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This book provides an applied, interdisciplinary approach to an
understanding of the key social determinants of health, essential
at a time of increasing inequalities and reductions in existing NHS
services and local authority budgets. A person's health and
wellbeing is influenced by a spectrum of socioeconomic, cultural,
living and working conditions, social and community networks and
lifestyle choices. Based on the 'rainbow model' of the social
determinants of health, chapters from experts in a wide range of
disciplines examine the key factors which can lead to poor quality
of life, homelessness and reduced mortality. Featuring
practitioner, academic and commentator experiences, and clear case
studies, this book will enable researchers, front-line workers,
managers, service commissioners and politicians to identify and
employ the most appropriate health, social and economic
interventions to support those at the edge of the community, and
the promotion of their inclusion in society.
This book provides an applied, interdisciplinary approach to an
understanding of the key social determinants of health, essential
at a time of increasing inequalities and reductions in existing NHS
services and local authority budgets. A person's health and
wellbeing is influenced by a spectrum of socioeconomic, cultural,
living and working conditions, social and community networks and
lifestyle choices. Based on the 'rainbow model' of the social
determinants of health, chapters from experts in a wide range of
disciplines examine the key factors which can lead to poor quality
of life, homelessness and reduced mortality. Featuring
practitioner, academic and commentator experiences, and clear case
studies, this book will enable researchers, front-line workers,
managers, service commissioners and politicians to identify and
employ the most appropriate health, social and economic
interventions to support those at the edge of the community, and
the promotion of their inclusion in society.
The Government has not fully thought through the implications of
its social care reforms and may leave local authorities open to a
deluge of disputes and legal challenges. MPs and Peers warn that
without greater integration with health and housing, and a focus on
prevention and early intervention, the care and support system will
be unsustainable. The Committee also calls for a nationwide
campaign to educate people about the need to pay for their own
care, saying that adult care and support are poorly understood. Key
recommendations include: a new power to mandate joint budgets and
commissioning across health, care and housing, such as support for
the frail elderly, making it simpler for NHS and local Councils to
pool budgets; fast-tracking of care and support assessments for
terminally-ill people; new legal rights for young carers to protect
them from inappropriate caring responsibilities and ensure they get
the support they need; an obligation on the Secretary of State to
take into account the draft Bill's well-being principle when
designing and setting a national eligibility threshold; independent
resolution of disputes over decisions about care and support - and
costs that count towards the cap - through a Care and Support
Tribunal. In addition, the Committee makes a number of
recommendations to improve health research and the education and
training of NHS workers. The Committee also warns that restricting
support and care to those with the highest levels of need will
simply shunt costs into acute NHS care and undermines interventions
to prevent and postpone the need for formal care and support.
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