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Health Equalities Framework (HEF)
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Health Equalities Framework (HEF)
Resources...
"The Health Equality Framework And Commissioning Guide | Ndti". Ndti.org.uk, 2013. Web. 10 Mar. 2016.
Atkinson D, Boulter P, Hebron C & Moulster G.The health equality framework (HEF): an outcomes framework based on the determinants of health inequalities. UK Learning Disability Consultant Nurse Network. 2013
Case Study Exercise
Video example
Would you use this in practice?
Five Determinants of Health Inequality
1. Social determinants
2. Genetic & biological determinants
3. Communication difficulties & reduced health literacy
4. Personal health behaviour & lifestyle risks
5. Deficiencies in access to and the quality of healthcare & other service provision
http://www.ndti.org.uk/uploads/files/The_Health_Equality_Framework.pdf
How the tool can help
Graphs highlight strengths and weaknesses in determinants
Can be used for - monitoring pre and post intervention
- gives an evidence base if referrals are needed
- highlighting who to allocate a patient to when managing nursing caseloads
- help guide health action planning
- empowering to service users, family and carers - could be used - during during transitioning of homes
Example graph
HEF
- An evidence based outcomes framework for people with learning disabilities
- Systematically developed
- Measures the impact of care and support in reducing / mitigating the impact of, exposure to determinants of health inequalities
- Launched March 2013
- It was developed following inquiries such as 'Death by indifference', 'Confidential inquiry into premature deaths' and 'Winterbourne'
- A free tool on microsoft edexcel was created eHEF - a database to monitor the difference that health professionals have made to outcomes
- Enabled HEF to build a profile around known determinants of health inequalities - 5 key areas
- Good quality data generated by the HEF can inform commissioners so that they can see where adjustments are needed.
- Essentially to show the difference that LD nursing can make!!