, Sneddon. H, Iwaniec. D, (2008). Early weaning is related to weight and rate of weight gain in infancy Child: Care. Health and Development. Vol. 34 (1), p. 59–64, January 2008, Wiley-Blackwell
.
Stettler.N. et al (2002). Infant weight gain and childhood overweight status in a multicentre, cohort study. Pediatrics. 109: p. 194 - 199.
Summers A, McKeown, K
Swanton. K. (2008). Healthy Weight, Healthy Lives: A toolkit for developing local strategies. London: Faculty of Public Health.
Renfrew
Twinn. S, Cowley. S. (1992). The Principles of Health Visiting: A re-examination. London: HVA/United Kingdom Standing Conference.
Waldfogel, J
Weng, S., Redsell, S.A, Nathan, D Swift, J.A, Yang, M, Glazebrook, C. Developing an algorithm to estimate overweight risk in childhood from predictors during infancy. Paediatrics (Accepted for publication), 2013.
Weng, S.F., et al
Weyermann. W, Rothenbacher. D, Brenner. H. (2006). Duration of breastfeeding and risk of overweight in childhood. A prospective birth cohort from Germany. International Journal of Obesity. 30, 1281 – 1287.
Wijga A, Scholtens S, Bemelmans W, de Jongste J, Kerkhof M, Schipper M, et al. (2010). Comorbidities of obesity in school children: a cross-sectional study in the PIAMA birth cohort. BMC Public Health. 10(1):184.
Continue Reading

Please join StudyMode to read the full document

You May Also Find These Documents Helpful

  • Essay on Health Needs Assessment
  • Health Needs Assessment Reading Essay
  • Family Health ASSESSMENT Essay
  • Essay about Family Health Assessment
  • Family Health Assessment paper
  • Community Health Assessment Essay
  • Health Assessment Essay
  • Essay about Health assessment

Become a StudyMode Member

Sign Up - It's Free