Professional Documents
Culture Documents
The aim of this workbook is to allow the student to develop an understanding of the
Community & Public Health Provision within the Trust areas which work in collaboration with
Kingston University & St Georges’ University of London.
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Ku Number : k2124451
Important Notes
Acknowledgement
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Adapted by Lucie Llewellyn and Mary Collins for the FdSc Nursing
Associate.
● To encourage students to identify health and social care provision e.g. the
voluntary / independent services and non-governmental services that exist
within local neighbourhoods to support communities.
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● Identify and analyse a subgroup of the population and consider a priority
health or environmental issue and current responses/services.
● Identify and appraise the roles and responsibilities of public/private/third
sector services and health and social care professionals responding to the
given group.
● Present their findings as a poster presentation and record their learning
journey in a workbook.
● Work effectively as a team to undertake activities to support the community
and public health activities within this study.
WEEK ONE
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HOW DO YOU UNDERTAKE A COMMUNITY STUDY?
1. A group of about 5 people will be identified for you with whom you can work.
2. Establish yourselves as a group using the knowledge and skills you have
recently developed. Identify a plan and the roles of the group members in
terms of what needs to be done. It might be necessary to elect a leader of the
group who could be responsible for ensuring that the work is shared out
equally.
3. You need to be aware of why you are doing the study. You need to focus
down on the key health issues, plus the provision of health and social services
in this part of the community and then how this affects the service user/client
or client group, be it through access, support or long term care.
4. Once you have decided what type of community study and who you are going
to base the study around, you need as a group to plan what information you
require and how you are going to get it. Remember that a community study
draws together key information in one place in a format that is useful to those
who are reading/hearing/seeing it.
5. There is a wide range of resources and sources of information available to
you to use. These are sources that provide statistics and measurements of
activity; for example; the census, the Department of Health (DH), local NHS
Trusts, CCGs, and their websites , local government agencies, local councils,
local newspaper, charities, voluntary organisations and the local library.
6. The other source of information is the data collected by visiting and talking to
different people, organisations, services, companies, institutions, small
businesses, churches, charities, going into shops and cafes.
7. Remember that people who might be able to help you might be very busy and
have limited time to spend with you. They do not have to spend any time with
you at all! They can say NO! However if you do obtain a positive response,
be courteous, acknowledge any help that you receive and try to make it worth
their while to co-operate with you.
● Enhances the skills that you require to work within the community.
● Can help you identify key individuals or influential groups within the
community that might be useful allies in the future.
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● Can help you to make decisions about how you can target your efforts to meet
the health care needs of individuals and groups of people in a meaningful
way.
GROUP ACTIVITY
The aim of this task is to familiarise yourselves with the area that you will be
working in. It is an opportunity for you to learn about the area in relation to the
health of the people who live here as well as helping you in your future
assignments.
COMMUNITY SURVEY – As a group walk around your allocated area and use your
skills of observation in collecting information (do not look at websites at this stage).
Wandering around the area will give you a general impression or overview. Keep
asking yourselves what is the impact of your findings on the health of the locals.
● What do you think are the key environmental issues/influences in the area?
● Look through the local papers within your locality. What do these suggest about
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successful life, whatever walk of life you are from. It has lots of green
areas like parks, a library in the centre of Kingston. Doctors surgery’s
and dentists are at walking distances.
● The local parks and conservation areas are positive influences on the
residents and will impact their health in a positive way. Closures of
library’s and leisure centres will have a negative impact on local
residents health as they will not be able to access these places which in
turn effects their health and wellbeing.
● Kingston is a place that I do feel safe in. The police are always patrolling
the area helping to make us safe. There's also support in place for youth
and young people who get into trouble like youth groups and support
groups for the families.
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WHO DO YOU THINK LIVES HERE?
● Who are you seeing as you walk around? What is the predominant gender?
● Do these findings change according to the time of day? Do the people in your
● Mornings, you see lots of parents and children on the way to school and
lots of students on the way to school, college and university as well as
adults on the way to work. This repeats mid afternoon when schools
finish. Early evening will be when you see all sorts of different adults on
the way home from work. These people look healthy in the area. This is
because there are lots of doctors surgeries and dentists, libraries and
leisure centres to keep people healthy, happy and a big hospital if
needed.
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● I determined this through all the support and services there are in
kingston but also there activities. For example we see lots of people
running and jogging or using the gym equipments in the park. This is all
made possible for residents of Kingston to be healthy and happy, with
all the services available to the residents.
WHAT HEALTH AND SOCIAL CARE SERVICES ARE PRESENT IN THE AREA?
● Do the premises seem accessible to all who may wish to use them? (consider
● Consider the diversity of the population including mothers with young children;
● Are the opening hours convenient? Are any groups disadvantaged by the
opening hours?
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these premises are generally easily accessible for people and their
respective needs.
● Look at the Department of Social Services and other statutory services in the
area.
● Why are the services you have listed important for the health of individuals and
families?
● Are there any adult education facilities in your area? What impact can they
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● There are adult education facilities around kingston. For example there
is an adult education centre just next to Kingston, in Surbiton, Holyfield
Road. Also there's another one down Richmond Road. It seems
Kingston has quite a few dotted about. These can help keep anybody in
Kingston maintain their health, whether this physical or mental and in
adults or children.
● Kingston has a wide range of cultures. These are all used to maintain a
healthy lifestyle. Churches and religious places of worship, education
centres and services, sports clubs, rules to follow and values.
etc) are in your area? What are the cultural aspects to maintaining a healthy
diet/lifestyle within your locality?
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● What leisure facilities are there in your area? Are they accessible and
affordable for your local population? (e.g. swimming baths, green gyms )
● Are there green (parks) or blue (rivers/sea) spaces in your area? Or how near are
the local green/blue spaces? How easy are they to get to?
Undertake as a team a city or rural nature walk – consider are these accessible?
Well kept?
Who is using them? Who is not using them? How does green/blue space effect
people’s health?
● The impact leisure centres have on the health of the population is huge.
Leisure centres help residents mental health and happiness, their health
and wellbeing. Not having a leisure centre in the vicinity has a bad
impact as people won’t be able to attend as easily, therefore impacting
people's mental health and happiness.
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● What kind of food shops do local residents have access to? Consider number of
local stores, large supermarkets, ‘take-aways’, ‘health food’ shops, and ethnic
grocery shops. Are these all healthy options? How easy or difficult is it for people
here to buy healthy foods?
● Do these shops/ stores have food labelling to define the nutritional content of the
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● Do these shops/restaurants stock free range/organic/fair trade products?
● Have you noticed any allotments in the area? Would you know how to apply for
one?
● The majority of shops, restaurants, bars and cafes sell free range,
organic or fair trade products. I did come across a few that did not
provide this (A few cafes in central kingston and one or two pubs too)
● There are one or two farmers markets in Kingston. There's one in the old
Market Town and one in Ham (just outside of Kingston) but these are
questionable as to whether they are any good or not. You will probably
come across better ones elsewhere.
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● The nearest allotments are in surbiton, tolworth and epsom, there aren't
any in the centre of Kingston. You can apply for a plot on the Kingston
Council website, but the waiting list is often full.
● Residents are encouraged to grow their own fruit and vegetables in this
area. Garden centres are available with tips on how to grow your own.
Closest is in Chessington, which is a 20min bus journey from Kingston.
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WEEK ONE - REFLECTION ABOUT THE COMMUNITY STUDY
Date:
Describe what happened within week one
In week one, we went out as a group and explored the local area. We walked around
the town centre as well as visiting the local park. eg richmond park and also around
kingston bridge
What (if anything) would you now do differently, faced with a similar
situation?
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outcome(s))?
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Week Two
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Now you and your group have a feel for the neighbourhood you are profiling
from week one activities, in week two you will be investigating factual
information about the community. Particularly, the health inequalities between
groups. By the end of week two , you should have identified a subgroup , their
priority issue , current services and gaps in service provision.
Activity 1.
Gather factual information in relation to the health of your neighbourhood and health
inequalities between groups. You will need to investigate Public health reports and
data produced by the local council, public health service, local commissioning groups
plans, and national resources. You may also wish to visit the local library can assist
you. You may wish to look at specific health issues, e.g., sexual health, obesity,
substance use, mental health, vaccine uptake, social isolation. However, also
consider specific diseases or environmental issues, e.g. pollution, cancer. There are
some short films you can watch together and consider the issue of sustainability,
particularly how the local issues are impacted by global issues.
The aim is you begin to build a picture of how various health, social, structural and
environmental issues coalesce and often have a higher impact on specific groups.
In Kingston, there is one deprived area which actually falls within 20% of the
most disadvantaged areas in the whole of the United Kingdom. It also falls into
the 20% of most deprived for income deprivation affecting Kingstons children.
Also around 8% of Kingston’s residents have extremely bad health. The
Cambridge estate was built in 1969, with 832 households, housing 1800
people.
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.8% in Kingston have bad health
68.5% of males at birth in Kingston have a healthy life expectancy
67.9% of females at birth in Kingston have a healthy life expectancy.
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Activity 2.
Identify specific groups within your population that are at high risk of health or social
issues.
e.g. refugees ( children or adults), homeless, young people, carers, elderly,
travellers, parents of children with disabilities, looked after children, children or adults
living with complex disabilities ( vision loss, hearing loss, physical loss)
Try to choose a group you know little about so you expand your knowledge.
The group I have chosen to focus on that is at high risk of health and social
issues is homelessness. There are a lot of homeless people in Kingston and
these people are at high risk of poor health and wellbeing. This is because
they lack necessities that are crucial to live a healthy life. These necessities
include somewhere warm to live, food to eat, somewhere to wash and water to
wash with and access to healthcare. Lastly, situations like this also help with
causing mental health problems and drug or alcohol abuse.
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Activity 3
Choose one specific group that you are focusing on and investigate their main health
issues, again you may look at online resources but also will find it useful to visit a
local service that responds to this groups needs e.g. faith spaces, community
groups, charities . You may need to book this visit for week three.
Please be specific in relation to factual information e.g. increased risk of XX
compared to general population.
Then choose one priority issue and state why this has been chosen.
Investigating the main healthcare issues for drug and alcohol abuse
People with drug and alcohol addiction problems have common issues which
can include homelessness and mental health problems. They are in the
category that are at higher risk of death than the general population. The main
issue with drug and alcohol abuse is homelessness. 41.1% of homeless
people in Kingston are drug addicts and 46% abuse alcohol. Drug and alcohol
abuse can also be connected to depression, rejection and anxiety.
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Activity 4
What have you read/watched that links health and environment?
• https://www.youtube.com/watch?v=DRvnEUV6QNk
• https://storyofstuff.org/movies/story-of-change/
The NHS is one of the biggest carbon polluters in the UK, being responsible for 21
million tonnes of CO2 each year - representing 25% of all public sector carbon
emissions in England. How might the NHS and we as individuals support
sustainability? Visit https://sustainablehealthcare.org.uk/
Read this policy;
http://www.sduhealth.org.uk/policy-strategy/what-is-sustainable-health.aspx
Watch these short films;
https://www.youtube.com/watch?v=FCAskWHuye8
https://www.youtube.com/watch?v=9GorqroigqM&vl=en
What do you think? Feel? How can we act together? And personally ? to improve
health but also sustainable healthcare.
The NHS has also adopted a greener NHS programme, which worked
with their staff, hospitals and partners. They agreed to build on the great
work being done by the trusts across the uk, sharing ideas on how to
reduce the impact on the environment and public
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BONUS ACTIVITY WEEK TWO Plan a trip to any of the locations in appendix 1, but
travel there imagining you are in a wheelchair – only travel and enter stations
through wheelchair accessible routes and consider the many issues people face.
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WEEK TWO - REFLECTION ABOUT HEALTH INEQUALITIES
Date:
Describe what happened in week two.
We visited the different supermarkets, fast food places and all varieties of
different foods that they provide to see how they promote healthy living.
What (if anything) would you now do differently, faced with a similar
situation?
We would have visited a local food bank and explore how they help
individuals in the community
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Describe what you have learned from this experience (learning
outcome(s))?
Developed a feel of the different atmosphere in different areas eg the different
parks and also have deepened knowledge of the different areas in Kingston
WEEK
THREE
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During week three, you are pulling together the information you have to date to
consider how we could better provide services to your chosen group. You will
investigate the current provision in your neighbourhood and how successful services
are at promoting the health and well-being of your chosen group.
Use this time to also visit services so you can discuss with service providers and
users some of their issues. If services are limited in your area, consider why and
take the opportunity to visit a service in another area which may better accommodate
this group.
Activity 1
Investigate all services and professionals that are available to this group that might
respond to the specific issue you have chosen.
What do these services provide? How are they seeking to promote the health and
well-being of this specific group?
Are these services accessible?
Are there gaps in service provision?
Do all professionals have sufficient knowledge of this group?
Please compare these services to other areas in the UK that may have better
provision.
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Activity 2
How would you improve service provision for this group? What evidence can you find
that would support improved provision or more integrated support?
The research we have put together over the last few weeks, shows that
residents of Kingston have good access to drug and alcohol help and support,
with great rehabilitation and even private clinics, which are staffed by excellent
professionals. Kingston does great work in this department, so it is quite
difficult to see where improvements can be made.
Problems though, arise as people with drug and alcohol problems have no
finances, so services needed for drug and alcohol abuse need to be free. The
NHS lacks sufficient enough government funding in this area of expertise and
is severely underfunded.
There are a very few charities who try to help drug and alcohol abuse like
rehabs and support, but the demand for this help massively outweighs the
support the NHS are capable of giving.
This appears that the only logical way of free drug and alcohol abuse support
would be for the government to realise how severe this problem is, not just in
Kingston, but the whole of the uk and to give the NHS more funding for them.
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You can see quite clearly the problems the NHS have with drug and alcohol
abuse. This is more transparent when you see the things nurses and doctors
have to deal with in relation to drugs and alcohol.
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Activity 3
Nurses must constantly be aware of opportunities to improve programmes and
services to better serve communities and population groups at increased risk of
illness, injury, premature death and disability.
As you put together your poster think about the knowledge you have gained over the
past three weeks about local communities. How might this impact your role as a
nurse? For example, when you are working with individuals and families what role do
you have, to connect them to local support services? Also, what role might you have
in the future to work with communities to develop new services that respond to
people’s health and social issues?
NOTE YOUR FINDINGS BELOW
Activity 4
As you put your poster together, consider how you will present the information, so
your colleagues are clear as to the focus, area, group and issue. Encourage all
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team members to be part of the presentation and develop the confidence to speak in
public. Reflect on how you worked as a team.
As a group, we all took a different question to answer for the presentation and
gathered the information needed. We worked well as a team, each of us spoke
and spoke clearly. I think we managed to get the drug issues in Kingston as a
whole across to the rest of the class and managed to answer relevant
questions afterwards clearly and confidently. The statistics gathered were
correct and specific to drug issues in Kingston. We managed to do a great
poster and put the relevant issues on it clearly. We worked well together as a
team and put together a whats app chat to pass relevant information on and
for supporting each other if needed.
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WEEK THREE - REFLECTION ABOUT GROUP IDENTIFIED
Date:
Describe what happened
What (if anything) would you now do differently, faced with a similar
situation?
We could have taken pictures in real life of the services instead of obtaining
pictures online
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Describe what you have learned from this experience (learning
outcome(s))?
APPENDIX 1
You may use this as a guide for recording your own hours. We will
require negative reporting only to be submitted via the standard
timesheet.
Day Total
Monday Tuesday Wednesday Thursday Friday Hours
worked
WEEK ONE
WEEK TWO
WEEK THREE
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7.5
Student signature________________C.Topliss___________
Date__________19/11/2021_______
APPENDIX TWO
Please see below some suggestions for team visits to explore how our healthcare
history has influenced our present and future technology.
Plus some ideas for considering how nature can support wellbeing in the city. Do
use your community profile activity as an opportunity to discover your own area.
Medicine Man
Here, you can find out how people have viewed the basics of life over the centuries –
birth, health, sex and death.
Explore a wide range of objects that includes a set of Japanese sex aids from the
1930s, a unique collection of votive offerings and some diagnostic dolls used by
women in 18th century China to show male doctors where they were feeling pain.
https://wellcomecollection.org/exhibitions/Weoe4SQAAKJwjcDC
Visit the Wall of Change to see a mural of objects and spaces reimagined by
participants and artists from Heart n Soul at The Hub, a research project led by
autistic people and people with learning disabilities.
Heart n Soul are thinking inclusively about alternative futures as part of their project’s
research into the value of difference. Their designs, created in collaboration with The
Helen Hamlyn Centre for Design, include can openers that work at a push of a
button and hospitals that you would actually enjoy visiting.
Feel inspired to choose something in your own life to change or redesign – sit down,
grab a pencil and paper and sketch or describe your idea. Then you can add it to the
wall or tweet it to #wallofchange for it to become part of Heart n Soul’s research.
https://wellcomecollection.org/exhibitions/XOVfTREAAOJmx-Uw
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Science Museum:Free
Tomorrow’s World brings you science news from every angle—from headline-
grabbing gadgets to full-on feature exhibitions on hot topics.
http://www.sciencemuseum.org.uk/visitmuseum/Plan_your_visit.aspx
http://langdondownmuseum.org.uk/
Foundling Museum
http://www.foundlingmuseum.org.uk/
Discover the story of how the first home for abandoned children was established
and went on to care for 1000s of babies and children.
http://www.florence-nightingale.co.uk/
http://www.wegoplaces.me/walks-near-london/
https://www.royalparks.org.uk/parks/richmond-park
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