These resources relate to improving care for people with pre-existing or long term illness, including Chronic Obstructive Pulmonary Disease and Hypertension, recognising that people with these diseases often have multimorbidities such as depression, arthritis and dementia.
The Agency for Clinical Innovation (ACI) has been commissioned to lead the implementation of two streams of the NSW Integrated Care Strategy - Risk Stratification and Patient Reported Outcomes/Experience Measures.
Risk stratification approaches support a focus on organising care to meet the needs of targeted patients and their carers, rather than organising services around provider structures. Early identification and selection of people at risk of poorer patient health outcomes will enable the provision of appropriate integrated care interventions and mitigation strategies.
This Action areas for consideration by ACI Networks document aims to support ACI Networks to deliver and/or enhance current and developing models of care to improve outcomes for people with neurodegenerative and neuromuscular conditions. It should be read in conjunction with the Diagnostic report.
Used to inform the work of the global Commission on Social Determinants of Health (CSDH), and builds on previous frameworks with a focus on action not just description as well as how the health system is a social determinant as well as socially determined.
This publication presents information from the 2006 Adult Literacy and Life Skills Survey (ALLS). The results from ALLS will assist in answering questions of whether Australians' literacy skills are adequate for the challenges they face in work and daily life.
The 2016 Boyer Lecture Series turns a critical eye towards health policy. Epidemiologist Professor Sir Michael Marmot discusses how social determinants such as birthplace and income can have a greater effect on our lives than access to healthcare.
A BBC story which discusses the different health outcomes for different socioeconomic groups in the UK. According to the article nationally, on average, a boy born in one of the most affluent areas of England will outlive one born in one of the poorest parts by 8.4 years.
Chapter 1 provides a conceptual framework for assessing how differential health outcomes might result among individuals and some groups in the population. Chapters 2-13 apply this framework to specific public health conditions and related risk factors such as cardiovascular disease, diabetes, alcohol, and tobacco use.
This report has been produced by the Institute of Health Equity and commissioned by the Health Foundation to mark 10 years on from the landmark study Fair Society, Healthy Lives (The Marmot Review).
The report highlights that: people can expect to spend more of their lives in poor health; improvements to life expectancy have stalled, and declined for the poorest 10% of women; the health gap has grown between wealthy and deprived areas; and place matters – living in a deprived area of the North East is worse for an individual’s health than living in a similarly deprived area in London, where life expectancy is nearly five years less.
The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK. This link features publications, an information video, infographics and other material exploring social determinants and ways to achieve a healthier society.
The UK health and care system has a critical role to play in improving health and care for people experiencing rough sleeping. Many people who sleep rough experience a toxic combination of struggles over personal safety, food, shelter and ill health that most of the wider population find difficult to truly understand. Overall, this group of people experience some of the worst health and care outcomes in the country. This report from the UK’s King’s Fund outlines the research and strategies to improve the health outcomes for people who are sleeping rough.
Miwatj Health Service is in Nhulumbuy (Gove) in the Top end of the Northern Territory. Miwatj is leading change to address the social determinants of health in East Arnhem. A Social Determinants summit was held in Darwin in May 2018 to establish a framework for planning, service delivery, evaluation and research for east Arnhem communities. Embedding Indigenous empowerment and individual development were the core tenants of interventions to improve social determinants, and to respond to their consequences in East Arnhem land.
This publication is intended to give policy advisers, policy entrepreneurs and those who work within health systems a better understanding of the key issues related to taking action on socially determined health inequalities.
In their report released in September 2019, PwC lays out five steps for bold action that organisations can take to lead in a world in which social determinants assume a more prominent role. The research is backed by results from a global survey conducted by PwC’s Health Research Institute, along with interviews with healthcare leaders and analysis of dozens of case studies.
As part of the RACP’s larger Employment, Poverty and Health project, the RACP has developed two documents in the area of social determinants: an evidence review and statement of principles. The project is being led by the Australasian Faculty of Occupational & Environmental Medicine.
Social prescribing moves beyond a strictly medical model for GPs and other primary care professionals to acknowledge that environmental and social factors such as loneliness, inadequate housing and financial stress have significant impacts upon an individual’s physical and emotional health. The model enables patients, whose health or mental health is affected by non-medical factors, to be referred to a range of community services that can assist people with these issues.
The findings of the report confirm that the cost of government inaction on the social determinants of health leading to health inequalities for the most disadvantaged Australians of working age is substantial.
The Health Foundation is working with Professor Sir Michael Marmot and his team at the Institute of Health Equity to examine progress in addressing health inequalities in England and propose recommendations for future action. While there has been progress in some areas since The Marmot Review was published in 2010, there is growing evidence that health inequalities are widening and life expectancy is stalling. In this video Professor Sir Michael Marmot and Dr Jennifer Dixon, Chief Executive of the Health Foundation, explain why this review is needed. The new report, Health Equity in England: The Marmot Review 10 Years On, will be published in February 2020, on the 10-year anniversary of the original review.
Sir Michael Marmot, Professor of Epidemiology and Public Health at University College London, was asked in 2008 by the then Secretary of State for Health to chair an independent review proposing effective evidence-based strategies to reduce health inequalities in England from 2010. The final report, 'Fair Society Healthy Lives', was published in February 2010.
This 2013 report from the Institute of Health Equity, by Matilda Allen, Jessica Allen, Sue Hogarth and Sir Michael Marmot, highlights the often under-used role health professionals can play in improving the conditions of people’s lives and reducing health inequalities.
Health in All Policies (HiAP) is a collaborative approach to improving the health of all people by incorporating health considerations into decision-making across sectors and policy areas. This manual brings together the arguments for a HiAP approach with practical suggestions for development at the local level.
The HSNet Service Directory is a comprehensive online list of services in NSW, listing detailed information about organisations across a variety of sectors including health, welfare, community, education, disability, aged care, legal, housing and more.
This clinical tool offers specific resources to help healthcare providers screen for and respond to poverty concerns in patient encounters, particularly when caring for underserved, vulnerable, and marginalised populations.
It is estimated three million Australians are living with anxiety or depression. Beyond Blue is an Australian independent non-profit organisation improving the lives of individuals, families and communities affected by issues associated with depression, suicide, anxiety disorders and other related mental health challenges.
Health Justice Australia is a national charity supporting health justice partnership. These collaborations between health and legal services embed legal help into healthcare teams and settings to address health-harming legal need. Operating in both hospitals and community health settings, health justice partnerships address everyday issues like mould in housing or money problems like fines and debt, through to more acute problems such as family violence, child protection and elder abuse.
Positive Life NSW works to promote a positive image of people living with and affected by HIV to eliminate prejudice, isolation, stigma and discrimination. Information and targeted referrals are provided and the organisation advocates to change systems and practices that discriminate against people living with HIV, their partners, friends, family and carers in NSW.
An Australian suicide prevention charity inspiring people to meaningfully connect and support those struggling with life. The charity states that you don't need to be an expert to reach out, just a good friend and a good listener. It provides simple and valuable tools for people to check in with those that might be struggling with life. It offers a 4 step conversation: 1. Ask R U OK? 2. Listen 3. Encourage action 4. Check-in
A women’s only safe space committed to providing a service that can support the psychological and emotional well-being of women through a range of counselling services, group programs and educational, information and referral services.
TACSI’s purpose is to create healthier, better lives for people by partnering with Australian and international organisations and communities to bring about social innovation and change. TASCI's work concentrates in four areas: disrupting disadvantage, furthering self-determination, redesigning ageing and activating social health to develop replicable approaches to social innovation.
Lymphoedema is a chronic swelling of a limb or body region and is associated with significant morbidity, loss of function and, on rare occasions, mortality. Poor management of lymphoedema can have detrimental effects on a person’s physical and psychosocial health. Pain and discomfort are frequent symptoms, and people with lymphoedema have increased susceptibility to acute cellulitis, requiring hospitalisation and antibiotic therapy.
The previous Chronic Disease Management Program has been aligned with the NSW Integrated Care Strategy. The new model, Integrated Care for Patients with Chronic Conditions reflects Commonwealth reforms and supports equitable access, comprehensive evaluation and local flexibility to ensure the needs of individual patients can be met.