Integrating Health Improvement and Prevention in UEC.
The Sentinel Event Effect describes how health improvement interventions may lead to behavioural changes in UEC services.
This has been demonstrated in the adjacent diagram.
Revisit Michael’s presentation, taking into account his wider determinants of health and risk factors. Click on the boxes to hear Michael’s thoughts.
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Transcript
I live in a rented flat near the city by myself. It’s cold and it's damp and I can’t really afford to put the heating on these days.
I used to work in a factory until six months ago - til I was made redundant. I miss the lads there, we used to have some laughs.
I haven’t found any work since I left, I don’t have any real skills or qualifications.
Transcript
Yeh, I’d consider myself to be pretty fit and well.
I have never thought about being in bad health until now.
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Transcript
I’m terrified now that my symptoms might mean I have lung cancer.
I don’t want to die, my grand-daughter is due in a couple of months.
Transcript
Well Michael, I’m happy to let you know that you don’t have lung cancer and your symptoms should improve with these antibiotics over the next couple of weeks.
But your smoking can put you at risk of lots of health conditions, including this chest infection you are experiencing today.
Have you ever considered trying to quit or cut down?
Transcript
Yeah, yeah I have thought about cutting down but I have never really known how to though.
I don’t want to end up here again if I can help it. I’d like you to put in a referral for me, thank you.
Transcript - (Risk factors)
We know that the most effective way of cutting down is with professional help and treatment.
We offer all of our patients the opportunity to speak to a specialist stop smoking advisor through their local team. Could I make a referral for you?
Transcript - (Wider determinants)
The social prescribing team could help you with your finances, employment and housing.
They might even be able to provide you with the links to your community and training opportunities?
Shall I ask them to also give you a call?
Transcript
I never knew there would be anyone who would be able to help me with things like that.
Yeh, yeh please, please do ask them to give me a call, I’d really appreciate it. Thank you!