#WeNurses - Thursday 29th November 2018 8pm (GMT Standard Time) Discussing the headlines: The north / south divide

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It seems that nursing, nurses and healthcare are always in the news - this is a new type of #WeNurses discussions that delves a little deeper into the headlines and gives you the opportunity to share what you think. 


A recent Guardian article (2018) outlined some interesting research around the "rise in early deaths from accidents, suicide, alcohol misuse, smoking, cancer and drug addiction in the north of England, deepening the north-south divide" The full article can be found HERE but the main points are:

  • Northerners aged 25 - 44 years old are 47% more likely to die from cardiovascular complications, 109% from alcohol misuse and 60% from drug misuse.
  • Between 2014 and 2016, 3,530 more men and 1,881 more women aged between 25 and 44 died in the north than in the south
  • Fatal traffic accidents are more common in the north than the south
  • Suicide among men, especially at ages 30-34, is significantly more common in the north than the south

This #WeNurses discussion aims to explore some of the following questions:

  • What are your thoughts on the new around the north / south divide and that there is a rise in early deaths in the north?
  • Is this news backed up by evidence and research? 
  • What implications does this have for nursing? 
  • What can be done to reduce the north / south divide? 





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 #WeNurses transcript

 
@WeNurses
29 November 2018 20:00
Hello and welcome to #WeNurses Tonight we are discussing the North / South divide ... initiated by this article >… https://twitter.com/i/web/status/1068233284470091776
@puncabigail53
29 November 2018 20:01
@WeNurses Hello???? #wenurses
@jnicolbham
29 November 2018 20:01
@WeNurses Hello #wenurses
@AgencyNurse
29 November 2018 20:01
Hello Teresa here #Wenurses
@LynneBowers2
29 November 2018 20:02
#WeNurses Know the data. Delighted @WeNurses twitter chat on the subject
@WeNurses
29 November 2018 20:03
@LynneBowers2 great to hear :D #WeNurses
@WeNurses
29 November 2018 20:03
@jnicolbham hello there #WeNurses
@WeNurses
29 November 2018 20:03
@puncabigail53 good evening :D #WeNurses
@WeNurses
29 November 2018 20:04
Question 1 for those that missed it #WeNurses
@snavemarc
29 November 2018 20:04
Hello ?? #wenurses
@AgencyNurse
29 November 2018 20:06
here are some headline points from the article Full link here > https://www.theguardian.com/uk-news/2018/oct/30/north-south-divide-in-early-deaths-deepening-study-finds?CMP=share_btn_tw #WeNurses https://t.co/5q7VqoAV5Q
@WeNurses
29 November 2018 20:06
#WeNurses
@WeNurses
29 November 2018 20:06
@snavemarc hello and welcome #wenurses
@jnicolbham
29 November 2018 20:07
@WeNurses Should have added #wenurses
@Deanerl_SW
29 November 2018 20:08
RT @WeNurses: #WeNurses https://twitter.com/jnicolbham/status/1068234735200215040
@WeNurses
29 November 2018 20:10
It does indeed and here it is > https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(18)30177-4/fulltext#seccestitle130 #WeNurses
@jnicolbham
29 November 2018 20:14
@WeNurses Yes we should #wenurses How ever we also need to be aware that #disparities in #mortality are not just a… https://twitter.com/i/web/status/1068236900765437952
@AgencyNurse
29 November 2018 20:16
spot on #WeNurses
@johnwalsh88
29 November 2018 20:16
RT @LynneBowers2: @AndyBurnhamGM @russells70 @fisher0606 @PHE_uk @RichardatKF @johnwalsh88 @KayBurley @NEF @jrf_uk @theRSAorg #WeNurses Nor…
@AgencyNurse
29 November 2018 20:16
@Claire_Advanced do you think many nurses are aware of this ?? #WeNurses
@WeNurses
29 November 2018 20:17
#WeNurses an excellent point
@AgencyNurse
29 November 2018 20:17
@jnicolbham @WeNurses a really good point - often disparities can be very local ... all stuff we need to be aware of #WeNurses
@LynneBowers2
29 November 2018 20:17
#WeNurses Q2 Why is it important @WeNurses know? See our colleagues in Canada and Ireland, the breadth of UK Nursin… https://twitter.com/i/web/status/1068237651579412481
@WeNurses
29 November 2018 20:18
A great suggestion #WeNurses
@WeNurses
29 November 2018 20:18
RT @LynneBowers2: #WeNurses Q2 Why is it important @WeNurses know? See our colleagues in Canada and Ireland, the breadth of UK Nursing role…
@jhaywoodcollett
29 November 2018 20:19
RT @WeNurses: A great suggestion #WeNurses https://twitter.com/jnicolbham/status/1068237507907727360
@LynneBowers2
29 November 2018 20:20
#WeNurses @WeNurses Yes these issues can be hyperlocal. There is a reason people drink or drug themselves to oblivi… https://twitter.com/i/web/status/1068238299653963776
@WeNurses
29 November 2018 20:20
RT @LynneBowers2: #WeNurses @WeNurses Yes these issues can be hyperlocal. There is a reason people drink or drug themselves to oblivion htt…
@WeNurses
29 November 2018 20:21
A great question .. thoughts ? #WeNurses
@jnicolbham
29 November 2018 20:22
@AgencyNurse @WeNurses Gettimg out and knowing your local community is so important, both for #wenurses working in… https://twitter.com/i/web/status/1068238792874700800
@WeNurses
29 November 2018 20:22
Good point Abigail ... so what would that look like ? #WeNurses
@jnicolbham
29 November 2018 20:23
@LynneBowers2 @WeNurses Having a non judgemental approach is so important #wenurses
@AgencyNurse
29 November 2018 20:24
Well all of those are right up our street surely ?? We have so much opportunity regarding prevention ... it comes back to being aware and making every contact count #Wenurses https://twitter.com/WeNurses/status/1068238680995889152
@AgencyNurse
29 November 2018 20:24
#WeNurses https://twitter.com/Claire_Advanced/status/1068238897593892867
@AgencyNurse
29 November 2018 20:24
RT @jnicolbham: @AgencyNurse @WeNurses Gettimg out and knowing your local community is so important, both for #wenurses working in hospital…
@WeNurses
29 November 2018 20:24
RT @jnicolbham: @LynneBowers2 @WeNurses Having a non judgemental approach is so important #wenurses
@WeNurses
29 November 2018 20:25
#WeNurses https://twitter.com/Claire_Advanced/status/1068236198219522049
@LynneBowers2
29 November 2018 20:25
#WeNurses So important. First our generic moves from patriarchal to person centred and from biomedical to holistic care. And genuine system partnership working to address wider determinants. @nhsalliance #HealthCreation For/by/of the commmunity. Control Contact Communication https://twitter.com/WeNurses/status/1068238654613671938
@WeNurses
29 November 2018 20:25
RT @LynneBowers2: #WeNurses So important. First our generic moves from patriarchal to person centred and from biomedical to holistic care.…
@ClaireLSutton
29 November 2018 20:28
Use the data to support your practice, but above all else treat your patients as individuals #WeNurses https://twitter.com/wenurses/status/1068238680995889152
@WeNurses
29 November 2018 20:28
RT @Claire_Advanced: Use the data to support your practice, but above all else treat your patients as individuals #WeNurses https://t.co/Fk…
@AgencyNurse
29 November 2018 20:29
@Claire_Advanced Love this - you are so right #wenurses
@puncabigail53
29 November 2018 20:29
@WeNurses Depends on the area of need. For example, suicide rates in men are very high so in turn we could promote early intervention or researching other ways of treatment that we may not be aware about? #wenurses
@LynneBowers2
29 November 2018 20:30
#WeNurses Bring your expertise , your whole self to work and to your community. Likely to be residents in the community served. So many assets and strengths in one professional. Liaise with colleagues who are experts in those fields. Advocate and influence policy at local level + https://twitter.com/WeNurses/status/1068238680995889152
@WeNurses
29 November 2018 20:30
#wenurses https://twitter.com/jnicolbham/status/1068240362471346177
@AgencyNurse
29 November 2018 20:31
RT @LynneBowers2: #WeNurses Bring your expertise , your whole self to work and to your community. Likely to be residents in the community s…
@WeNurses
29 November 2018 20:31
#Wenurses https://twitter.com/jnicolbham/status/1068240809231675392
@jnicolbham
29 November 2018 20:33
Useful blog post for @WeNurses #wenurses discussion on #healthinequalities #mortality and the #northsouthdivide focusing on targeted community input for people who are intensive users of services https://twitter.com/jnicolbham/status/1068231684464812034
@AgencyNurse
29 November 2018 20:33
@puncabigail53 @WeNurses great point Abigail - the data is there and we need to be aware of it but we should ensure that our focus remains patient centred #WeNurses
@WeNurses
29 November 2018 20:33
RT @jnicolbham: Useful blog post for @WeNurses #wenurses discussion on #healthinequalities #mortality and the #northsouthdivide focusing on…
@AgencyNurse
29 November 2018 20:33
RT @jnicolbham: Useful blog post for @WeNurses #wenurses discussion on #healthinequalities #mortality and the #northsouthdivide focusing on…
@WeNurses
29 November 2018 20:34
@jnicolbham thanks Jane #WeNurses
@WeNurses
29 November 2018 20:36
Q4 The research mentions alcohol & the disparity in mortality between north & south stating it contributes "to a large proportion of accidental injuries ...not only through traffic & cycling accidents, but also accidental falls" .. what implications does this have? #WeNurses https://t.co/uWEqBQh93l
@LynneBowers2
29 November 2018 20:36
#WeNurses @WeNurses liaise with experts on social media @AlysColeKing @Mental_Elf @professorgreen @salforddadz @russells70 https://twitter.com/puncabigail53/status/1068240562980093955
@WeNurses
29 November 2018 20:36
RT @LynneBowers2: #WeNurses @WeNurses liaise with experts on social media @AlysColeKing @Mental_Elf @professorgreen @salforddadz @russells7…
@ClaireLSutton
29 November 2018 20:38
My initial thought on that part is that it seems like generalised media scaremongering. It’s too vague a statement without full context. Too much generalisation. Eg that will be the case in a “party town” like Manchester/Newcastle but not so much in rural Devon. #WeNurses https://twitter.com/wenurses/status/1068242213027659776
@AgencyNurse
29 November 2018 20:38
Again something that nurses need to be aware of .... i think we can sometimes miss this link as we focus on things like liver damage etc ... i found it useful to be reminded of this #WeNurses https://twitter.com/WeNurses/status/1068242213027659776
@MaryDunningTU
29 November 2018 20:39
@Claire_Advanced Yes nurses need to be aware of disparities & causes but also able to recognise the strengths and instil hope #WeNurses
@LynneBowers2
29 November 2018 20:39
#WeNurses That the impact of excessive alcohol on health is wider than liver disease, cancer, violence. RTEs likely to impact on other individuals. Falls are expensive ! https://twitter.com/WeNurses/status/1068242213027659776
@WeNurses
29 November 2018 20:40
RT @LynneBowers2: #WeNurses That the impact of excessive alcohol on health is wider than liver disease, cancer, violence. RTEs likely to im…
@susan_bell1212
29 November 2018 20:40
RT @LynneBowers2: #WeNurses That the impact of excessive alcohol on health is wider than liver disease, cancer, violence. RTEs likely to im…
@AgencyNurse
29 November 2018 20:40
@LynneBowers2 absolutely - very well said ! #WeNurses
@LynneBowers2
29 November 2018 20:41
#WeNurses Affirming strengths within the individual. Someone to love Somewhere to live Something to do Something to hope for #Humanity https://twitter.com/marydunningtu/status/1068243049644470272
@AgencyNurse
29 November 2018 20:41
love this #WeNurses #whatmatterstoyou https://twitter.com/LynneBowers2/status/1068243557180473345
@WeNurses
29 November 2018 20:42
Q5 The research states "England’s centralist tradition has blighted successive generations, and without major structural change will continue to damage public health" what are your thoughts on this? #WeNurses https://t.co/eLSHDQhsLh
@jnicolbham
29 November 2018 20:42
@WeNurses Keep forgetting to say #wenurses
@WeNurses
29 November 2018 20:42
#WeNurses https://twitter.com/jnicolbham/status/1068243537454608384
@WeNurses
29 November 2018 20:42
@jnicolbham no worries - we got you :D #WeNurses
@AgencyNurse
29 November 2018 20:43
My thoughts ... i need to know more history to form an opinion ! #WeNurses https://twitter.com/WeNurses/status/1068243708515151872
@WeNurses
29 November 2018 20:44
Interesting point #WeNurses https://twitter.com/jnicolbham/status/1068244260342951939
@ClaireLSutton
29 November 2018 20:45
The research doesn’t say that. The journalist writing the article says that. It’s media buzz words. That said, it alerts the reader that politically focus on health should move from cure to prevention #WeNurses https://twitter.com/WeNurses/status/1068243708515151872
@LynneBowers2
29 November 2018 20:46
#WeNurses Generations have been blighted. 40% of children have unmet need. Structural change is in progress with devolved economies. @DHSCgovuk @TheKingsFund @NHSEngland @LGAWellbeing all messaging re Prevention #SignificantChange https://twitter.com/WeNurses/status/1068243708515151872
@LynneBowers2
29 November 2018 20:49
#WeNurses @StreetPastors doing good work? Would we walk by an unsteady person who wasn’t drunk? Social & cultural issue re acceptability of intoxication in public? https://twitter.com/WeNurses/status/1068244385551257600
@WeNurses
29 November 2018 20:49
more interesting points .. thoughts ? #WeNurses https://twitter.com/jnicolbham/status/1068245413361344513
@ClaireLSutton
29 November 2018 20:50
@LynneBowers2 @StreetPastors I know people with medical conditions that make them unsteady who have faced direct abuse from members of the public who have accused them of being intoxicated. #WeNurses
@jnicolbham
29 November 2018 20:50
@WeNurses Apologies #wenurses should have proof read my tweet first
@WeNurses
29 November 2018 20:51
Q6 What are you final thoughts re the disparity in mortality between north and south ? #WeNurses https://t.co/xbg9Iv0c3p
@MaryDunningTU
29 November 2018 20:51
@Claire_Advanced Nurses can ensure they make every contact count and be skilled in motivational interviewing #WeNurses
@ClaireLSutton
29 November 2018 20:52
@WeNurses Time consuming, but not time wasting. Prevention is better than cure #WeNurses.
@AgencyNurse
29 November 2018 20:52
I think it makes interesting reading ... however i think the point made earlier about knowing the data but still taking an individual approach to each person is important #WeNurses https://twitter.com/WeNurses/status/1068245975389663234
@WeNurses
29 November 2018 20:52
RT @MaryDunningTU: @Claire_Advanced Nurses can ensure they make every contact count and be skilled in motivational interviewing #WeNurses
@ClaireLSutton
29 November 2018 20:54
Final thoughts: it’s not just a north/south divide, but a rich/poor, old/young, male/female, poorly educated/highly educated etc etc divide. One article, or one study doesn’t provide enough evidence. I want more! ?? #WeNurses https://twitter.com/WeNurses/status/1068245975389663234
@ClaireLSutton
29 November 2018 20:54
@MaryDunningTU 100% agree with that. Every single patient encounter is an opportunity to make a positive difference. #WeNurses
@AgencyNurse
29 November 2018 20:55
@Claire_Advanced thanks Claire for being the critical voice in the room this evening .... you have really made me think :) #WeNurses
@LynneBowers2
29 November 2018 20:56
#WeNurses It makes me very angry! I think it’s South East vs the rest of the UK.And there is horrendous poverty & poor health camouflaged within SE data.The solutions are complex.A major change in the Citizen :Statutory sector compact.A major change in healthcare. #SocialJustice https://twitter.com/WeNurses/status/1068245975389663234
@jnicolbham
29 November 2018 20:56
@WeNurses There are many contributing factors, some local and some national, while #wenurses cannot address them all in our everyday interactions with people whether in hospital or in the community we can begin to make an impact. From small acorns mighty oaks grow ??
@Catheri84744251
29 November 2018 20:56
RT @MaryDunningTU: @Claire_Advanced Nurses can ensure they make every contact count and be skilled in motivational interviewing #WeNurses
@WeNurses
29 November 2018 20:56
RT @jnicolbham: @WeNurses There are many contributing factors, some local and some national, while #wenurses cannot address them all in our…
@WeNurses
29 November 2018 20:57
RT @LynneBowers2: #WeNurses It makes me very angry! I think it’s South East vs the rest of the UK.And there is horrendous poverty & poor he…
@WeNurses
29 November 2018 20:57
Thank you all for your tweets this evening #WeNurses
@jhaywoodcollett
29 November 2018 20:58
RT @jnicolbham: Useful blog post for @WeNurses #wenurses discussion on #healthinequalities #mortality and the #northsouthdivide focusing on…
@ClaireLSutton
29 November 2018 20:59
@WeNurses A pleasure as always #WeNurses
@WeNurses
29 November 2018 20:59
Join us next week to talk about "Double checking" #WeNurses next Thursday: Double checking - should we ? > https://buff.ly/2KmbmeF https://t.co/lDCIh3Pms9
@AgencyNurse
29 November 2018 20:59
RT @WeNurses: Join us next week to talk about "Double checking" #WeNurses next Thursday: Double checking - should we ? > https://t.co/8I…




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