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Ageing Health Care Public Health

Epidemiology of multi morbidity volume 2

A question rolled into my inbox from a senior clinician I know. It’s here “Do you have a few killer facts about: • Prevalence of LTCs, trends over last 5 years and predictions for next 5 years? • Ditto prevalence of multi morbidity • Ditto healthy life expectancy.. We have all sorts of conflicting stories […]

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Ageing

Reframing ageing

Reframing ageing This is the full version. The shortened version is on the NHSE website. 1. Introduction Many have written on the error of the unending hyperbole of “ageing tsunami” or “the ageing population spells doom for health and social care”, and why our wrong narrative on this matters and does harm. This view takes […]

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Accountable Care Ageing Health and Social Care Prevention

Children, healthy ageing and the opportunity in the transformation of health and social care.

I read this amazing blog last week, partly focused on on the marginalisation of the children’s agenda in the STP landscape. Building communities with resilient children at their hearts | The Nuffield Trust https://www.nuffieldtrust.org.uk/news-item/building-communities-with-resilient-children-at-their-hearts …….Powerful words by Professor Sir Al Aynsley-Green argues that the UK now needs a long-term, coherent, cross-party ideology and overarching policies that […]

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Ageing Clinical Health Care Public Health Healthcare Reform Prevention

Ageing population lazy thinking for when you cant be bothered to understand the real issues

By me and Steve Laitner I’ve (GF)  blogged a lot on the myth that is the “demographic timebomb”, and set out a set of data and arguments to make up case argument wise. See references at the bottom.    Here are our collected summary thoughts on why getting the narrative wrong on this is harmful […]

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Ageing Clinical Health Care Public Health Prevention

Notes on the epidemiology of multi morbidity, and why it matters

Multi morbidity the new black.Well, it’s not really. But it’s one of the defining features of modern healthcare. And if you stick multimorbidity in a social context – with all its social complexity, it’s one of the defining features of contemporary health and social care.Given that, we know remarkably little about the epidemiology of it.Arguably […]

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Ageing Health and Social Care Healthcare Reform Prevention

Is it the ageing population, need, demand or supply that is causing pressure

  How much of the current NHS and social care pressure is due to ageing, other causes of population ill health, changing public demands, changing supply, or other issues. This is a question I keep being asked. I don’t know the answer. It is probably impossible to quantify precisely.My effort is a complex answer, it […]

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Ageing Health and Social Care Prevention Value

prevention – ultimately futile in broad economic terms as folk will likely live longer and get dementia….discuss….

I’m asked this a lot.  Depressingly it’s also expressed with increasing regularity that prevention is ultimately futile in broad economic terms as folk will likely live longer and get dementia….SighThis one crops up with depressing regularity.Today’s iteration was as follows:-“Some was telling me today that the more we prevent people stopping smoking then people stop […]

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Ageing Health and Social Care Health Care Public Health Prevention Value

The “it’s all about the ageing population” conundrum….where next……

The “it’s all about the ageing population” conundrum….where next…… This is a follow up to a previous blog: Is the ageing population is accounting for escalating health costs https://gregfellpublichealth.wordpress.com/2016/03/21/is-the-ageing-population-is-accounting-for-escalating-health-costs/ Some have said that we should find and case manage high cost patients. I’m not overly convinced that active case management of high cost / high need […]

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Ageing Health Care Public Health Prevention

Is the ageing population is accounting for escalating health costs

Apols if the pretty this haven’t come out on the site. Email me and I can send them to you Is the ageing population is accounting for escalating health costs  In short – partially at v v v bestI got asked the question on the extent to which I believe “the ageing population is accounting […]