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Student Health Needs Assessment. Dr Elizabeth Orton Lecturer and Specialty Registrar in Public Health, NHS Nottingham City. What is a health needs assessment?. Nottingham Student Health Needs Assessment. Who is at risk and why The level of need in the population

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Student health needs assessment

Student Health Needs Assessment

Dr Elizabeth Orton

Lecturer and Specialty Registrar in Public Health,

NHS Nottingham City



Nottingham student health needs assessment
Nottingham Student Health Needs Assessment

  • Who is at risk and why

  • The level of need in the population

  • Current services in relation to need

  • Projected service use – next 3/5 years

  • Evidence of what works

  • User views

  • Unmet needs and service gaps

  • Recommendations for commissioners


  • Who is at risk and why

  • The level of need in the population

  • Current services in relation to need

  • Projected service use – next 3/5 years

  • Evidence of what works

  • User views

  • Unmet needs and service gaps

  • Recommendations for commissioners


What makes students different
What makes Students ‘different’?

  • Transitory

    • Live at ‘home’ and ‘uni’

    • Continuity of support networks

    • Re-registering with the GP



STIs

TB

Meningococcal

Meningitis

Measles

Hepatitis A

Mumps

Rubella



  • Who is at risk and why

  • The level of need in the population

  • Current services in relation to need

  • Projected service use – next 3/5 years

  • Evidence of what works

  • User views

  • Unmet needs and service gaps

  • Recommendations for commissioners


Significant part of nottingham s population
Significant part of Nottingham’s population

  • 58,499 university students in 2009/10

  • 19% of the population


Accommodation
Accommodation

  • Concentrated

G32

G34



Mental health
Mental health

  • Leeds University needs assessment

    • 20% to 30% of undergraduate full-time students above the clinical cut off for requiring counselling

      • Financial concerns

      • Additional paid work pressures

      • Social support

      • Disadvantaged socio-economic background




Counselling services
Counselling services

  • RCP report 2011

    • Expect 4% of students to use counselling

  • 2009/10

    • 1541 students/staff seen by University of Nottingham (4.05%)

    • 779 students seen at Nottingham Trent University (3.7%)


Smoking
Smoking

  • Nottingham City residents (2011 Survey) 27.5% prevalence

  • Take up smoking at uni?

  • All recorded at registration?

  • Really have a lower prevalence?


Alcohol
Alcohol

  • Impact of Welcome Week – EMAS 50% increase


Drug use
Drug use

  • No local direct data

  • Mosaic suggests G32 and G34 more likely to take cannabis and cocaine


Healthy weight
Healthy weight

Nottingham City residents (2011 survey)

15.2% obese

30% overweight


Infectious diseases
Infectious diseases

  • Outbreak plans agreed

  • MMR catch up at UoN

  • All offered MenC

  • TB screening at UoN

  • Sexual health

    • Chlamydia screening (most common STI)

    • Sexual health screening (Chlamydia, gonorrhoea, syphilis, HIV)

    • C-card scheme


  • Who is at risk and why

  • The level of need in the population

  • Current services in relation to need

  • Projected service use – next 3/5 years

  • Evidence of what works

  • User views

  • Unmet needs and service gaps

  • Recommendations for commissioners


Unmet need
Unmet need

  • International students (and some UK!)

    • Unclear about how the NHS works

  • Lower smoking cessation uptake

  • Differences in City and County service provision

  • High alcohol consumption

  • Eating disorders (UoN)

  • Lack of ethnicity data

  • Lack of student-specific data


  • Who is at risk and why

  • The level of need in the population

  • Current services in relation to need

  • Projected service use – next 3/5 years

  • Evidence of what works

  • User views

  • Unmet needs and service gaps

  • Recommendations for commissioners


Recommendations
Recommendations

  • Establish links with NHS and Local Authority commissioners

    • Utilise expertise

  • Strengthen links with mainstream services

  • Monitor equity of services

    • TB screening

    • Eating disorders services

    • Sexual health, smoking cessation and alcohol treatment services (County/City)

  • Student-specific data in future?


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