Student health needs assessment
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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

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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


What is a health needs assessment

What is a health needs assessment?


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


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


What makes students different

What makes Students ‘different’?

  • Transitory

    • Live at ‘home’ and ‘uni’

    • Continuity of support networks

    • Re-registering with the GP


Student health needs assessment

  • May be from overseas


Student health needs assessment

  • Live in close proximity

STIs

TB

Meningococcal

Meningitis

Measles

Hepatitis A

Mumps

Rubella


Student health needs assessment

  • Health behaviours


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


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


Ethnicity

Ethnicity


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


Common mental health disorders

Common mental health disorders


Comparison with all nottingham city residents

Comparison with all Nottingham City residents


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


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


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


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


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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