Health Deprivation Fellowship Project Work Rajan

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Description: Health Deprivation Fellowship Project Work Rajan Nimalanathan Championing Health Inequality work PCN health inequalities lead Teaching within the PCN Identifying and engaging with community projects and individuals MDT network Teaching

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slide1. Health Deprivation Fellowship Project Work Rajan Nimalanathan<br>
slide2. Championing Health Inequality work PCN health inequalities lead

Teaching within the PCN

Identifying and engaging with community projects and individuals

MDT network

Teaching medical students and registrars<br>
slide3. Watford Council Health Hubs Working with Hertfordshire community engagement officers

Watford and Three Rivers Refugee Centre health outreach

Watford social housing healthy hub day

Health forum with EKTA group<br>
slide4. Watford Community bicycle Hub scheme Free Lessons and help accessing bicycles

Targeting vulnerable groups in the community e.g. SMI

Benefits of aerobic exercise on mental health well established

Economic benefits even more relevant in current economic climate

Enabling individuals<br>
slide5. Watford Community bicycle Hub scheme Challenges the Project faced

Poor foot-fall with service
Difficulty targeting appropriate people
Sustainability Interventions

Increasing GP awareness of service within PCN and beyond.
MDT community networking
Cycle hub welcoming day
Accurx templating<br>
slide6. Childhood Obesity – Beezee Bodies PCN education
EMIS search to identify eligible children >2yrs old with a BMI above 91st centile.
Targeted text message initiative Dedicated team of nutritionists and behaviour change experts to help make real, long lasting changes towards a healthier lifestyle. They run weight management and healthy lifestyle programmes for adults and families across the UK. Can we help? Results 74 out of 240 patients used the weblink and visited the webpage at least once. (31% click-through rate)
 8 form fills off the back of these visits. (11% conversion rate)<br>
slide7. Future work - Barbershop Hypertension Project What is the clinical need?

CORE20plus5
The proportion of adults in the population with untreated hypertension fluctuated between 11% and 14% from 2011 to 2019.
Higher prevalence and worse CV outcomes. After accounting for age, hypertension was highest among black Caribbean, black African and Pakistani adults and was lowest among adults from Chinese and Other white backgrounds.<br>
slide8. Background Los Angeles Barbershop BP study (LABBPS)

London South Bank University – Barbershop Hypertension case finding

Why Barber Shops?
Strong connections to community, people are seated for long periods, open long hours, barbers tend to be trusted by their regular customers and have longstanding relationships<br>
slide9. Barbershop Hypertension Project Training group of barbers to perform BP checks on customers over 40 who are not already on BP medication
Streaming positive cases into community pharmacy hypertension project<br>
slide10. ↵Gill PS, Kai J, Bhopal RS, et al. Health Care Needs Assessment: Black and Minority Ethnic Groups. (book auth.) Stevens A, Mant J Rafferty J. Health Care Needs Assessment. The epidemiologically based needs assessment reviews. Third series. Abingdon: Radcliffe Publishing Ltd, 2007.Google Scholar
↵Capuccio FP, Kerry S, Forbes L, et al. Blood pressure control by home monitoring: meta-analysis of randomised trials. BMJ 2004;329:145.Abstract/FREE Full TextGoogle Scholar

Victor RG, Blyler CA, Li N, Lynch K, Moy NB, Rashid M, Chang LC, Handler J, Brettler J, Rader F, et al. Sustainability of blood pressure reduction in Black barbershops.Circulation. 2019; 139:10–19. doi: 10.1161/CIRCULATIONAHA.118.038165<br>