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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?. 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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  1. Student Health Needs Assessment Dr Elizabeth Orton Lecturer and Specialty Registrar in Public Health, NHS Nottingham City

  2. What is a health needs assessment?

  3. 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

  4. 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

  5. What makes Students ‘different’? • Transitory • Live at ‘home’ and ‘uni’ • Continuity of support networks • Re-registering with the GP

  6. May be from overseas

  7. Live in close proximity STIs TB Meningococcal Meningitis Measles Hepatitis A Mumps Rubella

  8. Health behaviours

  9. 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

  10. Significant part of Nottingham’s population • 58,499 university students in 2009/10 • 19% of the population

  11. Accommodation • Concentrated G32 G34

  12. Ethnicity

  13. 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

  14. Common mental health disorders

  15. Comparison with all Nottingham City residents

  16. 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%)

  17. Smoking • Nottingham City residents (2011 Survey) 27.5% prevalence • Take up smoking at uni? • All recorded at registration? • Really have a lower prevalence?

  18. Alcohol • Impact of Welcome Week – EMAS 50% increase

  19. Drug use • No local direct data • Mosaic suggests G32 and G34 more likely to take cannabis and cocaine

  20. Healthy weight Nottingham City residents (2011 survey) 15.2% obese 30% overweight

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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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