Dave Mc Conalogue Tameside and Glossop GM PCT area Ruralurban Our population Fuel Poverty and its impact Background to issue Fuel Poverty in Tameside EWM in Tameside Identification of the fuel ID: 698771
Download Presentation The PPT/PDF document "Understanding the practices of Healthcar..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Understanding the practices of Healthcare Practitioners regarding fuel poverty in Tameside and Glossop; A qualitative study
Dave Mc
ConalogueSlide2
Tameside and GlossopGM PCT area
Rural/urban
Our populationFuel Poverty and its impact
Background to issueSlide3
Fuel Poverty in TamesideSlide4
EWM in TamesideSlide5
Identification of the fuel poor (FPH, 2006)
Engaging them in confronting their issue
Supporting them to assess available sources of help (Donaldson, 2000)‘Successes’ in Tameside and Glossop
GP LES: referrals from 3 (out of 42)
AWARM: approx. 25 referrals from HCP
The Role of Healthcare Practitioners (HCP)Slide6
Fuel poverty reduction and HCPs U
nder-researched
Limited methodological detailExperiences of HCP?Social determinants of health and HCPs
Wider literature base
UK studies lacking
Patients are comfortable discussing issues
HCPs focus on biomedical aspects of care
Experiences of HCPs?
What the Literature SaysSlide7
to explore community HCPs’ understanding and experiences of fuel poverty, and their perception of their role in supporting their patients to move out of fuel poverty
Research Aims and ObjectivesSlide8
GP and District Nursing from Tameside and Glossop area (5 GPs, 4 DNs)
9 Semi-structured Interviews
Digitally recorded and transcribedThematic Analysis
MethodologySlide9
Practitioner perception of patient pride
Perception that patients do not directly present social issues
How HCPs understand fuel poverty
How practitioners define fuel poverty
Understandings about the relationship between health and fuel poverty
How practitioners recognise patients living in fuel poverty
The environment where the patient is seen
Practitioner perception of importance of developing a relationship with the patient
Accessing help/support for patients living in fuel poverty
Practitioner sense of responsibility for tackling fuel poverty
The experiences that patients feedback to the practitioner
Practitioners understanding of their role in tackling fuel poverty
The practitioner’s personal experience with a service/organisation
Practitioner’s understanding of the local relevance of organisations
Practitioner understanding of my role as a GP Commissioner
Practitioner’s relationship with a service/organisation
Awareness of fuel poverty in patient populationSlide10
Defining Fuel Poverty:“It would be those people who needed to make a choice about the absolute money that they had and choosing to eat rather than to keep themselves warm.” (Sandra, GP)
The
link between fuel poverty and health
outcomes:
“I mustn’t have been provided with decent enough information to persuade me that it’s a big health issue... but if there’s a strong enough link between fuel poverty and ill health, and that could be proven, then I certainly could integrate that into my practice…” (Elaine, GP)
Participant QuotesSlide11
Healthcare practitioner awareness of fuel poverty:
“
It’s not something I ever really come across. I really don’t think I’ve ever been on a household visit and thought ‘bloody hell it’s cold in
here’.”
(David, GP
)
Recognising patients living in fuel poverty:
“
And the only reason I found out was that I went on a home visit and the house was freezing in winter, and I asked the lady if she had trouble
paying
for her heating” (Swapna, GP
)
Participant QuotesSlide12
Perceptions about patient pride:
“I think a lot of the proud elderly might not do (accept they are living in fuel poverty), because a lot of the elderly you know they like to pay their way, they don’t like to be seen that they’re taking off the state.” (Anna, District Nurse)
“The initial concern when we were thinking about asking that as a sort of standard question, was that people might be offended by it. But, actually, I don’t think that we had any experience of that at all.” (Pam, GP)
Participant QuotesSlide13
Determinants of referral behaviour
Personal Relationship with organisation:
“Well, no, it’s just because I’ve had involvement with Age Concern in… I was involved in a Fall’s Programme, with health and Age Concern; I was involved in that. So I kind of know, with that, what kind of things they look into…” (Sharon, District Nurse
)
Positive experiences:
“…if you send a patient off and they come back and say ‘Oh, they did this, and they did that, and it was really useful’. It is that personal feedback that really, in a sense, personalises it, … I think that sort of personal feedback, is the most likely thing to generate further referrals.” (Pam, GP)
Participant QuotesSlide14
Evidence-based information to HCPs to make explicit to them the health outcomes associated with fuel
poverty.
Development of systematic approach to the identification of the fuel poor
as
an integrated part of the patient assessment process and appropriate health check procedures.
Processes and
initiatives to
aid HCPs to identify and deal with fuel poverty, need to be led and supported by HCPs.
Fuel poverty reduction services
to
build relationships with HCPs at team and practice meetings, or road-show events.
RecommendationsSlide15
Only 9 interviews across two professional groups – Data saturation?Participants largely self-selecting – more likely to be engaged?
Transferability to other professionals
Pre-interview swotting-up
Limitations of ResearchSlide16
NHS and Local authority cutsLocal services scaling down
The Green Deal
Energy companies
What happens next?