National Service Framework Essays

National Service Framework Essays National Service Framework Essay National Service Framework Essay Even with medical advancements and increased life expectancy, Diabetes remains the worlds 5th leading cause of death and the number of sufferers is said to be increasing. The health profile of Medway shows no significant difference compare to England average. It is probable that improved preventative measures should be developed. For instance whilst the overall population of Medway and Kent is predominately white, some parts of the county (particularly in the north) are more ethnically diverse. Therefore hospitals should apply policies which reflect these ethnic variations across the county. Understanding such differences enables healthcare and health promotion messages to be targeted in appropriate ways (Kent and Medway public health observatory NHS 2008). The (DoH) (2008) points out that the health profile of England shows some recent improvements in a number of critical areas for example declining mortality rates in targeted killers such as cancer and circulatory diseases. However similar successes cannot be attributed to research on diabetes, and the rates continue to rise. Although surveys can provide a useful guide, for instance a survey by the department of health drew a connection between a high prevalence of diabetes and population with greater obesity levels. In April the Secretary of State for Health launched Putting Prevention First, which set out plans for the NHS to deliver a national programme of vascular checks for everybody aged 40-74. This ambitious programme will, for the first time, carry out a systematic, integrated risk assessment of those members of the population who are most at risk and who, according to the evidence, have the biggest opportunity to benefit. Five Years on Delivering the Diabetes (NSF) (2008). When the National Service Framework standards were first published in 2001, only around 1.3 million people were diagnosed with diabetes, and it was thought that around a million had diabetes without knowing it. Since then, the Quality and Outcomes Framework (QOF) has rewarded GP practices for the identification and treatment of people with diabetes in their area and consequently there are now almost 2 million diabetic adults recorded on practice registers. This means that around 600,000 people have been diagnosed in the last five years equivalent to 2,000 a week and are now benefiting from the support they need to manage their diabetes (NICE 2009). Care planning is a key part of managing long-term conditions, and its importance has been stated in a number of major policy documents. The final report of Lord Darzis, NHS Next Stage Review, High Quality Care for All, stresses that, over the next two years, everyone with a long-term condition should be offered a personalised care plan. In February 2008 the National Diabetes Support Team (2008) produced its guide to implementing care planning in diabetes Partners in Care and is also working with Diabetes UK and other key partners to determine ways to support the NHS in embedding the principles of care planning into the delivery of diabetes services (NSF 2008). It has been reported that Primary care is getting better at managing diabetes and one of the outstanding achievements of the Quality and Outcomes Framework is the rising numbers of diabetics receiving essential tests and measurements (for example, blood pressure and cholesterol). And better still the results of those tests have also indicated health improvements, however it is important to note, that the 2005/6 National Diabetes Audit found that not everyone is receiving every care process that they need indicating that we still have some way to go. Its also vital that the person with diabetes is provided with as much information as possible prior to their appointment, to help them use their time with the healthcare professional as well as possible. This was a theme of the final report of the NHS Next Stage Review, which acknowledged that too few people have access to information about their own care (NSF 2008). Services  There are many innovative strategies that authorities can adapt to meet the needs of different sections of the community. In Kent the community diabetes nursing team give continued care and advance throughout all stages of diabetic suffering. The team educate those newly diagnosed with type 2 diabetes in clinic and group settings across Medway and Swale and also run group sessions for those who need to start insulin, usually via the telephone triage system, based at Parkwood Health Centre. Home visits for the housebound are undertaken, as are visits to patients in the community and mental health wards, residential and nursing homes and Prisons. The Community Diabetes Nursing team undertake the following a wide range of duties providing in-depth advisory and educational support. National Frame work  This National Service Framework (NSF 2005) for Long-term Conditions is a key tool for delivering the governments strategy to support people with long-term conditions aiming to build on proposed changes in NHS management and commissioning to bring about a structured and systematic approach to delivering treatment and care for people with long-term conditions to improve health outcomes for people with long-term conditions by offering a personalised care plan for vulnerable people most at risk; to reduce emergency bed days by 5% by 2008 through improved care in primary care and community settings for people with long-term conditions; to improve access to services, ensuring that by 2008 no one waits more than 18 weeks from GP referral to hospital treatment, including all diagnostic procedures and tests. The (NSF 2005) fully supports the concept of choice set out in Building on the Best: Choice, responsiveness and equity in the NHS. This aims to ensure that all people have a choice of when, where and how they are treated from onset of illness until the end of life. Conclusion: This essay had shown a critical account of the health requirements of a patient suffering from a chronic medical condition highlighting the importance and the need of caring for a diabetes sufferer within the community. Mr Thompsons case had shown that as diabetic suffer and the problems he had with his foot. The appropriate treatment was essential in order to deal with his problem the involvement of a multidisciplinary team help to provide the necessary treatment to help Mr Thompson. Community Matron and the district nurse played an important role by acting on behalf of the patient who is suffering from a long term illnesses ensuring that the patient received the appropriate care they need formulating a care plan to help control his diabetes and tend to his foot ulcers. The risk of developing type 2 diabetes is know to increase with age, and may be due to people at an older age becoming less active, gaining weight tends to affects their mobility and weakening their circulatory system. The Department of Health recommend that measures can be taken to improve the lives of diabetics. Although diabetes currently cannot be immediately cured, by using medication and other therapies it can be controlled. However Foot problems that are caused by diabetes signify more patients are more likely to spend more time in hospital using up hospital resources which is can be very costly. NICE guidance recommends that regular review of patients feet should be undertaken by the care from a multi-disciplinary foot care team whose aim are to identify risk factors, (Armstrong et al 1998, Edmonds et al 2004) points out the importance of eliminating or prolonging the development of ulceration and can significantly reduce the incidence of complications and amputation. The governments aims are to support people with long-term conditions by delivering recommend changes that will help people with long-term conditions. There are services within the community that provide support and education for diabetes suffers In Kent the community diabetes nursing team play major role in this time service.