Residents of medical and care establishments
Communal establishments are those in which some form of communal catering is provided. There are a number of establishments included in this category including NHS homes, nursing homes, rehabilitation units and hostels, as well as Local Authority Care Homes and Independent Sector Care homes.
There are 156 communal establishments in Salford, with 5,251 residents. Of the 5,251 residents in these establishments1,604 reported having a long-term limiting illness50.The number of people in Medical or Care Home establishments is almost 4 times more likely to report a limiting long-term illness (85% within communal care establishments as compared to 22.5% of the general population.
Health of unpaid carers
It is widely acknowledged that carers also need to have their own health and social care needs assessed. In pursuing the development of supportive and palliative care at home and in the community, more attention needs to be paid to those who care for their relatives. The recent Census data highlights that a larger proportion of intense carers (those providing 20 or more hours of care a week) report ‘poor health’ as compared to carers who have less than 20 hours of caring responsibilities a week
People with mental health needs
A wide-ranging review of published research found that people with severe mental health problems are twice as likely to die early as the general population. Smoking, obesity and a lack of exercise all contribute to ill-health and potentially lead to avoidable death.
People with learning difficulties
It is well evidenced that people with learning difficulties have a greater variety of healthcare needs compared with the general population. However, many of their needs are unrecognised and unmet.
People with learning difficulties have higher mortality rates, partly related to the impairment, and partly due to social circumstances
People with LD have less uptake of screening, have additional problems in communicating symptoms, and will have poorer survival/delayed diagnosis of cancer than the general population (breast, cervical, testicular).
There are 40 people aged over 65 years with severe learning difficulties in Salford registered with the Learning Difficulty service. Problems experienced by these people, include early onset of dementia. It is estimated that two or three people with severe learning difficulties at any one time will have supportive and palliative care needs. This does not include people with moderate or mild learning disability whose needs are picked up through the general health services route.