Community Health and Fitness No 5.2 - CCG - Priority No 2 Primary Prevention - Groups at Risk...?

"Primary Prevention" is the second priority suggested for the forthcoming (in 2013) Clinical Commissioning Groups - essentially doctors managing our local health service instead of  and in place of Primary Care Trusts which will go.

Strategically primary prevention should go hand in hand with Priority No1 Patient Self-management, ie with the discerning patient! So, what does "primary prevention" cover? In essence the issues are concerned with

•  a) life-style; and
• b) high risk groups.

The King's Fund Trust Report is less bulleted with this topic so I have used bullets to give emphasis on what I think I understand from the Report, namely :

• Life style which includes smoking of tobacco;
• Life-style which includes drinking of alcohol;
• Life-style which includes too little exercise;
• Life-style which includes too much food.

The groups at risk tend to be linked to one or more of the above: those who smoke, those who drink, those who are not physically fit, those who are obese, and unborn children. It seems that in a locality the latter group has some who are vulnerable because of the individual parent's life-style or condition.  

Community Health and Fitness No 5.1 - CCG - Priority No 1 Active support for Self-management

Almost all of the doctors in Kent (and the rest of the country) must be mulling over their future - from 2013 when the CCGs begin operations on behalf of their patients. What they will be mulling are the priorities of the CCG they are put in...?

Having dipped into the King's Fund Trust Report "Transforming our health care system - Ten priorities for Commissioners, I want to mull the creation of management scenarios for my future family life. Thus, responding to the notions being pushed by the writers of the report, is it possible for the layman to develop a life-style compatible with the new professional scenarios which may come about as a result of the report? 

Active Support for Self-management - the Report gives nine categories of health self-support programmes and mentions internet sourceable materials. It indicates the kind of support that exists and suggests the use of volunteers as a possible feature of delivery.
1 Patient and Carer Education Programmes

2 Medicines Management Advice and Support

3 Advice and Support about Exercise and Diet

4 Use of Telecare and TeleHealth to aid Self-monitoring

5 Pschological interventions (eg Coaching)

6 Telephone-based Health Coaching

7 Pain management

8 Patient Access to their own Records

9 Systematic training for GPs in consultation skills that engage patients.

I have mentioned examples of what are called above "Telecare" and "TeleHealth" in earlier posts (as "m-Health" so I was interested to see these mentioned in 4, 6 and (possibly) 8 above. I suppose that the above must be the basis of my self-development in self-help management!