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Social Audit... Research Findings - Local Services - Health and Well Being |
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As
can be seen in table 10, results from the 2001 census demonstrate
that by any measure the
health of the population in Treorchy fares considerably worse than
England or Wales as a whole. For example, the proportion of the
population who are permanently sick and the proportion of the
population who claimed to have had poor health during the last 12
months was approximately double the figure for England and Wales. Table
10: Key Health Statistics From the 2001 Census.
These
findings are not new as the South Wales Valleys have historically
suffered from high levels of poor health largely as a result of
the accidents and diseases associated with the mining industry.
Conventionally smoking and alcohol consumption and poor diet have
ensured high rates of heart and respiratory diseases. The Census
data underscores a need for high quality health services in the
area which is arguably greater than that in other areas. In so far
as the quality of local health services can be measured by
residents reported satisfaction levels the survey results show
that this need has largely been met. As can be seen from
Table 11, for each of the five categories of health care and
support services that respondents were asked to rate between 74%
and 90% of respondents gave ratings as excellent, good or
acceptable. Table
11: Respondents describing health and support services as either
excellent, good or acceptable.
However,
other aspects of the research findings indicate a number of
problems and gaps in provision. For example, a number of
individuals in Cwmparc clearly lacked faith in the quality of the
services provided by the local GP’s surgery. These views appear
to be largely based on communication difficulties with Asian
doctors in the local practise, but the way in which they are
articulated also points to a certain level of underlying racism in
the community:
“the
doctors are crap. My doctor is in Treorchy and they are brilliant.
My friend has to drive me though” “I
use this doctor but am not fussy on him” “It
would be nice to see a white doctor, this one is crap, some people
have actually died when he has just sent them home”
In
other focus groups some participants, although praising the actual
quality of medical care commented on the difficulties of actually
accessing this care as a result of travel difficulties. One
individual commented on this at length:
“we
have to travel if we need to go to the hospital. There is no help
with the travel. If you are an out patient then you have to book
an ambulance. I needed to go to hospital and was told to phone the
surgery. I ended up waiting for six hours after leaving messages
that there was a hospital bed waiting for me that I couldn’t get
to. Sometimes you can’t get an ambulance when there is an
emergency.”
Finally,
the research uncovered a clear demand for support, rehabilitation
and preventative services for drug and alcohol misusers. In the
section of the survey which asked respondents about health or
support services they would like to see developed
44% (the largest single category) identified drug and
alcohol services.
Conclusion 10: In common with other Valleys areas residents of Cwmparc,
Treorchy and Ynyswen clearly suffer disproportionately from poor
health. Although there are high levels of reported satisfaction
with health and support services, there are also reported
instances of communication difficulties with local GPs and
transport difficulties when accessing hospital treatment. There
appears to be a particular gap in provision of health services in
relation to drug and alcohol services.
Recommendation
8: That
the group seeks to develop active partnership arrangements with
local drug agencies in order to develop a pro-active system of
support alcohol and drug misusers together with a programme of
education aimed at the general population. This is a Valleys wide
problem and it may well be desirable to develop links with other
areas experiencing similar difficulties.
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