As Britain ages amid austerity, more and more people will suffer from long-term health conditions. Obesity and diabetes are on the rise. Mental health problems are widespread. Tobacco and addictions are well-known killers. Each condition brings high costs, both financial and social. Meanwhile, budgets for the NHS, social care and public health are being squeezed. Despite this potential crisis, new opportunities are emerging to support both healthcare providers and the population. Advances in understanding will change how behaviour can prevent and mitigate ill health. Our approach to health must become more ‘social’. The Health of People – a report compiled by the Campaign for Social Sciences – investigates a range of ways to cut the cost of health interventions and to improve patient outcomes as well as ways of preventing people becoming patients. The report includes arguments for and case studies in favour of a more rounded, social science informed view of health and wellbeing. It concludes with an invitation to clinicians and policy makers to think outside the box of ‘care’ about the causes and prevention of ill health.
Self-Management of Illness and Long-Term Conditions
[Page 24]So far we have been considering strategies for preventing ill-health and promoting health and wellbeing among the general population and particular at-risk groups. However, as behaviour-related illnesses increase and the population ages, there has been a rapid increase in those with long-term health conditions. These require management by healthcare services, the people themselves and partnerships between those with long-term conditions and health and social care professionals.
According to the House of Commons Health Committee:
‘Effective management of long-term conditions (LTCs) is widely recognised to be one of the greatest challenges facing the 21st-century National Health Service. … Thanks to advances in the care and treatment of many common long-term conditions, a greater proportion of the ...