A family is one of the strongest foundations of our societal structure; it binds different individuals with either blood ties or with the greatest bond of all, love. A family consists of different members, each with a separate position, and each member going out of their way to keep the rest safe and sound. Starting out a family can be a task however keeping in mind all the hardships of living in the modern society. With so many different kinds of health care concerns finding the best place to settle down and start out a family can be a menial task (Mindell et al. 2012).
One might question why something as beautiful and joyous as starting out a family can be a difficult task, but there are a lot of factors to look into before settling down in a cozy part of town. It is important to have a clear idea about what commodities an area is providing before growing roots there (Schluter et al. 2013). And out of all the different basic needs of live, health care is a vital one. It has to be considered that different places have their own unique policies and practices and the health care system of one place will rarely be the same as the other. Hence it is important to weigh out the pros and cons of the public health policies of different regions prior to planning of raisins a family in there (Schluter et al. 2013). This report will attempt to evaluate two different public health policies, contrasting the benefits with the pitfalls taking the example of a case study.
In the case scenario opted out for the assignment, a newlywed couple is planning to settle down and start their own little family. They plan to have a little boy first and follow it up with a little after a few years. However they are unsure of where they should settle while they have family ties in both Canterbury and Gravesend. They are looking for the best public health profile so that their little children will have the access to best health care at the time of need.
Prior to comparing the health profiles of two fast paced cities for the sake of this assignment it is important to divulge in some details of what a health profile is. Health profile is nothing but a health informative program in England. It provides an overview of the health services provided in different districts hinting at the quality and diversity of the services provided and also gives the residents a clear understanding of the health care services they are provided each year (Timmins and Ham 2013). A health profile also allows the local government to achieve a clear idea of the progress of the health services of concerned districts each year and make necessary decisions to improve the standards further. Hence we will compare the public health profiles of Canterbury with that of Gravesend to provide the best health service for the couple (Thomson et al. 2012).
The population of this beautiful city is approximately around 60000 and the health profile of this region is pretty appreciable. About 17% of the children in this city live in lower income families and the life expectancy in Canterbury is 7.4 years lower for men and 4.9 years lower for the women. The mortality rate in Canterbury is 244 deaths per year and the most of the deaths are due to smoking. The health priorities for the city includes reducing the rate of obesity in the children and adults, reducing the rate of alcohol abuse, improving breast feeding rates and reducing the levels of pregnancy smoking (Apho.org.uk, 2017).
Considering the rate of people living in deprived areas, the status for Canterbury is almost negligible. However the life expectancy for men is significantly lower than that of the women and that high rates of smoking in the men can be tantamount to that (Mindell et al. 2012). The status of early deaths due to inadequate treatment has significantly changed over the years for both the men and the women. The most improvement in the mortality rates has been in the cardiovascular diseases indicating that the cardiovascular care for the region has substantially improved. However the mortality rate for cancer however has not improved much (Care Quality Commission 2012).
Considering the racial inequalities in health care the stats arte varying, the latest annual report suggests the most of the hospital admissions were for the ethnic groups which was mainly due to emergencies rather than planned admissions (Calnan, Montaner and Horne 2005). The figure is closely competed by the admission stats of the Caucasians. The least of the emergency hospital stays were by the Chinese and black communities. It can be concluded that the communities that have the most emergency admissions are the most neglected and substandard help in the communities (Apho.org.uk, 2017).
Comparing the overall health standards with the whole of England, Canterbury health care services have improved significantly, especially in child care, pregnancy smoking, and obesity in adults, diabetes and sexually transmitted infections. All these areas show improvement when compared to that of the whole of England (Nelson 2011). However there are still room for improvement in health care sectors like obesity in children, alcohol addiction, suicidal tendencies, infant mortality and winter related deaths.
Comparing this district to Canterbury, the percentage of children living in low income families is higher than Canterbury at 20. The child obesity rate for this district is higher as well along with the mortality rate. The health care priorities for Gravesham include tackling smoking related deaths, tackling TB, tackling violence and crimes related casualties and improving the weight in the children (Robertson et al. 2010).
10% of the total population in Gravesham lives in deprivation, and the life expectant for both men and women have improved along the years but is still lower than the English average and the life expectancy gap for the women however is half of that of the men in Gravesham. The rate of early deaths have decreased significantly is grave sham as well, and the health care for cardiovascular disorders in Gravesham show the most promise in all of England (Schluter et al. 2013).
The rate of emergency admission is lesser in different groups communities is lesser compared to the England average. The most number of emergency hospital admission in the black community however, followed by the Asian communities. Taking into consideration the overall summary of health care services in Gravesham there surely are a lot of improvements made in the recent years however the conditions are not very promising yet (Apho.org.uk, 2017). The only significantly better health concern sectors when compared to the England average include reduced frequency of road kills and reduced frequency of sexually transmitted diseases. The popular health care concerns like smoking, obesity in both children and adults, crime related casualties and grave diseases like TB (Apho.org.uk, 2017). Hence there is long way for the district to go before it can achieve quality health care services offered to its residents.
The couple concerned with this assignment wanted to settle down in a region that can provide them the safest environment to start a family and raise their children. According to the comparison made above, the public health profile for Canterbury shows the most promise and is much safer than Gravesham. Hence it can be recommended to the couple to choose Canterbury for starting out a family (Thomson et al. 2012).
As mentioned above the prosperity and safe living experiences that Canterbury can provide will be comprisable if staying in Gravesham. The health profile for Canterbury is providing best of child health care and safe environment (Apho.org.uk, 2017). Where Gravesham needs to work on all this health concerns to attain a place where the residents can depend on the local health care authorities. It has the best health care for common health related concerns like diabetes, TB, cardiovascular diseases and the major health concern of this decade, obesity (Timmins and Ham 2013). The figures and statistics of Canterbury show how impressively they have changed the health care standards to achieve such astounding progress.
Considering the rate of early deaths due to cardiovascular conditions it is visible how Canterbury has managed to lower the rates than the average figure of England, where Gravesham has come higher than the England average (Apho.org.uk, 2017).
If we compare the life expectancy for men and women in Gravesham and Canterbury it is clear that the conditions are better in Canterbury significantly. It shows that the health care and lifestyle standards are much better in Canterbury as compared to that of Gravesham (Walsh et al. 2010).
Lastly, comparing the overall summary for health care in both districts it is clearly visible that Canterbury has improved care standards in a lot of health care sectors that is significantly better than the standards in the whole of England, while the profile for Gravesham shows little to no improvement at all with most health care concerns significantly worse than the England average (Ilson, White And Kaur 2006).
Conclusion:
Therefore, living and raising a family in the backward and crime ridden town of Gravesend will not be much favorable for the couple under consideration for this assignment and the couple is recommended Canterbury to settle down so that they can raise their children in a peaceful and safe environment.
References:
Apho.org.uk. (2017). Cite a Website – Cite This For Me. [online] Available at: https://www.apho.org.uk/resource/view.aspx?RID=171903 [Accessed 19 Apr. 2017].
Apho.org.uk. (2017). Public Health Observatories – Area: Gravesham CD. [online] Available at: https://www.apho.org.uk/resource/item.aspx?RID=50486 [Accessed 19 Apr. 2017].
Calnan, M., Montaner, D. and Horne, R., 2005. How acceptable are innovative health-care technologies? A survey of public beliefs and attitudes in England and Wales. Social Science & Medicine, 60(9), pp.1937-1948.
Care Quality Commission, 2012. The state of health care and adult social care in England in 2011/12 (Vol. 763). The Stationery Office.
Mindell, J., Biddulph, J.P., Hirani, V., Stamatakis, E., Craig, R., Nunn, S. and Shelton, N., 2012. Cohort profile: the health survey for England. International journal of epidemiology, 41(6), pp.1585-1593.
Nelson III, L.J., 2011. Rationing health care in Britain and the United States. J. Health & Biomedical L., 7, p.175.
Robertson, A., Cresswell, K., Takian, A., Petrakaki, D., Crowe, S., Cornford, T., Barber, N., Avery, A., Fernando, B., Jacklin, A. and Prescott, R., 2010. Implementation and adoption of nationwide electronic health records in secondary care in England: qualitative analysis of interim results from a prospective national evaluation. Bmj, 341, p.c4564.
Schluter, P.J., Spittlehouse, J.K., Cameron, V.A., Chambers, S., Gearry, R., Jamieson, H.A., Kennedy, M., Lacey, C.J., Murdoch, D.R., Pearson, J. and Porter, R., 2013. Canterbury Health, Ageing and Life Course (CHALICE) study: rationale, design and methodology. The New Zealand Medical Journal (Online), 126(1375).
Thomson, S., Osborn, R., Squires, D. and Jun, M., 2012. International profiles of health care systems 2012: Australia, Canada, Denmark, England, France, Germany, Iceland, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States.
Timmins, N. and Ham, C., 2013. The quest for integrated health and social care: a case study in Canterbury, New Zealand. London: The Kings Fund.
Walsh, D., Bendel, N., Jones, R. and Hanlon, P., 2010. It’s not ‘just deprivation’: why do equally deprived UK cities experience different health outcomes?. Public health, 124(9), pp.487-495.
WILSON, K., WHITE, M. and KAUR, S., 2006. A study of the levels of overweight and obese children in deprived and non-deprived areas in gravesham 2006.
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