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London Health Podcast

The London Health Podcast looks to tackle specific issues affecting health and care, so that we can make London the world’s healthiest city.

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  1. Homeless health
  2. Personality disorders
  3. Good Thinking
  4. #AskAboutAsthma

Homeless health

People experiencing homelessness are among the most vulnerable and isolated in our society, with the poorest health outcomes. Traditional systems of health and care often struggle to meet their needs. Consequently, they are more likely to die young, with an average age of death of 45 for men and 43 for women (ONS, 2019).

Healthy London Partnership works with our regional partners with the aim of improving access to healthcare and the capacity and capability of the system to respond to the needs of people who are homeless, to improve their health and reduce their hospital admissions.

Browse this playlist of podcast episodes exploring homelessness and health, produced by the Healthy London Partnership Homeless Health programme team.

Personality disorders

Personality disorders have been called the most misunderstood mental health condition. They have a legacy of confusion and controversy around diagnosis, language, what it means and how it impacts on individuals, even what they should be called.

Yet it is estimated that worldwide, around 8% of the general population report having complex emotional needs These figures rise to around 25% of people accessing primary care services and 50% accessing community mental health services will experience symptoms or behaviours related to the formally diagnosed.

This podcast series talks to people living with them – aiming to raise hope and understanding.

Good Thinking

Good Thinking supports Londoners to look after their mental health and wellbeing in a way that works for them. Since its launch in 2017, more than half a million people have used our digital service to tackle anxiety, stress, low mood, sleep problems and other concerns.

Their podcast series captures the thoughts, feelings, and experiences of Londoners directly or indirectly affected by coronavirus. They ask them about the approaches they are taking to stay mentally well and share with you top tips on what you can do to stay mentally healthy.

#AskAboutAsthma

The #AskAboutAsthma campaign encourages children and young people, their families, and those involved in their care, to ensure four simple and effective measures to help them control their asthma.

Their podcast below talks to people about their connection with the condition.


Understand personality disorders: Communications toolkit

Understand personality disorders: Communications toolkit

Personality disorders have been called the most misunderstood mental health condition. Now a team of people who have mental health and social difficulties commonly associated with a diagnosis of personality disorder, supported by Healthy London Partnership, is launching a campaign on Wednesday 25 May 2022 to raise awareness of a condition which affects an estimated 10-13% of the population, but which can result in rejection and stigma, rather than support.

The campaign centres on a series of podcasts, devised, produced and led by those with lived experience of personality disorder, to increase awareness and understanding, and raise hope regarding support and treatment options. In the first podcast, available from Wednesday 25th, three people diagnosed with personality disorders discuss what it is like to live with the condition.

On this page is a campaign toolkit including an article for your own publications/websites, a shorter article for websites and social media assets. The assets link to a web page which hosts the podcast and more information about personality disorders.

We hope you can use the resources on your own social media pages – using #UnderstandPersonalityDisorders – and with your own contacts and networks.

Learn more


Personality disorders: Increasing awareness and raising hope

Personality disorders have been called the most misunderstood mental health condition. They have a legacy of confusion and controversy around diagnosis, language, what it means and how it impacts individuals, and even what they should be called.

Yet it is estimated that worldwide, around 8% of the general population report having complex emotional needs These figures rise to around 25% of people accessing primary care services and 50% accessing community mental health services will experience symptoms or behaviours related to the formally diagnosed.

Jump to section

  1. About the campaign
  2. The importance of diagnosis
  3. Understanding personality disorders
  4. Further reading

About the campaign

Now a team of people who have mental health and social difficulties commonly associated with the diagnosis of ‘personality disorder’, supported by Healthy London Partnership, is launching a campaign to raise awareness of a condition which can result in rejection, distress, and stigma rather than support.

The campaign centres on a series of podcasts, devised, produced and led by those with lived experience, to increase awareness and understanding of the conditions, and raise hope regarding support and treatment options.

The importance of diagnosing personality disorders

Personality disorders can be difficult to diagnose, and in the past, there has been controversy as to how far treatment can help. Research and the voice of those who have accessed help have made it clear that mental health services can and should help people with personality disorders

Diagnosis can help make sense of the condition – both for the person and for their family and friends. But for others, it may result in feeling marginalised by health care services, family and community.

There is too often a lack of understanding of the various personality disorders, even among health professionals. There is a need for more training, better access to information and, for some, a mindset change when it comes to addressing the conditions.

The NHS Long Term Plan for Mental Health makes a renewed commitment to improve and widen access to care for children and adults needing mental health support. Crucially, this includes ensuring change is co-produced, from design to delivery – with people with lived experience.

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Personality disorders: Increasing awareness and raising hope

Understanding personality disorders

  1. What is a personality disorder?
  2. How many people are affected by personality disorders?
  3. What causes personality disorders?
  4. How are personality disorders diagnosed?
  5. How are personality disorders treated?
  6. Where can you get help for personality disorders?
  7. What is the NHS doing?

1. What is a personality disorder?

The Royal College of Psychiatrists defines a personality disorder as “an enduring condition which interferes with the sufferer’s sense of wellbeing and ability to function in full in ordinary social settings.”

There is disagreement about the term ‘personality disorders’, with some people finding it confusing or stigmatising. It can feel like being told that your personality is ‘wrong’. Some clinicians and people with lived experience prefer the term complex emotional needs or CEN.

Personality disorders are in fact a range of 10 different mental health conditions. However, some peopled find these classifications unhelpful, as most people with a personality disorder do not fit neatly into one category. According to the mental health charity Mind: “Some people believe the focus should instead be on what each person needs in order to deal with their problems and discover new ways of living, not what category they are in.”

Life can be difficult for people with a personality disorder as they can also develop other mental health problems such as depression and anxiety.

2. How many people are affected by personality disorders?

Estimates vary, but in the NHS’s latest Adult Psychiatric Morbidity Survey of England (2014) 13.7% of people aged 16 and over screened positive for a personality disorder, with similar rates in men and women.

3. What causes personality disorders?

It is not known exactly what causes them, but it is thought to be a combination of genetic factors and life events.

4. How are personality disorders diagnosed?

Personality disorders can be difficult to diagnose. To receive a diagnosis of personality disorder, somebody must meet some or all of a set of diagnostic criteria.

Diagnosis can help make sense of the condition – both for the person with the personality disorder, and for their family and friends. But for others, it may result in feeling marginalised by health care services, family, and their community.

5. How are personality disorders treated?

In the past there has been controversy as to how far treatment can help., Recent research however has made it clear that mental health services can and should help people with personality disorders. Many people with a personality disorder do recover over time. Psychological or medical treatment is often helpful, but support is sometimes all that is needed.

There’s no single approach that suits everyone and treatment should be tailored to the individual.

6. Where can you get help for personality disorders?

If you are concerned that you might have a personality disorder, there are a range of resources available online which will help you further understand the signs and symptoms of personality disorders. This piece from the Royal College of Psychiatrists is a good place to start but we’ve also compiled a short list of other useful resources at the bottom of the page.

When starting a conversation about a potential diagnosis, the first thing you should do is visit your GP.

7. What is the NHS doing to better help people with personality disorders?

The NHS is providing an increase in funding from 2022 to enable transformation of community mental health services. It will work with GPs, commissioners, local authorities and the voluntary, community and social enterprise sector, and, crucially, with service users, their families, and carers to create a new, flexible, model of community-based mental health care for people with personality disorder/complex emotional needs.

The new models will offer dedicated services, jointly created with people with lived experience of personality disorders. Services will aim to provide timely access to evidence-based psychological therapies, and provide care for co-existing needs, such as substance use. People with personality disorder/complex emotional needs have sometimes experienced punitive approaches from services. The new models of care focus on compassion and an understanding of the trauma that so many people have experienced.

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Personality disorders: Increasing awareness and raising hope

Further reading

To find out more about personality disorders – and to get help in supporting someone who is living with one – please take a look at the further reading below:

Rethink: London Borderline Personality Disorders Carers Group

A group for those who care for people living with borderline personality disorder or emotional unstable personality disorder, providing mutual support through discussions and  the opportunity to speak to our lived experience facilitator.

Rethink: Learn about personality disorders

This piece from mental health charity, Rethink, tells you what personality disorders are, what the symptoms are, and how you can get treatment. You might find it useful if you have a personality disorder yourself, or if you care for someone who does.

Centre for Mental Health: Dismissed on the basis of my diagnosis

A briefing paper by think tank, the Centre for Mental Health, running through the policy implications of the research conducted on community support for people with complex emotional needs.

Help Guide: Supporting someone with a personality disorder

A supportive piece by Help Guide, which is a great resource for anybody supporting someone who is living with a personality disorder. It provides tips and best practices to improve communication, set healthy boundaries, and stabilise your relationship.

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Fast-Track Cities initiative

Fast-Track Cities initiative

What is Fast-Track Cities?

Fast-Track Cities is an international initiative to end new cases of HIV by 2030. Over 200 cities across the world are part of this movement to get to zero new cases of HIV, zero preventable deaths, zero stigma and discrimination and a better quality of life for people living with HIV.

In January 2018, The Mayor of London, Sadiq Khan, signed the Paris Declaration on Fast-Track Cities Ending the AIDS Epidemic, along with London CouncilsPublic Health England and NHS England.

Jump to section

  1. An introduction to Fast Track Cities
  2. Targets of the programme
  3. Why is this initiative important?
  4. What are the challenges?
  5. What is involved in the initiative?

An introduction to Fast Track Cities

 

Targets of Fast-Track Cities

London has already made great strides towards achieving the United Nations (UN) targets for the Fast-Track Cities initiative. In 2016, for the first time in London, all the UN’s 90:90:90 targets were met. London is only the third city to achieve this target so far – joining Amsterdam and Melbourne. We have now reached:

  • 95% of people living with HIV infection diagnosed
  • 98% of people diagnosed receiving treatment
  • 97% of people receiving treatment being virally suppressed.

Why is this initiative important?

HIV remains an important problem in London, with the infection impacting on Londoners more than any other part of the UK.

In 2020, there were 955 new cases of HIV, with an estimated 35,966 people living with HIV in London – almost 40 per cent of all those in the UK. Of these new cases, 349 of new diagnoses were reported among gay and bisexual and other men who have sex with men, 324 cases were among men and women who reported heterosexual sex as their probable route of infection, 14 cases were among people who inject drugs, 257 cases were among people with an undetermined exposure group and the remaining 11 were through pregnancy.

Recently, London has seen a significant fall in people newly diagnosed HIV positive, particularly in men who have sex with men. However, this fall is neither uniform across all population groups nor in all areas of the city, and rates of late diagnosis, although showing improvement, remain stubbornly high at 35 per cent. Late diagnosis significantly impacts people who are who are disproportionately affected by HIV like African, Afro-Caribbean and migrant women, trans women, gay men living with HIV who are also migrant men, men of colour and men who don’t have English as a first language.

People diagnosed late are at increased risk of developing an AIDS-defining illness and continue to have a more than 7-fold increased risk of death in the year following their diagnosis. The rate of one year mortality was 31 per 1,000 among those diagnosed late compared to 4 per 1,000 among those diagnosed promptly.

What are the challenges?

For many Londoners HIV remains a stigmatising condition that negatively impacts on quality of life. Late and undiagnosed infection rates in London remain unacceptably high (34 per cent and 10 per cent respectively) and with considerable geographical variability across the city. Prevalence varies by ethnicity and by place of residence, with disproportionately high rates among black and ethnic minority (BAME) communities in poorer areas of the city.

Read the national HIV public knowledge and attitudes survey results and blog.

What is involved in the initiative?

The Mayor and representatives from NHS England, UK Health Security Agency and Office for Health Improvement and Disparities (formerly Public Health England) and London Councils, have committed to work with partners to:

  • Continue work to exceed the UN’s 90:90:90 HIV targets (90 per cent of people living with HIV knowing their status, 90 per cent of people with diagnosed HIV on treatment, 90 per cent of people on treatment with suppressed viral loads)
  • End new HIV infections in the capital by 2030
  • Put a stop to HIV-related stigma and discrimination
  • Stop preventable deaths from HIV-related causes
  • Work to improve the health, quality of life and well-being of people living with HIV across the capital

The next steps for the capital include delivering the action plan developed with all the partners and the HIV community, working with the support of the Fast-Track Cities London leadership group. The action plan is a roadmap, which outlines how London will reach the Fast-Track City targets.

London also has a Fast-Track Cities dashboard through which all cities report their progress against the initiative’s targets as well as locally set objectives and goals.

The Mayor has made tackling the stigma attached to living with HIV a key priority in his Health Inequalities Strategy. Not only is it important to ensure those living with HIV can live their lives without discrimination, but the fear of stigma can be a barrier to early diagnosis, which in turn negatively impacts the quality of life of those living with the condition.

Signing up to the Fast-Track Cities initiative will bring together all those already working to tackle HIV across the capital. More joint working will help to ensure that communities affected by HIV can access the prevention, testing, treatment and support they need.

Find out more