Weekly Information Bulletin

Weekly Information Bulletin

This page details weekly new public health information and data releases which may be of interest.

Week Commencing  8 October 2018

Current Awareness Bulletin  

NHS England strikes deal for ground breaking cancer treatment in a new European first

NHS England announces that adult lymphoma patients will have access to CAR-T therapy, and follows a deal reached last month to make CAR-T available for children and young people with a rare form of leukaemia.

Source: NHS England

Long term adjuvant endocrine therapy and risk of cardiovascular disease in female breast cancer survivors: systematic review

Matthews A et al; BMJ 2018;363:k3845

Systematic review and meta-analysis of randomised controlled trials and observational studies to investigate the effect of endocrine therapies on a wide range of specific clinical cardiovascular disease outcomes in women with a history of non-metastatic breast cancer.

Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders

Von Wagner C; BMC Public Health 2018; 18:1161

This study aimed to quantify the prevalence of barriers to BSS and examine the extent to which these barriers differed according to non-participant profiles: non-responders to the BSS invitation, active decliners of the invitation, and non-attenders of confirmed appointments.

Psychological interventions for needle‐related procedural pain and distress in children and adolescents

Source: Cochrane Database of Systematic Reviews; 2018:10

Individual‐, family‐, and school‐level interventions targeting multiple risk behaviours in young people

Source: Cochrane Database of Systematic Reviews; 2018:10

Ethnic variation in unexplained deaths in infancy, including sudden infant death syndrome (SIDS), England and Wales 2006–2012: national birth cohort study using routine data

Kroll ME; Journal of Epidemiology & Community Health; Vol 72:10; Oct 2018

This study aimed to compare ethnic-specific rates of unexplained infant death, explore sociodemographic explanations for ethnic variation, and examine the role of preterm birth. Substantial ethnic disparity in risk of unexplained infant death exists in England and Wales. Apparently not attributable to preterm birth or area deprivation, this may reflect cultural differences in infant care.

Adolescent alcohol-related behaviours: trends and inequalities in the WHO European Region, 2002–2014

This report presents the latest trends in alcohol consumption and drinking behaviours among adolescents across the WHO European Region, taken from the study on health behaviour in school-aged children (HBSC). This report brings together for the first time a broad range of HBSC data on adolescent alcohol consumption and drinking behaviours to review the latest evidence and highlight differences in alcohol use by gender, socioeconomic position and geographic sub-region.

Source: World Health Organization

Mental wellbeing, reading and writing: how children and young people’s mental wellbeing is related to their reading and writing experiences

This report explores the relationship between children’s mental wellbeing and their attitudes and behaviours towards reading and writing. It is based on findings from the National Literacy Trust’s eighth Annual Literacy Survey of 49,047 children and young people aged 8 to 18 in the UK. The report also includes new analysis from University College London which shows an enduring relationship between mental health and verbal scores, with those who have low verbal ability having worse mental health outcomes than those with higher verbal ability.

Source: National Literacy Trust

Alcohol, drugs and tobacco: commissioning support pack

Updated for 2019-20, the guidance on smoking, drinking and drug misuse for commissioners of tobacco control, drug and alcohol services for adults and young people. This guidance aims to help commissioners and local authorities develop joint strategic needs assessment and health and wellbeing strategies to reduce the harm caused by smoking, drinking, substance use and misuse in both adults and children.

Source: PHE

Third molars: Regenerative techniques for preventing periodontal defects

This review of the effectiveness of regenerative periodontal treatment for preventing periodontal defects following third molar surgery included 21 RCTs and suggested that these approaches were effective.

Source: The Dental Elf

Making hospitals safe for people with diabetes

This report looks at the challenges facing diabetes inpatient services and shows what should be in place for diabetes patients in all hospitals.

Source: Diabetes UK

Low protein diets for non‐diabetic adults with chronic kidney disease

Source: Cochrane Database of Systematic Reviews; 2018:10

Does probiotic consumption reduce antibiotic utilization for common acute infections? A systematic review and meta-analysis

King S; European Journal of Public Health; doi.org/10.1093/eurpub/cky185

This review concluded that probiotics, provided to reduce the risk for common acute infections, may be associated with reduced antibiotic use in infants and children. Additional well-designed studies are needed to substantiate these findings in children and explore similar findings in other population groups.

New national alcohol guidelines in the UK: public awareness, understanding and behavioural intentions

Rosenberg G; Journal of Public Health; Vol 40; Iss 3; September 2018; p 549

This study is based on a survey of the UK drinker population conducted 1 week before and 1 month after the release of the guidelines to capture guideline awareness, drinking habits and intended behaviour change.

Community action has little impact on harms from alcohol use disorder

Comment on a recent systematic review of ‘Whole of Community’ interventions to reduce population level harms arising from alcohol and other drug use.

Source: The Mental Elf

Cannabis has ‘more lasting effect on teenage brains than alcohol’

Analysis of a Canadian research study which investigated the links between alcohol and cannabis use and performance on various tests of brain function in 3,826 school pupils over 4 years, starting at age 12 to 13.

Source: Behind the Headlines

Family income inequalities and trajectories through childhood and self-harm and violence in young adults: a population-based, nested case-control study

Mok PLH et al; The Lancet Public Health; Volume 3:10; Oct 2018

This study investigated parental income trajectories during childhood and subsequent risks of self-harm and violent criminality in young adulthood.

Patient-centred care for multimorbidity improves patient experience, but quality of life is unchanged

This cluster-randomised controlled trial allocated 33 general practices in England and Scotland to provide comprehensive, three-dimensional reviews of multimorbidity or to continue with usual care. The patient-centred intervention for people with multiple chronic conditions, based on recommended best practice, had no effect on patient quality of life or burden of illness and treatment. Patients were, however, more likely to report being satisfied with their care.

Source: NIHR Signals

Valproate preparations for agitation in dementia

Source: Cochrane Database of Systematic Reviews; 2018:10

Calls for guidelines to be revised over antidepressant withdrawal symptoms

Analysis of the media reports on a review which found that antidepressants cause withdrawal symptoms in over half of patients who try to quit them.

Source: Behind the Headlines

Valproate preparations for agitation in dementia

Source: Cochrane Database of Systematic Reviews; 2018:10

Improving children and young people’s mental health services

The report examines whether the government is on track to meet its ambitions for improving mental health services for children and young people, as laid out in the Future in Mind policy document.

Source: National Audit Office

Access to children and young people’s mental health services: 2018

Using Freedom of Information (FOI) requests to providers of child and adolescent mental health services (CAMHS) and local authorities in England, this report looks at the increased demand for services; what proportion of those referred for support are not accepted and how they are then treated; and what changes to service availability are emerging.

Source: Education Policy Institute

Be the change: ensuring an effective response to all in psychiatric emergency equal to medical care – recommendations from the first international summit on urgent and emergency behavioural healthcare

Care for people in mental health crisis does not adequately address the needs of the community it is intended to serve. This report outlines recommendations that if fulfilled would make urgent and emergency psychiatric health care ‘minimally adequate’.  It calls on governmental agencies, policy makers and health and social services to take radical action to address inequalities and improve mental health crisis care.

Source: NHS Clinical Commissioners

Mental health benefits of interactions with nature in children and teenagers: a systematic review

Tillman S; Journal of Epidemiology & Community Health; Vol 72:10; Oct 2018

This review focuses on how accessibility to, exposure to and engagement with nature affects the mental health of children and teenagers. Findings support the contention that nature positively influences mental health; however, in most cases, additional research with more rigorous study designs and objective measures of both nature and mental health outcomes are needed to confirm statistically significant relationships.

Are noise and air pollution related to the incidence of dementia? A cohort study in London, England

Carey IM; BMJ Open; Vol 8:9 Sept 2018

This study, carried out across 75 London GP practices, found evidence of a positive association between residential levels of air pollution across London and being diagnosed with dementia, which is unexplained by known confounding factors.

Is the incidence of schizophrenia in South-East London really 10 times higher than in Santiago, Spain?

Comment on a recent study looking into the spatio-temporal variation in the incidence of psychosis across 6 European countries.

Source: The Mental Elf

Assessing the Preparedness of the Health Care System Infrastructure in Six European Countries for an Alzheimer’s Treatment

This Rand research report examines the health systems of France, Germany, Italy, Spain, Sweden and the United Kingdom to determine whether they have the capacity to rapidly move a disease-modifying treatment for Alzheimer’s disease from approval into widespread clinical use.

Source: Rand Corporation

Integrated motivational interviewing and cognitive behaviour therapy for lifestyle mediators of overweight and obesity in community-dwelling adults: a systematic review and meta-analyses

Barrett S; BMC Public Health 2018; 18:1160

This is the first systematic review and meta-analyses to analyse the effectiveness of integrated MI-CBT for lifestyle mediators of overweight and obesity. The results provide moderate quality evidence that integrated MI-CBT has a significant, beneficial effect on physical activity levels, and a small, beneficial effect on body composition in community-dwelling adults.

Evaluation of the causal effects between subjective wellbeing and cardiometabolic health: mendelian randomisation study

Wootton RE; BMJ 2018;362:k3788

This study found strong evidence for a causal effect of increased body mass index on decreased subjective wellbeing. Follow-up analysis in UK Biobank suggested that the effect of body mass index on subjective wellbeing was driven by an adverse effect of higher body mass index on health satisfaction. Our findings add further support to the need to reduce obesity because of the downstream consequences on mental health and wellbeing.

Every NHS hospital in England to cut sugary drinks sales

Every NHS hospital has agreed to cut sales of sugary drinks on their premises as part of NHS England action to curb rising levels of obesity.

Source: NHS England

GP partnership review: interim report

This interim report looks at evidence from around the world showing that health care systems investing in primary care have better outcomes, with greater patient satisfaction delivered at a lower cost. It explores potential solutions to meet the current challenges and revitalise the partnership model of general practice.

Source: Wessex Local Medical Committee

What could make a difference to the mental health of UK doctors? A review of the research evidence

This report found that the incidence of mental health problems among doctors is increasing alongside the growing demands and diminishing resources experienced in the healthcare sector. General practitioners are more vulnerable to burnout (particularly emotional exhaustion), work-related stress and common mental health problems than doctors in most other specialities. This has been linked to the increased demands placed on primary care along with diminishing financial and staffing resources. The report considers factors associated with doctors’ mental health and interventions to protect the mental health of UK doctors.

Source: Society of Occupational Medicine

Advance care planning in general practice: does policy match reality?

This report reveals significant gaps between clinical commissioning group policies concerning advance care planning and the reality faced by patients. While there are examples of excellent practice there are also many instances where CCGs are not providing GPs with the policy guidance and tools they need to support people with advance care planning. Patients report doctors being ill-equipped to support them to plan ahead for their future care and treatment.

Source: Compassion in Dying

Cigarette smoking: an assessment of tobacco’s global environmental footprint across its entire supply chain, and policy strategies to reduce it

This report provides an overview of the substantial impact of cigarette smoking on the environment and on sustainable development.

Source: World Health Organization

Financial incentives may help workers quit smoking

In this workplace-based US trial, financial incentives, when given alongside free smoking cessation aids, improved abstinence rates compared with free cessation aids or motivational information alone. However, quit rates at 6 months were low, highlighting that people need to be willing to quit.

Source: NIHR Signals

The impact of restricting the use of e-cigarettes in public places: a systematic review

Cann KF; Journal of Public Health; Vol 40; Iss3; September 2018; p 533

This review explored whether restrictions on using e-cigarettes in public places deter smokers from switching to e-cigarettes for harm reduction purposes. Secondary objectives looked at the ability to use e-cigarettes in public places as a reason for use and attitudes towards this among smokers.

Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women

Source: Cochrane Database of Systematic Reviews; 2018:10

Progestogen for preventing miscarriage in women with recurrent miscarriage of unclear etiology

Source: Cochrane Database of Systematic Reviews; 2018:10

Interventionist versus expectant care for severe pre‐eclampsia between 24 and 34 weeks’ gestation

Source: Cochrane Database of Systematic Reviews; 2018:10

Vaginal mesh surgery should be a last resort, says NICE

Comment on the reporting of new draft guidance from NICE, which advises that vaginal mesh surgery should only be used as a “last resort” to treat pelvic organ prolapse and urinary incontinence.  Formal guidance is expected in April 2019.

Source: Behind the Headlines

Draft guidance: Urinary incontinence and pelvic organ prolapse in women: management – Draft for Consultation (October 2018)

No benefit from monitoring antiepileptic drug levels in pregnancy

Regular monitoring of antiepileptic drug levels in pregnant women with epilepsy does not improve seizure control compared with clinical features-based monitoring. This NIHR-funded study was conducted across 50 UK hospitals and is the largest randomised trial in pregnant women with epilepsy. The study provides important information about the utility of monitoring blood levels of antiepileptic drugs, which previously was standard clinical practice. NICE guidelines advised against routine monitoring in 2012 and this trial gives support to this recommendation.

Source: NIHR Signals

Better pain relief for women in labour

Women in labour, who had the short acting strong painkiller remifentanil, rather than pethidine, had less need for further pain relief. This NIHR-funded study is the first large trial to compare intravenous remifentanil (administered via a patient-controlled delivery device) with intramuscular pethidine for women requesting opioid pain relief in labour.

Source: NIHR Signals

Behavioural and social sciences in public health: The first strategy of its kind

This blog provides comment on the new behavioural and social sciences strategy

Improving people’s health: Applying behavioural and social sciences to improve population health and wellbeing in England which has been developed by a collaborative partnership led by PHE’s Behavioural Insights (PHEBI) team. The strategy aims to better enable the public health system to maximise the contribution of behavioural and social sciences to improving and protecting the public’s health and wellbeing, improve value to the public purse, and reduce health inequalities.

Source: Public Health Matters

The cost-effectiveness of public health interventions examined by NICE from 2011 to 2016

Owen L; Journal of Public Health; Vol 40; Iss 3; September 2018; p 557

This review updates an earlier analysis of cost-effectiveness, finding that nearly two-thirds (63%) of public health interventions assessed were cost-effective.

Framework agreement between DHSC and NHS Improvement

This agreement sets out how the Department of Health and Social Care and NHS Improvement will work together, including roles, responsibilities, governance and accountability arrangements.

Source: DHSC

Emergency hospital admissions associated with a non-randomised housing intervention meeting national housing quality standards: a longitudinal data linkage study

Rodgers SE et al; Journal of Epidemiology & Community Health; Vol 72:10; Oct 2018

This paper examines changes in healthcare utilisation following improvements to bring council homes up to a national quality standard. Results suggest that hospital admissions can be avoided through improving whole home quality standards. This is the first large-scale longitudinal evaluation of a whole home intervention that has evaluated multiple improvement elements using individual-level objective routine health data.

Sports England

Almost 300,000 more people active

Latest Active Lives Adult Survey figures show 300,000 more people are active as inactivity rates begin to improve.11 October 2018 #Active Nation#Research#News

Moving Medicine tool launched

The Moving Medicine to help healthcare professionals talk to patients about the benefits of physical activity is now live.

NICE Guidance

Renal replacement therapy and conservative management

NG107

October 2018

Decision-making and mental capacity

NG108

October 2018

NOMIS

Annual Population Survey Estimates for period ending June 2018 released (16/10/2018)

Claimant Count / Jobseekers allowance September 2018 data released (16/10/2018)

NHS England

NHS to provide long term screening service for Grenfell community

9 October 2018

The NHS has today announced that it will provide up to £50 million to fund long term screening and treatment for those affected by the Grenfell Tower fire. NHS England chief executive Simon Stevens said that a new screening service would be in place imminently to provide long term support and treatment for people with […]

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Turnbull and Fry effect will safe lives, says NHS Chief

9 October 2018

NHS chief Simon Stevens will today thank Bill Turnbull and Stephen Fry for speaking out about their prostate cancer diagnosis and announce an injection of £10 million to increase capacity, helping services see and treat the extra people coming forward for help. The NHS is already seeing and treating more people than ever before and […]

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Every NHS hospital in England to cut sugary drinks sales

9 October 2018

Every NHS hospital has agreed to cut sales of sugary drinks on their premises as part of NHS England action to curb rising levels of obesity. All 227 trusts across England have pledged to reduce sales of sugar-sweetened drinks to 10% or less of their total drinks sales. Growing numbers of hospitals have signed up […]

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NHS set to save £150 million by switching to new versions of most costly drug

16 October 2018

Health chief Simon Stevens has today asked NHS hospitals to ensure they are ready to realise savings of up to £150 million a year to reinvest in frontline care after the patent on the NHS’s most costly drug ends this week. Adalimumab is the single medicine on which hospitals spend the most, at a cost […]

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Families of over 300 children avoid driving 30,000 miles for appointments thanks to new hospital alliance

12 October 2018

The families of over 300 children with epilepsy and other neurological diagnoses have avoided having to travel nearly 30,000 miles of hospital trips after two hospitals joined forces to provide care closer to home. The new partnership between two hospital trusts has reduced the need for children to miss school for medical appointments, minimized days […]

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GOV.uk

The Department of Health and Social Care agreement of balances

16 October 2018

DHSC

Guidance

Part of a collection: Department of Health and Social Care group accounting guidance

Start active, stay active: infographics on physical activity

15 October 2018

DHSC

Promotional material

Resources for NHS trusts to help manage overseas visitors and migrant charging

12 October 2018

DHSC

Guidance

Part of a collection: NHS visitor and migrant cost recovery programme

Directions for integrated care providers (ICPs)

11 October 2018

DHSC

Open consultation

Securing cyber resilience in health and care: October 2018 update

11 October 2018

DHSC

Policy paper

NHS Networks

Improving NHS efficiency – a different approach is needed

A report by NHS Providers says trusts recognise their responsibility to maximise efficiency but a different approach will now be needed.

12:15 – Tue 09 Oct 2018

Framework agreement between DHSC and NHS Improvement

The Department of Health and Social Care has published a paper explaining how it will work with NHS Improvement, setting out roles, responsibilities, governance and accountability arrangements.

12:14 – Tue 09 Oct 2018

Matt Hancock calls for world to unite in responding to the challenge of mental health

Secretary of state for health and social care Matt Hancock will launch the government’s ambition to put mental health on an equal footing to physical health across the world, at the first ever annual ministerial mental health summit in London on Tuesday 9 October.

12:11 – Tue 09 Oct 2018

Every NHS hospital in England to cut sugary drinks sales

Every NHS hospital has agreed to cut sales of sugary drinks on their premises as part of NHS England action to curb rising levels of obesity.

12:10 – Tue 09 Oct 2018

New learning resource on caring for people at risk of choking

Earlier this year CQC launched a series of resources that describe a critical safety issue – what happened, what CQC and the provider have done about it, and the steps you can take to avoid it happening in your service.

12:08 – Tue 09 Oct 2018

Alcohol causes 1 in 13 breast cancers

Alcohol is the cause of 1 in 13 of the 55,100 cases of breast cancer diagnosed each year in the UK, according to Public Health England.

12:05 – Tue 09 Oct 2018

Approaches to better value: improving quality and cost

The NHS is increasingly focusing on how it can improve the value of its services, to deliver the highest quality health outcomes for patients at the lowest cost possible.

12:00 – Tue 09 Oct 2018

Personal health record adoption toolkit

NHS Digital has published a personal health record (PHR) adoption toolkit to enable the rapid uptake of a consistent approach to sharing health records.

11:57 – Tue 09 Oct 2018

Integration will mean a change in commissioning

If integration is the “right thing to do”, it should be made the easy thing to do, according to Paul MauBach, chief executive officer of Dudley and Walsall Clinical Commissioning Group.

11:55 – Tue 09 Oct 2018

An insider’s guide to procurement for primary care providers

Understanding procurement and how to prepare a bid are critical to the future of primary care providers.

11:53 – Tue 09 Oct 2018

Easier access to mental health statistics

National mental health statistics that shed new light on care and treatment for patients are now available from NHS Digital.

13:44 – Wed 10 Oct 2018

PM pledges action on suicide to mark World Mental Health Day

The Samaritans’ helpline will remain free for the next four years with support from the government, Theresa May has announced as she marked World Mental Health Day.

14:17 – Wed 10 Oct 2018

Access to children and young people’s mental health services

A report from Education Policy Institute examines access to specialist services, waiting times for treatment, and provision for those children that are not able to receive treatment, using information from child and adolescent mental health services (CAMHS) and local authorities in England.

10:29 – Thu 11 Oct 2018

National mortality case record review: annual report 2018

The Royal College of Physicians reports on the effectiveness of the standardised review approach used by hospitals to learn from adult acute deaths and improve patient care.

10:27 – Thu 11 Oct 2018

Record levels of severe obesity in children

New data published shows the rate of severe obesity among year 6 children (aged 10 to 11) has increased by more than a third since 2006 to 2007 to 4.2%.

14:21 – Mon 15 Oct 2018

CQC surveys the state of care

The CQC’s annual report highlights trends, examples of good care, and where care needs to improve.

14:19 – Mon 15 Oct 2018

Funding for clinical commissioning groups

A parliamentary briefing gives details of funding allocations for each CCG in England from 2013/14 to 2020/21.

14:17 – Mon 15 Oct 2018

Towards commissioning for workplace compassion: a support guide

NHS England has published an “interactive guide to commissioning for compassion”. It includes case studies.

14:13 – Mon 15 Oct 2018

Resources to help beat meningitis and sepsis

The Meningitis Research Foundation (MRF) has launched a resource highlighting the importance of information for patients at risk of serious infections such as meningitis and sepsis.

14:12 – Mon 15 Oct 2018

EU settlement scheme aims to ease post-Brexit staffing problems

The Home Office has announced plans to test the EU settlement scheme with all health and social care workers from 26 November 2018.

14:10 – Mon 15 Oct 2018

Wheelchair services data collection: Q1 2018/19 data

Wheelchair data for April to June 2018 is now available for CCGs.

14:08 – Mon 15 Oct 2018

MSK knowledge hub

The Arthritis and Musculoskeletal Alliance is using the opportunity provided by Bone and Joint Week (12-18 October) to promote its MSK knowledge hub, an online collections of resources for CCGs.

14:56 – Fri 12 Oct 2018

Local data from 2017 cancer patient experience survey

NHS England has published local results from the 2017 national cancer patient experience survey.

14:54 – Fri 12 Oct 2018

GP access to new prescribing indicators for adults with a learning disability and/or autism

GP practices have an opportunity to gain useful feedback for improving patient care – such as a report, due later this year, about the impact of prescribing certain medications to adults with a learning disability – by joining Clinical Practice Research Datalink (CPRD).

14:49 – Fri 12 Oct 2018

Directions for integrated care providers (ICPs)

The Department of Health and Social Care has launched a consultation with GPs and others involved in the provision of primary medical services.

14:45 – Fri 12 Oct 2018

NHS invests £2 million to eliminate inpatient suicides

The prime minister has announced £2m in funding for the Zero Suicide Alliance (ZSA) over the next two years.

14:40 – Fri 12 Oct 2018

No two primary care networks are the same – nor is our support

Primary care networks are starting to emerge across the country to meet the need for locally-determined solutions to the challenges of scale and collaboration.

10:33 – Thu 11 Oct 2018

Using the NHS standard contract in primary and secondary care

NHS England has published a “toolkit” with advice on how to use the NHS standard contract to manage referrals and other processes where collaboration between primary and secondary care could improve the experience for patients.

10:32 – Thu 11 Oct 2018

BBC News

Do you have to work up a sweat to get fit?

10 October 2018

Are we living in a ‘nanny state’?

11 October 2018

What works for treating children’s colds?

11 October 2018

‘Flexitarian’ diets can limit future risks

11 October 2018

Same-sex mice have babies

11 October 2018

NHS waste firm boss denies unsafe practices

12 October 2018

From the section HealthFull article NHS waste firm boss denies unsafe practices

Terminal breast cancer patients ‘abandoned’

13 October 2018

From the section HealthFull article Terminal breast cancer patients ‘abandoned’

Crackdown on £250m free prescription fraud

14 October 2018

From the section Health

Children ‘should be weighed up to 18’

15 October 2018

From the section Health

548 comments

Dance lessons for the lonely – on the NHS

15 October 2018

From the section Health

Crackdown on painkillers amid addiction fears

15 October 2018

From the section Health

Warning over ‘unsafe’ child stair gates

Consumer group Which? urges parents not to use three models of stair gates, saying they could be unsafe.

15 October 2018

From the section Health

NHS Digital

Patients Registered at a GP Practice – October 2018 16 Oct 2018

Data for this publication are extracted each month as a snapshot in time from the GP Payments system (Open Exeter) maintained by NHS Digital. This release is an accurate snapshot as at 1 October 2018. GP Practice; Sustainability and transformation partnership (STP); Clinical Commissioning Group (CCG);…

Compendium: Mortality 11 Oct 2018

The Compendium mortality set covers a large number of indicators across the publications listed below. All legacy P codes are included in the key search terms and so can be used to find the associated indicator, unless the indicator is now a signpost to more relevant information held elsewhere. Signposted indicators will be listed under their relevant series with their legacy P code included. Please see the individual publications for information on each set.

Mental Health Act Statistics, Annual Figures 2017-18 9 Oct 2018

This publication contains the official statistics about uses of the Mental Health Act1 (‘the Act’) in England during 2017-18.

Week Commencing  3 October 2018

Current Awareness Bulletin  

Interventions to improve the uptake of screening across a range of conditions in ethnic minority groups: A systematic review

Evidence rating: Moderate

Source: McMaster Health Evidence

Effectiveness of screening modalities in colorectal cancer: A network meta-analysis

Evidence rating: Moderate

Source: McMaster Health Evidence

Long-term mortality after blood pressure-lowering and lipid-lowering treatment in patients with hypertension in the Anglo-Scandinavian Cardiac Outcomes Trial (ASCOT) Legacy study: 16-year follow-up results of a randomised factorial trial
Gupta A; The Lancet Sept 29 2018; Volume 392; No 10153; p1127-1137
Our findings show the long-term beneficial effects on mortality of antihypertensive treatment with a calcium channel blocker-based treatment regimen and lipid-lowering with a statin: patients on amlodipine-based treatment had fewer stroke deaths and patients on atorvastatin had fewer cardiovascular deaths more than 10 years after trial closure. Overall, the study supports the notion that interventions for blood pressure and cholesterol are associated with long-term cardiovascular benefits.

Ibuprofen for the treatment of patent ductus arteriosus in preterm or low birth weight (or both) infants

Source: Cochrane Database of Systematic Reviews; 2018:9

Psychological therapies for the management of chronic and recurrent pain in children and adolescents

Source: Cochrane Database of Systematic Reviews; 2018:9

No difference in selfreported frequency of choking between infants introduced to solid foods using a babyled weaning or traditional spoonfeeding approach
Brown A; Journal of Human Nutrition and Dietetics; Aug 2018; 31(4); 496-504

Baby‐led weaning was not associated with increased risk of choking and the highest frequency of choking on finger foods occurred in those who were given finger foods the least often. However, the limitations of non-causal results, a self‐selecting sample and reliability of recall must be emphasised.

More sleep and limiting screen time may improve children’s mental abilities

Review of reports on a study of 4,524 children in the US which found those who used screens recreationally for less than 2 hours a day did better on tests of mental functioning.

Source: Behind the Headlines

National Child Measurement Programme: guidance for analysis and data sharing

This guidance is for local authorities and other organisations that wish to use the NCMP data. It contains an overview of the NCMP data and analyses provided by Public Health England and NHS Digital, how to access the NCMP dataset, and details of which NCMP data can be shared between organisations.

Source: PHE

Monkeypox

Following a small number of cases of monkeypox in England, this guidance from Public Health England includes the epidemiology, symptoms, diagnosis and management of monkeypox virus infections.

Source: PHE

Meningitis: signs and symptoms leaflet for university students

A revised version of the leaflet for university students, particularly freshers, describing the signs and symptoms of meningitis and septicaemia.

Source: PHE

Outbreaks of influenza-like illness in care homes in the East of England: impact of variations in neuraminidase inhibitor provision

Yip JLY; Public Health; Sept 2018; Volume 162; p 98-103

This study examined the differences in outcomes (hospital admissions and deaths) related to variable provision of antivirals in care home respiratory outbreaks. It found that partial or no provision of oseltamivir was associated with poorer outcomes.

Audiovisual distraction for dental anxiety in children?

Comment on a review of the effectiveness of audiovisual distraction for reducing dental anxiety in children which included 9 trials, 6 of which were randomised.

Source: The Dental Elf

Goal-setting in diabetes self-management: A systematic review and meta-analysis examining content and effectiveness of goal-setting interventions

Evidence rating: Strong

Source: McMaster Health Evidence

Is frequency of family meals associated with fruit and vegetable intake among preschoolers? A logistic regression analysis
Caldwell A R; Journal of Human Nutrition and Dietetics; Aug 2018; 31(4); 505-512
Fruit and vegetable intake is related to frequency of family meals in preschool‐age children. Educating parents about the potential benefits of frequent shared meals may lead to a higher fruit and vegetable consumption among preschoolers. Future studies should address other factors that likely contribute to eating patterns during the preschool years.

Gestational diabetes mellitus and diet: A systematic review and meta-analysis of randomized controlled trials examining the impact of modified dietary interventions on maternal glucose control and neonatal birth weight

Evidence rating: Strong

Source: McMaster Health Evidence

Alcohol causes 1 in 13 breast cancers

Drinkaware and Public Health England’s ‘drink free days’ campaign marks Breast Cancer Awareness Month by encouraging women to take more drink free days to reduce their breast cancer risk.

Source: PHE

Severe mental illness (SMI) and physical health inequalities: briefing

This analysis compares the prevalence of physical health conditions in patients with SMI and all patients (England May 2018) using data from the Health Improvement Network’s general practice database. The briefing is part of Public Health England’s (PHE) wider programme of work to reduce the mortality gap and health inequalities in people with mental health problems.

Source: PHE

Inequalities in hip fracture incidence are greatest in the North of England: regional analysis of the effects of social deprivation on hip fracture incidence across England

Bhimjiyani A; Public Health; Sept 2018; Volume 162; p 25-31

This study examined the effect of local area-level deprivation on hip fracture incidence across nine regions in England, using 14 years of hospital data, to determine whether inequalities in hip fracture incidence rates vary across geographic regions in England.

Exploring the Relationship Between Depression and Dementia
Rubin R; JAMA 2018; 320(10); 961-96
Researchers are still trying to tease out the relationship between depression and dementia. This review summarises evidence linking dementia and depression, and suggests that breaking down the stigma around the diagnosis of dementia may help people build cultures of support and inclusiveness and reduce the burden of depression.

Psychosocial interventions for Alzheimer’s disease cognitive symptoms: a Bayesian network meta-analysis
Duan Y; BMC Geriatrics; Aug 2018;18(1);175
Cognitive impairments are AD’s core clinical symptoms, and they impose the greatest burden on patients and their caregivers. Improving patients’ cognitive function can delay hospitalization and therefore reduce the costs of national healthcare and improve wellbeing. In order to offer high-quality evidence for clinical decisions, this study performed a Bayesian network meta-analysis to compare and rank different psychosocial interventions in the management of cognitive symptoms in patients with AD. The study confirmed the effectiveness of psychosocial interventions for improving cognition or slowing down the progression of cognitive impairment in AD patients and recommended several interventions for clinical practice.

Comparison of multiple interventions for older adults with Alzheimer disease or mild cognitive impairment: A PRISMA-compliant network meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Health economic evaluations of non-pharmacological interventions for persons with dementia and their informal caregivers: A systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

Virtual reality therapy reduces fear of heights

Virtual reality therapy directed by a virtual therapist substantially reduced fear of heights compared to patients’ own usual care, which was mainly no treatment. One hundred participants had moderate fear of heights or worse. After roughly six sessions of virtual reality treatment, participants’ fear of heights was lessened, and some said that it had improved how they coped with heights in their daily lives. These results show that this intervention is effective and suggests potential for virtual reality therapy for other similar disorders or phobias.

Source: NIHR Signals

Is income inequality damaging our mental health?

Comment on a systematic review of income inequality and depression, which explores the associations between the two, but also the likely causes of these associations.

Source: The Mental Elf

A roadmap to advance dementia research and care by 2025

Review of a new roadmap, developed by an Alzheimer’s Society led taskforce, to advance dementia research in prevention, diagnosis, intervention and care by 2025.

Source: The Mental Elf

Doctor Referral of Overweight People to Low Energy total diet replacement Treatment (DROPLET): pragmatic randomised controlled trial

Astbury NM et al; BMJ 2018;362:k3760

This article reports the findings of a trial to test the effectiveness and safety of a total diet replacement (TDR) programme for routine treatment of obesity in a primary care setting in Oxfordshire. A TDR programme combining nutritionally complete formula food products with behavioural support seems to be acceptable, well tolerated, and leads to greater weight loss with larger improvements in cardiovascular risk than currently available weight loss programmes offered in primary care.

Effects of intentional weight loss in patients with obesity and heart failure: a systematic review
McDowell K; Obesity Reviews; Sept 2018;19(9); 1189-1204
Obesity is an independent risk factor for the development of heart failure, and the two commonly co‐exist. The European Society of Cardiology does not provide guidance regarding weight loss strategies in heart failure. The aim of this study was to systematically review the evidence for outcomes following intentional weight loss in patients with heart failure and obesity. Conclusion: Weight loss is achievable with lifestyle intervention in those with heart failure and obesity and may result in improvements in New York Heart Association classification, quality of life and exercise capacity.

Challenges for prison governors and staff in implementing the Healthy Prisons Agenda in English prisons

Ismail N; Public Health; Sept 2018; Volume 162; p 91-97

This qualitative study conducted semistructured interviews with prison staff and external stakeholders.  It concluded that sustainability of the Healthy Prisons Agenda can only be assured by raising its significance and importance across prison hierarchies and within policies and practices through which operational and strategic objectives are realised. This means achieving wholesale commitment by prisons—among staff at all levels—towards public health goals that are fundamental to a successful and effective criminal justice system.

A holistic approach to healthy ageing: how can people live longer, healthier lives?
Calder P C; Journal of Human Nutrition and Dietetics; Aug 2018; 31(4); 439-50
There is good evidence to support change to lifestyle (i.e. diet, nutrition and physical) activity in relation to maintaining or improving body composition, cognitive health and emotional intelligence, immune function and vascular health. Lifestyle change at any stage of life may extend healthy lifespan, although the impact of early changes appears to be greatest.

Routine measurement of grip strength can help assess frailty in hospital

Training clinical staff to routinely measure grip strength can help identify frail older hospital inpatients. This could help tailor their care. This NIHR-funded study was conducted across five acute medical wards in one hospital in England over a nine-month period. Nursing staff were trained to measure grip strength of people aged over 80 years. They were instructed to assess if those with low grip required nutritional supplements and to refer them to physiotherapy for consideration of strength exercises.

Source: NIHR Signals

Screening to prevent osteoporotic fractures: updated evidence report and systematic review for the US Preventive Services Task Force

Evidence rating: Strong

Source: McMaster Health Evidence

Oral care measures for preventing nursing homeacquired pneumonia

Source: Cochrane Database of Systematic Reviews; 2018:9

Effects of exercise modalities on central hemodynamics, arterial stiffness and cardiac function in cardiovascular disease: Systematic review and meta-analysis of randomized controlled trials
Zhang Y;  PLoS One 2018; 13(7); e0200829
Conclusions: Aerobic and resistance exercise significantly decreased aortic systolic pressure (ASP), and long-term aerobic exercise reduced augmentation index (AIx). Meanwhile, aerobic and combined exercise significantly improved central arterial stiffness and cardiac function in patients with CVD. These findings suggest that a well-planned regime could optimize the beneficial effects of exercise and can provide some evidence-based guidance for those involved in cardiovascular rehabilitation of patients with CVD.

Exercise training modalities in patients with type 2 diabetes mellitus: A systematic review and network meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Effectiveness of physical activity promoting technology-based distance interventions compared to usual care. Systematic review, meta-analysis and meta-regression

Evidence rating: Strong

Source: McMaster Health Evidence

The efficacy of wearable activity tracking technology as part of a weight loss program: A systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

A systematic review of interventions to increase physical activity among South Asian adults

Horne M et al; Public Health; Sept 2018; Volume 162; p 71-81

This systematic review suggests that making cultural adaptations to PA interventions shows promise, but the evidence base presented is not strong. This does not mean that adopting such an approach is ineffective but that the evidence base is currently lacking.

Briefing: The impact of integrated care teams on hospital use in North East Hampshire and Farnham

This briefing presents the findings of an evaluation into the early effects of introducing

integrated care teams (ICTs) in North East Hampshire and Farnham (NEHF), as one

part of the Happy, Healthy, at Home primary and acute care system vanguard.

Source: Health Foundation, Improvement Analytics Unit

Management of treatment-resistant depression in primary care: a mixed-methods study

Wiles N et al; British Journal of General Practice, Online First 2018

This paper uses quantitative and qualitative data collected during the CoBalT trial to describe ‘usual care’ for primary care-based patients with treatment resistant depression (TRD). Usual care in patients with TRD mainly entailed taking antidepressants, and medication changes were uncommon.

Behavioural and psychological symptoms of dementia: GPs’ perspective on management

Comment on the findings of a mixed-methods systematic review, which looks at General Practitioners’ knowledge, attitudes and experiences of managing behavioural and psychological symptoms of dementia.

Source: The Mental Elf

Enhancing partner support to improve smoking cessation

Source: Cochrane Database of Systematic Reviews; 2018:8

Stoptober campaign evaluation

Summary evaluation of the 2017 Stoptober quit smoking health marketing campaign activity.

Source: PHE

Quality Matters: a summary of outputs one year on

The Department of Health and Social Care is working with the adult social care sector to implement Quality Matters, a shared commitment to achieve high standards of adult social care for service users, families, carers and those working in the sector. This report is a summary of actions achieved by partners in the adult social care sector one year on from the launch of the commitment.

Source: DHSC

Oral care measures for preventing nursing homeacquired pneumonia

Source: Cochrane Database of Systematic Reviews; 2018:9

Two antiplatelet drugs may prevent further strokes but increase major bleeds

People experiencing a minor stroke or a transient ischaemic attack have a lower risk of further stroke within 90 days if given clopidogrel and aspirin, rather than aspirin alone. However, taking both drugs doubles the risk of bleeding over the same period. Current UK guidelines recommend using clopidogrel alone. In this major international trial of nearly 5,000 people, those who took the dual treatment had fewer heart attacks or strokes than those who took aspirin only, particularly in the first 30 days of treatment. Major bleeding risk was fairly constant on combined treatment throughout 90 days, occurring in 0.9% compared with 0.4% on aspirin.

Source: NIHR Signals

Association between contemporary hormonal contraception and ovarian cancer in women of reproductive age in Denmark: prospective, nationwide cohort study

Iversen L et al; BMJ 2018; 362:k3609

This study found that use of contemporary combined hormonal contraceptives is associated with a reduction in ovarian cancer risk in women of reproductive age—an effect related to duration of use, which diminishes after stopping use. The data suggest no protective effect from progestogen-only products.

Nonclinical interventions for reducing unnecessary caesarean section

Source: Cochrane Database of Systematic Reviews; 2018:9

Antihypertensive drug therapy for mild to moderate hypertension during pregnancy

Source: Cochrane Database of Systematic Reviews; 2018:10

Improving people’s health: applying behavioural and social sciences to improve population health and wellbeing in England

This document aims to enable public health professionals to engage with and apply the insights, methodologies and knowledge of behavioural and social sciences to their work on protecting and improving the health of the people. As a high-level guide, it provides a framework and consolidates a suite of relevant resources to help achieve this. The strategy was developed in partnership with the Association of Directors of Public Health, Faculty of Public Health, Behavioural Science and Public Health Network, and the Local Government Association.

Source: PHE

NHS key statistics: England, October 2018

This briefing paper provides a summary of NHS demand, performance and capacity of services in England since 2010. It includes A&E statistics, waiting lists, ambulance data, delayed discharges, staffing levels by staff group etc.

Source: House of Commons Library

Impact of the Care Quality Commission on provider performance: room for improvement?

This report summarises findings from the first major evaluation of the Care Quality

Commission’s (CQC) approach to inspecting and rating health and social care

providers, which was introduced in 2013.

Source: King’s Fund/University of Manchester

NHS continuing healthcare in England

This briefing paper was produced with the aim of helping MPs respond to queries from constituents about eligibility to NHS continuing healthcare in England. It covers the national framework, dispute resolution and refunds guidance.

House of Commons Library

GOV.UK

Liver disease profiles: October 2018 update

2 October 2018

PHE

Official Statistics

Hospital admissions as a result of road accidents (RAS55)

27 September 2018

DfT

Statistical data set

Part of a collection: Road accidents and safety statistics

Reported drinking and driving (RAS51)

27 September 2018

DfT

Statistical data set

Part of a collection: Road accidents and safety statistics

Sport England

BEAT THE STREET TO EXPAND IN ENGLAND

Community activity game to spread with 59 new games across East Midlands and south west

https://www.sportengland.org/news-and-features/news/2018/october/05/beat-the-street-gets-33-million-to-expand-in-england/  05 October 2018

Kings Fund

Approaches to better value in the NHS :improving quality and cost

04 October 2018

https://www.kingsfund.org.uk/publications/approaches-better-value

NHS England

Every NHS hospital in England to cut sugary drinks sales

9 October 2018

Every NHS hospital has agreed to cut sales of sugary drinks on their premises as part of NHS England action to curb rising levels of obesity. All 227 trusts across England have pledged to reduce sales of sugar-sweetened drinks to 10% or less of their total drinks sales. Growing numbers of hospitals have signed up […]

NHS Networks

Improving NHS efficiency – a different approach is needed

A report by NHS Providers says trusts recognise their responsibility to maximise efficiency but a different approach will now be needed.

12:15 – Today

Framework agreement between DHSC and NHS Improvement

The Department of Health and Social Care has published a paper explaining how it will work with NHS Improvement, setting out roles, responsibilities, governance and accountability arrangements.

12:14 – Today

Matt Hancock calls for world to unite in responding to the challenge of mental health

Secretary of state for health and social care Matt Hancock will launch the government’s ambition to put mental health on an equal footing to physical health across the world, at…

12:11 – Today

Every NHS hospital in England to cut sugary drinks sales

Every NHS hospital has agreed to cut sales of sugary drinks on their premises as part of NHS England action to curb rising levels of obesity.

12:10 – Today

 

Alcohol causes 1 in 13 breast cancers

Alcohol is the cause of 1 in 13 of the 55,100 cases of breast cancer diagnosed each year in the UK, according to Public Health England.

12:05 – Today

Approaches to better value: improving quality and cost

The NHS is increasingly focusing on how it can improve the value of its services, to deliver the highest quality health outcomes for patients at the lowest cost possible.

12:00 – Today

 

Week Commencing  24 September 2018

Current Awareness Bulletin  

Olanzapine for the prevention and treatment of cancerrelated nausea and vomiting in adults

Source: Cochrane Database of Systematic Reviews; 2018:9

Getting to the heart of prevention

Source: Public Health Matters

Situation of child and adolescent health in Europe

This report focuses on several areas where there are concerns about health outcomes, and provides insight into ways in which countries can improve the situation for their children and adolescents. Areas in focus include mental health, obesity and adolescent risk-taking behaviour.

Source: World Health Organization

Health Visiting and the NHS in the next 10 years: position statement

This position statement makes specific recommendations for the role of health visiting within the upcoming NHS England 10-year plan.

Source: Institute of Health Visiting

The toxic school run: UK children at daily risk from air pollution

This research briefing sets out new data from Queen Mary’s University London that looks at children’s exposure to air pollution across the school day.

Source: Unicef UK 

A year of integrated care systems: reviewing the journey so far

This report explores progress in eight out of the 10 first-wave ICS areas and identifies emerging lessons for local systems and national policy-makers. Progress is being made in most ICSs in improving health and care and developing the capability to work as a system.

Source: The King’s Fund

Q: the journey so far

This report presents insights and progress from the first three years of Q, an initiative, designed to support and connect those leading change efforts.

Source: NHS Improvement and the Health Foundation

Tuberculosis in England: annual report

The 2018 report with 2017 data shows that the number of people diagnosed with tuberculosis in England is at its lowest level since the 1990s

Source: PHE

Temporomandibular disorders: Prevalence of psychosocial impairment

This review assessing the level of psychosocial impairment in patients with temporomandibular disorders (TMD) included 14 observational studies. The studies suggest that psychological disorders and psychosocial impairment are common in patients with TMD but the evidence is of low quality.

Source: The Dental Elf

Autotransplantation of teeth with incomplete root formation have good success rates

This review of success and survival rates and complications of autotransplantation of teeth with incomplete root formation included 32 observational studies only 5 of which were considered to be of high quality. Good success rates were noted but findings should be interpreted cautiously.

Source: The Dental Elf

Modifying the consistency of food and fluids for swallowing difficulties in dementia

Source: Cochrane Database of Systematic Reviews; 2018:9

Fresh Start: A framework for healthy and sustainable diets

The UK Health Forum is calling on the Government to ensure that the new food and agriculture bill supports a joined up food system that promotes human health alongside environment objectives. The call comes as a three-part report.

Source: UK Health Forum

Eating a Mediterranean diet ‘may lower your risk of depression’

Source: Behind the Headlines

What can genetics tell us about the link between cannabis and schizophrenia?

A new paper used three large datasets to run a genome-wide association study of cannabis use and used Mendelian randomisation to investigate whether cannabis might be a causal risk factor for schizophrenia, or vice versa.

Source: The Mental Elf

A new measure of poverty for the UK: The final report of the Social Metrics Commission

The Social Metrics Commission was brought together to develop a new approach to poverty

measurement that both better reflects the nature and experiences of poverty that different families in the UK have, and can be used to build a consensus around poverty measurement and action in the UK. The report includes a detailed specification of how poverty should be measured and a new framework that can be used to understand more about the nature of poverty, the lived experience of those families in poverty and how poverty might be tackled.

Source: Social Metrics Commission

Vitamin D for the management of multiple sclerosis

Source: Cochrane Database of Systematic Reviews; 2018:9

Olanzapine for the prevention and treatment of cancerrelated nausea and vomiting in adults

Source: Cochrane Database of Systematic Reviews; 2018:9

Mental Health at Work

A new website with a collection of mental health resources for employers and employees.

Source: Mind

World alzheimer report 2018: the state of the art of dementia research: new frontiers

This report looks at a broad cross section of research areas. With the continued absence of a disease modifying treatment, the report also features progress, innovation and developments in care research. It highlights an urgent need for increased and sustainable funding for dementia research.

Source: Alzheimer’s Disease International

Medical cannabis for mental illness: current use is not supported by research

Comment on a review of the current evidence regarding the effectiveness of cannabis and cannabinoids in anxiety, mood, and related psychiatric conditions.

Source: The Mental Elf

The cost of persuasive design: digital media use and ADHD

Comment on the findings of a recent cohort study in JAMA that looks into the association between digital media use and subsequent symptoms of ADHD in adolescents.

Source: The Mental Elf

Air pollution linked to dementia risk

Source: Behind the Headlines

All the lonely people: loneliness in later life

This report presents new evidence about loneliness amongst people aged 50 and over, what increases the chances of people experiencing loneliness and how best to help those older people who are persistently lonely. The focus is on the need for approaches to reducing loneliness to be tailored to the circumstances of the individual.

Source: Age UK

Planning and preparing for later life

This review focuses on planning for later life (age 60 and over) from mid-life (age 40-60) onwards. It concludes that planning ahead could make it more likely that we achieve a good later life, including saving for retirement, taking actions to maintain and improve health and working out whether homes might need adaptations in the future.

Source: Centre for Ageing Better

Concerns raised about older adults mixing prescription drugs and herbal remedies

Source: Behind the Headlines

The effects of exercise referral schemes in the United Kingdom in those with cardiovascular, mental health, and musculoskeletal disorders: a preliminary systematic review

Rowley N; BMC Public Health2018; 18:949

Results showed that longer length schemes (20+ weeks) produced better health outcomes, and had higher adherence to physical activity prescribed, than those of shorter length (8–12 weeks). In patients referred with cardiovascular disorders, cardiovascular-related measures showed significant decreases including blood pressure. Schemes increased physical activity levels over the length of scheme for all disorders.

GP/GPN partner perspectives on clinical placements for student nurses in general practice: can a community of practice help to change the prevailing culture within general practice?

Lewis R; BMC Family Practice 2018; 19:156

Despite all the challenges, the evidence is that, through the Community of Practice, the ATPS scheme is beginning to ‘bear fruit’, and there is a subtle but discernible move by GPs from a ‘why would we?’ to ‘why wouldn’t we?’ invest in education and training for nurses in general practice.

Health Matters: Stopping smoking – what works?

Source: Public Health Matters

Essex County Council delivers stop smoking support via vape shops

The Essex Lifestyle Service worked with selected e-cigarette (vape) stores in Essex, training staff to deliver stop smoking support to their customers wishing to quit smoking by using an e-cigarette. To date, it has resulted in over 900 people stopping smoking through the use of an e-cigarette.

Source: PHE Case Study

The size and structure of the adult social care sector and workforce in England

This report provides the most up-to-date and comprehensive overview of the size and structure of the adult social care sector and workforce in England.

Source: Skills for Care

The state of the adult social care sector and workforce in England

This report offers comprehensive workforce characteristics about the entire adult social care workforce in England such as age, gender, ethnicty and specific job role information. It builds on the ‘Size and Structure’ report recently published.

Source: Skills for Care

Working conditions and stress in UK social workers

Comment on an article reporting the findings from a survey of 1,333 registered UK social workers.

Source: The Social Care Elf

Women want a personalised birth experience, but safety is paramount

In a large review of studies with over 1,800 women’s views on what matters in childbirth, having a healthy baby was the woman’s priority. Avoiding unnecessary medical intervention and retaining a sense of control whatever kind of birth is experienced is also important to many women.

Source: NIHR Signals

What price safe motherhood? : charging for NHS maternity care in England and its impact on migrant women

This is the report of a study by Maternity Action to explore the impact on migrant women who faced charges for NHS maternity care during and after their pregnancies. It was carried out in response to growing concerns that women at risk of being charged for maternity care are delaying or avoiding care.

Source: Maternity Action

The health and well-being of men in the WHO European Region: better health through a gender approach

This WHO report on men’s health and well-being in the 53 countries of the WHO European Region reveals men are living healthier and longer lives than ever before. But despite progress, many of them die far too young from preventable causes, and the reasons behind this go beyond biology. The new findings are prompting calls to use a gender approach to get men’s health on the agenda of health policy-makers in the European Region.

Source: World Health Organization

The spread challenge: How to support the successful uptake of innovations and improvements in health care

How to spread new ideas and effective practices from one organisation to another to

improve care and reduce unwarranted variations in performance is one of the central

challenges facing the NHS.

Taking the value-based agenda forward: the five essential components of value-based approaches to health and care

This paper explores how the adoption of value-based healthcare can be spread across all parts of the system to maximise the benefits for those who use NHS and wider services.  The five essential components are: learning and adapting through the adoption of innovation; managing risk; making best use of data; thinking about pathways across the whole system; and listening to patients.

Source: NHS Confederation

Acute medical care in England: findings from a survey of smaller acute hospitals

This profile of smaller hospitals in England finds trusts struggling to recruit and retain acute medical staff. Services across the country are configured in a wide variety of ways, with little evidence of an ‘ideal’ model for acute medical care emerging from the research.

Source: The Nuffield Trust

Department for Transport

1.     Reported road casualties Great Britain, annual report: 2017

  1. 27 September 2018
  2. DfT
  3. National Statistics
  4. Part of a collection: Road accidents and safety statistics

2.     Contributory factors for reported road accidents (RAS50)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Road accidents and safety statistics

3.     Reported drinking and driving (RAS51)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Road accidents and safety statistics

4.     Survey data on road accidents (RAS54)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Road accidents and safety statistics

5.     Hospital admissions as a result of road accidents (RAS55)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Road accidents and safety statistics

6.     International comparisons of road accidents (RAS52)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Road accidents and safety statistics

7.     Accident and casualty costs (RAS60)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Road accidents and safety statistics

8.     Vehicles involved in reported road accidents (RAS20)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Road accidents and safety statistics

9.     Reported accidents, vehicles and casualties (RAS40)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Road accidents and safety statistics

10. Reported road accidents (RAS10)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Road accidents and safety statistics

11. Casualties involved in reported road accidents (RAS30)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Road accidents and safety statistics

12. Vehicle speed compliance statistics for Great Britain: 2017

  1. 27 September 2018
  2. DfT
  3. National Statistics
  4. Part of a collection: Vehicle speed compliance statistics

13. Speeding offences and reported accidents involving speeding (SPE02)

  1. 27 September 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: Vehicle speed compliance statistics

Sports England

Teacher training targets school PE

We’re leading a consortium to invest up to £13.5million in training 17,000 secondary school PE teachers.24 September 2018 #Funding#Research#Active Nation

Major investment in cycling

A £15 million government investment into cycling facilities is to be delivered by Sport England and British Cycling.27 September 2018 #Funding#News

NICE

Renal replacement therapy and conservative management

NG107 October 2018 October 2018

Decision-making and mental capacity

NG108 October 2018 October 2018

Pancreatitis

NG104 September 2018 September 2018

Preventing suicide in community and custodial settings

NG105 September 2018 September 2018

Chronic heart failure in adults: diagnosis and management

NG106 September 2018 September 2018

King’s fund

Harnessing the winds of change – early learning on integrated care systems

This content relates to the following topics:

Part of Integrated care systems

A potential red herring in the social care Green Paper

This content relates to the following topics:

Health inequalities: the NHS plan needs to take more responsibility

This content relates to the following topics:

NOMIS

Divorce data: 2017 data released (26/09/2018)

NHS England

Extra support pledged for GPs this winter

26 September 2018

Supporting midwives to provide high quality care

27 September 2018

Professor Jacqueline Dunkley-Bent

Personalised care: what matters to me

25 September 2018

James Sanderson

Urging GPs towards prevention and self-care

25 September 2018

Joanna Bayley

Recognising the huge difference you make

24 September 2018

Thomas Whitelaw and Caroline Alexander

Cambridgeshire and Peterborough CCG

Quit smoking with the right support for you

Cambridgeshire and Peterborough CCG supports Stoptober

Stay stronger for longer!

‘Stay stronger for longer’ is a new campaign for Cambridgeshire and Peterborough that highlights how simple strength and balance exercises just twice a week can help older people reduce their risk of falling and keep doing the things they enjoy.

Gov.uk

1.     UK public health antimicrobial resistance alerts

2.     Childhood obesity plan for action chapter 2: equality assessment

  • 27 September 2018
  • DHSC
  • Impact assessment

ONS

o    National life tables, UK: 2015 to 2017

25 September 2018 (confirmed)

o    Estimates of the very old, including centenarians, UK: 2002 to 2017

25 September 2018 (confirmed)

o    Deaths registered monthly in England and Wales: August 2018

25 September 2018 (confirmed)

o    Deaths registered weekly in England and Wales, provisional: week ending 14 September 2018

25 September 2018 (confirmed)

NHS Networks

Why dentistry needs to be at the table

Oral health has a huge impact on the NHS budget. Apart from the visible costs of primary care services, less obvious costs from poor dental health include a high number…

09:54 – Today

Matt Hancock warns of dangers of social media on children’s mental health

Secretary of state for health and social care Matt Hancock has issued an urgent warning on the potential dangers of social media on children’s mental health, stating that the threat…

09:46 – Today

Winter public health campaign

NHS England and Public Health England (PHE) are launching a series of winter campaigns under the slogan Help Us Help You.

13:43 – Tue 02 Oct 2018

People with severe mental illness experience worse physical health

A Public Health England (PHE) report shows that people with severe mental illness suffer significantly worse physical health compared to the general population, with the greatest inequalities seen among younger people.

13:39 – Tue 02 Oct 2018

Older People’s Day

By 2030 the number of people in the UK aged 60 or over is estimated to increase to 20 million. Older People’s Day, celebrated on 1 October each year celebrates the achievements and contributions that older people make to our society and aims to tackle negative attitudes and stereotypes.

10:41 – Mon 01 Oct 2018

Integrating care for every community

Health and care needs are changing, with more people living longer with multiple long term conditions.

10:39 – Mon 01 Oct 2018

The spread challenge: how to support the successful uptake of innovations and improvements in health care

A report from the Health Foundation outlines the challenges facing the NHS in improving the uptake of new ideas and practices.

10:35 – Mon 01 Oct 2018

New guidance on diagnosing bowel conditions is pathway to significant financial savings

A new national care pathway to help clinicians quickly and simply to distinguish patients with irritable bowel syndrome (IBS) from those with inflammatory bowel disease (IBD) has been developed, in a move that could result in significant cost savings.

15:09 – Fri 28 Sep 2018

2.5m patients across England face GP surgery closures, warns RCGP

More than 2.5 million patients across England may see their GP practice close in the next five years because of the high numbers of GPs at risk of leaving the profession – causing a “catastrophic” effect on patient care, the Royal College of GPs has warned.

15:07 – Fri 28 Sep 2018

Sexual and reproductive health service data

NHS Digital has published the latest statistics on sexual and reproductive health services in England (2017-18) which includes information about some non-NHS services such as family planning clinics, community contraception clinics and young people’s services.

15:04 – Fri 28 Sep 2018

Physical health inequalities and mental illness

Public Health England has published an analysis comparing physical health of people with severe mental illness with the general population by age, sex and deprivation using primary care data

15:03 – Fri 28 Sep 2018

NHS to partner with Commonwealth nations to stop superbugs

Volunteer NHS clinical staff will work alongside local health workers in Ghana, Tanzania, Uganda and Zambia to tackle antimicrobial resistance (AMR).

15:02 – Fri 28 Sep 2018

Guide to social care support

NHS Digital has published a guide for people who may need social care, their families and carers.

12:07 – Thu 27 Sep 2018

Public sector staff need an alternative to austerity, says Unison

Public sector union Unison has published results of a survey of 1,000 of its members and analysis of ONS jobs data.

12:04 – Thu 27 Sep 2018

Support for local authorities to tackle childhood obesity

The government has announced a new programme to develop local solutions to childhood obesity that can be shared across the country.

12:00 – Thu 27 Sep 2018

Effective communication: How to deliver your message with clarity and impact

Great leaders understand how to communicate. Well communicated messages build trust, promote understanding and create confidence – the essential conditions for leading change and meeting challenges.

11:57 – Thu 27 Sep 2018

Flu vaccinations for people with learning disabilities

Support for health and social care professionals who work with people with learning disabilities.

11:41 – Wed 26 Sep 2018

Correct use of eyewear and eye drops

A survey commissioned by the College of Optometrists shows that many people using contact lenses are not using good hygiene and many of those using eye drops are applying them incorrectly.

11:39 – Wed 26 Sep 2018

Loneliness in later life

A report from Age UK presents new evidence about loneliness among people aged 50 and over, what increases the chances of people experiencing loneliness and how best to help those older people who are persistently lonely.

11:38 – Wed 26 Sep 2018

Situation of child and adolescent health in Europe

A World Health Organisation report focuses on several areas where there are concerns about health outcomes for children and adolescents, and provides insight into ways in which countries can improve the situation.

11:35 – Wed 26 Sep 2018

Tuberculosis could soon be history

New data released by Public Health England reveal that the number of people diagnosed with tuberculosis In England is at its lowest level since 1990, raising the hope that it will soon be consigned to the history books.

14:28 – Tue 25 Sep 2018

Stopping smoking – what works?

A newsletter from Public Health England looks at the evidence on different ways to stop smoking.

14:25 – Tue 25 Sep 2018

Meningitis goes undetected for too long

Lives could be saved if parents are given consistent, explicit advice about recognising meningitis and septicaemia (otherwise known as sepsis) from health professionals, according to a new report from the charity Meningitis Research Foundation.

14:20 – Tue 25 Sep 2018

Impact of maternity care charges on migrant women

A study by a maternity charity explores the experiences of women who faced charges for NHS maternity care.

NICE responds to feedback on eating disorders quality initiatives

A new NICE quality standard (QS) on eating disorders focuses on promoting early access and coordinating care between services.

12:14 – Mon 24 Sep 2018

Taking the value-based agenda forward: The five essential components of value-based approaches to health and care

Against a backdrop of financial pressures, growing demand for services and the quest for transformation of local services, the concept of value in the health and care system is one which has gained increasing prominence over recent years.

12:13 – Mon 24 Sep 2018

BBC News

NHS ‘should recommend meal replacement shakes’

27 September 2018

From the section

27 September 2018

By Becky Morton BBC News

  • 2 October 2018

MP’s ‘horror’ at getting £4.2bn to digitise NHS with no plan

By Brian Wheeler Political reporter

  • 2 October 2018

Australia ‘to eliminate’ cervical cancer

  • 3 October 2018

Antidepressant withdrawal ‘hits millions’

  • 2 October 2018
  • From the section Health
  • 364 comments

Emergency £240m to free up hospital beds

  • 2 October 2018

Bacon and sausages ‘linked to breast cancer’

The findings come from a review of 15 studies involving more than one million women.

  • 3 October 2018
  • From the section Health
  • 205 comments

Big STI rise blamed on dating apps

The use of dating apps is blamed for an increase in syphilis and gonorrhoea in Wales.

  • 3 October 2018
  • From the section

Cannabis ‘worse than alcohol’ for teens

The drug impairs working memory and reasoning and there are long-term effects, a study suggests.

  • 29 minutes ago
  • From the section Health

NHS Digital

Personal Social Services Adult Social Care Survey, England – 2017-18 [PAS]

2 Oct 2018

This report contains findings from the Adult Social Care Survey 2017-18 (ASCS). This national survey takes place every year and is conducted by Councils with Adult Social Services Responsibilities (CASSRs).

Mental Capacity Act 2005, Deprivation of Liberty Safeguards England, 2017-18 [PAS]

2 Oct 2018

This official statistics report provides the findings from the Mental Capacity Act 2005, Deprivation of Liberty Safeguards (DoLS) data collection for the period 1 April 2017 to 31 March 2018. DoLS are a legal framework that exist to ensure that individuals who lack the mental capacity to consent to…

Mortality from all causes: indirectly standardised ratio (SMR), <75 years, annual trend, MFP

28 Sep 2018

Mortality from all causes (for ages < 1yr all deaths, including where no cause is recorded; for ages >= 1 yr ICD-10 A00-Y99 equivalent to ICD-9 001-E999).

Sexual and Reproductive Health Services, England – 2017/18

27 Sep 2018

This publication primarily covers activity taking place at dedicated Sexual and Reproductive Health (SRH) services in England, as recorded in the Sexual and Reproductive Health Activity Dataset (SRHAD), a mandated collection for all providers of NHS SRH services.

Compendium – Mortality from acute myocardial infarction or ischaemic heart disease other than acute myocardial infarction.

27 Sep 2018

To reduce deaths from acute myocardial infarction and coronary heart disease

Compendium – Mortality from cervical cancer 27 Sep 2018

To reduce deaths from cervical cancer

Publication

Compendium – Mortality from breast cancer 27 Sep 2018

To reduce deaths from breast cancer

Publication

Compendium – Mortality from bladder cancer 27 Sep 2018

To reduce deaths from bladder cancer

Publication

Compendium – Mortality from all circulatory diseases 27 Sep 2018

To reduce deaths from circulatory diseases

Publication

Compendium – Mortality from all cancers 27 Sep 2018

To reduce deaths from cancer

Publication

Compendium – Mortality from accidental falls 27 Sep 2018

To reduce deaths from accidental falls

Publication

Compendium – Maternal mortality 27 Sep 2018

To reduce maternal deaths

Publication

Compendium – Mortality from all causes 27 Sep 2018

To reduce mortality

Weekly Information Bulletin

This page details weekly new public health information and data releases which may be of interest.

Week Commencing  17 September 2018

Current Awareness Bulletin  

Are crowdfunding sites promoting quack treatments for cancer?

Analysis of media reports following a BMJ feature examining the growth of crowdfunding websites, which have opened up the possibility of private or alternative medical treatment for cancer patients who would not otherwise have the money to pay for it.

Source: Behind the Headlines

Interventions for promoting habitual exercise in people living with and beyond cancer

Source: Cochrane Database of Systematic Reviews; 2018:9

Chronic heart failure in adults: diagnosis and management (NG106)

Source: NICE

Effect of cardiac rehabilitation on inflammation: A systematic review and meta-analysis of controlled clinical trials
Sadeghi M; Atherosclerosis 2018;14(2):85-94
This systematic review and meta-analysis aimed to assess the effect of cardiac rehabilitation (CR) on serum C-reactive protein (CRP) as an indicator of the inflammatory state and predictor of recurrent cardiovascular events. Both short- and long-term CR have resulted in improvement in serum hs-CRP levels. CR can be perceived as a beneficial tool to reduce inflammatory markers among patients with previous cardiac events.

Developing a Core Outcome Set for Childhood Obesity Prevention: A Systematic Review
MatvienkoSikar K; Maternal and Child Nutrition; Aug 2018; doi.org/10.1111/mcn.12680
Synthesis of effects of infant feeding interventions to prevent childhood obesity is limited by outcome measurement and reporting heterogeneity. Core outcome sets (COS) represent standardised approaches to outcome selection and reporting. The aim of this review is to identify feeding outcomes used in infant feeding studies to inform an infant feeding COS for obesity prevention interventions.

High-flow oxygen therapy may have a role in treating infants with more severe bronchiolitis

A randomised controlled trial of 1,472 infants with bronchiolitis found that more children improved when started on high-flow oxygen therapy than with standard oxygen therapy.

Source: NIHR Signals

Flu immunisation for early years settings including child minders

Guidance for early years childcare settings on the nasal spray flu (influenza) vaccination for preschool children.

Source: PHE

Guidance for Commissioners: Interpreting and Translation Services in Primary Care

This guidance aims to provide practical advice to commissioners including details of the legal position, principles for high quality interpreting and translation services, and commissioning and contracting considerations.

Source: NHS England

Reducing Health Inequalities Through New Models of Care: A Resource for New Care Models

This report was commissioned by NHS England and developed in collaboration with the vanguards and the new care models team. It provides an analysis of the opportunities for new models of care and place-based health systems to improve health and reduce health inequalities. Building on experience of vanguards across England, it explores levers

and mechanisms for embedding a population health-based system and proposes ways of developing new levers and incentives for developing sustainable, effective approaches to reducing health inequalities. The report also assesses potential risks for health inequalities and suggests ways of mitigating those risks.

Source: UCL Institute of Health Equity

Flu vaccination: increasing uptake (NG103)
This guideline covers how to increase uptake of the free flu vaccination among people who are eligible. It describes ways to increase awareness and how to use all opportunities in primary and secondary care to identify people who should be encouraged to have the vaccination.

Source: National Institute for Health and Care Excellence (NICE)

Flu vaccination: What you need to know about this year’s programme

Source: Public Health Matters

Flu immunisation for early years settings including child minders

Guidance for early years childcare settings on the nasal spray flu (influenza) vaccination for preschool children.

Source: PHE

Third molar surgery: Steroids had a beneficial effect on pain, swelling and trismus

Comment on a systematic review of effectiveness of corticosteroids in the post-operative control of pain, swelling and trismus after third molar surgery included 17 RCTs suggesting that corticosteroid use had beneficial effects on pain swelling and trismus.

Source: The Dental Elf

Antibiotic therapy of diabetic foot infections: A systematic review of randomized controlled trials

Tchero H; Wound Repair and Regeneration; Aug 2018; doi: 10.1111/wrr.12649

Diabetic foot infection is a common diabetic complication that may end in lower limb amputation if not treated properly. This systematic review assessed the clinical efficacy of different antibiotic regimens, whether systemic or topical, in the treatment of moderate to severe diabetic foot infections.

Management of adults with diabetes on the haemodialysis unit: summary of guidance from the Joint British Diabetes Societies and the Renal Association

Frankel, A H et al;  Diabetic Medicine; Aug 2018; vol. 35 (no. 8); p. 1018-1026

These national guidelines, the first in this area, bring together in one document the disparate needs of people with diabetes on maintenance haemodialysis. The guidelines are based on the best available evidence, or on expert opinion where there is no clear evidence to inform practice.

General hospital care for children with learning disabilities has scope for improvement

This study found that less than half of NHS staff surveyed said they were routinely informed that a child has learning disabilities through a dedicated flagging system on admission. The research shows the frequent lack of well-embedded local policies to support children with learning disabilities in general hospitals and the current variation in practice.

Source: NIHR Signals

Government response to the Learning Disabilities Mortality Review (LeDeR) Programme 2nd annual report

A joint response from the Department of Health and Social Care and NHS England to the Learning Disabilities Mortality Review (LeDeR) 2nd annual report. It accepts the recommendations and sets out a plan of action for each one.

Source: DHSC

Reducing Health Inequalities Through New Models of Care: A Resource for New Care Models

This report was commissioned by NHS England and developed in collaboration with the vanguards and the new care models team. It provides an analysis of the opportunities for new models of care and place-based health systems to improve health and reduce health inequalities. Building on experience of vanguards across England, it explores levers

and mechanisms for embedding a population health-based system and proposes ways of developing new levers and incentives for developing sustainable, effective approaches to reducing health inequalities. The report also assesses potential risks for health inequalities and suggests ways of mitigating those risks.

Source: UCL Institute of Health Equity

Reframing “participation” and “inclusion” in public health policy and practice to address health inequalities: Evidence from a major resident-led neighbourhood improvement initiative

Lewis S et al; Health & social care in the community; Sep 2018

This study draws on qualitative data generated during the first phase of the Communities in Control Study, a longitudinal multisite independent evaluation of the impact of Big Local on the social determinants of health and health inequalities. In observing how different Big Local resident-led partnerships across England are tackling the day-to-day challenges of engaging with their communities, it reveals the potential for policy and practice of reframing, and therefore clarifying (to highlight the different roles they have) the concepts of participation and inclusion in terms of depth and breadth.

Anti-anginal drugs-beliefs and evidence: systematic review covering 50 years of medical treatment

Ferrari R et al; European Heart Journal; epub 27 Aug 2018

This review found a paucity of data comparing the efficacy of anti-anginal agents. Taken all together, in none of the studies was there evidence that one drug was superior to another in the treatment of angina or to prolong total exercise duration.

Effects of Aspirin for Primary Prevention in Persons with Diabetes Mellitus
ASCEND Study Collaborative Group; New England Journal of Medicine; Aug 2018; doi: 10.1056/NEJMoa1804988
Aspirin use prevented serious vascular events in persons who had diabetes and no evident cardiovascular disease at trial entry, but it also caused major bleeding events. The absolute benefits were largely counterbalanced by the bleeding hazard.

Effect of Aspirin on Cardiovascular Events and Bleeding in the Healthy Elderly

McNeil JJ et al (ASPREE Study); New England Journal of Medicine; 16 September 2018

This trial found that the use of low-dose aspirin as a primary prevention strategy in older adults resulted in a significantly higher risk of major hemorrhage and did not result in a significantly lower risk of cardiovascular disease than placebo.

Antibiotics for acute rhinosinusitis in adults

Source: Cochrane Database of Systematic Reviews; 2018:9

Topical and systemic antifungal therapy for chronic rhinosinusitis

Source: Cochrane Database of Systematic Reviews; 2018:9

Preventing suicide in community and custodial settings (NG105)

Source: NICE

Coping through football: evaluation report 2018.
This report is the culmination of two years of research led by Dr Oliver Mason of UCL on the Coping Through Football project. Centre for Mental Health provided the economic analysis of the programme’s costs and benefits. The report finds that for two out of three participants (39% of whom have schizophrenia) there was a positive change in lifestyle choices around healthy eating and smoking. 54% of participants went on to volunteering, education and training or employment. The report also records that there was a 12% reduction in the number of overnight hospital stays for those who were involved in the project. Centre for Mental Health’s researchers highlighted that the Coping Through Football programme is a low-cost intervention in the mental health sector.

Source: Centre for Mental Health

Art therapy for people with dementia

Source: Cochrane Database of Systematic Reviews; 2018:9

Psychosocial interventions for Alzheimer’s disease cognitive symptoms: a Bayesian network meta-analysis

Duan Y; BMC Geriatrics 2018;18:175; Aug 2018
This study confirmed the effectiveness of psychosocial interventions for improving cognition or slowing down the progression of cognitive impairment in AD patients and recommended several interventions for clinical practice.

The transdiagnostic approach to anxiety: the case is made (again!)

Comment on a review by Peter Norton and Daniel Paulus on the theoretical and empirical underpinnings of transdiagnostic models of anxiety disorder.

Source: The Mental Elf

Transdiagnostic and disorder-specific anxiety disorder treatments have equivalent treatment effects

Comment on an RCT on the unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders.

Source: The Mental Elf

Mental health crisis teams in England: lost in translation?

Comment on a recent national survey of mental health crisis resolution teams and crisis care systems in England.

Source: The Mental Elf

NICEimpact: falls and fragility fractures

This impact report considers how NICE’s evidence-based guidance contributes to improvements in the prevention and management of falls and fragility fractures.

Source: NICE

Healthy older people do not benefit from taking aspirin

Analysis of media coverage concerning the new studies listed below.

Source: Behind the Headline

Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants
Guthold R; The Lancet Global Health; Vol 6, Iss 10, pe1077-e1086; October 01, 2018
This study published includes data from 358 surveys across 168 countries, including 1.9 million participants. If current trends continue, the 2025 global physical activity target (a 10% relative reduction in insufficient physical activity) will not be met. Policies to increase population levels of physical activity need to be prioritised and scaled up urgently.

Wokingham paramedic home visiting model

The Wokingham General Practice (GP) Alliance has delivered a primary-care led integrated paramedic home visiting model. This model sees patients, who urgently need a home visit, being seen by a paramedic, rather than their GP.  The paramedic provides holistic one-stop care. They seek to solve the immediate problem, and take steps to ensure it is rectified and does not recur, working closely with integrated health, social and voluntary services. The service has delivered exceptionally positive outcomes. As well as reducing demand on GP workload, it has improved patient experience, and led to better management of pressures on other parts of the local health and care system.

Source: NHS England

Healthy older people do not benefit from taking aspirin

Analysis of media coverage concerning the new studies listed below.

Source: Behind the Headlines

Antibiotics for acute rhinosinusitis in adults

Source: Cochrane Database of Systematic Reviews; 2018:9

Topical and systemic antifungal therapy for chronic rhinosinusitis

Source: Cochrane Database of Systematic Reviews; 2018:9

Adult Safeguarding: Roles and Competencies for Health Care Staff
This intercollegiate document has been designed to guide professionals and the teams they work with to identify the competencies they need to support individuals to receive personalised and culturally sensitive safeguarding. It sets out minimum training requirements along with education and training principles.

Source: Royal College of Nursing.

Spotlight on sexually transmitted infections in the East of England 2017 data

Recent data for sexually transmitted infections (STIs) in the East of England.

Source: PHE

New data shows smokers are getting the message on e-cigarettes

Results from a survey of over 12,000 adults, with a further analysis by King’s College London, estimate that there are now 3.2 million vapers in Great Britain. This compares with an estimated 7.4 million smokers in the UK. Of current GB vapers, over half have quit smoking and 40% are current smokers who are trying to quit.

Source: Action on Smoking and Health (ASH)

Carers action plan 2018 to 2020

The plan sets out the cross-government programme of work to support carers over the next 2 years.

Source: DHSC

State of Maternity Services Report 2018 – England

The RCM’s latest annual report on the state of maternity services in England highlights some of the trends that are taking place in the midwifery workforce and identifies some of the challenges that face the profession and maternity services.

Source: Royal College of Midwives

A report by the National Guideline Alliance about twin pregnancy costing

The report shows that twin births are almost three times as expensive as singleton births; the average cost to the NHS is £13,959 for a twin birth, while a singleton birth costs £4,892. The report notes that multiple pregnancy rate has significantly increased since the introduction of IVF and calls on CCGs to ensure single embryo transfer to reduce the multiple birth rate. This would reduce health risks for mother and babies, improve safety and quality of care, and lead to significant savings for the NHS.

Source: Royal College of Obstetricians and Gynaecologists

Effect of high dose folic acid supplementation in pregnancy on pre-eclampsia (FACT): double blind, phase III, randomised controlled, international, multicentre trial

Wen SW et al; BMJ 2018;362:k3478

Trial to determine the efficacy of high dose folic acid supplementation for prevention of pre-eclampsia in women with at least one risk factor: pre-existing hypertension, prepregnancy diabetes (type 1 or 2), twin pregnancy, pre-eclampsia in a previous pregnancy, or body mass index ≥35.

The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review
Radziminska A; Clinical Interventions in Aging 2018;13; p957-965
The results of this literature review demonstrate that PFMT is an effective treatment for UI in women. PFMT significantly improves the QoL of women with UI, which is an important determinant of their physical, mental, and social functioning.

Excess weight gain in pregnancy could pave the way to diabetes in children

Analysis of media coverage of the cohort study which found that women who gained either less or more than the recommended weight during pregnancy had children who were more likely to show insulin resistance.

Source: Behind the Headlines

Health profile for England: 2018

Annual report combining data and knowledge with information from other sources to give a broad picture of the health of people in England in 2018.

Source: PHE

Impact of public release of performance data on the behaviour of healthcare consumers and providers

Source: Cochrane Database of Systematic Reviews; 2018:9

Skills for Health

NSA News Feed

·         East London hospitals boost local community employment through innovative programme

21 09 2018

Hundreds of people from deprived communities in East London have been helped to find secure employment and begin healthier lives in an innovative project led[…]

Read more… https://www.nsahealth.org.uk/news/631-east-london-hospitals-boost-local-community-employment-through-innovative-programme?_ga=2.160492029.1727205380.1537862913-1871050877.1537184453

Kings Fund

A year of integrated care systems: reviewing the journey so far

Part of Integrated care systems https://www.kingsfund.org.uk/publications/year-integrated-care-systems

NHS England

Urging GPs towards prevention and self-care

25 September 2018

Joanna Bayley

A GP who represents primary care providers on Gloucestershire’s ICS Delivery Board, discusses the county’s innovative social prescribing initiative which enables primary care professionals to refer people to a range of local, non-clinical services: For many people who access the NHS, it could be that the answer lies not in medical treatment, but in community […]

Gov.uk

UK public health antimicrobial resistance alerts

Public health skills and knowledge framework: tools and guidance

ONS

·         National life tables, UK: 2015 to 2017

25 September 2018 (confirmed)

·         Estimates of the very old, including centenarians, UK: 2002 to 2017

25 September 2018 (confirmed)

·         016-based household projections in England

20 September 2018 (confirmed)

·         One in eight young people without degrees work in graduate jobs

18 September 2018 (confirmed)

 

BBC Health

Children ‘must be suicidal to get help’

  • 24 September 2018
  • From the section Health

https://www.bbc.co.uk/news/health-45607313

Laxative sales could be restricted

  • 24 September 2018
  • From the sectionHealth

Full article Laxative sales could be restricted

Obesity to be ‘main cancer risk in women’

  • 24 September 2018
  • From the sectionHealth

https://www.bbc.co.uk/news/health-45601052

NHS Digital

Latest publications

CCG Outcomes Indicator Set – September 2018

20 September 2018

Hospital Admitted Patient Care Activity, 2017-18

20 September 2018

Week Commencing  10 September 2018

Current Awareness Bulletin  

Statins for primary prevention of cardiovascular events and mortality in old and very old adults with and without type 2 diabetes: retrospective cohort study

Ramos R et al; BMJ 2018;362:k3359

Study to assess whether statin treatment is associated with a reduction in atherosclerotic cardiovascular disease (CVD) and mortality in old and very old adults with and without diabetes.

See also:

Statins ‘may not help over-75s without diabetes’

Source: Behind the Headlines

Association between passive tobacco exposure and caries in children and adolescents. A systematic review and meta-analysis

González-Valero L; PLoS One 2018; 0202497

In children and adolescents, a significant though moderate association was found between passive tobacco exposure and caries.

Commissioning better oral health for vulnerable older people: an evidence-informed toolkit for local authorities

Resources to support commissioners in improving the oral health of vulnerable older people. Includes toolkit and evidence review.

Source: PHE

Government response to the Health and Social Care Committee’s report on integrated care

This document is the government’s response to a report by the Health and Social Care Committee on Integrated care: organisations, partnerships and systems.

Source: DHSC

Provider voices: the journey to integrated care systems

This third report in the series explores the challenges and opportunities presented by STPs and ICSs.  It summarises common themes raised in a series of eleven interviews – including trust chairs and chief executives, leaders from commissioning and local government, national policy makers and thought leaders – and looks to what the future holds for collaborative working and integration.

Making measles history together: a resource for local government

Guidance to help local authorities to respond to outbreaks of measles in their areas, and support greater uptake of the MMR vaccine.

Source: PHE

Hepatitis B vaccine for at risk infants aide memoire

This is a guidance document for healthcare professionals to use to advise pregnant mothers at risk from the hepatitis B virus. It acts as a reminder of the dose schedule and testing prompts.

Source: PHE

Oral anticoagulant therapy: Preventing bleeding in patients having dental extractions

Comment on a recent Cochrane review of antifibrinolytic agents for preventing bleeding in people on oral anticoagulants undergoing dental extractions or minor oral surgery. Topical tranexamic acid was effective in reducing post-operative bleeding following dental procedures.

Source: The Dental Elf

Proximal caries: seal or infiltrate early lesions?

Comment on a review of micro-invasive treatments for proximal caries included 13 split-mouth RCTs. It found moderate quality evidence to support sealing in infiltration of early proximal caries compared with non-invasive treatments such as diet and bio-film management and topical fluorides.

Source: The Dental Elf

Metformin as an adjunct to periodontal treatment

Comment on a review of metformin as an adjunct to scaling and root planing for chronic periodontitis included 5 RCTs.

Source: The Dental Elf

Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis

Seidelmann S et al; The Lancet Public Health; Vol 3, Iss 9, Pe419-e428, September 2018

Low carbohydrate diets, which restrict carbohydrate in favour of increased protein or fat intake, or both, are a popular weight-loss strategy. However, the long-term effect of carbohydrate restriction on mortality is controversial and could depend on whether dietary carbohydrate is replaced by plant-based or animal-based fat and protein. This study aimed to investigate the association between carbohydrate intake and mortality and found that both high and low percentages of carbohydrate diets were associated with increased mortality.

Moderate dairy consumption may help heart health

Source: Behind the Headlines

Why Public Health England is working with Drinkaware to reduce the harms of alcohol

Source: Public Health Matters

Rates of deliberate overdoses rising in young people

Source: Behind the Headlines

Affordability of the UK’s Eatwell Guide

Analysis comparing the estimated cost of Public Health England’s ‘Eatwell Guide’ with household income across the UK shows that the bottom 20% of families would have to spend 42% of their after-housing income on food to eat the Government’s recommended diet.

Source: The Food Foundation/King’s Fund

Interventions to improve the appropriate use of polypharmacy for older people

Source: Cochrane Database of Systematic Reviews 2018;9

Pharmacist services for non‐hospitalised patients

Source: Cochrane Database of Systematic Reviews 2018;9

Head‐to‐head trials of antibiotics for bronchiectasis

Source: Cochrane Database of Systematic Reviews 2018;9

Tackling loneliness in people with mental health problems

Comment on a 2017 scoping review entitled: A life less lonely – the state of the art in interventions to reduce loneliness in people with mental health problems.

Source: The Mental Elf

Eating disorders and autoimmune diseases: a bidirectional relationship?

Comment on a study which evaluated the strength of associations for the bidirectional relationships between eating disorders and autoimmune diseases.

Source: The Mental Elf

Social media: good and bad experiences and the impact on depression

Comment on a recent US cross-sectional study that looks at the association between positive and negative social media experiences and symptoms of depression.

Source: The Mental Elf

Exploring the feasibility and acceptability of using tele-therapy for UK veterans with PTSD

This study, funded by the Forces in Mind Trust, evaluated a new approach in offering treatment to former Service personnel with mental health conditions including post-traumatic stress disorder (PTSD). It found tele-therapy to be an accessible, flexible and cost-effective approach to delivering trauma-focused therapies.

Source: Combat Stress (via King’s Fund)

Interventions for preventing falls in older people in care facilities and hospitals

Source: Cochrane Database of Systematic Reviews 2018;9

The failing safety net

This analysis argues that the health and care system has, to date, failed to expand or change fast enough to support an ageing population, piling pressure on hospitals – as the rate of avoidable emergency admissions has more than doubled for older people over the last 13 years.

Source: Age UK (via King’s Fund)

Reminders help GPs to find and manage inherited cholesterol disorders

GPs and practice nurses assess more adults with inherited raised cholesterol (familial hypercholesterolaemia) when prompted by reminders. This NIHR-funded study used electronic health records from six GP practices to identify patients with total cholesterol greater than 7.5mmol/l. Reminder messages appeared when their records were opened during consultations and prompted GPs to carry out further assessments.

Source: NIHR Signals

People take prescribed statins more reliably after discussing their advantages and disadvantages

Patients want to know more about how statins work, the reasons for prescribing them and their possible side effects. This review found that people are happy to take statins if they believe they will prolong good quality of life.  Barriers include mistrust and scepticism about over-prescribing. Worry about possible debilitating side effects, toxicity and fear of long-term dependence on statins were also identified. Frank conversations about the benefits and risks for each individual with discussion addressing the patient’s specific concerns, priorities and goals are an important step in facilitating statin use and adherence.

Source: NIHR Signals

Direct payments in residential care: ideas for implementation and some concerns about their value

Comment on a study looking at the low uptake of direct payments in residential care.

Source: The Social Care Elf

A taxing question: how to pay for free personal care

This report looks at various options for funding older people’s social care, including what they would cost the individual and what the funding situation might look like in ten years’ time.

Source: Independent Age (via King’s Fund)

Inducing labour at or after 41 weeks reduces risks to infants

Inducing labour after the due date slightly lowers the risk of stillbirth or infant death soon after birth compared with watchful waiting. But the overall risk is very low. The findings from a large review of 30 trials are in line with NICE guidance and may help women to make informed choices about whether or when to induce labour.

Source: NIHR Signals

Health Profile for England: 2018

and

10 facts about the health of England

Source: PHE

Using behavioural science to improve and protect the health of the nation

Source: Public Health Matters

Four ways to embed prevention at the heart of care

Source: Public Health Matters

The health benefits of the great outdoors: A systematic review and meta-analysis of greenspace exposure and health outcomes

Twohig-Bennett C; Environmental Research; Vol 166, October 2018, p 628-637

This study aims to quantify evidence of the impact of greenspace on a wide range of health outcomes.

The relationship between buildings and health: a systematic review

Ige J et al; Journal of Public Health; August 2018

This study provides a systematic review of quantitative studies assessing the impact of buildings on health.

PHE Healthy Places

This provides an overview of the work completed by the Healthy Places team from 2013 to date.

Source: PHE

Sport England

Building a stronger workforce

We’ve developed a plan to give the best possible support to those in the sport and physical activity workforce.12 September 2018 #News#Coaching#Active Nation

NICE

Pancreatitis

NG104

September 2018 September 2018

Preventing suicide in community and custodial settings

NG105

September 2018 September 2018

Chronic heart failure in adults: diagnosis and management

NG106

September 2018 September 2018

Nomis

Labour Force Survey Estimates Unrounding of Labour Force Survey data (17/09/2018)

Claimant Count / Jobseekers Allowance August 2018 data released (11/09/2018)

Workforce Jobs June 2018 data released (11/09/2018)

NHS England

GP online services: promoting to students

6 September 2018

  • Digital
  • General practice
  • GP online services

Seeking maternity feedback to improve care

7 September 2018 By Leading Change, Adding Value Team

  • Nursing, midwifery and care

A new online resource to support and assist adults with Type 1 diabetes: letter from Dr Partha Kar

12 September 2018

  • Diabetes

Care and Treatment Reviews Reporting in the Mental Health Services Data Set

12 September 2018

  • Learning disabilities

Care Education and Treatment Reviews: The role of health and social care providers

12 September 2018

  • Learning disabilities

Guidance for Commissioners: Interpreting and Translation Services in Primary Care

13 September 2018

  • Commissioning
  • Primary care

GP online services good practice support and resources guide

17 September 2018

  • Digital
  • GP online services

Cambridgeshire and Peterborough CCG

Do you know your heart age?

Adults across the country are being encouraged to take a few minutes out of their day to get to know their heart age by taking a free online, ‘Heart Age Test’, which asks physical and lifestyle related information, as well as blood pressure and cholesterol, and determines if someone’s heart is at a higher age than their actual age.

Gov.uk

Labelling tobacco products and e-cigarettes if there’s no Brexit deal

14 September 2018

DHSC

Guidance

Part of a collection: Information for the health and care sector about planning for a potential no-deal Brexit and How to prepare if the UK leaves the EU with no deal

Batch testing medicines if there’s no Brexit deal

14 September 2018

DHSC

Guidance

Part of a collection: Information for the health and care sector about planning for a potential no-deal Brexit and How to prepare if the UK leaves the EU with no deal

Ensuring blood and blood products are safe if there’s no Brexit deal

14 September 2018

DHSC

Guidance

Part of a collection: Information for the health and care sector about planning for a potential no-deal Brexit and How to prepare if the UK leaves the EU with no deal

Submitting regulatory information on medical products if there’s no Brexit deal

14 September 2018

DHSC

Guidance

Part of a collection: Information for the health and care sector about planning for a potential no-deal Brexit and How to prepare if the UK leaves the EU with no deal

Quality and safety of organs, tissues and cells if there’s no Brexit deal

14 September 2018

DHSC

Guidance

Part of a collection: Information for the health and care sector about planning for a potential no-deal Brexit and How to prepare if the UK leaves the EU with no deal

How medicines, medical devices and clinical trials would be regulated if there’s no Brexit deal

14 September 2018

DHSC

Guidance

Part of a collection: Information for the health and care sector about planning for a potential no-deal Brexit and How to prepare if the UK leaves the EU with no deal

Calorie labelling for food and drink served outside of the home

14 September 2018

DHSC

Open consultation

Code of conduct for data-driven health and care technology

    • 5 September 2018
    • DHSC
    • Guidance

ONS

Suicides in the UK: 2017 registrations

4 September 2018 (confirmed)

11 September 2018 (confirmed)
This date has been changed from 11 September 2018

Being 18 in 2018

13 September 2018 (confirmed)

NHS network

Disruptive innovation? Online consultation and general practice

New tools and services are already allowing general practice to work in new ways. They range from systems that enable practices to improve patient flows to AI based apps that do some of the work of GPs and services where the only face to face contact between doctor and patient is on a screen.

09:58 – Tue 04 Sep 2018

Heart age test gives early warning of heart attack and stroke

Public Health England is calling for adults across the country to take a free, online heart age test. If someone’s heart age is higher than their actual age, they are at an increased risk of having a heart attack or stroke.

16:53 – Wed 05 Sep 2018

UK sees few cases of HIV

Annual HIV data shows new diagnoses fell from 5,280 in 2016 to 4,363 in 2017.

16:51 – Wed 05 Sep 2018

NICE aims to improve flu vaccination uptake

The National Institute for Health and Care Excellence (NICE) and Public Health England have published new guidance on how to increase uptake of NHS flu vaccinations by identifying and encouraging those who are eligible.

16:50 – Wed 05 Sep 2018

Don’t neglect your most valuable primary care resources

GP shortages, falling morale and a dwindling share of the NHS budget are among the woes facing general practice.

16:56 – Wed 05 Sep 2018

Patterns of benign gynaecology care in English NHS hospital trusts: 2015/16

The Royal College of Gynaecologists has published a report into benign gynaecological care that shows some variations between NHS trusts across England.

12:14 – Thu 06 Sep 2018

New logistics contract to help centralise delivery services for NHS trusts

The government has agreed a five year contract as part of the new NHS supply chain, which aims to save billions of pounds and simplify the NHS goods-buying process

12:13 – Thu 06 Sep 2018

NHS England announces groundbreaking new personalised therapy for children with cancer

NHS patients are to benefit from Europe’s first full access deal on breakthrough CAR-T therapy.

12:19 – Thu 06 Sep 2018

Code of conduct for digital technology

A new code of conduct for artificial intelligence (AI) and other data-driven technologies will allow NHS patients to benefit from the latest innovations.

12:18 – Thu 06 Sep 2018

Better self-management could cut demand for urgent care

A briefing from the Health Foundation explores the link between how well people feel able to manage their long-term conditions – such as asthma, diabetes and depression – and their use of health care services.

12:16 – Thu 06 Sep 2018

Health secretary: new technology is key to making NHS the world’s best

The NHS can become the most advanced health system in the world by embracing the best innovations in new technology and artificial intelligence, according to the health and social care secretary Matt Hancock.

13:46 – Fri 07 Sep 2018

Prevention must be the heart of the NHS long-term plan

If we get the NHS long-term plan right, we will prevent three of the biggest killers, according to Duncan Selbie, chief executive of Public Health England.

13:45 – Fri 07 Sep 2018

Newborn hearing screening programme operational guidance

Guidance from Public Health England supports healthcare professionals and stakeholders delivering and managing newborn hearing screening programmes in England.

13:43 – Fri 07 Sep 2018

Framework to improve care and support for people living with frailty

NHS England and others have published a frailty core capabilities framework to improve services for people living with frailty. It looks at developing the workforce to ensure that high quality, holistic, compassionate care and support are offered.

The failing safety net

Age UK argues that the health and care system has adapt fast enough to support an ageing population, particularly the increasing pressure on hospitals as the rate of avoidable emergency admissions has more than doubled for older people over the past 13 years.

11:22 – Mon 10 Sep 2018

NHS England continues push to reduce prescribing of over-the-counter items in primary care

NHS England has published further advice to help CCGs implement its guidance on which over the counter items should no longer be prescribed in primary care.

14:06 – Fri 07 Sep 2018

Public health drive for drink free days

Public Health England and alcohol education charity Drinkaware are jointly launching a new campaign Drink Free Days to help people cut down on the amount of alcohol they are regularly drinking.

11:36 – Mon 10 Sep 2018

World suicide prevention day 2018

Today is World Suicide Prevention Day.

11:34 – Mon 10 Sep 2018

Current and future state of nation’s health revealed

Public Health England has published a report giving the most comprehensive picture of the health of England today and into the future.

16:02 – Tue 11 Sep 2018

Feasibility and acceptability of using tele-therapy for UK veterans with PTSD

This study, funded by the Forces in Mind Trust, evaluated a new approach to offering treatment to former service personnel with mental health conditions including post-traumatic stress disorder (PTSD).

16:05 – Tue 11 Sep 2018

£450k announced to help patients have their say on health services

Nearly half a million pounds is available to support ways to help patients improve health services. NHS England calls it a “windfall”.

09:45 – Wed 12 Sep 2018

Vaccination news: flu and hospices

NHS England has written to social care organisations confirming that NHS flu vaccinations will now be offered to health and care staff in the voluntary managed hospice sector.

09:44 – Wed 12 Sep 2018

CQC calls for guidance to improve sexual safety on mental health wards

The Care Quality Commission (CQC) is calling for new national guidance to improve the sexual safety of people and staff on mental health wards, following analysis of how mental health trusts in England report sexual incidents.

09:42 – Wed 12 Sep 2018

Suicide prevention: toolkit for engaging communities

The World Health Organisation has issued guidance setting out how communities can address suicide prevention.

09:40 – Wed 12 Sep 2018

Stop smoking resources from Cancer Research UK

Cancer Research UK has published a newsletter focusing on smoking cessation aimed at community pharmacy teams.

09:39 – Wed 12 Sep 2018

Beyond the hype – what digital disruption has in store for primary care

With a plethora of online medical consultation services and health apps, there’s no doubt that the digital disruptors have arrived in healthcare.

16:08 – Tue 11 Sep 2018

New flu vaccine available this winter for those aged 65 and over

A more effective flu vaccine is available this winter for older people, which could prevent deaths and reduce the burden on the NHS.

14:00 – Thu 13 Sep 2018

New information standard for digital maternity records

A new standard has been published to support the introduction of digital maternity records that will ensure that record information is consistent and can be shared more easily across healthcare services in England in the future.

14:05 – Thu 13 Sep 2018

Online resource to support and assist adults with Type 1 diabetes

NHS England’s deputy national clinical director for diabetes, Dr Partha Kar, has written to colleagues to draw attention to the nhs.uk online diabetes resource which provides practical information at diagnosis, such as videos on how to inject insulin, how to check blood glucose levels and the check-ups and appointments they should attend.

14:03 – Thu 13 Sep 2018

Annual report on A&E activity in England 2017/18

NHS Digital has released data on accident and emergency (A&E) activity in English NHS hospitals and English NHS-commissioned activity in the independent sector.

17:24 – Fri 14 Sep 2018

Social care funding in England: call for evidence

A parliamentary inquiry is underway to address the funding challenges faced by the social care system in England.

11:50 – Mon 17 Sep 2018

BBC News

Vapers rise ‘to more than three million’

14 September 2018

  • From the section Health
  • 103 commentsFull article Vapers rise ‘to more than three million’

Can health services handle the Apple Watch?

14 September 2018

Call to ban early baby sex tests

17 September 2018

Daily aspirin ‘risky in old age’ – study

16 September 2018

Pathology shortage ‘delaying diagnosis’

16 September 2018

Shining a light on baby brain injury

18 September 2018

Deaths spiked during UK heatwave

17 September 2018

Skin cancer drug approved for NHS use

17 September 2018

From the section Health

Week Commencing  4 September 2018

Current Awareness Bulletin  

Reducing emergency admissions: unlocking the potential of people to better manage their long-term conditions

This briefing summarises research that explores the link between how well patients feel able to manage their long-term conditions such as asthma, diabetes and depression and their use of health care. The findings show the NHS could reduce avoidable health care use and improve people’s quality of life, if they were better supported to manage their long-term conditions.

Source: The Health Foundation

Environmental toxic metal contaminants and risk of cardiovascular disease: systematic review and meta-analysis

Chowdury R et al; BMJ 2018;362:k3310

This study found that exposure to arsenic, lead, cadmium, and copper is associated with an increased risk of cardiovascular disease and coronary heart disease. Mercury is not associated with cardiovascular risk. These findings reinforce the importance of environmental toxic metals in cardiovascular risk, beyond the roles of conventional behavioural risk factors.

Omega-3 fatty acids for the primary and secondary prevention of cardiovascular disease

Evidence rating: Strong

Source: McMaster Health Evidence

Effects of frequency, intensity, duration and volume of walking interventions on CVD risk factors: A systematic review and meta-regression analysis of randomised controlled trials among inactive healthy adults

Evidence rating: Strong

Source: McMaster Health Evidence

Heart Age Test gives early warning of heart attack and stroke

Source: PHE

People conceived by IVF ‘may have greater risk of high blood pressure’

Source: Behind the Headlines

New infant-feeding website to help professionals

Academics at Coventry University have created a new website to help midwives and health visitors support both breastfeeding and bottle-feeding parents.  iFeed aims to fill a gap in the help offered to parents due to children’s centre closures, over-stretched maternity and health visiting services, as well as to ensure parents who bottle feed receive more support.

Source: Royal College of Midwives

National paediatric diabetes audit

The National Paediatric Diabetes Audit was established to compare the care and outcomes of all children and young people with diabetes receiving care from paediatric diabetes units in England and Wales. The latest report highlights the main findings from 2016-17.

Source: Royal College of Paediatrics and Child Health

Childhood obesity plan for action chapter 2: equality assessment

This paper examines the effects of the policy intentions set out by the government in Childhood obesity: a plan for action, chapter 2 on people with protected characteristics.

Source: DHSC

Exercise, health outcomes, and paediatric obesity: A systematic review of meta-analyses

Evidence rating: Strong

Source: McMaster Health Evidence

Effectiveness of school food environment policies on children’s dietary behaviors: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

The good childhood report 2018

This report examines the state of children’s well-being in the UK. It finds that one in six (16 per cent) of more than 11,000 children aged 14 surveyed reported self-harming. It looks at the reasons behind the unhappiness which increases the risk of children self-harming. The report urges the Government to make sure that every child can talk to a counsellor in their school.

Source: The Children’s Society

Also: Nearly a quarter of 14-year-old girls in UK ‘self-harming’, charity reports

Source: Behind the Headlines

Smoking and alcohol affect teenagers’ artery health

Source: Behind the Headlines

Joined-up listening: integrated care and patient insight

This article articulates the opportunity that integrated care presents for using insight from people and populations to design services that meet their needs and reflect their priorities. This includes breaking down siloes within and between organisations to listen to what patients are saying across their entire pathway of care.

Source: The King’s Fund

Health Matters – Your questions on Health Economics and commissioning

Source: Public Health Matters

Rethinking outpatient services: Learning from an interactive workshop

This briefing summarises learning from an event to hear from people who had made significant changes to their outpatient services about what they did and the impact it had to date.  It focuses on three areas: how patients were referred to outpatient services, what happened when they were there, and follow-up care.

Source: The Nuffield Trust

Comprehensive geriatric assessment: needs assessment tool

This tool has been developed to help providers and commissioners of care in England assess the needs of frail older people being cared for in hospital.

Source: The Nuffield Trust

 

Middle East Respiratory Syndrome (MERS): Who is at risk?

Source: Public Health Matters

 

Cost-effectiveness of HIV screening in high-income countries: A systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

Text messages improve diabetes self-management and blood sugar control

This trial included 366 adults with type 1 or type 2 diabetes in New Zealand and found that, in adults with poorly controlled diabetes, text messages offering advice and support can improve self-management and blood sugar control.

Source: NIHR Signals

Global diabetes prevention interventions: A systematic review and network meta-analysis of the real-world impact on incidence, weight, and glucose

Evidence rating: Strong

Source: McMaster Health Evidence

Effect of vegetarian dietary patterns on cardiometabolic risk factors in diabetes: A systematic review and meta-analysis of randomized controlled trials

Evidence rating: Strong

Source: McMaster Health Evidence

Prevalence of diagnosed type 1 and type 2 diabetes among US adults in 2016 and 2017: population based study

Xu G; BMJ 2018;362:k1497

This study provided benchmark estimates on the national prevalence of diagnosed type 1 diabetes (0.5%) and type 2 diabetes (8.5%) among US adults. Among US adults with diagnosed diabetes, type 1 and type 2 diabetes accounted for 5.6% and 91.2%, respectively.

Omega-3 fatty acids for the primary and secondary prevention of cardiovascular disease

Evidence rating: Strong

Source: McMaster Health Evidence

Polyunsaturated fatty acids for the primary and secondary prevention of cardiovascular disease

Evidence rating: Strong

Source: McMaster Health Evidence

Effect of vegetarian dietary patterns on cardiometabolic risk factors in diabetes: A systematic review and meta-analysis of randomized controlled trials

Evidence rating: Strong

Source: McMaster Health Evidence

 

Effect of vegetarian diets on the presentation of metabolic syndrome or its components: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Effectiveness of school food environment policies on children’s dietary behaviors: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Effects of dietary and exercise intervention on weight loss and body composition in obese postmenopausal women: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Social media use for nutrition outcomes in young adults: A mixed-methods systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

Alcohol outlet density and alcohol-related hospital admissions in England: a geographical analysis

This report outlines the findings of a study that aimed to investigate if alcohol outlet density was associated with hospital admissions for alcohol-related conditions in England.

Source: Alcohol Research UK

Investigating the potential impact of changing alcohol product labels

This study investigated what consumers pay attention to on alcohol labels when purchasing alcohol products and the potential impact of changes to current labels, for example through the inclusion of a prominent health message.

Source: Alcohol Research UK

Helping to support and transform the lives of people affected by drug and alcohol problems

Case studies of local authority interventions to support those with drug and alcohol problems.

Source: Local Government Association

Reducing emergency admissions: unlocking the potential of people to better manage their long-term conditions

This briefing summarises research that explores the link between how well patients feel able to manage their long-term conditions such as asthma, diabetes and depression and their use of health care. The findings show the NHS could reduce avoidable health care use and improve people’s quality of life, if they were better supported to manage their long-term conditions.

Source: The Health Foundation

Diclofenac use and cardiovascular risks: series of nationwide cohort studies

Schmidt M; BMJ 2018;362:k3426

This series of Danish cohort studies examined the cardiovascular risks of diclofenac initiation compared with initiation of other traditional non-steroidal anti-inflammatory drugs, initiation of paracetamol, and no initiation.  Data from the studies support the conclusion that initiation of diclofenac poses a cardiovascular health risk, both compared with no use, paracetamol use, and use of other traditional NSAIDs.

US weight-loss drug lorcaserin ‘safe’ but only modestly effective

Source: Behind the Headlines

The Dementia Care Pathway – Full implementation guidance

This is one of a suite of mental health care pathways developed on behalf of NHS England to support the delivery of the ambitions of the Mental Health Forward View. The guidance outlines the associated benchmarks to support improvements in the delivery and quality of care and support, for people living with dementia and their families and carers.

Source: The National Collaborating Centre for Mental Health

Effectiveness of information and communication technologies interventions to increase mental health literacy: A systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

Family intervention for caregivers of people with recent-onset psychosis: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Just how effective are digital mental health workplace interventions?

Comment on a systematic review and meta-analysis of the effectiveness of eHealth interventions for reducing mental health conditions in employees.

Source: The Mental Elf

Is Cannabidiol (CBD) an effective antipsychotic?

Comment on a recent multicentre RCT of Cannabidiol (CBD) as an adjunctive therapy for people with schizophrenia, which suggests that CBD had a beneficial, but modest impact on positive psychotic symptoms and severity of illness when used alongside existing antipsychotics.

Source: The Mental Elf

Collaborative care for depression and physical multimorbidity: clinically and cost-effective over the long term

Summary of the findings of a cluster RCT in north west England which looked at the long-term clinical and cost-effectiveness of collaborative care (versus usual care) for people with mental-physical multimorbidity.

Source: The Mental Elf

Preventive cognitive therapy when continuing or tapering off antidepressants

Comment on the findings of a new high quality RCT (the DRD study), which compares preventive cognitive therapy while tapering antidepressants versus maintenance antidepressant treatment versus their combination in the prevention of depressive relapse or recurrence.

Source: The Mental Elf

 

Suicide rate among UK men at lowest since 1981

Source: BBC Health News

Exercise, health outcomes, and paediatric obesity: A systematic review of meta-analyses

Evidence rating: Strong

Source: McMaster Health Evidence

Intervention strategies for preventing excessive gestational weight gain: Systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Effects of dietary and exercise intervention on weight loss and body composition in obese postmenopausal women: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

 

Multifactorial and multiple component interventions for preventing falls in older people living in the community

Evidence rating: Strong

Source: McMaster Health Evidence

 

Effectiveness of multimodal training on functional capacity in frail older people: A meta-analysis of randomized controlled trials

Evidence rating: Strong

Source: McMaster Health Evidence

 

Assessment of the genetic and clinical determinants of fracture risk: genome wide association and mendelian randomisation study

Rivadeneira F et al; BMJ 2018;362:k3225

This large scale GWAS meta-analysis for fracture identified 15 genetic determinants of fracture, all of which also influenced bone mineral density. Among the clinical risk factors for fracture assessed, only bone mineral density showed a major causal effect on fracture. Genetic predisposition to lower levels of vitamin D and estimated calcium intake from dairy sources were not associated with fracture risk.

 

Social connectedness and engagement in preventive health services: an analysis of data from a prospective cohort study

Stafford M; The Lancet Public Health; Vol 3;Iss 9, Pe438-e446, September 01, 2018

This study aimed to examine poor social connectedness as a possible barrier to participation in preventive health services among older people (aged 53–69 years). Its findings suggest that social connectedness could improve participation in a wide range of preventive health services, and hence could improve use of the health-care system and population health

Exercise, health outcomes, and paediatric obesity: A systematic review of meta-analyses

Evidence rating: Strong

Source: McMaster Health Evidence

Effects of frequency, intensity, duration and volume of walking interventions on CVD risk factors: A systematic review and meta-regression analysis of randomised controlled trials among inactive healthy adults

Evidence rating: Strong

Source: McMaster Health Evidence

Exercise programs may be effective in preventing a new episode of neck pain: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Effectiveness of multimodal training on functional capacity in frail older people: A meta-analysis of randomized controlled trials

Evidence rating: Strong

Source: McMaster Health Evidence

Effects of dietary and exercise intervention on weight loss and body composition in obese postmenopausal women: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Effectiveness of active school transport interventions: a systematic review and update
Larouche R; BMC Public Health 2018; 18(1); 206
Interventions may increase active school transport among children; however, there was substantial heterogeneity across studies and quality of evidence remains low. Future studies should include longer follow-ups, use standardized outcome measures (to allow for meta-analyses), and examine potential moderators and mediators of travel behavior change to help refine current interventions.

The effectiveness of physical activity interventions in improving well-being across office-based workplace settings: a systematic review
Abdin S;  Public Health 2018;160; 70-76
This review found mixed evidence that PA interventions can be effective in improving well-being across office settings. Although the findings are promising, because of methodological failings there is no conclusive evidence. Current evidence indicates that employees can improve their psychological well-being by participating in any form of PA interventions in an office setting.

Guidance on co-locating mental health therapists in primary care

This guidance document has been created to assist GPs, practice managers and commissioners who are integrating mental health therapists into primary care pathways by providing information on how to do this.

Source: NHS England

Please write to me: writing outpatient clinic letters to patients

This best practice guidance aims to help and encourage doctors to write most of their outpatient clinic letters directly to patients and send a copy of the letter to the patient’s general practitioner.

Source: Academy of Medical Royal Colleges

Middle East Respiratory Syndrome (MERS): Who is at risk?

Source: Public Health Matters

Honey, not antibiotics, recommended for coughs

Source: Behind the Headlines

Cost-effectiveness of HIV screening in high-income countries: A systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

New HIV diagnoses across the UK fell by 17 per cent in 2017

Source: PHE

Nicotine preloading for smoking cessation: the Preloading RCT
Aveyard P; Health Technology Assessment 2018; 22(41)
With nicotine preloading, about 3% more people had stopped smoking at 6 months, but there was uncertainty around this effect, which may have been weakened by post-quit use of varenicline.

Forecasting the care needs of the older population in England over the next 20 years: estimates from the Population Ageing and Care Simulation (PACSim) modelling study

Jagger C et al; The Lancet Public Health; Sept 2018; Vol 3 No 9;  e407-e455

This widely reported study estimated the numbers of people aged 65 years or older in England and the years lived in older age requiring care at different intensities between 2015 and 2035 from the Population Ageing and Care Simulation (PACSim) model.  It found that in the next 20 years, the English population aged 65 years or over will see increases in the number of individuals who are independent but also in those with complex care needs. This increase is due to more individuals reaching 85 years or older who have higher levels of dependency, dementia, and comorbidity. Health and social care services must adapt to the complex care needs of an increasing older population.

An international comparison of long-term care funding and outcomes: insights for the social care green paper

This report, written in partnership with Age UK, finds that different countries have responded to the challenges and opportunities of ageing in different ways and with varying degrees of urgency.

Source: Incisive Health

Dual-task training effects on motor and cognitive functional abilities in individuals with stroke: a systematic review
He Y; Clinical Rehabilitation 2018; 32(7); 865-877
There is some evidence that dual-task training can improve single-task walking and balance function in individuals with stroke. However, any firm recommendation cannot be made due to the weak methodology of the studies reviewed.

Intervention strategies for preventing excessive gestational weight gain: Systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Effects of dietary and exercise intervention on weight loss and body composition in obese postmenopausal women: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Patterns of benign gynaecology care in English NHS hospital trusts

The report, carried out in collaboration with the London School of Hygiene and Tropical Medicine, identifies a number of national indicators to provide an overview of benign gynaecological care in England. This includes inpatient care, emergency readmission and longer-term surgical outcomes.  Initial indicators suggest some variations in both care and longer-term outcomes between trusts.

Source: Royal College of Obstetricians and Gynaecologists

Intramuscular versus intravenous oxytocin to prevent postpartum haemorrhage at vaginal delivery: randomised controlled trial

Adnan N; BMJ 2018;362:k3546

This trial aimed to determine whether intravenous oxytocin is more effective than intramuscular oxytocin at preventing postpartum haemorrhage at vaginal delivery.  It concluded that intravenous oxytocin for the third stage of labour results in less frequent severe PPH, blood transfusion, and admission to a high dependency unit than intramuscular oxytocin, and without excess side effects.

Information for the health and care sector about planning for a potential no-deal Brexit

A collection of information and guidance relating to health and care organisations and industry. This page brings together guidance, correspondence and news for people involved in the health and care sector. Service providers should consider this guidance in the context of their existing business continuity plans.

Source: DHSC

A new deal for social housing

Social housing has a key role to play in supporting the health and wellbeing of some of the most vulnerable in our society.  The Government’s green paper proposes reforms to ensure social homes provide an essential, safe, well-managed service for all those who need it.

Source: Ministry of Housing, Communities and Local Government

Building the future of care to 2028

This is a summary document of a briefing sent to policy leads and directors in NHS England. It presents a detailed account of a coherent vision for improving health and wellbeing outcomes through interlinked actions across the priority workstreams of the long term plan. Key points include specific clinical priorities; a shift towards holistic, personalised and coordinated care; primary care networks; prevention and secondary prevention; health inequalities; and partnership working.

Source: National Voices

Artificial intelligence (AI) in health

The RCP’s position statement on artificial intelligence in health urges industry to address real-world challenges, doctors to appraise the technology and regulators to develop guidance and evaluation methods. AI presents many opportunities for health, but as a fast-moving area of technology it also presents challenges which should be carefully considered.

Source: Royal College of Physicians

GOV.UK

Drug health harms: national intelligence

HIV: annual data tables

Childhood obesity plan for action chapter 2: equality assessment

  • 5 September 2018
  • DHSC
  • Impact assessment

PHE data release register: 2017 to 2018

PHE data release register: notes

Local Alcohol Profiles for England: September 2018 update

Abortion statistics for England and Wales: 2017

Ending the sale of energy drinks to children

  • 30 August 2018
  • DHSC
  • Open consultation

Department of Health and Social Care (DHSC) calorie model

  • 30 August 2018
  • DHSC
  • Guidance

Public mental health leadership and workforce development framework

  • 29 August 2018
  • PHE
  • Research and analysis

Alcohol licensing: data for public health teams

Accessing Public Health England data

  • 28 August 2018
  • PHE
  • Guidance

Virus reference department (VRD): user manual

Acute Hepatitis B (England): annual reports

Measles, mumps and rubella: laboratory confirmed cases in England 2018

Drug Safety Update: monthly PDF newsletter

  • 24 August 2018
  • MHRA
  • Guidance

GP and dental clinical educator pay scales: 2018 to 2019

  • 24 August 2018
  • DHSC
  • Guidance

PHE Healthy Places

  • 23 August 2018
  • PHE
  • Guidance

NHS screening programmes: KPI reports 2017 to 2018

Common animal-associated infections quarterly reports: 2018

  • 10 August 2018
  • PHE

The public health burden of alcohol: evidence review

Department of Transport

Walking and cycling statistics, England: 2017

Walking and cycling statistics (CW)

Reported road casualties in Great Britain, final estimates involving illegal alcohol levels: 2016

Reported drinking and driving (RAS51)

ONS

·         Deaths registered monthly in England and Wales: July 2018

29 August 2018 (confirmed)

·         Working and workless households in the UK: April to June 2018

29 August 2018 (confirmed)

·         Young people not in education, employment or training (NEET), UK: August 2018

23 August 2018 (confirmed)

·         Migrant labour force within the UK’s construction industry: August 2018

23 August 2018 (confirmed)

·         Births by parents’ country of birth, England and Wales: 2017

23 August 2018 (confirmed)

·         Migration Statistics Quarterly Report: August 2018

23 August 2018 (confirmed)

·         Local area migration indicators, UK: 2017

23 August 2018 (confirmed)

·         Unexplained deaths in infancy, England and Wales: 2016

20 August 2018 (confirmed)

·         Travel Trends

17 August 2018 (confirmed)

·         Travelpac 2017

17 August 2018 (confirmed)
This date has been changed from 3 August 2018

Living longer – how our population is changing and why it matters

13 August 2018 (confirmed)

Week Commencing  20 August 2018

Current Awareness Bulletin  

Please note that the Current Awareness Bulletin will be taking a break next week.  The next issue will cover the period 1st August – 14th August.

Health matters: health economics – making the most of your budget

Guidance on how local authorities and NHS commissioners can use health economic tools, resources and core principles to maximise their budgets.

See also: Health Matters: Taking on health economics challenges and myths

Source: PHE

Communication skills training for healthcare professionals working with people who have cancer

Source: Cochrane Database of Systematic Reviews, 2018;7

Factors influencing the decision to attend screening for cancer in the UK: a meta-ethnography of qualitative research

Young B et al; Journal of Public Health; Vol 40, Iss 2; Pages 315–339

This review aimed to better understand experiences of being invited to cancer screening and associated decision-making. The findings highlight the importance of the provider–patient relationship in screening uptake and enrich our understanding of how fear and risk are experienced and negotiated. This knowledge can help promote uptake and improve the effectiveness of cancer screening.

Evaluation of the implementation of the Saving Babies’ Lives Care Bundle in early adopter NHS trusts in England

The detailed report from the University of Manchester shows that stillbirths fell by a fifth at the maternity units where national guidance, known as the Saving Babies Lives Care Bundle, had been implemented. The best practice guidance is now being introduced across the country and has the potential if these findings were replicated, to prevent an estimated 600 stillbirths.

Source: NHS England

NICE works: what we have learned so far

During 2017, 30 maternity units across England participated in the Twins and Multiple Births Association’s (Tamba) Maternity Engagement Project, aiming to explore the antenatal care landscape for multiple pregnancies. The report shows if all maternity units performed at the same level as the best-performing units in the group Tamba worked with – following NICE guidelines on twin, triplet and more pregnancies – then 55 babies lives could be saved every year.

Source: Twins and Multiple Births Association (TAMBA)

National Child Measurement Programme: operational guidance 2018

Guidance for local commissioners, providers and schools on running the national child measurement programme.

Source: PHE

Government response to the consultation on Transforming children and young people’s mental health provision: a Green Paper and next steps

This report sets out what was heard over the course of the consultation, the response to respondents’ views, and outlines the next steps for implementing the Green Paper’s proposals.

Source: DHSC/DfE

Ear drops for the removal of ear wax

Source: Cochrane Database of Systematic Reviews, 2018;7

Antibiotics for prolonged wet cough in children

Source: Cochrane Database of Systematic Reviews, 2018;7

Ultrasound shows potential for confirming the diagnosis of pneumonia in children

Source: NIHR Signals

School-based self-regulation interventions can improve child academic, health and behavioural outcomes

Source: NIHR Signals

Health matters: health economics – making the most of your budget

Guidance on how local authorities and NHS commissioners can use health economic tools, resources and core principles to maximise their budgets.

See also: Health Matters: Taking on health economics challenges and myths

Source: PHE

The Montefiore Health System in New York: a case study

This report builds on the overview of the Montefiore Health System published in April 2018 and explores building primary and community care, managing health inequalities and patients with complex needs, supporting infrastructure, and the main elements of a high-performing system.

Source: King’s Fund

UK biological security strategy

Significant outbreaks of disease are amongst the highest impact risks faced by the UK. The UK biological security strategy draws together for the first time the work taking place across government to protect the UK and its interests from significant biological risks, no matter how these occur (pandemic infectious disease outbreak,deliberate biological attack etc) and no matter who or what they affect. It sets out the nature of the biological risks and the opportunities we face, looks at how this landscape is continuing to evolve, and explains what our response is to these challenges.

Source: DHSC/Home Office

Younger women ‘not getting enough nutrients’, survey warns

Source: Behind the Headlines

Alprazolam (Xanax): What are the facts?

Over the past year, there has been increasing media coverage about alprazolam (typically referred to by the brand name Xanax), highlighting what is being seen as a rise in the number of young people using it. PHE has been looking into the available evidence, and this blog explains what we now know, what is currently being done, and what should be done in the future.

Source: Public Health Matters

Alcohol consumption and risk of dementia: 23 year follow-up of Whitehall II cohort study

Sabia S et al; BMJ 2018;362:k2927

This study found that the risk of dementia was increased in people who abstained from alcohol in midlife or consumed >14 units/week. In several countries, guidelines define thresholds for harmful alcohol consumption much higher than 14 units per week. The present findings encourage the downward revision of such guidelines to promote cognitive health at older ages.

Inclusion health audit tool

An online tool developed to help organisations audit their engagement with Inclusion Health groups. These are the groups identified as experiencing the worst health inequalities in the UK.

Source: VCSE Health and Wellbeing Alliance

Inequalities in rural communities: adapting national deprivation indices for rural settings

Fecht D et al; Journal of Public Health; Vol 40, Iss 2; Pages 419–425

Deprivation indices have been widely used in healthcare research and planning in the United Kingdom. Existing indices, however, are dominated by characteristics of urban populations that may be less relevant in capturing the nature of rural deprivation. This study explores whether deprivation indices can be modified to make them more sensitive to displaying rural disadvantage in England.

Lancet series on low back pain

A series of 3 papers on the topic of low back pain.

Source: The Lancet

Emotional distress in dementia: qualitative systematic review

Comment on a recent systematic review which aimed to define and explain emotional distress as experienced by people with dementia, to enable care to be more personalised and to improve societal understanding of the experiences of dementia.

Source: The Mental Elf

Universal resilience: could it be the answer?

Comment on a systematic review of universal resilience-focused interventions targeting child and adolescent mental health in the school setting.

Source: The Mental Elf

Parental homelessness linked to increased risk of mental illness in offspring

Comment on a large Danish cohort study investigating the risk of mental health problems in offspring of parents with a history of homelessness during childhood and adolescence.

Source: The Mental Elf

Could eye tests help screen for dementia?

Source: Behind the Headlines

Severe obesity in 10 to 11 year olds reaches record high

Levels of severe obesity in children aged 10 to 11 years have reached the highest point since records began, according to new figures published today by Public Health England (PHE).

Source: PHE

Clinical Pharmacists in General Practice: Pilot Scheme Evaluation

This evaluation report showed that clinical pharmacists significantly increase patient appointment capacity and reduce pressure on GPs. More than 490 clinical pharmacists were placed in over 650 practices across England in the pilot project which supports the aim of having over 2,000 clinical pharmacists working in general practice by 2020/21 – a ratio of one per 30,000 patients. The research team investigated the work of the newly created clinical pharmacist roles from the perspectives of the pharmacists, those working immediately with them in their roles, professional stakeholders and patients.

Source: University of Nottingham School of Pharmacy

 

Musculoskeletal Core Capabilities Framework

This framework sets out the essential skills and knowledge necessary for staff with a role as a first point of contact for adults presenting with undiagnosed musculoskeletal conditions. The framework is relevant to different types of service provision and settings, and is designed to be easy to use, detailing required capabilities in a coherent manner, and provides clear steps and actions that support local health economies to improve service delivery and patient outcomes. It was developed in association with Health Education England, NHS England, Public Health England and the Arthritis and the Musculoskeletal Alliance (ARMA).

Source: Skills for Health

Information for primary care staff providing healthcare for overseas visitors from the European Economic Area

This guidance explains how the cost of providing healthcare for overseas visitors from the European Economic Area can be reclaimed from the visitor’s country of residence and what primary care staff can do to support hospitals in recovering costs from these visitors.

Source: DHSC

GP practices across the country to become ‘veteran friendly’

GPs are signing up to become ‘veteran friendly’ under a new national scheme to improve medical care and treatment for former members of the armed services that has been backed by NHS England and the Royal College of GPs. Practices can qualify for veteran friendly status by offering extra support for ex-military personnel who may face additional challenges when they return to civilian life.

Source: NHS England

Migrant.health website

New website launched by Doctors of the World and the University of Sheffield and funded by the Health Foundation. The website is an online tool with information and resources to support people working in primary/community care who want to provide high-quality care for migrant patients, particularly those who might be in more vulnerable circumstances.

Ear drops for the removal of ear wax

Source: Cochrane Database of Systematic Reviews, 2018;7

Antibiotics for prolonged wet cough in children

Source: Cochrane Database of Systematic Reviews, 2018;7

Sustainable county social care: a green paper that delivers a new deal for counties

This document sets out the County Councils Network’s policy positions on adult social care, ahead of the forthcoming government green paper. It supports the government’s plan to introduce a cap on the costs of care, but warns that it must be fully-funded otherwise it will inadvertently push services, care providers and councils closer to breaking point. The paper also argues that if the government’s reform agenda is to be successful, then social care must remain a local service.

Source: County Councils Network 

Making the case for preconception care: planning and preparation for pregnancy to improve maternal and child health outcomes

These resources aim to help health professionals in planning and preparation for pregnancy care, to improve outcomes for mothers and babies. It covers the impact of preconception health, ways to improve birth outcomes, and ways to reduce inequalities through embedding preconception care.

Source: PHE

NHS England annual report: 2017/8

Source: NHS England

Health matters: health economics – making the most of your budget

Guidance on how local authorities and NHS commissioners can use health economic tools, resources and core principles to maximise their budgets.

See also: Health Matters: Taking on health economics challenges and myths

Source: PHE

Migrant.health website

New website launched by Doctors of the World and the University of Sheffield and funded by the Health Foundation. The website is an online tool with information and resources to support people working in primary/community care who want to provide high-quality care for migrant patients, particularly those who might be in more vulnerable circumstances.

Heatwaves: adapting to climate change

This report finds that failing to address the danger of heatwaves will threaten the health and wellbeing of an increasing number of vulnerable people.

Source: Environmental Audit Committee

Measuring gambling-related harms: a framework for action

Gambling-related harms include impacts on relationships, finances and health. They are experienced by individuals, families, communities, the economy and society as whole.

This report provides a useful framework to consider how these harms can be measured and understood better.

Source: Gambling Commission/Gamble Aware

Maintaining mobility: understanding the unmet need for short-term mobility aids

The British Red Cross is the biggest national provider of short-term wheelchair loans and last year loaned out 60,000 wheelchairs. Despite loaning tens of thousands of wheelchairs every year, there is an unmet need for short-term wheelchair loans that persists across the UK. This report calls on the statutory bodies in all four countries of the UK to each agree a legally binding arrangement to help fund the wheelchair hire service. Ensuring everybody could access a wheelchair that’s right for them for as long as they need it, would significantly ease pressure on the NHS.

Source: British Red Cross

How the NHS charges overseas visitors for NHS hospital care

This summary sets out the changes that were made to the way the NHS charges overseas visitors for NHS hospital care following the NHS (Charges to Overseas Visitors) Regulations 2015.

Source: DHSC

Upfront charging operational framework to support identification and charging of overseas visitors

This document supplements the existing guidance on implementing the overseas visitor charging regulations, and has been developed with input from NHS Improvement. It set out a framework on the practical steps and key considerations necessary for providers to implement cost recovery and meet the legal requirement to charge upfront.

Source: DHSC

GOV.UK

Cervical screening: coverage and data

  • 21 August 2018
  • PHE
  • Guidance

Deaths registered in England and Wales, provisional: week ending 10 August 2018

  • 21 August 2018
  • ONS
  • National Statistics

Notifiable diseases: causative agents report for 2018

The public health burden of alcohol: evidence review

Public health outcomes framework (PHOF): August 2018 data update

Dementia profile: August 2018 data update

  • 7 August 2018
  • PHE
  • Official Statistics

Opiate and crack cocaine use: prevalence estimates by local area

Contraceptive services: estimating the return on investment

  • 2 August 2018
  • PHE
  • Guidance

Accessing Public Health England data

  • 1 August 2018
  • PHE
  • Guidance

Abortion statistics for England and Wales: 2017

 

Health matters: health economics – making the most of your budget

National child measurement programme: operational guidance

National child measurement programme (NCMP): trends in child BMI

Child development outcomes at 2 to 2 and a half years: 2017 to 2018

Drug misuse: findings from the 2017 to 2018 CSEW

Breastfeeding at 6 to 8 weeks after birth: 2017 to 2018 quarterly data

Public Health Outcomes Framework: indicator updates

Department for Transport

https://www.gov.uk/government/statistics/reported-road-casualties-in-great-britain-final-estimates-involving-illegal-alcohol-levels-2016

https://www.gov.uk/government/statistical-data-sets/ras51-reported-drinking-and-driving

 

https://www.gov.uk/government/statistical-data-sets/nts06-age-gender-and-modal-breakdown

 

The Kings Fund

https://www.kingsfund.org.uk/publications/whats-happening-life-expectancy-uk

15 August 2018

2010 marked a turning point in long-term mortality trends in the UK, with improvements tailing off after decades of steady decline. In this piece Veena Raleigh looks at how overall life expectancy has changed over time, along with considerations such as the difference in life expectancy between males and females, geographical inequalities, how the UK compares with other countries, and possible factors in the more recent slowdown in mortality improvements in the UK.  

BBC

Child passive smoking ‘increases chronic lung risk’

https://www.bbc.co.uk/news/health-45212448

Measles cases hit record high in Europe

https://www.bbc.co.uk/news/health-45246049

Week Commencing  30 July 2018

Current Awareness Bulletin

Work stress and risk of death in men and women with and without cardiometabolic disease: a multicohort study

Kivimäki, M et al; The Lancet Diabetes & Endocrinology; pub online June 2018

Although some cardiovascular disease prevention guidelines suggest a need to manage work stress in patients with established cardiometabolic disease, the evidence base for this recommendation is weak. This study sought to clarify the status of stress as a risk factor in cardiometabolic disease by investigating the associations between work stress and mortality in men and women with and without pre-existing cardiometabolic disease. It found that in men with cardiometabolic disease, the contribution of job strain to risk of death was clinically significant and independent of conventional risk factors and their treatment, and measured lifestyle factors. Standard care targeting conventional risk factors is therefore unlikely to mitigate the mortality risk associated with job strain in this population.

Blood pressure targets for the treatment of people with hypertension and cardiovascular disease

Source: Cochrane Database of Systematic Reviews, 2018;7

e-Learning for Healthcare Paediatric Programme

A new e-learning programme for healthcare professionals who work with children and young adults has been developed by Health Education England. The paediatric programme covers cardiology, diabetes and endocrinology, respiratory paediatrics and paediatric palliative care. It is suitable for paediatricians in both training and career grade posts, paediatric advanced nursing practitioners, nursing staff, GPs, emergency department staff, physician associates and community health workers.

Source: e-Learning for Healthcare/Health Education England

Statement on HPV vaccination – Joint Committee on Vaccination and Immunisation

This statement sets out the conclusions of the Joint Committee on Vaccination and Immunisation (JCVI) on extending the HPV vaccination programme to adolescent boys in the UK.

Source: DHSC

The national childhood flu immunisation programme 2018 to 2019: information for healthcare practitioners

Source: PHE

Interventions for the eradication of meticillin-resistant Staphylococcus aureus (MRSA) in people with cystic fibrosis

Source: Cochrane Database of Systematic Reviews, 2018;7

Primary and secondary care integration in delivery of value-based health-care systems

Bains, M et al; British Journal of Hospital Medicine; Jun 2018; vol. 79 (no. 6); p. 312-315

Changes will be required not only in the way health care is organized within a hospital in the form of so-called integrated practice units, but more importantly primary and secondary care will have to work together to realize value for patients across the health-care pathway and system. It will be necessary to build an enabling IT platform that facilitates an integrated dataset across primary and secondary care to measure outcomes and costs across patient pathways. Finally, new payment models will be required to remove current barriers and allow clinicians to do the right things for their patients without organizations being penalized. The final section describes current maturity of the system, opportunities and challenges in the UK.

The determinants of health care expenditure growth

Understanding the drivers of growth in health care expenditure is crucial for forecasting future health care requirements and to ameliorate inefficient expenditure. This paper considers the detailed breakdown of hospital inpatient expenditures across the period 2007/08 to 2014/15.

Source: University of York, Centre for Health Economics

Statement on HPV vaccination – Joint Committee on Vaccination and Immunisation

This statement sets out the conclusions of the Joint Committee on Vaccination and Immunisation (JCVI) on extending the HPV vaccination programme to adolescent boys in the UK.

Source: DHSC

Local anaesthetics for preventing pain during dental treatment

Comment on a recent Cochrane review of local anaesthetic agents for preventing pain during dental treatment.

Source: The Dental Elf

Dentine hypersensitivity: Effectiveness of desensitising toothpastes

This review evaluating the effectiveness of desensitising toothpastes included 53 RCTs. Most agents with the exception of those containing strontium or amorphous calcium phosphate were effective in relieving dentine hypersensitivity compared with negative controls.

Source: The Dental Elf

Sulfonylureas as second line drugs in type 2 diabetes and the risk of cardiovascular and hypoglycaemic events: population based cohort study

Douros A et al; BMJ 2018;362:k2693

Study to assess whether adding or switching to sulfonylureas is associated with an increased risk of myocardial infarction, ischaemic stroke, cardiovascular death, all cause mortality, and severe hypoglycaemia, compared with remaining on metformin monotherapy in patients with type 2 diabetes.

See also editorial: Sulfonylureas as second line treatment for type 2 diabetes

A systematic review and meta-analysis of patient education in preventing and reducing the incidence or recurrence of adult diabetes foot ulcers (DFU)
Adiewere P;  Heliyon; 4(5) 2018
The aim was to examine the effectiveness of patient education in preventing and reducing the incidence or recurrence of adult DFU and amputation. The intensive educational intervention was associated with reduced incidence of DFU.

New allergy guidance for infants launched alongside BSACI

The BDA Food Allergy Specialist Group (FASG), in partnership with the Paediatric Allergy Group of the British Society for Allergy and Clinical Immunology (BSACI), have published newly developed guidance for healthcare professionals on preventing food allergy in higher risk infants. This includes advice on the earlier introduction of potential allergenic foods into the infant diet.

Source: BDS Association of UK Dieticians

Minimal evidence to show omega-3 prevents heart disease

Analysis of media reports on a Cochrane review assessing the effects of an increased intake of omega-3 on death from any cause, on cardiovascular outcomes such as heart attacks or strokes, and on fat levels in the blood.

Source: Behind the Headlines

Learning disabilities and CQC inspection reports

In 2014 an interim analysis examined the main Care Quality Commission (CQC) inspection reports of 63 trusts and reported relatively little mention of people with learning disabilities within these reports. Subsequently, the CQC has changed their inspection regime to include specific questions and follow up questions regarding the care and treatment of people with learning disabilities in acute hospitals. This report examines the CQC inspection reports written since these questions were introduced to see if the changes have impacted upon the information included about people with learning disabilities.

Source: PHE

Do health consultations for people with learning disabilities meet expectations? A narrative literature review
Chapman HM. British Journal of Learning Disabilities 2018;46(2):118-135.
This review aimed to explore the benefits and disadvantages of annual health checks for people with learning disabilities. Service user‐led research into their health experiences is needed. Research into the attitudes and experiences of health professionals in relation to people with learning disabilities is needed. Healthcare inequalities are only being partially addressed—improvement is needed in terms of service user experience and engagement.

Structured training improves skills of wheelchair users

Structured wheelchair skills training increases wheelchair users’ skills when compared with no training, standard care or education controls. The training, as developed in Canada, is more effective for new wheelchair users than experienced users. This programme appears to be a safe and effective way of increasing participants’ wheelchair skills. Most NHS trusts in England appear to offer only basic support in using a wheelchair. Implementing more advanced and standardised skills training programmes offers potential to improve these services, but would entail additional costs and staff training.

Source: NIHR Signals

The relationship between alcohol use and long-term cognitive decline in middle and late life: a longitudinal analysis using UK Biobank

Piumatti G et al; Journal of Public Health, Volume 40, Issue 2, 1 June 2018, Pages 304–311

Using UK Biobank data, this study sought to explain the causal relationship between alcohol intake and cognitive decline in middle and older aged populations. It’s findings indicate that consuming more than one UK standard unit of alcohol per day is detrimental to cognitive performance and is more pronounced in older populations.

Organ Donation and Transplantation data for Black, Asian and Minority Ethnic (BAME) communities Report for 2017/2018 (1 April 2013 31 March 2018)

This report provides information related to organ donation and transplantation within the Black, Asian and Minority Ethnic (BAME) communities in the UK. While the increase in DCD BAME consent/authorisation rate is very positive for the many BAME patients on the transplant lists, more work needs to be done to further increase the possibilities for transplant for BAME patients. Importantly, the consent/authorisation rates for organ donation in BAME communities need further effort to increase, while the advantages of living kidney donation may also need to be the subject of awareness campaigns.

See Government campaign will focus on urgent shortage of black, Asian and minority ethnic organ donors – the Government announces a new campaign in England to address the urgent need for donors revealed in NHS Blood and Transplant’s annual report into organ donation in black, Asian and minority ethnic communities.

Source: NHS Blood and Transplant

EULAR recommendations for the health professional’s approach to pain management in inflammatory arthritis and osteoarthritis
European League Against Rheumatism; Annals of the Rheumatic Diseases; Vol 77, Iss 6
A multidisciplinary task force including professionals and patient representatives conducted a systematic literature review of systematic reviews to evaluate evidence regarding effects on pain of multiple treatment modalities. Effects on pain were most uniformly positive for physical activity and exercise interventions, and for psychological interventions.

Varicose vein injections help new venous leg ulcers heal

For patients with leg ulcers caused by varicose veins, early intervention to treat the veins results in faster healing of ulcers than standard compression therapy alone. Researchers studied 450 people with open venous leg ulcers of 6 weeks to 6 months duration and varicose veins. Those assigned to have their veins treated within two weeks had healed ulcers in an average of 56 days, compared with 82 days for those who had treatment deferred for six months, or until after the ulcer had healed.

Source: NIHR Signals

Perfect Patient Information Journey: 7 steps for health services to improve information for people with long term conditions
This report draws on experience from pilot sites, a range of focus groups with patients and healthcare professionals and an evidence review and insight work conducted as part of the ‘Perfect Patient Information Journey: Phase 1 report’.

Source: Patient Information Forum

Medicines management for people receiving social care in the community

This NICE quality standard covers assessing if people need help with their medicines and deciding what medicines support is needed to enable people to manage their medicines. It also includes communication between health and social care staff, to ensure people have the medicines support they need.

Source: NICE

How Much Should Society Pay for a New Orphan Drug?

The high cost of drugs for rare diseases (‘orphan drugs’) has generated considerable debate. This is a new report by researchers from the University of York.

Source: Office of Health Economics

Musicbased therapeutic interventions for people with dementia

Source: Cochrane Database of Systematic Reviews, 2018;7

Comparison of multiple interventions for older adults with Alzheimer disease or mild cognitive impairment: A PRISMA-compliant network meta-analysis
Liang JH et al;. Medicine (Baltimore); 2018;97(20):e10744 .
The aim of this study was to compare 4 types of interventions, physical exercise (PE), music therapy (MT), computerized cognitive training (CCT), and NT, in older adults with mild to moderate AD or MCI and identify the most effective intervention for their cognitive function. … As the first NMA comparing different interventions for AD and MCI, our study suggests that PE and CCT might have a significant improvement in cognition and neuropsychiatric symptoms respectively.

Asking about suicide does not cause harm, in fact it may help

This commentary considers the benefits and risks of asking research participants about suicide. It summarises a recent meta-analysis on the impact of exposure to suicide-related content.

Source: The Mental Elf

Hospital vending machines: helping people make healthier choices

Findings from research into how changes to vending machine product availability and positioning across Leeds Teaching Hospital altered purchasing choices.

See also comment in Public Health Matters

Source: PHE

Weight gain in mid-childhood and its relationship with the fast food environment

Pearce M et al; Journal of Public Health, Volume 40, Issue 2, 1 June 2018, Pages 237–244

Childhood obesity is a serious public health issue. The purpose of this research was to assess the relationship between weight gain in children and accessibility of fast-food outlets. This paper supports previous research that fast-food outlets are more prevalent in areas of deprivation and presents new evidence on fast-food outlets as a potential contributor towards weight gain in mid-childhood.

Successfully delivering smokefree prisons across England and Wales

Source: Public Health Matters

Multifactorial and multiple component interventions for preventing falls in older people living in the community

Source: Cochrane Database of Systematic Reviews, 2018;7

Donepezil, galantamine, rivastigmine and memantine for the treatment of Alzheimer’s disease.
This guidance has been partially updated by NICE’s guideline on Dementia (NG97).

Source: NICE

Variation in anticoagulation for atrial fibrillation between English clinical commissioning groups: an observational study 

John Robson et al; Br J Gen Practice; July 2, 2018

Anticoagulation for AF has improved substantially in England in association with considerable increases in the eligible population as a result of decreased exception reporting and the use of the CHA2DS2VASc score. There is still substantial room for improvement in most CCGs because, even allowing for exceptions, nine out of 10 CCGs failed to achieve 90% anticoagulation.

Prevalence and treatment of atrial fibrillation in UK general practice from 2000 to 2016

Adderley, Nicola Jaime; Heart (British Cardiac Society); Jul 2018

From 2000 to 2016, the prevalence of recorded AF has increased in all age groups and both sexes. Anticoagulant treatment of eligible patients with AF has more than doubled, with marked improvements since 2011, alongside a reduction in the use of anticoagulants in ineligible patients with AF.

Cardiovascular risk at health checks performed opportunistically or following an invitation letter. Cohort study

Gulliford MC et al; Journal of Public Health; Vol 40, Iss 2; Pages e151–e156

Study found that respondents at health checks performed opportunistically are at higher risk of cardiovascular disease than those participating in response to a standard invitation letter, potentially reducing the effect of uptake inequalities.

Implementing new care models: learning from the Greater Manchester demonstrator pilot experience

Elvey, Rebecca et al; BMC Family Practice; Jun 2018; vol. 19 (no. 1)                                                                  The research highlights various challenges presented by the context within which extended access is implemented. Trust was the fundamental underlying issue; there was consensus amongst participants that trusting relationships were vital for effective collaboration in primary care.

European Respiratory Society guidelines for the management of adult bronchiectasis
European Respiratory Society
Bronchiectasis in adults is a chronic disorder associated with poor quality of life and frequent exacerbations in many patients. There have been no previous international guidelines. The European Respiratory Society guidelines for the management of adult bronchiectasis describe the appropriate investigation and treatment strategies determined by a systematic review of the literature.

Statement on HPV vaccination – Joint Committee on Vaccination and Immunisation

This statement sets out the conclusions of the Joint Committee on Vaccination and Immunisation (JCVI) on extending the HPV vaccination programme to adolescent boys in the UK.

Source: DHSC

Vaping and using nicotine patches in pregnancy linked to cot death

Analysis of media reports on a study in rats to investigate whether nicotine exposure during pregnancy is linked with an increased risk of SIDS.

Source: Behind the Headlines

Working together to safeguard children 2018

Updated statutory guidance on inter-agency working to safeguard and promote the welfare of children.

Source: Department for Education (DfE);2018

Children’s Commissioner Vulnerability Report 2018

This report estimates that 2.1 million children in England – one in six – are living vulnerable lives due to complex family circumstances; 1.6 million ‘invisible’ children are living in vulnerable situations but receiving no known support or help from the system; 825,000 children are living in a family with domestic violence; over 100,000 children are living in a family with the so-called ‘toxic trio’ of domestic violence, mental health and alcohol or substance abuse.

Source: Children’s Commissioner (Anne Longfield); July 2018

People’s experience using adult social care services: quality standard consultation

This quality standard is now open for consultation. It covers the experience of adults using social care services. It applies to all settings where people use social care services, including people’s own homes, residential care and community settings. It aims to help people understand what care they can expect and to improve their experience by supporting them to make decisions about their care. It describes high-quality care in priority areas for improvement. The closing date for comments is 16 August 2018.

Source: NICE

Community Services: Taking Centre Stage

Most recent report in The State of the NHS Provider Sector series.

Source: NHS Providers

Leadership in today’s NHS: delivering the impossible

Leaders in today’s NHS operate in a climate of extreme pressure. Staffing vacancies are rife, there are widespread challenges in meeting financial and performance targets and demands on services continue to increase. This report, jointly published with NHS Providers, asks what can be done to support current leaders and encourage future ones.

Source: The King’s Fund

Do hospital admission rates increase in colder winters? A decadal analysis from an eastern county in England

Patterson S; Journal of Public Health; Vol 40, Iss 2; Pages 221–228

Study finding that in Suffolk, hospital admission rates are significantly raised in colder winters compared to warmer winters. This evidence may be useful in planning hospital services.

Housing First: tackling homelessness for those with complex needs

Housing First is an alternative homelessness intervention strategy, aimed at people with complex needs, particularly rough sleepers. This briefing describes the principles behind Housing First and outlines some of the evidence behind it. The paper also sets out how Housing First has developed in the UK.

Source: House of Commons Library

GOV.UK

1.     Prison population figures: 2018

  1. 27 July 2018
  2. MOJ, HMPS and HMPPS
  3. Official Statistics
  4. Part of a collection: Prison population statistics

2.     Population estimates by marital status and living arrangements, England and Wales: 2002 to 2017

  1. 27 July 2018
  2. ONS
  3. National Statistics

3.     National Cancer Patient Experience Survey 2017

  1. 27 July 2018
  2. NHS England
  3. Official Statistics

4.     NHS Sickness Absence Rates January 2018 to March 2018 and Annual Summary 2010-11 to 2017-18

  1. 26 July 2018
  2. NHS Digital
  3. Official Statistics
  1. 5.     Travel by vehicle availability, income, ethnic group, household type, mobility status and NS-SEC
  1. 26 July 2018
  2. DfT
  3. Statistical data set
  4. Part of a collection: National Travel Survey

6.     Fit Notes Issued by GP Practices, England March 2018

  1. 26 July 2018
  2. NHS Digital
  3. Official Statistics

7.     NHS Workforce Statistics April 2018

  1. 26 July 2018
  2. NHS Digital
  3. Official Statistics
  4. National Statistics

8. Maternity Services Monthly Statistics April 2018, Experimental statistics

  1. 26 July 2018
  2. NHS Digital
  3. Official Statistics

9. Special educational needs in England: January 2018

  1. 26 July 2018
  2. DfE
  3. National Statistics
  4. Part of a collection: Statistics: special educational needs (SEN)

10. Proven reoffending statistics: July 2016 to September 2016

  1. 26 July 2018
  2. MOJ
  3. National Statistics
  4. Part of a collection: Proven reoffending statistics

11. Drug misuse: findings from the 2017 to 2018 CSEW

  1. 26 July 2018
  2. Home Office
  3. National Statistics
  4. Part of a collection: Crime statistics, Alcohol and drug statistics and Drug misuse statistics

12. Breastfeeding at 6 to 8 weeks after birth: 2017 to 2018 quarterly data

  1. 25 July 2018
  2. PHE
  3. Official Statistics
  4. Part of a collection: Breastfeeding statistics and Child and maternal health statistics

13. Deaths during or following police contact: England and Wales 2017 to 2018

  1. 25 July 2018
  2. IOPC
  3. National Statistics

14. Deaths registered monthly in England and Wales: June 2018 and annual 2017

  1. 24 July 2018
  2. ONS
  3. National Statistics

Department for Transport

Cycling, motorcycling, school travel, concessionary travel and road safety

26 July 2018

DfT

Statistical data set

Part of a collection: National Travel Survey

Skills for Health

New Musculoskeletal Core Capabilities Framework

30th July 2018

Skills for Health, with Health Education England, NHS England, Public Health England and the Arthritis and Musculoskeletal Alliance (ARMA) today launch a new framework aimed at practitioners who will be the first point of contact for people with musculoskeletal conditions.

NHS

GP practices across the country to become ‘veteran friendly’

30 July 2018

GPs are signing up to become ‘veteran friendly’ under a new national scheme to improve medical care and treatment for former members of the armed services that has been backed by NHS England and the Royal College of GPs. Practices can qualify for veteran friendly status by offering extra support for ex-military personnel who may […]

NHS action plan can prevent over 600 still births a year says NHS England

30 July 2018

Evaluation shows clinical improvements across 19 sites led to maternity staff helping to save more than 160 babies’ lives. An estimated 600 stillbirths annually could be prevented if maternity units adopt national best practice says NHS England. Clinical improvements such as better monitoring of a baby’s growth and movement in pregnancy, as well as better […]

Heat-health watch alert: level 1 – summer preparedness

28 July 2018

Issued at 8.49am on Saturday 28 July 2018 Temperatures are not expected to reach heatwave threshold values until further notice. Hot weather could increase the health risks to vulnerable patients. Find out more about how to cope in hot weather. More details about the weather alert is available on the MET Office website.

Satisfaction with NHS cancer care at record high, national patient survey reveals

27 July 2018

With survival rates at an all-time high, the national cancer patient survey has revealed the best results in its history with almost 70,000 patients rating their overall care nine out of 10. The National Cancer Patient Experience Survey asks people with cancer across England to rate their care on a scale of zero (very poor) […]

Heat-health watch alert: level 3 – heatwave action

25 July 2018

Issued at 8.27am on Wednesday, 25 July 2018 There is a 90% probability of heatwave conditions between 9am on Monday and 9am on Saturday in parts of England. Hot weather could increase the health risks to vulnerable patients. Find out more about how to cope in hot weather. More details about the weather alert is […]

Heat-health watch alert: level 3 – heatwave action

23 July 2018

Issued at 9.03am on Monday, 23 July 2018 There is a 90% probability of heatwave conditions between 9am on Monday and 9am on Friday in parts of England. Hot weather could increase the health risks to vulnerable patients. Find out more about how to cope in hot weather. More details about the weather alert is […]

Developing a safeguarding application to provide a direct point of access for frontline healthcare staff to the local authority

30 July 2018 By Leading Change, Adding Value Team

  • Nursing, midwifery and care

Improving dementia care through care navigation and social prescribing

30 July 2018 By Leading Change, Adding Value Team

  • Nursing, midwifery and care

Addressing unwarranted variation in physical restraint use across adult acute mental health inpatient wards

30 July 2018 By Leading Change, Adding Value Team

  • Nursing, midwifery and care

Improving patient experience through introducing flexible visiting hours hospital-wide

30 July 2018 By Leading Change, Adding Value Team

  • Nursing, midwifery and care
  • General practice
  • Pharmacy
  • Primary care

Clinical Pharmacist at the front line in providing healthcare to homeless

26 July 2018

  • General practice
  • Pharmacy
  • Primary care

Clinical Pharmacists prescribing better care

26 July 2018

  • General practice
  • Pharmacy
  • Primary care

Home Office Immigration Enforcement, NHS England and Public Health England 2018-21

23 July 2018

  • Commissioning

ONS

o    UK air pollution: how much pollution does vegetation remove in your area?

30 July 2018 (confirmed)

o    Population estimates by marital status and living arrangements, England and Wales: 2002 to 2017

27 July 2018 (confirmed)

o    Deaths registered monthly in England and Wales: June 2018 and annual 2017

24 July 2018 (confirmed)

NHS Networks

Survey shows rising satisfaction with NHS cancer care

With survival rates at an all-time high, the national cancer patient survey has revealed the best results in its history with almost 70,000 patients rating their overall care nine out…

11:40 – Today

Public Health England raises awareness of hepatitis C risks

Public Health England (PHE) is urging people to get free testing for hepatitis C virus (HCV) after new data shows a lack of awareness of the disease and the factors…

11:34 – Today

Successful dental trial to be expanded

More NHS dental practices will be joining a scheme for prevention-focused dental care following successful trials.

12:04 – Fri 27 Jul 2018

Blitz on drugs in prison underway

A £9 million project will clamp down on drugs supply and consumption at a single prison.

12:03 – Fri 27 Jul 2018

Hospital vending machines: helping people make healthier choices

Obesity-related illness costs the NHS around £6.1 billion a year and vending machines in hospitals can support healthy consumption habits among NHS staff, patients and visitors.

12:01 – Fri 27 Jul 2018

Partnering with a purpose: making collaboration work

Better joined up services can only work with the full engagement of primary care and particularly general practice

Governance changes to autism strategy

The Department of Health and Social Care has updated how it and other organisations monitor the progress of the autism strategy.

12:00 – Thu 26 Jul 2018

Government response to consultation on children’s mental health

The government has published its response to a public consultation on the green paper on children and young people’s mental health.

11:57 – Thu 26 Jul 2018

NICE consults on quality standards for adult social care

A quality standard on the experience of adults using social care services is open for consultation.

11:55 – Thu 26 Jul 2018

Government sets out response to report on nursing workforce

The government has responded to a report on the nursing workforce by the health and social care select committee.

11:53 – Thu 26 Jul 2018

Neonatal care linked to mental health problems

Eighty per cent of parents think that their mental health suffered after their babies were admitted to neonatal care.

11:48 – Thu 26 Jul 2018

Cancer data first from NHS England

NHS England has published baseline activity data from January to March 2017 for stratified follow up and recovery package interventions.

10:29 – Wed 25 Jul 2018

HPV vaccine to be given to boys in England

The government has announced that adolescent boys aged 12 and 13 will be offered the human papilloma virus (HPV) vaccine to protect them from cancer.

10:27 – Wed 25 Jul 2018

Severe obesity in 10 to 11 year olds reaches record high

Levels of severe obesity in children aged 10 to 11 years have reached the highest point since records began, according to new figures published by Public Health England.

10:24 – Wed 25 Jul 2018

Model agreements for pooling funds with local authorities

NHS England has issued guidance for CCGs shifting money to local authorities in transforming care partnerships (TCPs).

12:23 – Mon 23 Jul 2018

Addressing inequalities in access to general practice

An animation by the University of East Anglia highlights inequalities of access to GP general practice services and offers advice to CCGs on how to tackle the issue.

12:20 – Mon 23 Jul 2018

BBC News

Millions miss out on seven-day GP access

Government says it is on track to meet its target, but Labour says it has “broken its promises” on extended care.

30 July 2018

From the section England

Court backs agreed end-of-life decisions

Legal permission will no longer be needed to end care for patients in a permanent vegetative state.

Dying young in Stockton – England’s most unequal town

Gosport hospital deaths: Police announce new probe

A new police investigation is to be held into the deaths of patients who were given painkillers at Gosport War Memorial Hospital.

From the section Hampshire & Isle of Wight

Full article New police probe into hospital death

Older mothers: Brigitte Nielsen baby at 54 sparks debate

26 July 2018

 From the section Health

Full article Older mothers: Brigitte Nielsen baby at 54 sparks debate

Medical cannabis products to be legalised

26 July 2018

 From the section Health

NHS Digital

[MI] General Ophthalmic Services activity statistics – England, year ending 31 March 2018

26 Jul 2018

General Ophthalmic Services (GOS) provide preventative and corrective eye care for patients meeting certain eligibility criteria. These services are available ‘on-demand’, largely on the high street.

NHS Vacancy Statistics England – February 2015 – March 2018, Provisional Experimental Statistics

26 Jul 2018

This is the latest provisional experimental publication of NHS vacancy statistics created from administrative data related to published vacancy adverts obtained from NHS Jobs, the main recruitment website for the NHS.

This is a report on NHS-funded maternity services in England for April 2018, using data submitted to the Maternity Services Data Set (MSDS). The MSDS has been developed to help achieve better outcomes of care for mothers, babies and children.

Week Commencing  23 July 2018

Current Awareness Bulletin  

Moving Forward – Physiotherapy for Musculoskeletal Health and Wellbeing

This themed review highlights evidence from the NIHR and others on why research in this area matters, assessment and matching patients to treatment, restoring musculoskeletal health and maintaining musculoskeletal wellbeing. It brings together recent evidence relevant to those using, planning and delivering musculoskeletal physiotherapy services.

Source: NIHR

Early and locally advanced breast cancer: diagnosis and management

New guidance covering the diagnosis and management of early and locally advanced breast cancer.

Source: NICE

Seven things we learned from our latest cancer treatment data

PHE, in partnership with Cancer Research UK, have published new data showing how chemotherapy, radiotherapy and surgery rates vary for different groups of patients in England. Now, we can see how these rates vary across different stages of disease, ages, sexes, ethnic groups, levels of deprivation and geographies.

Source: Public Health Matters

What works to enhance the effectiveness of the Healthy Child Programme: an evidence update

When HCP 0–5 was first introduced in 2009 it was based on the best available evidence. This report refreshes the 2009 evidence by consolidating key messages from two further evidence reviews and a systematic review of current evidence.

Source: Early Intervention Foundation

Child mortality in England compared with Sweden: a birth cohort study

The Lancet, Vol 391, No. 10134, p2008–2018

Child mortality is almost twice as high in England compared with Sweden. This article aimed to establish the extent to which adverse birth characteristics and socioeconomic factors explain this difference.

Testing oxygen levels of newborn babies helps find serious heart defects

Measuring oxygen levels in newborn babies as part of routine care can identify cases of critical congenital heart defects sooner than waiting until symptoms appear. If 10,000 babies were screened, pulse oximetry could correctly identify about 5 of the 6 expected asymptomatic cases and might miss one. This international research suggests there would be about 14 false alarms. Waiting until babies are at least 24 hours old minimises the number of these false positives.  Current UK newborn screening programmes do not include pulse oximetry because a national pilot scheme suggested there would be higher false positive results in routine NHS practice.

Source: NIHR Signals

Each baby counts: themed report on anaesthetic care, including lessons identified from Each Baby Counts babies born 2015 to 2017

Launched in 2014, the Each Baby Counts programme aims to reduce the number of babies who die or are left severely disabled as a result of incidents occurring during term labour by 50 per cent by 2020. This special report will form part of a wider set of findings and recommendations from the Each Baby Counts programme, to be published in autumn 2018.

Source: Royal College of Obstetricians and Gynaecologists

An introduction to the Public Health Dashboard

The purpose of the Public Health Dashboard (PHD) is to support local decision-making by bringing existing comparative data into one place and making it accessible and meaningful to a wide audience. This information accompanies the official release of the Dashboard and is intended to serve as an introduction to the tool.

Source: Public Health Matters

Achieving the provision of integrated care: exploring the development and successful implementation internationally of new models of integrated care

This report of a two-day symposium attended by health experts from the UK, USA and Ireland, traces the development and impact of integrated care to date, highlights some examples of successful practice and draws out the key lessons for later-adopters.

Source: NAPC

A dangerous waiting game? A review of patient access to inguinal hernia surgery in England

This report finds that 57 per cent of clinical commissioning groups (CCGs) are denying patients quick access to groin (inguinal) hernia operations.

Source: Royal College of Surgeons/British Hernia Society

Measles: is it still a threat?

Br J Gen Practice, 2 July 2018

Recent editorial on measles diagnosis and management.

Periodontal health: no additional benefit from 6 monthly Scale and Polish

The findings of a large multicentre, cluster randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of theory-based, personalised oral hygiene advice or ‘scale and polish’ with routine care in improving periodontal health in dentate adults attending general dental practice.

Source: The Dental Elf

Feeding in the first year of life: SACN report

This report covers infant feeding from birth up to 12 months of age. The report considers evidence on the impact of infant feeding on short and longer term health outcomes for infants and mothers. It also considers factors that influence eating behaviour and diversification of the diet and makes recommendations on feeding in the first year of life.

Source: Scientific Advisory Committee on Nutrition

Parent training interventions for parents with intellectual disability

Source: Cochrane Database of Systematic Reviews, 2018:7

The effects of public health policies on health inequalities in high-income countries: an umbrella review

Thomson,K et al. BMC Public Health201818:869

This umbrella review sought to investigate how welfare states influence the social determinants of health inequalities institutionally through specific public health policies – examining both primary prevention (fiscal, regulation and education) and secondary prevention (preventative treatment and screening) interventions. The evidence from this review suggests that some public health policies – using fiscal, regulatory, education, preventative treatment or screening mechanisms – may be effective in improving health inequalities.

Persistent variations in national asthma mortality, hospital admissions and prevalence by socioeconomic status and region in England

Gupta RP et al.Thorax, Volume 73, Issue 8, Aug 2018

Despite asthma mortality, emergency admissions and prevalence decreasing over recent decades, England still experiences significant SES and regional variations. The previously undocumented inverse relation between deprivation and mortality in the young requires further investigation.

Understanding well-being inequalities: Who has the poorest personal well-being?

Analysis of the characteristics and circumstances associated with the poorest life satisfaction, feeling the things done in life are worthwhile, happiness and anxiety in the UK, from 2014 to 2016.

Source: Office for National Statistics

Rheumatoid arthritis in adults: management

New guidance covering the diagnosis and management of rheumatoid arthritis in adults.

Source: NICE

Moving Forward – Physiotherapy for Musculoskeletal Health and Wellbeing

This themed review highlights evidence from the NIHR and others on why research in this area matters, assessment and matching patients to treatment, restoring musculoskeletal health and maintaining musculoskeletal wellbeing. It brings together recent evidence relevant to those using, planning and delivering musculoskeletal physiotherapy services.

Source: NIHR

Improving care for people with MS: the potential of data and technology

This report examines 4 key areas (take more control of care/accessible coordinated care/improving access to right treatments at right time/using data to better meet patient needs) where potential of data/technology could be harnessed to make a significant difference.

Source: MS Society/Nuffield Trust

In good health: a report following the All Party Pharmacy Group’s 2018 inquiry into long term conditions

This report highlights the opportunities for community pharmacies to deliver and improve care for patients with long-term conditions. It outlines four key actions that would enable long-term conditions to be managed in a community setting and recommends that these actions should be put in place by 2020.

Source: All Party Pharmacy Group

Polypharmacy: getting our medicines right

The RPS has issued draft guidance to outline the size of the challenge of problematic polypharmacy and highlight the work being done to address it. It makes clear recommendations to organisations and individuals involved with medicines as part of the care of the people they serve. Views are being sought on this draft guidance.

Source: Royal Pharmaceutical Society

Dementia: assessment, management and support for people living with dementia and their carers

New NICE guideline covers diagnosing and managing dementia (including Alzheimer’s disease). It aims to improve care by making recommendations on training staff and helping carers to support people living with dementia.

Source: NICE

Mental health: how do you know your council is doing all it can to improve mental health?

Mental health is an extremely wide topic covering many issues and affecting people of all ages. ‘Being mindful of mental health’ www.local.gov.uk/being-mindful-mental-health-role-local-government-mental-health-and-wellbeing is the Local Government Association’s (LGA’s) comprehensive guide to the role of local government in mental health and wellbeing. This mental health ‘must know’ summarises and updates information from the guide.

Source: Local Government Association

Loneliness: how do you know your council is actively tackling loneliness?

This briefing summarises the recommendations from the Jo Cox Commission on Loneliness which highlighted the role that local leaders in councils, the wider public sector and business have a critical role in tackling loneliness.

Source: Local Government Association

Lamotrigine is not effective for the treatment of borderline personality disorder

Lamotrigine, a mood-stabilising drug, is not clinically effective for the treatment of borderline personality disorder. Over one year follow up, this NIHR-funded trial did not find a difference between lamotrigine and placebo for borderline personality disorder-related symptoms and behavioural problems, depressive symptoms, self-harm, social functioning or quality of life outcomes.

Source: NIHR Signals

CBT for anxiety: new meta-analysis confirms significant improvements to target symptoms

Comment on a recent meta-analysis of randomised placebo-controlled trials of cognitive behavioural therapy for anxiety and related disorders.

Source: The Mental Elf

Suicide risk following childhood interpersonal violence

The findings of a meta-analysis of longitudinal studies, looking at exposure to interpersonal violence in childhood, and the impact that it may have on risk of suicide in young people.

Source: The Mental Elf

Poorer cardiovascular screening, diagnosis and management if you have a mental illness

Comment on a systematic review that highlights disparities in the management of cardiovascular risk factors in people with mental illness.

Source: The Mental Elf

Implementing the Whole Systems Approach to Obesity

Working with 11 local authorities, PHE provides an update on progress and learning in the implementation of the WSO.

Source: Public Health Matters

Prison health: health and justice annual report

Publication of the Public Health England 2017-2018 annual report on health trends in prisons and other prescribed places of detention.

Source: PHE

Continuity of care with doctors—a matter of life and death? A systematic review of continuity of care and mortality

BMJ Open, Volume 8, Issue 6

Continuity of care is a long-standing feature of healthcare, especially of general practice. It is associated with increased patient satisfaction, increased take-up of health promotion, greater adherence to medical advice and decreased use of hospital services. This review aimed to examine whether there is a relationship between the receipt of continuity of doctor care and mortality.

Making quality improvement a way of working in general practice – Gloucestershire CCG, South West

This case study looks at how Gloucestershire CCG rolled out a quality improvement programme to support their practices to collaborate, improve the quality of services delivered to patients and help GPs release time for care.

Source: NHS England

Nurses as substitutes for doctors in primary care

Source: Cochrane Database of Systematic Reviews, 2018:7

Reduction in tuberculosis incidence in the UK from 2011 to 2015: a population-based study

Thomas, LH et al.  Thorax, Volume 73, Issue 3, Aug 2018

Large decreases in TB rates in almost all populations accounted for the majority of the reduction in TB notifications, providing evidence of the impact of recent interventions to improve UK TB control. The particularly large decrease in TB rates in recent non-EU migrants provides evidence of the effectiveness of screening interventions that target this population. These findings will inform ongoing improvements to TB control.

Increasing inhaled steroids for short periods reduces asthma exacerbations

Taking four times the usual dose of inhaled corticosteroids for up to two weeks can modestly reduce the chance of asthma worsening. This NIHR-funded trial assessed increasing the inhaled corticosteroid dose compared with staying on the usual dose, as part of a self-management plan. Quadrupling the inhaled corticosteroid dose when asthma worsens is already recommended by NICE guidance, but previously there was little research evidence to support the clinical practice.

Source: NIHR Signals

New guidelines issued on the ‘STI most people have never heard of’

Analysis of recent media reports on mycoplasma genitalium (MG) and draft guidance issued by the British Association of Sexual Health and HIV.

Source: Behind the Headlines

Less help to quit: what’s happening to stop smoking prescriptions across Britain

This report highlights a steep decline in stop smoking aids being prescribed by GPs and pharmacists across Great Britain, with huge regional and local variations. The number of primary care prescriptions for nicotine replacement therapy (NRT), varenicline and bupropion has fallen in England, Wales and Scotland at rates which are much steeper than the fall in the smoking prevalence rate.

Source: British Lung Foundation

A sustainable adult social care and support system for the long term: moving the conversation on

Ahead of the green paper on the future of adult social care, sector experts address issues at the heart of the debate to help define what a system fit for future generations might look like.

Source: Local Government Association

Caring for carers: the lives of family carers in the UK

This report focuses on the demographics and experiences of those who provide family care and makes a number of recommendations for the forthcoming social care green paper, several of which are aimed at “nudging” employers into offering more support for working carers.

Source: Social Market Foundation

Mirror therapy for improving motor function after stroke

Source: Cochrane Database of Systematic Reviews, 2018:7

Risks of ovarian, breast, and corpus uteri cancer in women treated with assisted reproductive technology in Great Britain, 1991-2010: data linkage study including 2.2 million person years of observation

BMJ 2018;362:k2644

A study to investigate the risks of ovarian, breast, and corpus uteri cancer in women who have had assisted reproduction.

Your questions on reproductive health and pregnancy planning

Answers to questions on the latest guidance in “Health Matters: Reproductive health and pregnancy planning”.

Source: Public Health Matters

An introduction to the Public Health Dashboard

The purpose of the Public Health Dashboard (PHD) is to support local decision-making by bringing existing comparative data into one place and making it accessible and meaningful to a wide audience. This information accompanies the official release of the Dashboard and is intended to serve as an introduction to the tool.

Source: Public Health Matters

The NHS 10-year plan: how should the extra funding be spent?

The government has announced increases in NHS funding and has asked the NHS to come up with a 10-year plan for how this funding will be used. After eight years of austerity, there is now an opportunity to tackle the issues that matter most to patients and communities and to improve health and care. This new long read explores the priorities and opportunities for the NHS and social care.

Source: The King’s Fund

Learning from deaths: guidance for NHS trusts on working with bereaved families and carers

This new guidance is about improving how NHS Trusts engage with families and how they learn when things go wrong. It consolidates existing guidance and provides a perspective from many family members, who have experienced a bereavement within the NHS. The guidance advises trusts on how they should support, communicate and engage with families following a death of someone in their care.

Source: NHS England/National Quality Board

Every nurse an e-nurse: insights for a consultation on the digital future of nursing

This report outlines the results of a consultation with nurses and midwives on what is needed for nursing to play its full part in the digital transformation of health care.

Source: Royal College of Nursing

National LGBT Survey: Research reports and action plan

The findings from the National LGBT Survey are published the in two publications, a detailed research report and a summary report, and are accompanied by the Government’s LGBT action plan.

GOV.UK

1.     Prison population figures: 2018

20 July 2018

MOJ, HMPS and HMPPS

Official Statistics

Part of a collection: Prison population statistics

2.     Weekly national flu reports: 2017 to 2018 season

19 July 2018

PHE

Official Statistics

Part of a collection: Weekly national flu reports, Pandemic flu: public health response, Seasonal influenza: guidance, data and analysis and Respiratory syncytial virus (RSV): guidance, data and analysis

3.     Weekly all-cause mortality surveillance: 2017 to 2018

19 July 2018

PHE

Official Statistics

4.     Quarterly traffic estimates (TRA25)

19 July 2018

DfT

Statistical data set

Part of a collection: Road traffic statistics

5.     Police recorded crime and outcomes open data tables

19 July 2018

Home Office

Official Statistics

Part of a collection: Crime statistics and Crime statistics

6.     Summary Hospital-level Mortality Indicator (SHMI) Deaths associated with hospitalisation, England, January 2017 – December 2017

19 July 2018

NHS Digital

National Statistics

7.     Crime outcomes in England and Wales 2017 to 2018

19 July 2018

Home Office

Official Statistics

Part of a collection: Crime outcomes in England and Wales statistics and Crime statistics

8.     Birth summary tables in England and Wales: 2017

18 July 2018

ONS

National Statistics

9.     Death registrations in England and Wales, summary tables: 2017

18 July 2018

ONS

National Statistics

10. Migration Statistics Quarterly Report: July 2018 (rescheduled from May 2018)

16 July 2018

ONS

National Statistics

Nice Guidance

Rheumatoid arthritis in adults: management

 NG100

July 2018 July 2018

Early and locally advanced breast cancer: diagnosis and management

NG101

 July 2018 July 2018

Brain tumours (primary) and brain metastases in adults

NG99

 July 2018 July 2018

NOMIS

Births data: New datasets now available (18/07/2018)

Claimant Count / JSA: June 2018 data released (17/07/2018)

NHS

NHS England Annual Report 2017/18

19 July 2018

Cambridgeshire and Peterborough CCG

Be Clear on Cancer campaign

On 19th July, a Be Clear on Cancer campaign will launch to raise awareness of ‘blood in pee’ as a key symptom of bladder and kidney cancer.

ONS

o    Crime in England and Wales: year ending March 2018

19 July 2018 (confirmed)

o    Birth summary tables in England and Wales: 2017

18 July 2018 (confirmed)

o    Death registrations in England and Wales, summary tables: 2017

18 July 2018 (confirmed)

Networks NHS

How do you know your council is doing all it can to improve mental health?

A briefing from the Local Government Association highlights the role that local government can play in the promotion of good mental health in individuals and communities.

09:46 – Mon 16 Jul 2018

Insights for the digital future of nursing

A report from the Royal College of Nursing outlines the results of a consultation with nurses and midwives on what is needed for nursing to play its full part in the digital transformation of health care.

09:44 – Mon 16 Jul 2018

Multi-million pound fund to help tackle the disability employment gap launched

The fund is the latest in a range of government measures that aims to see one million more disabled people in work by 2027.

11:26 – Tue 17 Jul 2018

An introduction to the Public Health Dashboard

The Public Health Dashboard (PHD) aims to support local decision-making by bringing existing comparative data into one place and making it accessible and meaningful to a wide audience.

11:32 – Tue 17 Jul 2018

Identification of carers in GP practices – a good practice document

Around one in ten patients in every GP practice will be a carer.

11:31 – Tue 17 Jul 2018

Flu vaccine effectiveness in 2017 to 2018 season

Public Health England has published flu vaccine effectiveness data for the 2017 to 2018 season.

12:11 – Thu 19 Jul 2018

Extending the HPV vaccination programme

The Department of Health and Social Care has published conclusions of the joint committee on vaccination and immunisation on extending the HPV vaccination programme to adolescent boys in the UK.

12:49 – Fri 20 Jul 2018

Addressing inequalities in access to general practice

An animation by the University of East Anglia highlights inequalities of access to GP general practice services and offers advice to CCGs on how to tackle the issue.

12:20 – Today

BBC News

New drug for recurring malaria

https://www.bbc.co.uk/news/health-44801139

‘Dangerous complacency’ to global HIV epidemic risks resurgence

https://www.bbc.co.uk/news/health-44884593

UK heatwave: Met Office says stay out of the sun

https://www.bbc.co.uk/news/uk-44924406

Alternative cancer therapies linked to reduced survival

https://www.bbc.co.uk/news/health-44884601

IVF: NHS couples ‘face social rationing’

https://www.bbc.co.uk/news/uk-england-44884503

Plan to teach all children first aid

https://www.bbc.co.uk/news/education-44883708

Delays in radiology results ‘affecting patient care’

https://www.bbc.co.uk/news/health-44871476

Medicinal cannabis ‘should be available on prescription’

https://www.bbc.co.uk/news/health-44886025

Private firms cash in on over-stretched NHS

https://www.bbc.co.uk/news/health-44874238

Brain damage ‘more likely in cardiac arrest patients given adrenaline’

https://www.bbc.co.uk/news/health-44859777

Fish oil supplements for a healthy heart ‘nonsense’

https://www.bbc.co.uk/news/health-44845879

Week Commencing  17 July 2018

Current Awareness Bulletin  

 

Children of dependent drinkers: your innovation fund questions answered

Information about the fund set up to assist LAs in identifying and commissioning appropriate services.

Source: Public Health Matters

Work, worklessness and health: local infographic tool

This tool includes a slide set with regional and local level data for each county or unitary authority in England. It aims to help local stakeholders raise awareness of work, worklessness and health issues and embed them into policy planning.

Source: PHE

Another study finds coffee might reduce risk of premature death

Source: Behind the Headlines

Strengthening public health contributions to alcohol licensing processes

The relocation of public health into local authorities, and the designation of public health as a ‘responsible authority’ with a right to comment on alcohol licence applications, have provided increased opportunities for public health to shape the local alcohol environment.  However, the success of public health contributions to the licensing process, and the range of factors shaping how and when they seek to make representations on applications are not clearly understood. This study explored the range of factors that shape when and how public health practitioners make representations on licence applications, and the outcomes of these, across multiple LAs in London.

Source: London School for Hygiene and Tropical Medicine, School for Public Health Research

Taking the Hit: Student drug use and how institutions respond

This study of student drug use includes an exploration of students’ attitudes to, and experiences of, drugs through the 2,810 students at UK providers who responded to the NUS’s Students’ Drug Survey launched in February 2018. It also incorporates an analysis of the policy responses of UK higher education institutions relating to drug use.

Source: National Union of Students/Release

Local Authority Health Profiles 2018 update: How to interpret the report for your area

Source: Public Health Matters

An economic analysis of flu vaccination

This report presents findings from a new economic model of the costs and benefits from flu vaccination in England using recent efficacy data. It introduces a conservative, static model which provides a partial cost-benefit analysis of vaccination under various scenarios. It also produces estimates of vaccination costs per death averted to enable comparison with the wider literature.

Source: International Longevity Centre UK

Investigation into the transition from child and adolescent mental health services to adult mental health services

This investigation report reviewed the transition from children and adolescent mental health services to understand how variations in the transition impacts the safe and effective care of young people. It makes a number of recommendations to national NHS organisations to make the transition smoother and safer for young people.

Source: Healthcare Safety Investigation Bureau/King’s Fund

Joint risks? Tobacco and cannabis and psychotic symptoms

Comment on a recent UK study, which looks at the association of combined patterns of tobacco and cannabis use in adolescents who go on to experience psychotic symptoms.

Source: The Mental Elf

How do life events impact upon therapeutic work with children and young people?

Comment on a recent systematic review of life events, socioeconomic deprivation, and their impact on counselling and psychotherapy with children and adolescents.

Source: The Mental Elf

Association between maternal adherence to healthy lifestyle practices and risk of obesity in offspring: results from two prospective cohort studies of mother-child pairs in the United States

BMJ 2018;362:k2486

Studies to examine the association between an overall maternal healthy lifestyle (characterized by a healthy body mass index, high quality diet, regular exercise, no smoking, and light to moderate alcohol intake) and the risk of developing obesity in offspring. The findings indicate that adherence to a healthy lifestyle in mothers during their offspring’s childhood and adolescence is associated with a substantially reduced risk of obesity in the children. These findings highlight the potential benefits of implementing family or parental based multifactorial interventions to curb the risk of childhood obesity.

Putting healthier food environments at the heart of planning

Source: Public Health Matters

Report of the review of the Quality and Outcomes Framework in England

This report presents the findings of the Quality and Outcomes Framework (QOF) for general practice review and supports wider discussion about how to reform the QOF, which will inform negotiations between NHS England and the British Medical Association.

Source: NHS England

Public health approaches to reducing family violence

Addressing violence is not a single agency issue, as it is the culmination of many different

issues. It is only by pursuing a strategic, coordinated approach involving a range of agencies,

including partnerships between statutory and voluntary organisations, that violent crime can

be effectively addressed.

Source: Local Government Association

Public health approaches to reducing family violence

Addressing violence is not a single agency issue, as it is the culmination of many different

issues. It is only by pursuing a strategic, coordinated approach involving a range of agencies,

including partnerships between statutory and voluntary organisations, that violent crime can

be effectively addressed.

Source: Local Government Association

Emerging sex disease MG ‘could become next superbug’

Source: BBC Health News

Turning the tide on tobacco: Smoking in England hits a new low

New official statistics published today show smoking prevalence in England has dipped just below 15% for the first time. This blog includes UK adult smoking statistics and local tobacco profiles.

Source: Public Health Matters

What do women say? Reproductive health is a public health issue

This document presents the findings from a survey of more than 7,500 women and focus group discussions to find out how women experience reproductive health issues and some of the choices they make. The purpose of the study is to introduce reproductive health as a public health issue and inform the development of Public Health England Reproductive Health Strategic Action Plan.

Source: PHE

The NHS at 70: are we expecting too much from the NHS?

This paper explores the public’s expectations of the NHS, the balance between meeting those expectations and living within a constrained budget, and the question of who is responsible for keeping us healthy.

Source: The Health Foundation/The Institute for Fiscal Studies/The King’s Fund/ The Nuffield Trust

Ten steps towards a new plan for the NHS in England

The NHS Confederation is calling for a national conversation about what we want and can expect from the health service in England over the next 10 years. Crucially this needs to involve those who use and those who work for the service. This report proposes 10 actions which would underpin specific priorities for a new plan. The plan itself would set clear outcomes for patients and for the NHS over the next decade.

Source: NHS Confederation

Financial sustainability of local authorities

This report finds that after seven years of government funding reductions totalling nearly 50 per cent and rising demand for services, local authorities are under real strain. Key services that support vulnerable people, such as social care and housing, are now under enormous pressure.

Source: Public Accounts Committee

GOV.UK

  1. Patient confidentiality in NHS population screening programmes
  • 16 July 2018
  • PHE
  • Guidance
  1. Making Every Contact Count (MECC): practical resources
  1. Health Protection Report volume 12 (2018)
  • 13 July 2018
  • PHE
  • Research and analysis
  1. Proteeae: voluntary reporting
  1. Imperial College NHS Trust: antenatal and newborn screening
  1. Lincolnshire: breast screening programme
  1. Guidance for drug and alcohol treatment providers and clients
  1. Plymouth NHS Trust: antenatal and newborn screening programmes
  1. Carbon modelling within dentistry: towards a sustainable future
  • 13 July 2018
  • PHE
  • Guidance

10.PHE annual report and accounts: 2017 to 2018

11.Protecting children during outbreaks: immunisation in schools

  • 12 July 2018
  • PHE
  • Guidance
  • Part of a collection: Immunisation

12.Drug and alcohol treatment outcomes: measuring effectiveness

13.Environmental monitoring following the Grenfell Tower fire

  • 12 July 2018
  • PHE
  • Research and analysis
  • Part of a collection: Grenfell Tower

14.GP out-of-hours syndromic surveillance: weekly bulletins for 2018

  • 12 July 2018
  • PHE
  • Research and analysis

Department of Transport

British social attitudes survey: 2017

Results for the transport questions asked on the 2017 survey for Great Britain and related trend changes.

https://www.gov.uk/government/statistics?departments%5B%5D=department-for-transport

Official Statistics

Statistics and data

BBC

Emerging sex disease MG ‘could become next superbug’ –https://www.bbc.co.uk/news/health-44777938

 

 

Week Commencing  25 June 2018

Current Awareness Bulletin

No health without mental health: How can pharmacy support people with mental health problems?
This report demonstrates that there is a clear opportunity for the pharmacy profession to engage more widely in mental health and a real PHI Internet Briefing – 17 July 2018 gsfpossibility to make a difference to peoples’ lives.   Source: Royal Pharmaceutical Society

Childhood obesity: a plan for action: chapter 2

This publication outlines the actions the government will take towards its goal of halving childhood obesity and reducing the gap in obesity between children from the most and least deprived areas by 2030.  Source: Department of Health and Social Care

Ideas for the NHS long-term plan from the Centre for Ageing Better

Following the announcement of a long-term funding plan for the NHS, this paper sets out the case for why NHS England should make some bold commitments to healthy ageing in its long-term plan and suggests some ideas for actions it could take and some areas for action with others.  Source: Centre for Better Ageing

Yoga-based exercise can improve well-being for older people

Yoga-based exercise offers a safe and accessible way to improve health-related quality of life and mental well-being for people over 60. Evidence for a moderate benefit of yoga in later life now extends beyond improved balance and flexibility.  Source: NIHR Signals

Tackling loneliness: a community action plan

RCGPs May 2018

This action plan is has been published following the Royal College of General Practitioner’s first-ever roundtable on loneliness; an event which saw charities, and community, voluntary and faith organisations come together to discuss how communities can tackle loneliness and social isolation in society.

Hiding in plain sight: treating tobacco dependency in the NHS

This report argues that existing models of delivering stop smoking services separately from mainstream NHS services, while successful in the past, may now not be the best approach. It recommends that the NHS should be delivering default, opt-out, systematic interventions for all smokers as a routine component of all care. Source: Royal College of Physicians, Tobacco Advisory Group

Dying on the streets: the case for moving quickly to end rough sleeping

This report reveals a dramatic increase in the proportion of people sleeping rough who have died with mental health support needs from 2010 to 2017. It also presents the findings of a national survey of street outreach services from across England and discusses mental health, substance use and the difficulties in accessing mental health services.  Source: St Mungo’s

GOV.UK

 Fuel poverty additional tables, 2018

  26 June 2018

Sub-regional fuel poverty data 2018

  26 June 2018

Fuel poverty trends 2018

  26 June 2018

Annual fuel poverty statistics report: 2018

  26 June 2018

Fuel poverty detailed tables 2018

  26 June 2018

Sub-regional fuel poverty 2018

  26 June 2018

Road transport energy consumption at regional and local authority level

  26 June 2018

UK local authority and regional carbon dioxide emissions national statistics: 2005-2016

  • 26 June 2018
  • BEIS
  • National Statistics

 

 

Cancer survival in England – childhood: patients followed up to 2017

  • 25 June 2018
  • ONS and PHE
  • Official Statistics

 

 

Recorded Dementia Diagnoses 2017-18

  • 25 June 2018
  • NHS Digital
  • Official Statistics

 

 

Estimating suicide among Higher Education students, England and Wales

  • 25 June 2018
  • ONS
  • Official Statistics

 

 

Prison population figures: 2018

  • 22 June 2018
  • MOJ, HMPS and HMPPS
  • Official Statistics

 

Traveller caravan count: January 2018

  • 21 June 2018
  • MHCLG
  • Official Statistics

 

 

Mental health in the UK armed forces: background quality report

  • 21 June 2018
  • MOD
  • Official Statistics

 

 

UK armed forces mental health annual statistics: financial year 2017/18

  • 21 June 2018
  • MOD
  • Official Statistics

 

 

UK armed forces mental health annual statistics: financial year 2016/17

  • 21 June 2018
  • MOD
  • Official Statistics

 

 

30 hours free childcare: summer term 2018

  • 21 June 2018
  • DfE
  • Official Statistics

 

BBC

NHS ‘poor’ on treating deadly illnesses  https://www.bbc.co.uk/news/health-44567824

University student suicide rates revealed https://www.bbc.co.uk/news/health-44583922

 Child obesity: Will new measures make your life easier?  https://www.bbc.co.uk/news/uk-44592585

Cannabis: What are the risks of recreational use? https://www.bbc.co.uk/news/health-44532417

NOMIS

Mid-year population estimates: mid-2017 estimates released (28/06/2018)

King’s Fund

St Mungo’s

Dying on the streets: the case for moving quickly to end rough sleeping

This research reveals an increase in the proportion of people with mental health support needs who have died while sleeping rough from 2010 to 2017. It presents the findings of a national survey of street outreach services from across England. It discusses mental health, substance use and the difficulties in accessing mental health services.

Report

Statistics and data

UK Health Forum

UK Health Forum welcomes chapter 2 of Childhood obesity: A plan for action

25 June 2018The UK Health Forum welcome’s the bold and ambitious Chapter 2 of the Childhood Obesity Plan. In a signal that the government is serious about tackling the high levels of childhood obesity in England, the plan includes a number of significant commitments to limit exposure to junk food through…

Week Commencing  18 June 2018

Current Awareness Bulletin

A recipe for action: using wider evidence for a healthier UK: A collection of essays exploring why we need trans-disciplinary approaches to improve the public’s health

This new publication presents a selection of essays by experts from a diverse range of industries and specialisms. They are reflecting on the case-study of child obesity. The essays show that a broad range of disciplines and professional practices share similar goals to public health, to improve the health and wellbeing of people in the UK and beyond. It explores the diverse types of evidence that could be used to inform decision making on issues concerning the public’s health.

Source: The Health Foundation

New data reveals 420,000 cases of STIs diagnosed in 2017

Statistics for sexually transmitted infections and chlamydia screening in England in 2017 show that while the overall rates of sexually transmitted infections (STIs) remained stable compared to 2016, there was a 20% increase in syphilis (from 5,955 cases in 2016 to 7,137 cases in 2017).

Source: PHE

Not drinking alcohol linked to taking more sick leave than moderate drinking

An analysis of the reporting of a study of 47,520 people from Britain, Finland and France which found that those who drank alcohol in moderation were less likely than teetotallers to take sickness absence for a range of illnesses. The study attracted widespread coverage in the UK media. This was reasonably accurate and balanced, with most coverage explaining that the results didn’t show that drinking alcohol is healthier than not drinking.

Source: Behind the Headlines

From prison to work: A new frontier for Individual Placement and Support

Report on a pilot programme in the West Midlands to support prisoners with mental health difficulties into employment when they are released. It calls on the government to invest in a larger scale trial for former prisoners and to reform existing employment services in the criminal justice system. It also found that few of the people who had been in contact with prison mental health services as a result of complex needs and vulnerabilities were supported by community mental health services after their release.

Source: Centre for Mental Health

That age old question

This report reveals the extent of ageist attitudes across the UK, and how they harm the health and wellbeing of everyone in society as we grow older. It highlights the extent to which old age is viewed by many as a period of decline and ordeal, and calls on stakeholders in the media, government, voluntary sector, and schools to take action to reframe the way our nation views ageing in a more positive light.

Source: Royal Society for Public Health

Lifting the lid on hidden homelessness; a new analysis

This report provides a fresh analysis of data on hidden homeless populations in unsupported temporary accommodation (UTA) in order to highlight the true extent of homelessness in England.

Source: Justlife Foundation

Listening to our future: Early findings from the Health Foundation’s Young people’s future health inquiry

The Health Foundation has launched its first report from their Young people’s future health inquiry. The initial findings show that the long-term health of young people is being put at risk by many recent changes in society, such as major shifts in employment and housing markets along with dramatic changes to the information and communication landscape.

Source: The Health Foundation

Enabling local authorities to make the best spending decisions

A blog on the support provided to local teams to create public health systems that have the greatest impact on improving the public’s health and get the most out of every pound, including the updated Spend and Outcome Tool (SPOT). SPOT allows users to see how much is being spent and the impact it is having on relevant outcomes, meaning they can compare across public health programmes, and compare these data against other local authorities.

Source: Public Health Matters

Learning disability: applying All Our Health

Updated evidence and guidance to help healthcare professionals to improve the health and wellbeing of people with learning disabilities.

Source: PHE

Is cannabis use rising in middle-aged people?

Analysis of media reports on research which found that the number of over-40s seeking treatment for cannabis-related problems had more than doubled over the past 10 years.

Source: Behind the Headlines

Work, worklessness and health

This blog links to an infographic slide set for every county and unitary authority in England, presenting data on work, worklessness and health in an accessible format.  Includes data on employment gaps for different health conditions.

Source: Public Health Matters

King’s Fund

The role of cities in improving population health: international insights

https://www.kingsfund.org.uk/publications/cities-population-health

NOMIS

APS Regional: New reason for economic inactivity dataset released (13/06/2018)

GOV.UK

 Changing trends in mortality in England and Wales, 1990 to 2017: experimental statistics

  •   18 June 2018
      • ONS
      • Official Statistics

 

    1. Prison population figures: 2018
  • 15 June 2018
  • MOJ, HMPS and HMPPS
  • Official Statistics

 

BBC

‘Why UK Asians need to talk more about suicide’  https://www.bbc.co.uk/news/uk-44499478

‘There were a lot of strangers around – I didn’t feel safe’  https://www.bbc.co.uk/news/education-44453940

5SOS: Mental health help in music not good enough  https://www.bbc.co.uk/news/newsbeat-44526038

King’s Fund

Statistics and data

Week Commencing  11 June 2018

Current Awareness Bulletin

Childhood obesity: time for action

This report calls for an effective childhood obesity plan with a joined-up, whole systems approach and one that focuses particularly on tackling the ever-widening health inequality due to childhood obesity between the richest and poorest area.

Source: House of Commons Health and Social Care Committee

Good progress but more to do: Teenage pregnancy and young parents

It is over 15 years since the then government launched its Teenage Pregnancy Strategy in response to England having one of the highest teenage pregnancy rates in Western Europe. Since then, the under-18 conception rate has dropped by 60 per cent and the proportion of teenage mothers in education and training has doubled. This briefing highlights best practice for councils in reducing teenage pregnancy.

Source: Local Government Association/PHE

School meal smoothie ban in obesity fight

Source: BBC Health News

Homeless mortality data from East London

Khalil Hassanally & Miqdad Asaria; London Journal of Primary Care (Published online: 05 Apr 2018)

This study looks at the rates and causes of homeless mortality within East London.

Loneliness – What characteristics and circumstances are associated with feeling lonely?

Analysis of characteristics and circumstances associated with loneliness in England using the Community Life Survey, 2016 to 2017.

Source: ONS

GOV.UK

 

    1. National chlamydia screening programme (NCSP): data tables

 

    1. Pregnancy and birth profiles: 2018 update

 

    1. 2018 child health profiles

 

 

    1. Sexually transmitted infections (STIs): annual data tables
  • 5 June 2018
  • PHE
  • Official Statistics

 

 

    1. Dementia Assessment and Referral April 2018
  • 4 June 2018
  • NHS England
  • Official Statistics

 

 

    1. Cancer registration statistics, England: 2016
  • 4 June 2018
  • ONS and PHE
  • National Statistics

 

ONS

 

 

31 May 2018 (confirmed)

 

 

30 May 2018 (confirmed)

 

BBC

Syphilis and gonorrhoea up by one-fifth  https://www.bbc.co.uk/news/health-44368741

Cuts to sexual-health services imminent  https://www.bbc.co.uk/news/health-44353615

Vaping – the rise in five charts  https://www.bbc.co.uk/news/business-44295336

School meal smoothie ban in obesity fight https://www.bbc.co.uk/news/uk-scotland-scotland-politics-44353969

Adoption and care rates higher in some areas  https://www.bbc.co.uk/news/uk-44431585

Background, subject and university ‘all impact earnings’  https://www.bbc.co.uk/news/education-44395621

Who cares for the carer when they’re bereaved?  https://www.bbc.co.uk/news/uk-england-birmingham-43887636

King’s Fund

Statistics and data

 

Week Commencing  28 May 2018

Current Awareness Bulletin

The world’s first sugar reduction programme: Data challenges

Public Health Matters blog   Source: PHE

Low fat or low carbohydrate diets seem just as effective for weight loss

Overweight to obese adults who followed a low fat or low carbohydrate diet for 12 months both lost around 5 or 6kg in body weight. It made no difference whether they had a gene-type indicating that they break down fats or carbohydrates better.    Source: NIHR Signals

Women-only drug treatment services: their time has come

A look at the findings of a recent qualitative study that asks: Do women with complex alcohol and other drug use histories want women-only residential treatment?   Source: The Mental Elf

 Supporting mental health in schools and colleges: pen portraits of provision

An addition to the DfE’s documents in the series, this report presents pen portraits of mental health provision based on case study research in 36 schools, colleges and other educational institutions across England.  The research aimed to gather detailed qualitative case studies of mental health provision that would illustrate achievable practice that can happen in schools, colleges and other educational institutions.   Source: Department for Education

Support after Suicide – Key to Suicide Prevention

Public Health Matters blog    Source: PHE

People maintain increases in physical activity three years after receiving pedometers

Middle-aged to older adults given pedometers and a walking programme as part of two NIHR trials continued to be active three years later. In one trial they were walking around 650 extra steps a day. In both trials, they spent about 30 minutes per week extra in moderate-to-vigorous physical activity compared to controls.  Source: NIHR Signals

Using data in the NHS: the implications of the opt-out and GDPR

This report explores the use of data in the NHS, the systems in place for protecting data and what GDPR and the opt-out might mean for the future. Source: The King’s Fund

Emergency hospital admissions in England: which may be avoidable and how?

This report looks at trends in emergency admissions over the past decade. It finds that one in three patients admitted to hospital in England as an emergency in 2015-16 had five or more health conditions. This is up from one in ten admitted patients having five or more conditions in 2006-7. It calculates the financial implications for the NHS in England and finds that the cost of emergency admissions in 2016-17 was £17 billion, up £5.5 billion in ten years.

Source: Health Foundation

 

GOV.UK

1.Journey times to key services by lower super output area (JTS05)

 

2.     Journey time statistics: 2016

 

Sport England

New £40m fund to get families active  https://www.sportengland.org/news-and-features/news/2018/may/23/childhood-inactivity-targeted-by-new-40-million-families-fund/

More than 15,000 families, across 22 projects around the country, could benefit from first allocation of funding

 

NOMIS

Gross Disposable Household Income: New 2016 and revised 1997 to 2015 estimates released (24/05/2018)

Sub National Population Projections: 2016-based data released (24/05/2018)

 

GOV.UK

  1. Quarterly hospital activity data for Q4 2018/19
    • 25 May 2018
    • NHS England
    • Official Statistics

 

2.     Journey times to key services (JTS01)

3.     Number of key services by journey time (JTS03)

4.     Journey times to key services by local authority (JTS04)

5.     User access to key services by journey time (JTS02)

6.     Entries for GCSE, AS and A level: summer 2018 exam series

    • 24 May 2018
    • Ofqual
    • Official Statistics

7.     Level 2 and 3 attainment by young people aged 19 in 2017

8.     Statements of SEN and EHC plans: England, 2018

9.     Immigration statistics, year ending March 2018: data tables

    • 24 May 2018
    • Home Office
    • National Statistics

 

BBC

 

Week Commencing  21 May 2018

Current Awareness Bulletin

Regular exercise may help keep your arteries ‘young’

The UK media reported on the study looking at the relationship between exercise history and the health of their main arteries. Source: Behind the Headlines

Supporting sexual health commissioning: analysing and planning

The second in a series of three blogs exploring each stage of the sexual health commissioning cycle. It focuses on the first two stages of the cycle: analysing and planning.  Source: PHE: Public health matters

The hardest hit: Addressing the crisis in alcohol treatment services

The report highlights how severe funding cuts, rapid re-tendering cycles, loss of qualified staff and lack of political support are impacting on some of the most vulnerable people in society.  Source: Alcohol Concern

Promoting health and preventing premature mortality in black, Asian and other minority ethnic groups

This guideline aims to support public authorities in considering their equality duty when designing, planning and delivering services. It draws attention to some of the specific areas of inequality for people from black, Asian and other minority ethnic groups, such as increased health risks, poor access to and experience of services, and worse health outcomes.  Source: NICE

Health and wellbeing of lesbian and bisexual women (LBWSW)

Evidence of inequalities in the health and wellbeing of lesbian and bisexual women and opportunities for improvement.   Source: PHE

Measuring wellbeing inequality: working paper on the selection of a headline indicator

This working paper presents research commissioned by the Office for National Statistics

(ONS) and carried out by the New Economics Foundation (NEF) in collaboration with

the What Works Centre for Well-being. NEF was tasked with exploring the strengths and weaknesses of different measures of wellbeing inequality and to make a recommendation of a measure which could be reported by the ONS alongside mean wellbeing.  Source: New Economics Foundation

Preventing mental health problems: what can we do?

Exploring a new review looking at preventive strategies for mental health problems, published in The Lancet Psychiatry.  Source: The Mental Elf

Suicide prevention and reduction

In 18/19, local communities that are worst affected by suicide are being given additional funding to develop suicide prevention and reduction schemes. The funding, which has been allocated to eight Sustainability and Transformation Partnerships (STPs) this year with a high level of need, will help to ensure people know high quality confidential help is available within their community. Details on plans from each STP are outlined. Source: NHS England

Dementia – the true cost: fixing the care crisis

An investigation by the Alzheimer’s Society has discovered tens of thousands of people with dementia each year are being admitted to Accident and Emergency because inadequate social care is leaving them unprotected from falls and infections. The report revealed a sharp rise in emergency admissions over the last five years – up 70% since 2012 – with more than 50,000 avoidable emergency admissions of over-65s with dementia in the last year alone.      The report outlines urgent areas for the government to address.  Source: Alzheimer’s Society

Public Health Consequences of E-Cigarettes

Reviews and critically assesses the state of the emerging evidence about e-cigarettes and health. This report makes recommendations for the improvement of this research and highlights gaps that are a priority for future research.  Source: National Academies of Sciences, Engineering and Medicine: Washington DC

 

The King’s Fund

Statistics and data

 

 

NOMIS

DWP Consultation  21/05/2018   http://www.nomisweb.co.uk/articles/1101.aspx

 

Cambridgeshire and Peterborough CCG

Let’s talk about stress  https://www.cambridgeshireandpeterboroughccg.nhs.uk/news-and-events/latest-news/lets-talk-about-stress/

 

GOV.UK

1.Deaths registered in England and Wales, provisional: week ending 11 May 2018

  • 22 May 2018
  • ONS
  • National Statistics

2Deaths registered by area in England and Wales, monthly provisional: April 2018

  • 22 May 2018
  • ONS
  • National Statistics

 

 

3.     Recorded Dementia Diagnoses April 2018

    • 18 May 2018
    • NHS Digital
    • Official Statistics

4.     Pupil absence in schools in England: autumn term 2017

5.     Unregistered schools management information

    • 15 May 2018
    • Ofsted
    • Statistical data set

6.     Patients Registered at a GP Practice May 2018

    • 15 May 2018
    • NHS Digital
    • Official Statistics

ONS

  • Personal well-being in the UK: January to December 2017

 

BBC

  • 17 May 2018 (confirmed)      

 

Week Commencing  7 May 2018

Current Awareness Bulletin

A school-based obesity prevention programme was ineffective

A school-based healthy lifestyle programme delivered to 6-7-year-old children and their parents made no difference to children’s weight, diet or activity levels. Around 1 in 4 remained overweight or obese.

The NIHR-funded year-long programme was delivered in 54 primary schools in one region of England. Teachers were trained to provide an additional 30 minutes of physical activity a day and deliver cookery workshops with parents each term. It also included activities with a local football club, Aston Villa.

Children in schools that took part were no less likely to be overweight or obese after 15 or 30 months, and their diet and exercise levels did not improve. Less than one in six schools managed to deliver the activity sessions as planned.

The results are similar to another recent trial of a lifestyle programme delivered to 9-10-year-olds. Both suggest that changes to reverse the tide of childhood obesity will have to take place in wider society, not just in schools, to have the desired effect.  Source: NIHR Signals

Alcohol And Mental Health: Policy And Practice In England

This report highlights that people who have difficulties with alcohol and mental health are still not getting the help and support they need. It is based on a survey and seminar session held with professionals working in mental health and/or alcohol services across the country. It finds that co-morbidity is a barrier to treatment, and support for people with co-occurring alcohol and mental health problems is too often poor and fragmented.  Source: Centre for Mental Health/King’s Fund

The Hardest Hit: Addressing The Crisis In Alcohol Treatment Services

This report, launched at the All Party Parliamentary Group on Alcohol Harm, highlights how severe funding cuts, rapid re-tendering cycles, loss of qualified staff and lack of political support are impacting on some of the most vulnerable people in society.  Source: Alcohol Concern/King’s Fund

Regular exercise may help lower your risk of depression

“Exercising and keeping active can slash the risk of depression by a third, research claims,” The Sun reports.  Source: Behind the Headlines

Creative And Cultural Activities And Wellbeing In Later Life

This report outlines the importance for us all of participating in creative and cultural activities to maintain our wellbeing and feel good as we get older. The research identifies the key factors that enable participation and enjoyment of cultural activities and those which present barriers to participation.  Source: Age UK/King’s Fund

Avoidable Mortality in the UK: 2016
Office for National Statistics (ONS); 2018.
In 2016, approximately 24% of all deaths in the UK were considered avoidable (141,101 deaths out of 597,206). In 2016, deaths from cancers and other non-cancerous tissue growths continued to be the leading cause of avoidable deaths in the UK. Amenable mortality in the UK has significantly increased since 2014 with 123.2 amenable deaths per 100,000 persons in 2016. Among children and young people (aged 0 to 19 years) 34% of all deaths in the UK were considered avoidable in 2016.
Freely available online  Sport England

OpenActive Accelerator launched  1/5/18  https://www.sportengland.org/news-and-features/news/2018/may/01/openactive-accelerator-selects-startups-to-revolutionise-sports-listings/

Ten startups will spend the next six months developing new ways for people to get physically active

 

GOV.uk

  1. Wider Determinants of Health: May 2018 update
    • 1 May 2018
    • PHE
    • Official Statistics

 

2.     Statistics on Alcohol, England 2018

    • 1 May 2018
    • NHS Digital
    • National Statistics

3.     Health Profiles: May 2018 data update

4.     Adult drinking habits in Great Britain: 2017

    • 1 May 2018
    • ONS
    • National StatisticsKings Fund
    • Statistics and data

 

BBC

Improved mental health care funding for new mums   http://www.bbc.co.uk/news/health-44007342

UK parks boost quality of life by £34bn  http://www.bbc.co.uk/news/uk-44027753

David Goodall: Scientist, 104, begins trip to end his life http://www.bbc.co.uk/news/world-australia-43957874

Obesity and BMI: ‘If I wasn’t this size I wouldn’t have a job’ http://www.bbc.co.uk/news/newsbeat-43974878

 

Week Commencing  23 April 2018

Current Awareness Bulletin

 School-based mental health services: a good idea?  Source: The Mental Elf

Moderate and heavy alcohol consumption: what impact on later life brain and cognition?

Source: The Mental Elf

 Our invisible addicts

An updated Royal College of Psychiatrists reports highlights that there is rising alcohol consumption in older adults, despite an overall fall across all age groups nationally in recent years.

Source: Royal College of Psychiatrists

Alcohol Risk Environments, Vulnerability, and Social Inequalities in Alcohol Consumption

Scottish research indicates that there is a stronger association between alcohol premises density and alcohol-related harm among people on the lowest incomes. Source: Annals of the American Association of Geographers

Tobacco Atlas

The American Cancer Society has produced a Tobacco Atlas providing a global perspective on tobacco control. The project consolidates proven strategies and interventions for reducing smoking.

Source: The American Cancer Society

Most UK women ‘not nutritionally prepared for pregnancy’ finds review

“British women are woefully unprepared for pregnancy because they’re living unhealthy lifestyles, new research has found,” reports the Metro. The coverage follows the publication of a series of reviews assessing the importance of nutrition prior to getting pregnant.  Source: Behind the Headlines

UK working lives: in search of job quality

This survey examines seven key dimensions of job quality and focuses on policy and practice actions that aim to improve working lives.  The report includes top tips on how to improve mental health and wellbeing in the workplace.  Source: NHS Employers

Healthy Housebuilding

The design of a home and its community is a key contributer to the health and wellbeing of the people who live there. This briefing note summarises the key issues in housebuilding that impact on health and includes policy recommendations.   Source: UK Green Building Council (UK GBC)/King’s Fund

 

NOMIS

Reducing air pollution in the UK: progress report 2018

This progress report is an update on the Royal College of Physicians’ report Every breath we take. Two years on, the update lays out the latest air pollution crisis facts, the government response so far, and the action needed to tackle the problem. Report

 

BBC

£6m pledge for children of alcoholics  http://www.bbc.co.uk/news/uk-43861391

Sugar tax: Will paying more for fizzy drinks and alcohol make us healthier?  http://www.bbc.co.uk/news/health-43414777

NUS: ‘Working-class students face poverty’  http://www.bbc.co.uk/news/education-43857750

 

Week Commencing  16 April 2018

Prostate Cancer: Britain’s Growing Problem

This report finds that four in ten prostate cancer cases are diagnosed late and warns that action is needed to avert a potential prostate cancer crisis by 2030.  It also brings together commentary and thought-leadership from some of the UK’s leading experts in the field to set out the key issues.

Source: Orchid/King’s Fund

Deaths related to volatile substances and helium in Great Britain: 2001 to 2016 registrations
Office for National Statistics (ONS); 2018.
https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/deathsrelatedtovolatilesubstancesandheliumingreatbritain/2001to2016registrations
In 2016 there were 64 deaths related to volatile substances registered – over 80% of these registrations were males. Volatile substances include, but are not limited to: fuel gases, aerosol propellants, some types of industrial glues, nitrous oxide, alkyl nitrites (known as “poppers), and some anaesthetics.
Freely available online

Life on Debt Row

The Royal Society for Public Health (RSPH) has published a new report examining the effect of debt on health and wellbeing
The report includes a league table of credit types according to their impact on people’s mental health. Credit unions proved to have the least serious impact on mental wellbeing, while payday loans and unauthorised overdrafts proved to have the worst effect on mental wellbeing.

Source: The Royal Society for Public Health (RSPH)

Statistics on Obesity, Physical Activity and Diet – England, 2018 [National Statistic].
NHS Digital; 2018.
https://digital.nhs.uk/catalogue/PUB30258
This statistical report presents information on obesity, physical activity and diet, drawn together from a variety of sources. The topics covered include: Obesity related hospital admissions. Prescription items for the treatment of obesity. Adult obesity prevalence. Childhood obesity prevalence. Physical activity levels among adults and children. Diet among adults and children, including trends in purchases, and consumption of food and drink and energy intake.
Freely available online

 NIHR Signal: Hospital admission rates and costs increase in line with BMI.
NIHR Dissemination Centre; 2018.
https://discover.dc.nihr.ac.uk/portal/article?id=SIG-5000575
[In England, £662 million of the annual hospital admission costs in 2013 could be attributed to overweight or obesity in women aged 55-79. This large study, partly funded by the NIHR, looked at over one million women participating in the NHS breast cancer screening programme. Five-year data on hospital admissions, diagnoses and costs were extrapolated to all women in this age group in England.]
Freely available online

Service Specification: Integrated Substance Misuse Treatment Service Prisons In England

This service specification describes a fully recovery orientated, integrated prison substance misuse treatment service, which covers traditional drugs of abuse, psychoactive substances, illicit abuse of prescribed and over the counter drugs and alcohol.

Source: NHS England/King’s Fund

Invisible No Longer: Women And HIV

This is the report of a one-year study aiming to explore the needs and experiences of women affected by HIV. The project was co-produced with women living with and affected by HIV and draws on their experiences to understand what HIV means for women in the UK. It looked at existing evidence and generated new data to provide an overview of the situation for women in the UK living with or vulnerable to acquiring HIV.

Source: Terrence Higgins Trust/King’s Fund

Conceptions in England and Wales: 2016
Office for National Statistics (ONS); 2018.
https://www.ons.gov.uk/releases/conceptionsinenglandandwales2016
The under-18 conception rate in 2016 was 18.9 conceptions per thousand women aged 15 to 17; this is the lowest rate recorded since comparable statistics were first produced in 1969 and a decrease of 11% since 2015. The estimated number of conceptions to women aged under 16 decreased by 19% between 2015 and 2016. In 2016 there were an estimated 862,785 conceptions to women of all ages, compared with 876,934 in 2015, a decrease of 1.6%.
Freely available online

 King’s Fund

Statistics and Data

NHS Digital

Community Services Statistics for Children, Young People and Adults, England – December 2017, Experimental Statistics

Experimental

Published: 10 April 2018 – This is a monthly report on publicly funded community services for children, young people and adults using data from the Community Services Data Set (CSDS) reported in England for December 2017.

Mental Health Services Monthly Statistics: Final January, Provisional February 2018

Experimental

Published 12 April 2018 – This publication provides the most timely statistics available relating to NHS funded secondary mental health, learning disabilities and autism services in England. This information will be of use to people needing access to information quickly for operational decision making and other purposes. These statistics are derived from submissions made using version 2.0 of the Mental Health Services Dataset (MHSDS).

Provisional Accident and Emergency Quality Indicators – England, by provider for February 2018

Experimental

Published 12 April 2018 – This report, generated from Hospital Episode Statistics (HES) A&E data, sets out data coverage, data quality and performance information for five A&E indicators.

 

GOV.UK

 

2.     Mental Health Services Monthly Statistics: Final Jan, provisional Feb 2018

    • 12 April 2018
    • NHS Digital
    • Official Statistics

3.     Monthly hospital activity data for February 2018

    • 12 April 2018
    • NHS England
    • Official Statistics

4.     Waiting times for suspected and diagnosed cancer patients for February 2018

    • 12 April 2018
    • NHS England
    • Official Statistics

5.    Diagnostics waiting times and activity for February 2018

Week Commencing 9 April 2018

Current Awareness Bulletin

Broccoli and sprouts linked to healthier arteries for older women

“Research has shown eating broccoli, cauliflower, cabbage and brussels sprouts to be particularly beneficial for the hearts of elderly women,” The Guardian reports.

Source: Behind the Headlines

Drug Misuse Prevention

This quality standard covers the prevention or delay of harmful use of drugs by children, young people and adults most likely to start using drugs, or already experimenting or using drugs occasionally. It sets out what high-quality care should look like and describes priority areas for improvement.

Source: NICE/King’s Fund

 

ONS

 

Community Services Statistics for Children, Young People and Adults December 2017

    • 10 April 2018
    • NHS Digital
    • Official Statistics

 Deaths registered in England and Wales, provisional: week ending 30 Mar 2018

    • 10 April 2018
    • ONS
    • National Statistics

 Statistics on Obesity, Physical Activity and Diet, England 2018

 

 

Kings Fund

Statistics and data

 

BBC

 Soft drink sugar tax starts, but will it work?  http://www.bbc.co.uk/news/health-43659124

Sugar tax: There’s more to come in the war on obesity  http://www.bbc.co.uk/news/health-43662493

How Amsterdam is reducing child obesity  http://www.bbc.co.uk/news/health-43113760

Schools ‘to drop gathering nationality data’ http://www.bbc.co.uk/news/education-43698074

 

Week Commencing 2 April 2018

Current Awareness Bulletin

Physical Activity And The Environment

This updated guidance aims to help people be more active through improvements to the built environment and public transport and better access to the countryside. It calls on local councils to encourage people to be more physically active by improving routes for pedestrians, cyclists and other users.

Source: NICE

International Comparisons Of Health And Wellbeing In Early Childhood

This report presents data on health and wellbeing for early childhood in the UK and 14 comparable countries, recognising the particular influence that a child’s development in this period can have on his or her future health and quality of life. It considers the benefits and challenges of comparing child health indicators between countries, to inform local and national policy and practice that improves the health of children and families in this country.

Source: Nuffield Trust 

Integrating Mental Health And Social Care: Does It Work In Practice?

This briefing looks at the integration of mental health and social care, the benefits behind this and the challenges faced on the ground. It argues that the current pressures on both the health and care systems can conceal the day-to-day challenges of living with mental health problems, the distress of families and friends, and the struggle to stay well in their community.

This briefing is free to download but requires free registration.

Source: Centre for Mental Health

NHS teams up with councils to improve ‘housing health’ with home MOTs, stair lifts, falls helplines and quick grants

The NHS is teaming up with councils to improve health through better housing through home MOTs, quick homes grants, falls help lines, stair lifts and heating systems among others.

Source: King’s Fund and National Housing Federation

Mentally Healthy Schools.
A free and easy-to-use website for primary schools from Heads Together, offering teachers, school leaders and school staff across the UK reliable and practical resources to help them support the mental health of their pupils.
Freely available online

Research on severe  mental illness

Severe mental illness (SMI) affects somewhere between one in one hundred and one in two hundred adults. People with severe mental illness, like schizophrenia, psychosis or bipolar disorder, often experience poorer health and, as a result, die sooner than others. Psychotic illnesses can have a profound effect on people and their families, and appropriate and effective interventions are needed.

Forward Thinking provides an overview of recent published research, funded by the NIHR, on support for people living with SMI. These studies address particular uncertainties and evidence gaps identified by those working in and using these services. It also highlights research currently taking place to inform the support and care of people with severe mental illness.

Source: NIHR

Likelihood of smoking four times higher in England’s most deprived areas than least deprived
Office for National Statistics (ONS); 2018.
https://visual.ons.gov.uk/what-affects-likelihood-of-smoking/
A person’s likelihood of smoking increased in line with the level of deprivation in their neighbourhood in 2016. Someone was also more likely to smoke if they reported having no qualifications, receiving benefits, doing a routine or manual job or living in rented housing.
Freely available online

Infographic: transport and health

Source: The Health Foundation

BBC

Grindr defends HIV-related data sharing  http://www.bbc.co.uk/news/technology-43624328

‘One-stop shops’ set to speed up cancer diagnosis http://www.bbc.co.uk/news/health-43572819

How Amsterdam is reducing child obesity  http://www.bbc.co.uk/news/health-43113760

Is social media to thank for low teen pregnancy rates? http://www.bbc.co.uk/news/health-43506784

NHS Digital

Mental Health Services Monthly Statistics: Final December 2017, Provisional January 2018

Experimental

Published 20 March 2018 – This publication provides the most timely statistics available relating to NHS funded secondary mental health, learning disabilities and autism services in England. This information will be of use to people needing access to information quickly for operational decision making and other purposes. These statistics are derived from submissions made using version 2.0 of the Mental Health Services Dataset (MHSDS).

Maternity Services Monthly Statistics, England – November and December 2017, Experimental statistics

Experimental

Published: 29 March 2018 – These reports on NHS-funded maternity services in England for November and December 2017 use data submitted to the Maternity Services Data Set (MSDS). The MSDS has been developed to help achieve better outcomes of care for mothers, babies and children.

Statistics on Obesity, Physical Activity and Diet – England, 2018

Published: 04 April 2018 – This statistical report presents information on obesity, physical activity and diet, drawn together from a variety of sources.

Sport England

Our new Active Lives Adult Survey figures give a snapshot of the nation’s activity habits  https://www.sportengland.org/news-and-features/news/2018/march/22/figures-show-nations-activity-levels/

22 March 2018

GOV.UK

 Physical activity data tool: April 2018 update

  4 April 2018

      • PHE
      • Official Statistics

Liver disease profiles: April 2018 update

  • 4 April 2018
  • PHE
  • Official Statistics

 

 

Dementia Assessment and Referral January 2018

  • 4 April 2018
  • NHS England
  • Official Statistics

 

 

FE data library: other statistics and research

  • 29 March 2018
  • DfE and ESFA
  • Statistical data set

 

Apprenticeship and levy statistics: March 2018

  • 29 March 2018
  • DfE
  • Official Statistics

 

ONS

Deaths registered in England and Wales, provisional: week ending 16 March 2018   27 March 2018 (confirmed)

 Conceptions in England and Wales: 2016   27 March 2018 (confirmed)

 Quarterly conceptions to women aged under 18 years, England and Wales: October to December 2016   27 March 2018 (confirmed)

 Deaths registered by area in England and Wales, monthly provisional: February 2018   27 March 2018 (confirmed)

 Children’s well-being and social relationships, UK: 2018   26 March 2018 (confirmed)

 Revised population estimates for England and Wales: mid-2012 to mid-2016   22 March 2018 (confirmed)

Electoral statistics for UK: 2017   22 March 2018 (confirmed)

National Child and Maternal Health Intelligence Network – update

The Child Health Profiles interactive tool which presents data across 32 key health indicators of child health and wellbeing has been updated. The profiles provide an overview of child health and wellbeing for each local authority and CCG in England and are designed to help local organisations understand the health needs of their community. A new report about creating national indicators for child development outcomes looks at how data that health visitors collect from their use of the ASQ-3 as part of the Healthy Child Programme development review might be used to create indicators at a national level as part of the Public Health Outcomes Framework. A blog summarises the opportunities for such indicators to inform the planning of early years services. Subscribe to the fortnightly child and maternal health & wellbeing knowledge update here. 

King’s Fund

Statistics and data

Week Commencing 19 March 2018

Current Awareness Bulletin

Geographic patterns of cancer survival in England: Adults diagnosed 2011 to 2015 and followed up to 2016
Office for National Statistics (ONS); 2018.
These figures show that the highest 1-year and 5-year survival estimates in England, for 14 commonly diagnosed cancer sites, were in prostate cancer for men and in breast cancer for women diagnosed between 2011 and 2015. The largest increase to the annual change in 5-year net survival (measured over eight years) among Cancer Alliances for men was for myeloma cancer in Thames Valley (3.5% per year) and for women was for kidney cancer in Kent and Medway (3.4% per year).
Freely available online

Flagship NHS Type 2 Diabetes Prevention Programme exceeds expectations as patients shed the weight of 15 double cheese burgers

More than half of overweight patients who routinely attended sessions on the NHS Type 2 diabetes prevention programme achieved an average weight loss equivalent to nearly 15 double cheese burgers, new data has revealed.  Source: NHS England

Alcohol and drug misuse treatment core dataset collection guidance
Public Health England (PHE), have published core dataset resources to support alcohol and drug treatment services and system suppliers to collect data for the national drug treatment monitoring system (NDTMS).  Source: UK Health Forum

‘Weak’ evidence linking e-cigarette use with future smoking

“Children who tried e-cigarettes are 12 times more likely to start smoking tobacco,” is the hard-hitting headline from the Mail Online. But the link is not as robust or clear-cut as this would have you believe.

Source: Behind the Headlines

Women who stay fit in middle age ‘have lower dementia risk’

“Women who stay fit in middle age are 88 per cent less likely to develop dementia, a study shows,” reports The Sun.  Source: Behind the Headlines

Public Health Perceptions Survey
In November 2017 the Local Government Association (LGA), conducted a survey of lead members of public health in England to capture the thoughts of local leaders on public health delivered by their local authority covering their perceptions of public health since transition from the NHS to local government, the priorities councils have set themselves and their ambitions for the future.

Source: UK Health Forum

GOV.UK

 Children living with parents in emotional distress: 2010 to 2016

  16 March 2018

      • PHE
      • Official Statistics

NDNS: results from years 7 and 8 (combined)

  • 16 March 2018
  • FSA and PHE
  • Official Statistics

 

Prison population figures: 2018

  • 16 March 2018
  • MOJ, HMPS and HMPPS
  • Official Statistics

 

 

Pre-release access to DWP statistics

  • 15 March 2018
  • DWP
  • Official Statistics

 

A level and other 16 to 18 results: 2016 to 2017 (revised)

  • 15 March 2018
  • DfE
  • National Statistics

 

 

Childhood mortality in England and Wales: 2016

  • 14 March 2018
  • ONS
  • National Statistics

 

ONS

 

14 March 2018 (confirmed)

 

 

14 March 2018 (confirmed)

 

The King’s Fund

Statistics and data

 

Are we listening? A review of children and young people’s mental health services

This report describes the findings of the Care Quality Commission’s independent review of the services that support children and young people’s mental health. Report

Our invisible addicts

This report highlights the need for clinical services to focus more on the needs of older people as growing numbers of baby-boomers seek help for substance misuse. It makes a series of recommendations including the need to enhance training at all levels – such as training more addictions psychiatrists and old age psychiatrists to manage the specific needs to older substance misusers. Report

Improving air quality

This report presents the results of a four-way inquiry from the Environment, Food and Rural Affairs, Environmental Audit, Health and Social Care, and Transport Committees. It concludes that air pollution is a national health emergency resulting in an estimated 40,000 early deaths each year, that costs the UK £20 billion annually. Recommendations include the introduction of a new Clean Air Act.  Report

NHS Digital

Community Services Statistics for Children, Young People and Adults, England – November 2017, Experimental Statistics

Experimental

Published: 13 March 2018 – This is a monthly report on publicly funded community services for children, young people and adults using data from the Community Services Data Set (CSDS) reported in England for November 2017.

Recorded Dementia Diagnoses, February 2018

Published: 16 March 2018 Recorded dementia diagnoses, February 2018. We collect and publish data about people with dementia at each GP practice, so that the NHS (GPs and commissioners) can make informed choices about how to plan their services around their patients needs. This publication includes the rate of dementia diagnosis. As not everyone with dementia has a formal diagnosis, this statistic compares the number of people thought to have dementia with the number of people diagnosed with dementia, aged 65 and over.

BBC

NHS accused of fuelling rise in opioid addiction  http://www.bbc.co.uk/news/uk-england-43304375

MPs warn of ‘poisonous air’ emergency costing £20bn a year  http://www.bbc.co.uk/news/uk-politics-43405684

Week Commencing 12 March2018

CURRENT AWARENESS

Adding extra years to life and extra life to those years: local government guide to healthy ageing

The population is ageing. Over the last 10 years the number of people aged over 65 in England increased by a fifth – that’s nearly 1.7 million extra older people. But while the greater longevity is to be welcomed, far too many of those later years are being spent in poor health. That is bad for the individual and bad for the state. The longer a person spends in poor health the more health and care they need, so tackling it is a priority for local government aiming to reduce the impact of long-term conditions, turn the tide and make sure that those in old age are able to maintain their health, wellbeing and independence for as long as possible.

Source: LGA

Are We Listening? A Review Of Children And Young People’s Mental Health Services

This report argues that too many children and young people find themselves at ‘crisis point’ before accessing mental health services because health care, education and other public services are not working together as effectively as they could to protect and support their best interests. It calls for leadership from the Department of Health and Social Care on ensuring greater collaboration across government in order to prioritise the mental health needs of children and young people in England.

Source: CQC/King’s Fund

5 ways businesses can help employees eat well and move more

Source: PHE

Our Invisible Addicts

This report highlights the need for clinical services to focus more on the needs of older people as growing numbers of baby-boomers seek help for substance misuse. It makes a series of recommendations including the need to enhance training at all levels – such as training more addictions psychiatrists and old age psychiatrists to manage the specific needs to older substance misusers

Source: Royal College of Psychiatrists (RCPsych)/King’s Fund

NHS Digital

Statistics on Women’s Smoking Status at Time of Delivery, England – Quarter 3, 2017-18

Published: 08 March 2018 – Statistics on Women’s Smoking Status at Time of Delivery, England

Maternity Services Monthly Statistics, England – October 2017, Experimental statistics

Experimental

Published: 7 March 2018 – This is a report on NHS-funded maternity services in England for October 2017, using data submitted to the Maternity Services Data Set (MSDS). The MSDS has been developed to help achieve better outcomes of care for mothers, babies and children.

Data on written complaints in the NHS, 2017-18 Quarter 3, Experimental

Published: 07 March 2017 – This quarterly collection is a count of written complaints made by (or on behalf of) patients.

Female Genital Mutilation (FGM) – October 2017 to December 2017, Experimental Statistics Report

Experimental

Published: 06 March 2018 – This publication covers Female Genital Mutilation (FGM) between October and December 2017

NHS England

Dementia Assessment and Referral Data Collection – Q3 2017-18  https://www.england.nhs.uk/statistics/2018/03/07/dementia-assessment-and-referral-data-collection-q3-2017-18/

The December 2017 and Quarter 3 2017-18 data for the Dementia Assessment and Referral data collection in England by NHS England were released on 7th March 2018 according to the arrangements approved by the UK Statistics Authority.

GOV.UK

 Mid-Year Population Estimates, settlements and localities – Mid-2015

  12 March 2018

      • National Records of Scotland
      • National Statistics

 

Further education and skills inspections and outcomes: management information from December 2015

  12 March 2018

 

Youth custody data

  • 9 March 2018
  • MOJ and YJB
  • Official Statistics

 

 

Statistics on Women’s Smoking Status at Time of Delivery: England Quarter 3, October 2017 to December 2017

  • 8 March 2018
  • NHS Digital
  • Official Statistics

 

 

Vocational qualifications dataset

  • 8 March 2018
  • Ofqual
  • Statistical data set

 

 

Vocational and other qualifications quarterly: October to December 2017

  • 8 March 2018
  • Ofqual
  • National Statistics

 

ONS

  Working and workless households in the UK: October to December 2017   7 March 2018 (confirmed)

King’s Fund

Statistics and data

 Community-centred approaches resource list

Policy

Data

Tools

Week Commencing 5 March2018

Current Awareness

Tackling multiple unhealthy risk factors: emerging lessons from practice

  • Previous research by The King’s Fund has shown that unhealthy behaviours cluster in the population. Around seven in ten adults do not follow guidelines on tobacco use, alcohol consumption, healthy diet or physical activity, yet most behaviour change services address these behaviours separately, not reflecting the reality of people’s lives.
  • This report shares learning and insight from services that are using innovative ways to address the problem of multiple unhealthy risk factors in their populations. It draws on interviews and information from eight case studies in local authorities and the NHS and updates the evidence base on tackling multiple unhealthy risk factors.
  • Most services included in the report are local authority led and are integrated health and wellbeing services. These provide behavioural advice and support to people across a range of different behaviours, including smoking, weight management and physical activity.
  • The NHS is also addressing multiple unhealthy behaviours. We set out learning from two hospitals supporting individuals with multiple risk factors.
  • The evidence for these behaviour change services to draw on, in the context of multiple unhealthy risk factors, remains limited. These services are in a position to develop the evidence base on how best to address multiple unhealthy behaviours.
  • The report makes recommendations on how services can develop and share evidence, and for how the Department of Health and Social Care and Public Health England can support further innovation in such services

 

Source: King’s Fund

Improving Care For People With Diabetes And A Learning Disability

This set of resources and tools aims to support providers and services improve care for people with diabetes and a learning disability. The resources focus on improving the diagnosis of diabetes and learning disabilities, making reasonable adjustments to services and communicating with people with learning disabilities.

Source: Diabetes UK/King’s Fund

Diet and exercise programmes can prevent diabetes in high-risk individuals

Lifestyle changes can reduce the risk of diabetes by about 40% and overall prevents about four high-risk individuals in 100 developing type 2 diabetes each year. The risk remained low for an average of about seven years after the intervention, but effects did decline over time. Medications including the weight-loss drug orlistat and diabetes drug metformin also reduced risk. But in contrast, there was no evidence of sustained effect after stopping treatment.

Type 2 diabetes accounts for a large proportion of the chronic disease burden globally. Past research demonstrated that interventions leading to weight loss could prevent the condition.

This review combines international data from over 40 trials looking at the long-term impact of medication and lifestyle modification compared with control.

Findings support current NICE recommendations. Lifestyle change programmes, targeting both diet and exercise, are promoted as a central component of care to reduce the risk of type 2 diabetes in high-risk individuals.

Source: NIHR

High-strength skunk ‘now dominates’ UK cannabis market

“Almost all cannabis seized by police now comprises high-strength varieties, with outdoor-grown herbal strains and hashish barely found,” The Guardian reports. The news is based on researchers analysing samples of cannabis seized by 5 police forces in 2015 and 2016.

Source: Behind the Headlines

Mental health of adults in contact with the criminal justice system.
National Institute for Health and Care Excellence (NICE);2018.
https://www.nice.org.uk/guidance/qs163
This quality standard covers recognising, assessing and managing mental health problems in adults (aged 18 and over) who are in contact with the criminal justice system (this includes police contact, court and prison custody, street triage, liaison and diversion services, and probation services). It describes high-quality care in priority areas for improvement.
Freely available online

A Return on Investment Tool for the assessment of falls prevention programmes for older people living in the community

Source: PHE

Recovering after a hip fracture: helping people understand physiotherapy in the NHS

This report outlines the finding of the Physiotherapy Hip Fracture Sprint Audit (PHFSA) in the UK. It argues that frail and older people recovering from a hip fracture require multidisciplinary rehabilitation, with personalised therapy that isn’t disrupted as patients move away from the acute ward.

Source: RCP

Tackling Multiple Unhealthy Risk Factors: Emerging Lessons From Practice

Our report shares learning and insight from services that are using innovative ways to address the problem of multiple unhealthy behaviours – around tobacco use, alcohol consumption, diet and physical activity – in the population.

Source: The King’s Fund

English Housing survey 2016-2017

English Housing Survey 2016 to 2017: headline report: “Initial findings from the English Housing Survey 2016 to 2017”

NOMIS

Workforce Jobs: Data now unrounded (28/02/2018)

Marriages: 2015 data released (28/02/2018)

NHS Digital

Female Genital Mutilation (FGM) – October 2017 to December 2017, Experimental Statistics Report

Will be published on: 09:30 06 March 2018

CCG

New mental health support website launches

Adults in Cambridgeshire and Peterborough now have access to a mental health support website www.keep-your-head.com. 

GOV.UK

Prison population figures: 2018

  •  2 March 2018
  • MOJ, HMPS and HMPPS
  • Official Statistics

Personal tax credits: children in low-income families local measure: 2015 snapshot at 31 August 2015

  1 March 2018

NEET statistics quarterly brief: October to December 2017

  • 1 March 2018
  • DfE
  • National Statistics

 

Young people not in education, employment or training (NEET), UK: February 2018

  • 1 March 2018
  • ONS
  • National Statistics

 

 

Socioeconomic inequality in health state life expectancies by national deprivation deciles: England and Wales between 2011 to 2013 and 2014 to 2016

  • 1 March 2018
  • ONS
  • National Statistics

 

 

Psychological Therapies, Annual report on the use of IAPT services – England, further analyses on 2016-17

  • 27 February 2018
  • NHS Digital
  • Official Statistics

 

BBC

Is it wrong to be blunt about obesity?  http://www.bbc.co.uk/news/health-43240986

King’s Fund

Statistics and data

Week Commencing 26 February 2018

Current Awareness Bulletin

The prevalence of digital self-harm among adolescents  

Source: The Mental Elf

One in Four: A profile of single parents in the UK

Profiles single parents today, to see how life has changed for the one in four families headed by a single parent in the UK. While huge progress has been made over the past 100 years to improve the lives of single parent families, the report finds that many single parents are still locked out of a decent standard of living. Single parent employment rates are at a record high and still, a third of children with a working single parent today living in poverty. Source: Gingerbread

Healthy Child Programme: rapid review on safeguarding

The purpose of this rapid review is to update the evidence regarding safeguarding guidance, focusing on prevention and early intervention.

The review looks at relevant systematic review level evidence, supplemented with some primary impact evaluations in the areas of preventing or intervening early with:

  • child abuse and neglect
  • child sexual abuse and exploitation
  • intimate partner violence
  • female genital mutilation
  • gang violence

Source: PHE

Later school start times for supporting the education, health and well-being of high school students

Later school start times appear to increase sleeping time. And there is a positive association between later school start times and academic and psychosocial outcomes. The evidence on absenteeism and student alertness is mixed. However, the quality of the evidence and comparability of studies is low.

Adverse effects may be reduced interaction with parents, and staffing and scheduling difficulties. There is insufficient evidence to draw firm conclusions concerning these possible adverse effects.

Source: The Campbell Collaboration

How walking and cycling reduce congestion: FLOW Quick Facts published

How walking and cycling reduce congestion: FLOW Quick Facts published: “What happens when you remove a car lane to put in a new bicycle lane? Or you give pedestrians more time to cross a busy road? FLOW published a new collection of Quick Facts from cities who measured the impact pedestrian and cyclist measures have on congestion.”

Source: Flow

Mapping Of Specialist Primary Health Care Services In England For People Who Are Homeless

This study finds significant variation in the type of service available, with some areas poorly covered. It also finds that homelessness projects in smaller towns and rural areas, and those working with young people who are homeless, were much less likely to be served by a specialist primary health care service

Source: King’s College London/King’s Fund

Sexual and reproductive health in England: local and national data

Provides an overview of the information available on sexually transmitted infection (STIs), HIV, contraception, conception and abortion and where to access it. It is divided into indicators (used for tracking progress), detailed local information (collation and interpretation of local intelligence) and national resources (tables and reports).

Source: PHE

Creating a smokefree NHS: how e-cigarettes can help

Source: PHE

Clearing up some myths around e-cigarettes

Source: PHE

Life expectancy
New insurance industry funded research shows that the gap in life expectancy between rich and poor people in England and Wales has widened in recent years – the researchers also found that income inequality is the main determinant of differences in mortality rates.  Income inequality is relatively high in the UK.

Source: PHE

 

NOMIS

DWP benefits: August 2017 data released (21/02/2018)

Claimant count: January 2018 data released (21/02/2018)

NHS Digital

Psychological Therapies: reports on the use of IAPT services, England, November 2017 final, including reports on the IAPT pilots

Published: 22 February 2018 – This publication covers Psychological Therapies November 2017 final data, including reports on the IAPT pilots

NHS Outcomes Framework Indicators – February 2018 Release

Published: 22 February 2018 – The NHS Outcomes Framework (NHS OF) is a set of indicators developed by the Department of Health to monitor the health outcomes of adults and children in England. The framework provides an overview of how the NHS is performing. This report provides information about the indicators updated in this release.

Learning Disabilities Health Check Scheme, England, Quarter 3, 2017-18

Published: 20 February 2018 – This publication covers the learning disabilities health check scheme Quarter 3, 2017-18, England

 

GOV.UK

Prison population figures: 2018

  • 23 February 2018
  • MOJ, HMPS and HMPPS
  • Official Statistics

Fuel poverty statistics

  • 22 February 2018
  • Defra
  • Official Statistics

Rural population and migration statistics

  • 22 February 2018
  • Defra
  • Official Statistics

 

NHS Outcomes Framework indicators February 2018 release

  • 22 February 2018
  • NHS Digital
  • National Statistics

Migration in the UK: Feb 2018

  • 22 February 2018
  • ONS
  • National Statistics

Immigration statistics, October to December 2017

  • 22 February 2018
  • Home Office
  • National Statistics

Immigration statistics, October to December 2017: data tables

  • 22 February 2018
  • Home Office
  • National Statistics

 

ONS

Geographic patterns of cancer survival in England: Adults diagnosed 2011 to 2015 and followed up to 2016

26 February 2018 (confirmed)
This date has been changed from 19 January 2018

26 February 2018 (confirmed)

22 February 2018 (confirmed)

 

Millennials ‘set to be fattest generation’  http://www.bbc.co.uk/news/health-43195977

Many adults ‘don’t know signs of eating disorders’  http://www.bbc.co.uk/news/education-43140176

Freebirth data ‘should be collected across UK’ http://www.bbc.co.uk/news/uk-wales-south-east-wales-42706652

Social media firms ‘failing’ to tackle cyber-bullying http://www.bbc.co.uk/news/technology-43197937

The King’s Fund Library

Statistics and data

Week Commencing 19 February 2018

Current Awareness Bulletin

Alcohol And Drug Prevention, Treatment And Recovery: Why Invest?

This guidance aims to assist local commissioners and providers to demonstrate the scale of harms caused by drug and alcohol misuse and make the case for investing in drug and alcohol treatment and interventions.  Source: Public Health England (PHE)/King’s Fund

Routes To Diagnosis

PHE have produced a new interactive tool to examine data from the “Routes To Diagnosis” dataset – this includes information covering over 3 million cancer cases from the past 10 years, and aims to support doctors and commissioners to improve services.  Source: PHE

Children’s engagement with the outdoors and sports activities

New ONS research shows that children in the UK spend just over an hour each day either doing an outdoor activity, doing sports, or in active travel. Of this, 16 minutes was spent in parks or nature. Boys spend longer than girls on sport on average, although there is no difference in enjoyment of sport between genders.

Source: Office for National Statistics

Slower eating may help prevent weight gain

“Eating slowly may help prevent obesity, say researchers,” reports The Guardian. Researchers in Japan found that people who said they ate slowly or at normal speed were less likely to be obese at the end of a 6-year study, than those who said they ate quickly.  Source: Behind the Headlines

The inequalities of homelessness – how can we stop homeless people dying young?/

Source: PHE

Life expectancy: past and future variations by socio-economic group in England and Wales

This report sets out evidence and examines some important issues such as the social determinants of health.  Source: Longevity Panel

Healthy Homes: Accommodating An Ageing Population

This report argues that creating more modified homes, which encourage older people to keep mentally and physically fit for longer, could help save the NHS and social care system billions of pounds each year. It calls on the government to introduce financial incentives for construction companies to build for older living.  Source: Institution of Mechanical Engineers/King’s Fund

Housing For Older People

This report calls for a national strategy for older people’s housing in order to bring together and improve policy in this area. It calls on the government to recognise the link between homes and health and social care in the forthcoming social care green paper.  Source: House of Commons Communities and Local Government Committee/King’s Fund

The Ageing Process And Health

This briefing summarises the evidence on the biological basis of ageing and outlines the ways in which public health policy can support better health in later life.  Source: Parliamentary Office of Science and Technology/King’s Fund

Promising Approaches To Living Well With Dementia

This report outlines a number of scalable and cost-effective interventions that can help to support people with dementia. It includes case studies of services and projects that support wellbeing and living well for people with dementia.  Source: Age UK/King’s Fund

E-cigarettes: a guide for healthcare professionals
The National Centre for Smoking Cessation and Training (NCSCT), have developed this online training, to assist health and social care professionals support people who want to use electronic cigarettes (e-cigarettes) to help them quit smoking. This course covers the safety and effectiveness of e-cigarettes, types of device and issues for e-cigarette users to consider. It looks specifically at the role of e-cigarettes for young people and pregnant women who smoke, and answers frequently asked questions. This course draws upon both the 2018 Public Health England review of evidence and the 2016 Royal College of Physicians report, but importantly, also on the experience of vapers and of stop smoking service staff.  Source: National Centre for Smoking Cessation and Training /UK Health Forum

Key questions and findings from our e-cigarette evidence update   Source: PHE

11th Report – Homeless households
The Public Accounts Committee, has published their findings from the oral evidence presented. The Committee has concluded that the extent of homelessness across England is a national crisis.  Source: Public Accounts Committee/UK Health Forum

What’s new in the February PHOF update?  Source: PHE

Digital.NHS.UK

Mental Health Services Monthly Statistics: Final November, Provisional December 2017

Experimental

Published: 16 February 2018 – This publication provides the most timely picture available of people using NHS funded secondary mental health, learning disabilities and autism services in England. This information will be of use to people needing access to information quickly for operational decision making and other purposes. More detailed information on the quality and completeness of these statistics is made available later in our Mental Health Bulletin: Annual Report publication series.

Out of Area Placements in Mental Health Services: December 2017

Recorded Dementia Diagnoses, January 2018

Published: 16 February 2018

General and Personal Medical Services, England As at 31 December 2017, Provisional Experimental statistics

Published: 15 February 2017 – A high level overview of the GP workforce in General Practices, including GPs by type, gender, age and joiners & leavers. Includes information on the numbers and details of GPs for England, NHS England regions, Health Education England regions and CCG regions.

General and Personal Medical Services, England As at 30 September 2017, Final Experimental statistics

Published: 15 February 2018 – Detailed results from the census, as at 30 September 2017, for England, HEEs, NHS E regions. CCGs and STPs. Summary figures on the GP workforce by main staff groups for 2007 -2017 for England.

Community Services Statistics for Children, Young People and Adults, England – October 2017, Experimental statistics

Experimental

Published: 13 February 2018 – This is a monthly report on publicly funded community services for children, young people and adults using data from the Community Services Data Set (CSDS) reported in England for October 2017.

Published: 16 February 2018 – This publication covers Out of Area Placements (OAPs) in December 2017.

GOV.UK

 Rough sleeping in England: autumn 2017

  16 February 2018

MOD National and Official Statistics by topic

  • 16 February 2018
  • MOD
  • Official Statistics

 

 

Mental Health Services Monthly Statistics: Final November, provisional December 2017

  • 16 February 2018
  • NHS Digital
  • Official Statistics

 

BBC

Third of adults ‘underestimate calories’  http://www.bbc.co.uk/news/health

King’s Fund

Evidence review on e-cigarettes and heated tobacco products

This evidence review provides an update on the findings of Public Health England’s 2015 report on e-cigarette use, public attitudes, the impact on quitting smoking, and the risks to health. Report

Suicide prevention: policy and strategy

This briefing examines national and local suicide prevention policies and strategies throughout the UK. It does so by considering the strategies of the UK government, as well as the devolved administrations, from various policy perspectives. Briefing

Week Commencing 12 February 2018

Current Awareness Bulletin

Evidence Review Of E-Cigarettes And Heated Tobacco Products

This evidence review provides an update on the findings of PHE’s 2015 report on e-cigarette use, public attitudes, the impact on quitting smoking, the risks to health and the role of nicotine. It finds that there are substantial health benefits in switching from smoking to vaping and estimates that at least 20,000 people are quitting smoking year due to e-cigarette usage. Source: PHE/King’s Fund

State of Child Health: One year on

There has been progress in some areas including the launch of a Digital Child Health Strategy, the publication of a new Tobacco Control Plan, the initiation of some specialist service reviews in paediatrics and the implementation of the sugar tax. However, there has been no improvement in several fundamental areas. Source: RCPCH

Youth online discussion forums: how do young people support each other and what do they talk about? Source: The Mental Elf

What we learned about alcohol and drug treatment in prisons from the 2016-17 statistics

Source: PHE

Student Mental Health: The Role And Experiences Of Academics

For many students experiencing difficulties, academics are often the first point of contact as they are accessible and have a pre-existing relationship. However, this report indicates that academics are struggling to respond effectively to students with mental health concerns. It highlights the need for more support for academics so that they can confidently and effectively support any students who approach them with mental health issues. Source: Student Minds/King’s Fund

Supporting Mental Health For All

This report finds that the prevalence of mental ill-health is significantly higher in LGBT+ communities and in disabled people, deaf people and in offenders. It argues that these health inequalities are compounded by services that do not understand and meet the specific needs of these groups. 

Source: London Assembly/King’s Fund

Brexit And Mental Health

This briefing outlines the possible implications of Brexit for the mental health sector. It focusses on the analysis relating to future workforce supply and legislation, research, regulation, cross border healthcare and public health. Source: NHS Confederation/King’s Fund

Dementia prevention, intervention, and care

This article on dementia argues that there is a potential for better disease prevention and for care to offer more improvements to the lives of a growing number of people with dementia. To reduce dementia incidence, article authors recommend active treatment of hypertension for all people over 45 without dementia. Furthermore, they estimate that interventions into such risk factors as childhood education, exercise, maintaining social engagement, reducing smoking, and management of hearing loss, depression, diabetes, and obesity might have the potential to delay or prevent a third of dementia cases.

Source: The Lancet

Bike Life

Bike Life is the UK’s biggest assessment of cycling in cities delivered by Sustrans in collaboration with seven major cities.

Inspired by the Copenhagen Bicycle Account, Bike Life is an assessment of city cycling development including infrastructure, travel behaviour, satisfaction, the impact of cycling, and new initiatives.  Source: Sustrans

Rough sleeping in England: autumn 2017

Rough sleeping counts and estimates are single night snapshots of the number of people sleeping rough in local authority areas. Local authorities decide on the best method to use in their area, a street count or an estimate.

 Key figures include:

The autumn 2017 total number of rough sleepers counted and estimated was 4,751.That was up 617, or 15% from the autumn 2016 total of 4,134.

The number of rough sleepers increased by 173, or 18% in London and 444 or 14% in the rest of England since autumn2016. 14% of rough sleepers were women, 20% were non-UK nationals and 8% were under 25 years old.

Source: Ministry of Housing, Communities & Local Government

What’s behind the growing number of rough sleepers?

Beyond the headline-grabbing rough sleeping figures, what do the numbers really tell us about what is happening with homelessness in England, and how can government achieve its aim of eliminating rough sleeping by 2027? Source: NAO

Rough sleeping 2017 analysis

Our analysis of numbers and trends around people who sleep rough in England. Source: Homeless Link

GOV.UK

New figures show larger proportion of strokes in the middle aged

Student mental health: the role and experiences of academics

For many students experiencing difficulties, academics are often the first point of contact as they are accessible and have a pre-existing relationship. However, this report indicates that academics are struggling to respond effectively to students with mental health concerns. It highlights the need for more support for academics so that they can confidently and effectively support students. Report

King’s Fund – statistics and data

NOMIS

Claimant Count: Historical data is now available in a single dataset (31/01/2018)

Annual Population Survey: Estimates for period ending September 2017 released (24/01/2018)

NHS Digital

Breast Screening Programme England, 2016-17

Published: 31 January 2018 – Women between the ages of 50 and 70 are invited for regular breast screening (every three years) under a national programme. Screening is intended to reduce mortality by detecting breast cancer at an early stage when there is a better chance of successful treatment. This report presents information about the NHS Breast Screening Programme in England in 2016-17 and includes data on women invited for breast screening, coverage, uptake of invitations, outcomes of screening and cancers detected.

Statistics on NHS Stop Smoking Services in England April 2017 to September 2017

Published: 30 Jan 2018 – Results from the monitoring of the NHS Stop Smoking Services (NHS SSS)

Learning Disability Services Monthly Statistics – England Commissioner Census (Assuring Transformation) – December 2017, Provisional Statistics

Publication: 30 January 2018. This statistical release published by NHS Digital makes available the most recent data relating to patients with learning disabilities and/or autistic spectrum disorder receiving inpatient care commissioned by the NHS in England.

Maternity Services Monthly Statistics, England – September 2017, Experimental statistics

Experimental

Published: 7 February 2018 – This is a report on NHS-funded maternity services in England for September 2017, using data submitted to the Maternity Services Data Set (MSDS). The MSDS has been developed to help achieve better outcomes of care for mothers, babies and children.

Statistics on Drug Misuse: England, 2018

Published: 7 February 2018

GOV.UK

 End of Life Care Profiles: February 2018 update

 February 2018

      • PHE
      • Official Statistics

 

Cardiovascular disease profiles: February 2018 update

  • 6 February 2018
  • PHE
  • Official Statistics

 

 

Local tobacco control profiles for England: February 2018 update

  • 6 February 2018
  • PHE
  • Official Statistics

 

 

Public health outcomes framework: February 2018 data update

  • 6 February 2018
  • PHE
  • Official Statistics

 

 

Local Alcohol Profiles for England: February 2018 update

  • 6 February 2018
  • PHE
  • Official Statistics

 

 

Population statistics research update: February 2018

  • 5 February 2018
  • ONS
  • Official Statistics

 

 

driving (RAS51)

  • 8 February 2018
  • DfT
  • Statistical data set

 

 

Quarterly statistics on reported road accidents (RAS45)

  • 8 February 2018
  • DfT
  • Statistical data set

 

 

Reported road casualties Great Britain, provisional estimates: July to September 2017

  • 8 February 2018
  • DfT
  • National Statistics

 

BBC

E-cigarettes ‘should be on prescription’  http://www.bbc.co.uk/news/health-42950607

President Trump: NHS ‘going broke and not working’  http://www.bbc.co.uk/news/uk-politics-42943768

Players taunted footballer over depression http://www.bbc.co.uk/news/uk-scotland-42901550

Schools struggle to get mental health help, says survey http://www.bbc.co.uk/news/education-42962273

Teenage campaigner challenges 100-calorie snack advert http://www.bbc.co.uk/news/education-42889234

Office for National Statistics

  The nature of violent crime in England and Wales: year ending March 2017

 

8 February 2018 (confirmed)

Homicide in England and Wales: year ending March 2017

 

8 February 2018 (confirmed)

Sexual offences in England and Wales: year ending March 2017

 

8 February 2018 (confirmed)

Domestic abuse: findings from the Crime Survey for England and Wales, year ending March 2017

 

8 February 2018 (confirmed)

 

Week Commencing 29 January 2018

Current Awareness Bulletin

Routes to Diagnosis – driving improvements in cancer with a decade of data  Source: PHE

‘What Would Life Be – Without A Sing Or Dance, What Are We?’: A Report From The Commission On Dementia And Music

This report summarises the work of the Commission on Dementia and Music, set-up and coordinated by International Longevity Centre-UK, with support from The Utley Foundation. It examines the existing landscape and future potential of using therapeutic music with people with dementia. It calls for a national framework to collate information from local offers and for greater funding.  Source: International Longevity Centre/King’s Fund

Hidden Hunger And Malnutrition In The Elderly

This report calls on the government to look more closely at malnutrition in older people which is estimated to cost the NHS and social care £15.7 billion a year by 2030. It argues that targeted investment in services which protect older people from malnutrition would deliver significant annual savings to the NHS, not least by reducing the number of hospital admissions and limiting the number of days older people spend in hospital.  Source: All Party Parliamentary Group on Hunger/King’s Fund

Data, pilots and evaluation: How to rebalance health inequalities in the criminal justice system

Source: PHE

Practical Guidance To SPOT For Improving Sexual And Reproductive Health: 2017 Guidelines For Local Authorities

This guidance is a step by step guide on how to use Spend and Outcome Tool (SPOT) for local authorities to compare spend data on sexual and reproductive health with sexual and reproductive health outcomes. The information provides an overview of spend and outcomes across key areas of business for local authorities. Source: Public Health England/King’s Fund

BBC

A&E stats may have to be recalculated  http://www.bbc.co.uk/news/health-42775218

Embarrassment makes women avoid smear tests, charity says  http://www.bbc.co.uk/news/health-42747892

Charlotte Church searches for mental health answers http://www.bbc.co.uk/news/uk-wales-42805693

Why stress makes you fat http://www.bbc.co.uk/news/health-42788280

Domestic violence: ‘I was told to sleep in the outhouse’ http://www.bbc.co.uk/news/uk-wales-42779339

Rough sleeping hits hard on local high streets http://www.bbc.co.uk/news/education-42781377

GOV.UK

 Walking and cycling: table index

  18 January 2018

National Travel Survey: 2016

  18 January 2018

Participation in walking and cycling (CW03)

  18 January 2018

Walking and cycling behaviours (CW04)

  18 January 2018

DfT

Statistical data set

Part of a collection: Walking and cycling statistics

Walking and cycling statistics, England: 2016

  18 January 2018

Rural population and migration statistics

  • 25 January 2018
  • Defra
  • Official Statistics

 

Rural transport, travel and accessibility statistics

  • 25 January 2018
  • Defra
  • Official Statistics

 

FE data library: apprenticeships

  • 25 January 2018
  • DfE and ESFA
  • Statistical data set

 

FE data library: local authority tables

  • 25 January 2018
  • DfE and ESFA
  • Statistical data set

 

School and college performance tables in England: 2016 to 2017

  • 25 January 2018
  • DfE
  • National Statistics

 

 

A level and other 16 to 18 results: 2016 to 2017 (revised)

  • 25 January 2018
  • DfE
  • National Statistics

 

UK Health Forum 

 What can we learn from collaborations between public health and the food and drinks industry?19 January 2018

Our new Casebook looks at 12 experiences of public-private interactions to tackle diet-related diseases. Jointly funded by the Canadian Institutes of Health Research and International Development Research Centre, the Casebook includes examples from diverse countries such as Fiji, Brazil and Spain….

The UK Health Forum (UKHF) welcomes the opportunity to respond to the DEFRA consultation on additional measures to support individuals and businesses affected by local NO2 plans. We focus our response on four key recommendations for government: Introduce a levy on motor vehicle manufacturers to…

 

Office for National Statistics

Cancer registration statistics, England: first release, 2016 https://www.ons.gov.uk/releases/cancerregistrationstatisticsenglandfirstrelease2016

NHS England

Changing the lives of children

Bringing specialist mental health services closer to home

Our data is improving patient care

Week Commencing 15 January 2018

PHI Internet Briefing – w/c 15 January 2018

Current Awareness Bulletin

Understanding the current cancer population in England

Source: PHE

Depression in fathers affects children as much as depression in mothers

Three quarters of adults with depression report that their mental health problems started in adolescence, and the incidence of depression begins to markedly rise during the teenage years (Joinson et al, 2017; Kim-Cohen et al, 2003). Source: The Mental Elf

Loneliness: the public health challenge of our time

Loneliness is one of the leading public health challenges of our time, with research suggesting that more than 100,000 older people in Scotland are “chronically lonely”. This loneliness can be as damaging to health as smoking 15 cigarettes per day.
The Scottish Government has a commitment to developing a strategy on tackling social isolation and it is hoped that this paper will inform the development of that strategy and generate a much needed debate about how we connect with one another and what support is needed for those at risk of loneliness and social isolation. The paper also explores the connection between loneliness and mental health and provides key recommendations to government and society.

Source: Mental Health Foundation and Age Scotland

While your back was turned: How mental health policymakers stopped paying attention to the specific needs of women and girls
The Mental Health Foundation, published this report, which shows that the mental health of young women and girls is deteriorating, and the gap between men and women has widened over recent years. As the evidence section in this paper will show, the last 15 years have seen an unprecedented rise in reported mental health problems amongst young women and girls. We now see their needs reaching crisis levels.

Source: UK Health Forum

BBC

‘Being a teenage mother is so lonely’ http://www.bbc.co.uk/news/health-42655079

Why do the majority of NHS staff not get the flu vaccine?  http://www.bbc.co.uk/news/uk-scotland-42634781

NHS England

Dementia Assessment and Referral Data Collection – October 2017  https://www.england.nhs.uk/statistics/2018/01/03/dementia-assessment-and-referral-data-collection-october-2017/

3 January 2018

NHS networks 

Latest medicines optimisation data now available

 

CCG medicine optimisation leads are encouraged to visit the MO Dashboard following the latest refresh of the data.

14:52 – Fri 12 Jan 2018

 

GOV.UK

 Traveller caravan count: July 2017

  16 January 2018

Children and Young People’s Health Services Monthly Statistics August and September 2017

  • 16 January 2018
  • NHS Digital
  • Official Statistics

 

 

Youth custody data

  • 12 January 2018
  • MOJ and YJB
  • Official Statistics

 

 

Recorded Dementia Diagnoses December 2017

  • 12 January 2018
  • NHS Digital
  • Official Statistics

 

 

Patients Registered at a GP Practice Jan 2018: Special topic- Patients age group comparison, January 2014 to January 2018

  • 12 January 2018
  • NHS Digital
  • Official Statistics

 

 

MOD National and Official Statistics by topic

  • 11 January 2018
  • MOD
  • Official Statistics

 

 

Deliberate self harm in the UK armed forces: 1 April 2010 to 31 March 2017

  • 11 January 2018
  • MOD
  • Official Statistics

 

 

Higher education student statistics: 2016 to 2017

  • 11 January 2018
  • HESA
  • National Statistics

 

 

Emergency presentations of cancer: quarterly data

  • 11 January 2018
  • PHE
  • Official Statistics

 

 

End of life care profiles: January 2018 update

  • 9 January 2018
  • PHE
  • Official Statistics

 

 

National General Practice Profiles: 2017 annual update

  • 9 January 2018
  • PHE
  • Official Statistics

 

 

Deaths registered by area in England and Wales, monthly provisional: November 2017

  • 9 January 2018
  • ONS
  • National Statistics

 

 

Week Commencing 8 January 2018

Current Awareness Bulletin

The National Cancer Diagnosis Audit – What it means for public health

Cancer remains one of the leading causes of death, claiming thousands of lives every year. Today, the results from the National Cancer Diagnosis Audit have been published, which details and reviews the current process of care for cancer patients from the initial presentation of symptoms through to diagnosis.  Source: PHE

Improving mental health support for young people in care
This resource, published by the Social Care Institute for Excellence (SCIE), aims to improve the emotional wellbeing and mental health support for young people who cannot be looked after by their birth families. People who work with these young people, commissioners of care services and others working with children will find the resource informative and insightful. The aspiration is that in the future, these young people will have access to high-quality services, based on a needs-based model and new pathways.  Source: UK Health Forum

Making Obesity Everybody’s Business: A Whole Systems Approach To Obesity

This briefing, written in partnership with Public Health England and the Association of Directors of Public Health, focuses on the Whole Systems Obesity programme which will provide local authorities with a different approach to tackling obesity. The programme is exploring the evidence and local practice to develop guidance and tools to help councils set up a whole systems approach to obesity in their local area.  Source: PHE/King’s Fund

 Do men consult less than women? An analysis of routinely collected UK general practice data

A study has shown that women are more likely to visit their GP than men. For every consultation with a female patient, there are 0.7 consultation with a male patient. This gender difference remains after controlling for age and deprivation.
The largest gender differences are observed in people who fall into the main reproductive age groups (age 21-39). There are no differences in consultation rates between males and females in younger (up to 20 years) and older (age 65+) groups. Overall gender differences in consultation rates are reduced when consultations relating to reproductive reasons are excluded. Gender differences are also reduced when looking exclusively at patients receiving medication either for a CVD condition or for depression.  Source: BMJ

Our ambition for a Smokefree nation is in sight

New data on smoking prevalence among adults (18+) in England for 2016 show the biggest drop in a decade with the rate falling to 15.5% of the population, a 1.4 percentage point drop from 16.9% the previous year.  Source: PHE

 Conceptions to women aged under 18 in England and Wales: July to September 2016
Office for National Statistics (ONS); 2017.
https://www.ons.gov.uk/releases/conceptionstowomenagedunder18inenglandandwalesjulytosept2016
Provides the quarterly number of conceptions to women aged under 18 for England and Wales by regions and other local authority areas.
Freely available online

 Implementing Better Births: Continuity Of Carer

This guidance sets out how local maternity systems can improve their services so that women experience continuity in the clinicians providing their maternity care.  Source: NHS England/King’s Fund

 Public health grants to local authorities: 2018 to 2019

The public health allocations to local authorities for improving local population health and the conditions for using the money.  Source: DoH

Health Survey for England, 2016

The Health Survey for England series was designed to monitor trends in the nation’s health; estimating the proportion of people in England who have specified health conditions, and the prevalence of risk factors and behaviours associated with these conditions. The surveys provide regular information that cannot be obtained from other sources.  Source: NHS Digital

Health Matters – Your questions on productive healthy ageing and MSK health

We hope our latest edition of Health Matters – on the subject of “Productive healthy ageing and musculoskeletal (MSK) health” – will help you and other health professionals by compiling key facts, figures and evidence of effective interventions.  Source: PHE

Gypsy and traveller cultural awareness
Friends Families and Travellers (FFT), have produced this cultural awareness course about Gypsies and Travellers, which is essential for anyone working in the public sector and voluntary sector. For example: teachers, police officers, people working in healthcare, and those in housing planning and equality and diversity departments.  Source: UK Health Forum

 

CCG

National role for Dr Emma Tiffin

Award-winning Peterborough GP Dr Emma Tiffin has become a National Adviser on the Expert Reference Group for the development of the National Community Mental Health Pathway.

Dr Tiffin, who recently won the Healthcare Leader of the Year award at the General Practice Awards, said: “I’m thrilled to have been appointed to this National Adviser role and I will be working hard to ensure that the new pathway makes the patient journey through mental health services as smooth as possible. As a local GP I see many patients who have mental health needs and I am committed to making sure that they, and their carers, receive effective support from mental health services”.

The National Advisers are provided jointly by the Royal College of Psychiatrists and the National Collaborating Centre for Mental Health. Commissioned by NHS England, the National Advisers will support the development of resources for the Community Mental Health Care Pathway. Further information can be found at http://www.rcpsych.ac.uk/workinpsychiatry/nccmh/howtogetinvolved/nccmhrecruitment.aspx

20/12/2017

 

BBC

I was jobless and in quiet despair – but I turned it around  http://www.bbc.co.uk/news/stories-42110276

Does drinking fizz make you fat? http://www.bbc.co.uk/news/health-42542818

Obesity: ‘My body has become my prison’  http://www.bbc.co.uk/news/uk-wales-42516905

Why a booze-free month may be the perfect start to 2018  http://www.bbc.co.uk/news/health-42539839

Sofa surfers: The young hidden homeless http://www.bbc.co.uk/news/uk-42427398

Statistics and data

 

 

Week Commencing 1 January 2018

Current Awareness Bulletin

5 things to know about young people in drug and alcohol treatment

PHE has published the 2016-17 statistics report for young people (under 18) in specialist drug and alcohol services. This is based on data from the National Drug Treatment Monitoring System (NDTMS), which collects data from alcohol and drug services across England.  Source: PHE

Annual breast feeding at 6-8 weeks after birth: 2016-2017.

Annual breastfeeding at 6-8 weeks after birth: 2016/17 have been published.   Source: PHE

Food swamps predict obesity rates better than food deserts in the United States

14 Nov 2017 – MDPI

This paper investigates the effect of food environments, characterized as food swamps, on adult obesity rates. Food swamps have been described as areas with a high-density of establishments selling high-calorie fast food and junk food, relative to healthier food options. This study examines multiple ways of categorizing food environments as food swamps and food deserts, including alternate versions of the Retail Food Environment Index

Alcohol and families
Constructed for Alcohol Awareness Week 2017,by the Drug & Alcohol Findings Collections, on the theme of ‘Alcohol and Families’, this collection embraces two major roles for the families of problem drinkers as recipients of support and therapy to promote their own welfare, and as therapeutic agents engaged in promoting the drinker’s welfare through family therapy or less formal involvement in treatment.   Source: UK Health Forum

Neighborhood prices of healthier and unhealthier foods and associations with diet quality: evidence from the multi-ethnic study of atherosclerosis

16 Nov 2017 – MDPI

It is known that the price of food influences the purchasing and consumption decisions of individuals; however, little work has examined if the price of healthier food relative to unhealthier food in an individual’s neighborhood is associated with overall dietary quality while using data from multiple regions in the United States.

Mental Health In Prisons

This report says record levels of self-inflicted deaths and self-harm in prisons are a damning indictment. It concludes that the system for improving the mental health of prisoners isn’t working as it should.

Source: House of Commons Committee of Public Accounts/King’s Fund

Combatting Loneliness One Conversation At A Time: A Call To Action

This report outlines the findings of the Commission and how loneliness affects different groups of people within society. The report highlights the range of people that loneliness impacts on and shows how tackling loneliness can benefit individuals and communities.

Source: Jo Cox Commission on Loneliness/King’s Fund

Sport Participation In England

This briefing provides statistics about participation in sport in England by intensity, type and socioeconomic characteristics in England. It finds that more men than women participate in sport and that the highest level of participation occurred among the highest social classes.

Source: House of Commons Library/King’s Fund

Building protected cycle lanes can prevent premature deaths from air pollution

03 Dec 2017 – Sustrans – sustainable transport

Building traffic free routes and protected cycle lanes in towns and cities across Scotland can help to prevent premature deaths from air pollution, according to new research from Sustrans. The charity has released a model1, which it says can, for the first time, monetise the contribution of walking and cycling to improving air quality and the subsequent benefits to public health.

Protect against STIs

Today sees the launch of our ‘Protect against STIs sexual health campaign, the first national sexual health campaign in eight years. Targeted at young people, aged between 16 and 24, the campaign aims to reduce the rates of sexually transmitted infections (STIs) by promoting condom use. In 2016, 51% of the new STI diagnoses were in young adults and our advertising has been designed specifically for this age group and will be seen across social and digital platforms such as Instagram Stories, Snapchat Filters and Promoted Stories, featuring real people talking about their personal experiences of having an STI.

Source: PHE

Public Health England: Approach To Surveillance

Surveillance ensures that Public Health England has the right information available at the right time to inform public health decisions and actions. This guide focuses on the need for high quality evidence from surveillance systems and sets out how strategies can be developed for surveillance of both infectious and non-communicable diseases.

Source: PHE/King’s Fund

Air Quality: Sustrans and Eunomia model
Sustrans have released a YouTube video, which highlights how to improve the quality of the air that is breathed everyday, there needs to be a shift from travelling by car to walking and cycling. More journeys made by foot and by bike will reduce emissions, such as nitrogen dioxide from car exhausts due to fewer by car. To improve air quality, we must reduce the number of motor vehicles on our roads.

Source: UK Health Forum

MSK Resources (Data)

NOMIS

Local Enterprise Partnerships: Update to reflect changes to Greater Cambridge and Greater Peterborough LEP (20/12/2017)

Gross Value Added (Balanced): New regional GVA(B) dataset; income-approach datasets withdrawn (20/12/2017)

NHS Digital

Psychological Therapies: reports on the use of IAPT services, England, September 2017 final, including report on the integrated services pilot

Published: 22 December 2017 – This statistical release makes available the most recent Improving Access to Psychological Therapies (IAPT) monthly and quarterly data, including activity, waiting times, and outcomes such as recovery. IAPT is run by the NHS in England and offers NICE-approved therapies for treating people with depression or anxiety.

Out of Area Placements in Mental Health Services October 2017

Published: 19 December 2017 – This publication covers Out of Area Placements (OAPs) in October 2017

Mental Health Services Monthly Statistics: Final September, Provisional October 2017

Experimental

Published:19 December 2017 – This publication provides the most timely picture available of people using NHS funded secondary mental health, learning disabilities and autism services in England. This information will be of use to people needing access to information quickly for operational decision making and other purposes. More detailed information on the quality and completeness of these statistics is made available later in our Mental Health Bulletin: Annual Report publication series.

Childhood Immunisation CCG/GP Practice level Coverage Statistics (Management Information)

Published: 18 December 2017 – This interactive resource reports annual childhood vaccination data for England in 2016-17 and relates to routine vaccinations offered to all children up to the age of five years.

Recorded dementia diagnoses, November 2017

Recorded dementia diagnoses, November 2017

CCG Outcomes Indicator Set – December 2017

Published: 14 December 2017 – The indicators aim to provide clear, comparative information for Clinical Commissioning Groups (CCGs) and Health and Wellbeing Boards (HWBs) about the quality of health services commissioned by CCGs and, as far as possible, the associated health outcomes.

Summary Hospital-level Mortality Indicator (SHMI) – Deaths associated with hospitalisation, England, July 2016 – June 2017

Published: 14 December 2017 – The Summary Hospital-level Mortality Indicator (SHMI) is the ratio between the actual number of patients who die following hospitalisation at the trust and the number that would be expected to die on the basis of average England figures, given the characteristics of the patients treated there.

Health Survey for England, 2016

Published: 13 December 2017 – Health Survey for England. The adult trends and child health reports cover: overweight, obesity and BMI; smoking; alcohol; physical activity; general health, long-standing illness; fruit and vegetable consumption. For adults there are also tables about blood pressure, well-being and the prevalence of diabetes. Additional topics reports for adults give more statistics about obesity and weight management, physical activity, well-being, social care, prescribed medicines, and kidney and liver disease.

Health and Care of People with Learning Disabilities: Experimental Statistics: 2016 to 2017

Experimental

Published: 12 December 2017

GOV.UK

 Psychological Therapies: reports on the use of IAPT services, England September 2017 final, including reports on the integrated services pilot

  22 December 2017

      • NHS Digital
      • Official Statistics

 

FE data library: local authority tables

  • 21 December 2017
  • DfE and ESFA
  • Statistical data set

 

 

FE data library: apprenticeships

  • 21 December 2017
  • DfE and ESFA
  • Statistical data set

 

 

Childcare and early years survey of parents: 2017

  • 21 December 2017
  • DfE
  • Official Statistics

 

 

Sexually transmitted infections (STIs): annual data tables

  • 20 December 2017
  • PHE
  • Official Statistics

 

BBC

Limit children’s snacks to 100 calories, health body says   http://www.bbc.co.uk/news/health-42411474

Gaming addiction classified as disorder by WHO   http://www.bbc.co.uk/news/technology-42541404

Week Commencing 18 December 2017

Current Awareness Bulletin

PHE data and analysis tools.
Public Health England (PHE);2017.
https://www.gov.uk/guidance/phe-data-and-analysis-tools#obesity-diet-and-physical-activity

Promoting mental health first aid literacy in secondary schools.
Glasper A. British Journal of Nursing 2017;26(16):944-945.
The author discusses the government’s strategy to reform mental health services and its allocation of funds to help secondary education teachers promote mental health first aid literacy. Topics include teachers’ use of a training program provided by the social enterprise Mental Health First Aid England, the prevalence of mental health problems in childhood despite teachers’ lack of skills to facilitate early intervention, and the collaboration of hospital, school teachers and nursing staff.
Please contact the library for a copy of this article

Mental health in the workplace.
World Health Organization (WHO);2017.
http://www.who.int/mental_health/in_the_workplace/en/
This information sheet addresses mental health and disorders in the workplace. It also covers difficulties that may be created or exacerbated by work such as stress and burnout.
Freely available online

Mental health at work report 2017: national employee mental wellbeing survey findings 2017.
Business in the Community; 2017.
https://wellbeing.bitc.org.uk/all-resources/research-articles/mental-health-work-report-2017
This report sets out the results from the second National Employee Mental Wellbeing Survey which highlights some improvement in attitudes towards mental health in the workplace although less than a quarter (24%) of managers have received any training in mental health.
Freely available online

Mental Health Services For Post-16 Students In England

This briefing paper gives an outline of recent studies on the mental health of students, Government mental health policy for students, support in further and higher education providers, the legal duties of providers and discusses issues raised. It finds that young adults aged 16–24 today are more likely than previous generations of young adults to experience mental health issues and the numbers of students reporting mental ill health is increasing.  Source: House of Commons Library/King’s Fund

Inequalities In Later Life

This report examines the disparities in health, financial security, social connections and housing faced by older people and how the negative impacts of these accumulate for those who are worse off. It highlights how poor education, work opportunities and a lack of social connection can have long term consequences on physical and mental health. The main report is accompanied by an insight report which outlines the implications of the findings on policy and practice.  Source: Centre for Ageing Better/King’s Fund

Room to improve: the role of home adaptations in improving later life

This report from the Centre for Ageing Better finds that making small changes to older people’s homes, such as installing handrails, ramps and level-access showers, alongside carrying out simple home repairs, could play a significant role in relieving pressure on the NHS and social care and reduce costs by millions of pounds each year. It also shows that minor home aids and adaptations can greatly improve quality of life for people who are losing mobility.  Source: HousingLIN

Public Health eLearning Toolkit (PHeLT)!

PHeLT brings together specially selected, quality approved resources to help you improve your skills in critical appraisal, understanding copyright, and ethical use of information. PHeLT also includes a self-test element that allows you to identify particular areas to focus on when improving your skills.  Source: UK Health Forum

Public health in Europe during the austerity years

This report explores the relationship between austerity policies and public health across Europe. It indicates that progress on a number of key health indicators has stalled, including life expectancy and mortality rates. It also finds that levels of subjective health have fallen among young people aged 15–24 across Europe, and in all age-groups in the UK.   Source: International Longevity Centre

 

BBC

Cold weather and loneliness ‘lethal in winter’  http://www.bbc.co.uk/news/health-42329791

Depression: ‘I kept my head down to survive the day at work’  http://www.bbc.co.uk/news/health-42366021

Statistics and data

NOMIS

Workforce Jobs: Workforce Jobs – September 2017 data released (13/12/2017)

Claimant Count / JSA: Claimant Count / JSA – November 2017 data released (13/12/2017)

 

NHS Digital

Recorded dementia diagnoses, November 2017

Recorded dementia diagnoses, November 2017

CCG Outcomes Indicator Set – December 2017

Published: 14 December 2017 – The indicators aim to provide clear, comparative information for Clinical Commissioning Groups (CCGs) and Health and Wellbeing Boards (HWBs) about the quality of health services commissioned by CCGs and, as far as possible, the associated health outcomes.

Provisional Accident and Emergency Quality Indicators – England, by provider for October 2017

Published: 14 December 2017 – This report, generated from Hospital Episode Statistics (HES) A&E data, sets out data coverage, data quality and performance information for the following five A&E indicators: • Left department before being seen for treatment rate • Re-attendance rate • Time to initial assessment • Time to treatment • Total time in A&E Publishing these data will help share information on the quality of care of A&E services to stimulate the discussion and debate between patients, clinicians, providers and commissioners, which is needed in a culture of continuous improvement. The data used in these reports are sourced from Provisional A&E HES data, and as such these data may differ to information extracted directly from Secondary Uses Service (SUS) data, or data extracted directly from local patient administration systems. Provisional HES data may be revised throughout the year. ” Published: 14 December 2017 – This report, gene

Summary Hospital-level Mortality Indicator (SHMI) – Deaths associated with hospitalisation, England, July 2016 – June 2017

Published: 14 December 2017 – The Summary Hospital-level Mortality Indicator (SHMI) is the ratio between the actual number of patients who die following hospitalisation at the trust and the number that would be expected to die on the basis of average England figures, given the characteristics of the patients treated there.

Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatients and Accident and Emergency Data – April 2017 to October 2017

Published: 14 December 2017 – Hospital Episodes Statistics (HES) is a data warehouse containing records of all patients admitted to NHS hospitals in England. It contains details of inpatient care, outpatient appointments and A&E attendance records. Hospital episode statistics (HES) statistics are produced and published on a monthly basis. This data is provisional and should therefore be treated as an estimate until the final National Statistics annual publications.

Health Survey for England, 2016

Published: 13 December 2017 – Health Survey for England. The adult trends and child health reports cover: overweight, obesity and BMI; smoking; alcohol; physical activity; general health, long-standing illness; fruit and vegetable consumption. For adults there are also tables about blood pressure, well-being and the prevalence of diabetes. Additional topics reports for adults give more statistics about obesity and weight management, physical activity, well-being, social care, prescribed medicines, and kidney and liver disease.

Health and Care of People with Learning Disabilities: Experimental Statistics: 2016 to 2017

Experimental

Published: 12 December 2017

Registered Blind and Partially Sighted People, England 2016-17

Published: 07 December 2017 – This publication covers adults and children registered as being blind or partially sighted with a Local Authority.

Statistics on Women’s Smoking Status at Time of Delivery, England – Quarter 2, 2017-18

Published: 07 December 2017 – Statistics on Women’s Smoking Status at Time of Delivery, England

GOV.UK

    1. Prison population figures: 2017
  • 15 December 2017
  • MOJ, NOMS, HMPS and HMPPS
  • Official Statistics

 

2. Statutory homelessness and homelessness prevention and relief, England: July to September 2017

  • 14 December 2017
  • DCLG
  • National Statistics

3.Live tables on homelessness

  • 14 December 2017
  • DCLG
  • Statistical data set

4. Travel by age and gender (NTS06)

  • 14 December 2017
  • DfT
  • Statistical data set

5. Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatient and Accident and Emergency data – Apr-Oct 2017

  • 14 December 2017
  • NHS Digital
  • Official Statistics

6. Provisional Accident and Emergency Quality Indicators for England – October 2017

  • 14 December 2017
  • NHS Digital
  • Official Statistics

7. CCG Outcomes Indicator Set December 2017 release

  • 14 December 2017
  • NHS Digital
  • Official Statistics

8. Health Survey for England 2016 findings and trend tables

  • 13 December 2017
  • NHS Digital
  • National Statistics

The King’s Fund

Productive healthy ageing and musculoskeletal health

This resource for health professionals and local authorities makes the case for action in midlife to support a healthy and productive later life. It highlights the need to challenge ageism and promote healthy and active ageing.
Public Health England
The role of walking and cycling in solving the UK’s air-quality crisis
This report estimates that more than 12,000 premature deaths from air pollution would be prevented over ten years, if both England and Scotland reached their respective official goals to get more people to walk and cycle. It provides a air-quality measurement model that aims to support local authorities in making the case for investment in walking and cycling and estimates the contribution of active travel in reducing air pollution and the subsequent benefits to public health.
Report

Sustrans

Sport participation in England
This briefing provides statistics about participation in sport in England by intensity, type and socioeconomic characteristics in England. It finds that more men than women participate in sport and that the highest level of participation occurs among the highest social classes.
Briefing

House of Commons Library

 

 

Week Commencing 4 December 2017

Current Awareness Bulletin

 Influencing healthy eating habits through early years settings

Obesity is one of the biggest health problems facing our country. Levels of childhood obesity in England are amongst the highest in the developed world, with almost one in four children being overweight or obese before they start school. Therefore, reducing childhood obesity is a key PHE priority.

Children’s food preferences and eating habits are formed early in life and the time that they spend in early years settings provides an ideal opportunity to shape healthy behaviours.  Source: PHE

Influencing healthy eating habits through early years settings  Source: PHE

Proportion of the population meeting the recommended ‘5-a-day’ on a ‘usual day’ (adults)
Public Health England’s, Public Health Outcomes Framework, have published data which shows the proportion of the population meeting the recommended 5 a day of fruit and vegetables, by area.  Source: UK Health Forum

 Suicide in prisons: prevalence and contributing factors in high-income countries  Source: The Mental Elf

Guidance on local suicide prevention
In partnership with Public Health England and supported by Meadows Communications, the National Suicide Prevention Alliance have launched a new practice resource for local authority public health teams to develop local suicide prevention plans.  Source: UK Health Forum

Government proposals on children and young people’s mental health

Ways for schools and colleges to support pupils’ mental health are set out in a green paper, as well as plans for new mental health support teams.

Source: DoH & DoE

1.4 million people referred to NHS mental health therapy in the past year

Over one million referrals to NHS talking therapies for depression and anxiety were made last year according to new, official data.

Source: NHS England

 

Online Mental Health Support For Young People

This report aims to provide insight into the efficacy of online counselling for children and young people. It focuses exclusively on Kooth online counselling and includes user data along with feedback from Kooth users and commissioners. It finds Kooth online counselling is popular and effective in increasing access to care and providing choice. The anonymous nature of the service was found to be a big benefit for children and young people.  Source: Education Policy Institute/King’s Fund

 Suicide in prisons: prevalence and contributing factors in high-income countries    

Source: The Mental Elf

Public Health In Europe During The Austerity Years

This report explores the relationship between austerity policies and public health across Europe. It indicates that progress on a number of key health indicators has stalled, including life expectancy and mortality rates. It also finds that levels of subjective health have fallen among young people aged 15–24 across Europe, and in all age-groups in the UK.  Source: International Longevity Centre UK/King’s Fund

  

King’s Fund

Statistics and data

 

Statistics and data

 

 

GOV.UK

 

2.     Prison population figures: 2017

3.     Past and projected data from the period and cohort life tables: 2016-based, UK, 1981 to 2066

    • 1 December 2017
    • ONS
    • National Statistics

4.     Access arrangements for GCSE and A Level: 2016 to 2017 academic year

    • 30 November 2017
    • Ofqual
    • Official Statistics

5.     Asylum claims on the basis of sexual orientation

6.    UK population by country of birth and nationality: July 2016 to June 2017

Migration in the UK: Nov 2017

30 November 2017 (confirmed)

Population of the UK by country of birth and nationality: July 2016 to June 2017

30 November 2017 (confirmed)

Working and workless households in the UK: July to September 2017

29 November 2017 (confirmed)

 

Digital NHS

Mental Health Bulletin: 2016-17 Annual Report

Experimental

Published on 30 November 2017: This publication provides the most comprehensive picture available of people who used NHS funded secondary mental health, learning disabilities and autism services in England during the financial year 2016-17. For the first time this year’s report includes information about people using mental health services for children and young people.

Psychological Therapies, Annual report on the use of IAPT services – England, 2016-17

Published: 30 November 2017 – The fifth annual report from the IAPT dataset provides national and CCG level information about psychological therapies services in England. The report includes information about recovery and waiting times. IAPT is run by the NHS in England and offers NICE-approved therapies for treating people with depression or anxiety.

Female Genital Mutilation (FGM) – July 2017 to September 2017, Experimental Statistics Report

Will be published on: 09:30 05 December 2017

GP Practice Prescribing Presentation-level Data – September 2017

Published: 01 December 2017 – Practice level prescribing data is a list of all medicines, dressings and appliances that are prescribed by practices in England and dispensed in the community each month.

Clinical Commissioning Group Prescribing Data – July to September 2017

Published: 01 December 2017 – July to September 2017 Quarterly Clinical Commissioning Group data at British National Formulary Section level part of a quarterly series available via an NHS Digital tool called iView.

 

Weeks Commencing 20 and 27 November 2017

Current Awareness Bulletin

Substance misuse and treatment in adults: statistics 2016 to 2017
Public Health England have published the National Drug Treatment Monitoring System (NDTMS) annual publication of alcohol and drug treatment activity statistics for adults in England.
Source: UK Health Forum

Nutritional Care Tool Report 2017

The BAPEN nutritional care tool report provides organisational-level data on how nutritional care is organised and patient-level data on the quality of nutrition in hospitals, care homes and community organisations. Source: BAPEN/King’s Fund

Calling Time: Addressing Ageism And Age Discrimination In Alcohol Policy, Practice And Research

This report finds that  ageism and age discrimination in alcohol policy, practice and research is denying older people the treatment they need to recover from harmful drinking. It calls on UK governments to develop alcohol strategies that recognise that older adults’ needs may be different to those of younger people. Source: International Longevity Centre/King’s Fund

Alcohol-specific deaths in UK: registered in 2016.
Office for National Statistics (ONS); 2017.
These figures have been published using the new definition of alcohol-specific deaths. In 2016, there were 7,327 alcohol-specific deaths in the UK, an age-standardised rate of 11.7 deaths per 100,000 population. The 2016 alcohol-specific deaths rate continues to remain unchanged since 2013 in the UK, but is still higher than observed 15 years ago. In 2016, the male alcohol-specific death rate continues to be more than double the rate among females.
Freely available online

GOV.UK

  1. Journey times to key services by local authority (JTS04)
  2. Ad hoc journey times analysis (JTS10)
  3. Journey times connectivity (JTS09)
  4. Journey times to key services by lower super output area (JTS05)

5.UK population and health tables: summer 2017

  • 20 November 2017
  • National Statistics

6.Research Outputs estimating the size of the population in England and Wales: 2017

  • 20 November 2017
  • Official Statistics

7.Births by mothers’ usual area of residence in the UK: 2016

  • 20 November 2017
  • National Statistics

8.Drink-drive rehabilitation scheme data

9.Prison population figures: 2017

10.Traveller caravan count: July 2017

11.Mental Health Services Monthly Statistics Final August, Provisional September 2017

  • 16 November 2017
  • NHS Digital
  • Official Statistics

12.Direct access audiology waiting times for September 2017

  • 16 November 2017
  • NHS England
  • Official Statistics

13.Out of Area Placements in Mental Health Services Sep 2017

  • 16 November 2017
  • NHS Digital
  • Official Statistics

14.NHS Outcomes Framework Indicators November 2017 Release

  • 16 November 2017
  • NHS Digital
  • National Statistics

15.Marriages in England and Wales: 2015

  • 16 November 2017
  • National Statistics

16.Walking and cycling (TSGB11)

17.Pollutants, emissions and noise (ENV03)

18.Transport and disability (TSGB12)

 

Regional Annual Population Survey (APS): New Country of Birth and Nationality datasets released (15/11/2017)Claimant Count / JSA: October 2017 figures released (15/11/2017)NHS DigitalPublished: 17 November 2017 – This publication covers the learning disabilities health check scheme Quarters 1 and 2, 2017-18, EnglandExperimentalOut of Area Placements in Mental Health Services September 2017 NHS Outcomes Framework Indicators – November 2017 Release Safeguarding Adults Collection (SAC), Annual Report, England 2016-17 Published: 15 November 2017. This report provides the key findings from the annual Safeguarding Adults Collection (SAC) data collection for the period 1 April 2016 to 31 March 2017. These are experimental statistics on local authority Safeguarding activity. This year will be the second year of data following the Care Act 2014 becoming law, making Safeguarding mandatory for all local authorities to do. 15/11/2017 | Supreme Court backs minimum alcohol price

 

The UK’s Faculty of Public Health

Experimental

Published: 16 November 2017. The NHS Outcomes Framework (NHS OF) is a set of indicators developed by the Department of Health to monitor the health outcomes of adults and children in England. The framework provides an overview of how the NHS is performing. This report provides information about the indicators updated in this release.

Published: 16 November 2017 – This publication covers Out of Area Placements in Mental Health Services

Published: 16 November 2017 – This release presents experimental statistics from the Mental Health Services Data Set (MHSDS). This replaces the Mental Health and Learning Disabilities Dataset (MHLDDS). As well as analysis of waiting times this release includes elements of the reports that were previously included in monthly reports produced from final MHLDDS submissions. It also includes some new measures. New measures are noted in the accompanying metadata file.

NOMIS

Alcohol-specific deaths in the UK: registered in 2016, (ONS, 7 November 2017)

 

BBC

Week Commencing 12 November 2017

Current Awareness Bulletin

Smoking, Drinking and Drug Use Among Young People in England – 2016 [National Statistic].
NHS Digital; 2017.
https://digital.nhs.uk/catalogue/PUB30132
This report contains results from an annual survey of secondary school pupils in England in years 7 to 11 (mostly aged 11 to 15). 12,051 pupils in 177 schools completed questionnaires in the autumn term of 2016.
Freely available online

Children’s voices: a review of evidence on the subjective wellbeing of children with mental health needs in England.
Children’s Commissioner for England; 2017.
https://www.childrenscommissioner.gov.uk/publication/childrens-voices-the-wellbeing-of-children-with-mental-health-needs-in-england/
This report summarises the published qualitative evidence on the subjective wellbeing of children with mental health needs and draws out key findings from the evidence, identifying important gaps.
Freely available online

Children and young people’s mental health—the role of education: Government Response to the First Joint Report of the Education and Health Committees of Session 2016–17.
House of Commons Education and Health Committees; 2017.
https://publications.parliament.uk/pa/cm201719/cmselect/cmeduc/451/45102.htm
The House of Commons Education and Health Committees have published this document which sets out the Government’s response to the inquiry on the role of education in children and young people’s mental health.
Freely available online

Alcohol and drug treatment in England: the picture from the 2016-17 data

PHE has published our annual alcohol and drug treatment statistics for 2016-17. These are based on data collected by the National Drug Treatment Monitoring System (NDTMS) from alcohol and drug services across England.  Source: PHE

Health At A Glance 2017

This report outlines the latest comparable data and trends on different aspects of the performance of health systems in OECD countries. The analysis of the UK health system finds that the overall health of Britons is similar to the OECD average and that access to care is generally strong but that the indicators for quality of care are below the OECD average.    Source: OECD/King’s Fund

The Efficacy Of Public Health Spending

This briefing examines the spending, access and cost-effectiveness of four areas of public health spending in the UK: smoking, physical health, obesity and alcohol.  Source: Tax Payers’ Alliance/King’s Fund

King’s Fund

Statistics and data

 

GOV.UK

  1. Youth custody data

2.Prison population figures: 2017

3.English Housing Survey 2015 to 2016: headline report

4.Education and training statistics for the UK: 2017

5.Fire statistics data tables

  • 9 November 2017
  • Home Office
  • Statistical data set
  • Part of a collection: Fire statistics

6.Seizures of drugs in England and Wales, financial year ending 2017

7.Families and households in the UK: 2017

  • 8 November 2017
  • National Statistics

8.Education and training statistics for the UK: 2016

9.Liver disease profiles: November 2017 update

  • 7 November 2017
  • Official Statistics

10.Wider Determinants of Health: November 2017 update

  • 7 November 2017
  • Official Statistics

11.Local tobacco control profiles for England: November 2017 update

Week Commencing 6 November 2017

Current Awareness Bulletin

Neglected Minds: a report on mental health support for young people needing care

The mental health needs of young people leaving the care system has been investigated in a report by Barnardo’s. Key findings include that 1 in 4 case files (of care leavers) the person faced a mental health crisis at some point after leaving care.

Source: Barnados

Many teenagers reporting symptoms of depression

The Millenium Cohort Study shows that symptoms of depression and anxiety were similar for boys and girls up to the age of 11 (as reported by parents). However at the age of 14, the cohort shows increasing gender differences (based on both self-report and responses from parents).

How alcohol and drug treatment helps to reduce crime

There is a well-established and complex link between drugs, alcohol and crime, and in the recent years there has been a particular emphasis on the links between drug misuse and offending.

We know that people who misuse drugs are more likely to have been involved in crime, but we also know that drug treatment can help to prevent it.

Source: PHE

Suicide Prevention Planning Guidance – One Year On

Source: PHE

Multiple illnesses and end-of-life care drive high healthcare costs in old age

Ageing on its own does not drive healthcare costs. Instead, this research found that the increasing number of health conditions and age-related impairments along with the proximity to death are more strongly linked to healthcare costs than age alone.

This UK study investigated healthcare costs in people over 80 years old. Costs increased to the mid-90s before declining again. Proximity to death was the strongest predictor of cost, which was higher for people aged 80-84: £10,027 per year versus £7,021 per year for those over 100. Multiple illnesses also had a strong influence, with each additional health complaint progressively increasing costs.

This suggests that to provide person-centred and efficient healthcare services for all, planning should take account of the number and types of conditions rather than age alone.

Source: NIHR Signals

Sport, dance and physical activity: secondary analysis
This report published by the What Works Wellbeing explores the relationship between subjective wellbeing (SWB) and participation in sport or physical activity among healthy people aged 16 to 25. This relationship is studied by analysing data from four large samples

Source: UK Health Forum

London turns the tide on an 8 year surge of gonorrhoea

A new report from Public Health England (PHE) shows the number of new cases of Gonorrhoea dropped by 19% between 2015 and 2016. This is a reassuring reversal of increasing trends of the disease since 2009, which has been attributed to higher testing rates and practising safe sex.

The Regulation Of E-Cigarettes

This briefing provides an overview on the regulation of e-cigarettes in the UK and across Europe. It also outlines new product requirements for e-cigarettes and identifies where national regulations have gone beyond what is in EU regulations.

Source: House of Commons Library/King’s Fund

PHE October Bulletin

New local authority first public health dashboard 

As part of a wider government commitment to support greater transparency across the public sector, PHE has published a new local authority public health dashboard. The dashboard will support local councillors and senior council officers in making decisions on how they prioritise resources across a range of public health service areas. An initial version has been published now and suggestions will be sought on how to improve it so that we can launch it in full in the summer of 2018. It uses existing published data and therefore complements the range of tools PHE provides to support local government in their role as the local leaders for the public’s health. We hope that this dashboard will be helpful in raising the profile of public health services locally and ultimately having a positive impact on health outcomes.

Using local health data to address health inequalities

https://publichealthmatters.blog.gov.uk/2017/10/12/using-local-health-data-to-address-health-inequalities/

Neighbourhood Statistics

2.Smoking, Drinking and Drug Use among Young People in England 2016

King’s Fund

Statistics and data

Moving more, ageing well

 

This report highlights the need for innovative solutions for keeping older people active and independent that could save billions of pounds in NHS and social care costs by preventing disease. It recommends that teaching health and social care professionals such as pharmacists and Meals on Wheels staff to deliver exercise interventions, could be key to curtailing the UK’s growing ageing crisis.
Report

 

 

 

 

 

Stoptober 2016 campaign evaluation

 

Stoptober is a major annual event to encourage smokers to quit for 28 days in October with the aim of stopping smoking permanently. This report provides a summary evaluation of Stoptober quit smoking, health-marketing campaign activity in 2016.
Report

 

 

 

 

 

Smoking, drinking and drug use among young people in England: 2016
This report contains results from an annual survey of secondary school pupils in England and it presents information on the percentage of pupils who have ever smoked, tried alcohol or taken drugs. The report also explores the attitudes of school children towards smoking and drinking.
Report

 

 

 

News and analysis

PHE Digital

Data

Week Commencing 30 October 2017

Current Awareness Bulletin

Report calls for better mental health support in the workplace

“Up to 300,000 people with long-term mental health problems have to leave their jobs each year, a report says,” writes BBC News. This was just one of the UK media outlets that published the findings of a report looking at the extent of mental ill health in the workplace, and the related economic and social costs.

Source: Behind the Headlines

Local analysis of elderly care beds

Which? have used ONS and CQC data to estimate the change in number of care home beds required to maintain supply at the current level to 2022, for the population aged 80 or over in each Local Authority area.

Source: Which

Moving More, Ageing Well

This report highlights the need for innovative solutions for keeping older people active and independent that could save billions of pounds in NHS and social care costs by preventing disease. It recommends that teaching health and social care professionals such as pharmacists and Meals on Wheels staff to deliver exercise interventions, could be key to curtailing the UK’s growing ageing crisis.

Source: Ukactive/King’s Fund

Tobacco Control Policy Overview

The Government’s new tobacco control plan was published in 2017, and seeks to reduce smoking overall and target this inequality in smoking rates. This briefing paper provides a summary on the tobacco control plan, tobacco control policies and smoking cessation services.

Source: House of Commons Library/King’s Fund

Stoptober 2016 Campaign Evaluation

Stoptober is a major annual event to encourage smokers to quit for 28 days in October with the aim of stopping smoking permanently. This report provides a summary evaluation of Stoptober quit smoking health marketing campaign activity in 2016.

Source: Public Health England (PHE)/King’s Fund

NHS Pressures: Future Trends

This analysis of NHS admissions and waiting times data estimates that emergency department attendances could increase to 24 million between October 2017 and September 2018. During this period, the analysis also projects that the number of patients failing to be treated within four hours of arrival at hospital could rise by 370,000.

Source: BMA/King’s Fund

Gov.uk

  1. Quarterly statistics on reported road accidents (RAS45)
  2. Reported road casualties Great Britain, provisional estimates: April to June 2017

1.Maternity Services Monthly Statistics June 2017

  • 1 November 2017
  • NHS Digital
  • Official Statistics

2.Children living in long-term workless households, UK: 2016

  • 1 November 2017
  • National Statistics

3.Young people not in education, employment or training (NEET): January to June 2017

  • 31 October 2017
  • Welsh Government
  • National Statistics

4.Statistics on NHS Stop Smoking Services in England April 2017 to June 2017

  • 31 October 2017
  • NHS Digital
  • Official Statistics

5.The impact of using the new definition of alcohol-specific deaths

  • 27 October 2017
  • Official Statistics

6.Crime outcomes in England and Wales, year to June 2017: data tables: second edition

Statistics and data

 

Statistics and data

 

NHS Digital

·Statistics on NHS Stop Smoking Services in England – April 2017 to June 2017

Published: 31 October 2017

UK Health Forum

13 September 2017The UK Health Forum (UKHF) fully supports the detailed response to this consultation by the Alcohol Health Alliance and we have answered those questions which align with our areas of interest and expertise. In summary we propose; a definition which allows comparison across the four nations of the…

Week Commencing 16 October 2017

Current Awareness Bulletin

2016/17 childhood vaccination coverage

NHS Digital have released 2016/17 childhood vaccination coverage figures, including a new dashboard. Most of the national vaccination coverage rates have declined nationally and locally over the past year. Coverage was below target in Hackney and the City of London for each vaccination.

Source: NHS Digital

Children’s Mental Healthcare In England

This report sets out the views, perspectives and experiences of children with mental health needs and gives anonymous first-hand accounts of children in England aged 17 and under who have dealt with mental health illnesses. It highlights the discrepancy and inequalities between children’s and adult’s mental health services and makes recommendation to transform provision and improve access to services. An accompanying evidence review uses qualitative research to explore the limited awareness of mental health issues in young people, focusing on their perception of mental health.

Source: Children’s Commissioner/King’s Fund

Health Matters: preventing ill health from alcohol and tobacco use

Welcome to the latest edition of PHE’s Health Matters, a resource for local authorities and health professionals, which for this edition focuses on preventing ill health caused by alcohol and tobacco use.

Source: PHE

Reducing health inequalities: system scale and sustainability

Reducing health inequalities is at the heart of public health and PHE’s priorities.

Source: PHE

The Impact Of Homelessness On Health: A Guide For Local Authorities

This report warns that that the rising number of older homeless will create significant extra pressures for councils, such as in providing housing and social care. The report aims to support local authorities in protecting and improving their population’s health and wellbeing, and reducing health inequalities, by tackling homelessness and its causes.

Source: Local Government Association (LGA)/King’s Fund

 

Mental Health Service Models For Young People

In 2015, the government committed five years of extra funding for children and young people’s mental health services (CYPMHS). All areas of England were required to submit plans outlining how they will improve their services by 2020. This POSTnote describes some of the new models of CYPMHS and examines the challenges to their effective implementation.

Source: Parliamentary Office of Science and Technology/King’s Fund

 

Mental Health In Prisons

This report looks at the provision of mental healthcare in prison, and efforts to maintain prisoner well-being. We also considered routes out of prison, including continuity of care into the community and transfer to secure hospital.

Source: NAO/King’s Fund

 

Serious games for mental health: you cannot be serious!
The Mental Elf; 2017.
https://www.nationalelfservice.net/treatment/digital-health/serious-games-for-mental-health-you-cannot-be-serious/
[The first systematic review with meta-analysis of serious games for mental health asks: are they accessible, feasible and effective?]
Freely available online

 

Quit success rates in England 2007-2017.
Brown J. Smoking in Britain 2017;5:1-8.
New data published in a University College of London report shows quitting smoking success rates are at their highest for at least a decade, up to 19.8 per cent for the first six months of this year, significantly higher than the average for the past 10 years (15.7 per cent). The report coincides with the launch of the Stoptober quit smoking challenge, which has inspired more than one and a half million people to attempt to give up smoking since 2012.
Freely available online

 

The proportion of mothers with dependent children in full-time work

New ONS figures show a rise in the proportion of mothers with dependent children in full-time work since 1996.  New research has shown that breaks from the labour force to care for family are associated with long term lower rates of disability and mortality, controlling for socioeconomic factors.

Source: ONS

 

Health assets profile
The Health Assets profile has been developed by Public Health England’s (PHE’s) Local Knowledge and Intelligence Service to support local authorities in assessing the level of health assets or protective factors that influence health in their area.

Source: UK Health Forum

 

NHS Indicators: England, October 2017

The House of Commons Library, has published a summary of performance indicators and demand levels for NHS services in England. Covers areas such as: A&E statistics, waiting lists, ambulance data, delayed charges, and staffing levels including doctors and nurses.

Source: House of Commons Library

Ethnicity facts and figures

In the UK, 87% of people are White, and 13% belong to a Black, Asian, Mixed or Other ethnic group. Use this service to find information about the different experiences of people from a variety of ethnic backgrounds. It gathers data collected by government in one place, making it available to the public, specialists and charities.

Source: HM Government

 

Race Disparity Audit

This report provides an overview of the main findings from the first release of data from the Race Disparity Audit.

Source: Cabinet Office

 

Neighbourhood Statistics

Birth characteristics in England and Wales: 2016

16 October 2017 (confirmed)

 

3.Youth custody data

4.Secondary school performance tables in England: 2016 to 2017

5.Destinations of KS4 and KS5 pupils: 2016

6.GCSE and equivalent results: 2016 to 2017 (provisional)

7.A level and other 16 to 18 results: 2016 to 2017 (provisional)

8.Local Health: October 2017 update

  • 12 October 2017
  • Official Statistics

9.Living abroad: dynamics of migration between Britain and the EU2

  • 11 October 2017
  • Official Statistics

10.Population statistics research update: October 2017

  • 11 October 2017
  • Official Statistics

Week Commencing 9 October 2017

CURRENT AWARENESS BULLETIN

New PHE figures show decline in HIV diagnosis rates

Public Health England (PHE) figures show there has been a significant decline in new diagnoses of HIV in the UK in gay and bisexual men.

Source: PHE

 

The impact of homelessness on health: a guide for local authorities

This briefing aims to support local authorities in protecting and improving their population’s health and wellbeing, and reducing health inequalities, by tackling homelessness and its causes.

Source: Local Government Association

 

Adult And Older Adult Mental Health Services 2012-2016

The NHS Benchmarking Network has made their mental health data available to the Centre for Mental Health to provide an independent commentary on what the data suggests about mental health provision in England and Wales between 2012 and 2016.

Source: Centre for Mental Health/ King’s Fund

 

Child Weight Management Services: Collect And Record Data

This tool supports the consistent collection and reporting of outcomes in tier 2 child weight management services.

Source: PHE/King’s Fund

 

Britain’s Demographic Challenge: The Implications Of The UK’s Rapidly Increasing Population

This report looks at the scale of the growing population of the UK, sets it in historical and international context and considers the challenges that it will present. It considers the implications including the need for new hospitals, schools, roads, jobs and leisure facilities.

Source: Civitas/King’s Fund

 

 

ONS

Population statistics research update:  October 2017

https://www.ons.gov.uk/releases/populationstatisticsresearchupdateoctober2017

 

NHS England

Half of adults aged 55 and over have experienced common mental health problems, say Age UK

6 October 2017

The charity is joining forces with NHS England to encourage older people to seek help and is calling on GPs to spot the warning signs. Nearly half of adults (7.7million) aged 55+ say they have experienced depression and around the same number (7.3 million) have suffered with anxiety, according to new YouGov research for the […]

 

New guidance for community pharmacies claiming quality payments

2 October 2017

NHS England has issued new guidance for community pharmacies wishing to claim payments this year under the Quality Payments Scheme.

 

GOV.UK

  1. Prison population figures: 2017

2.Sexual and Reproductive Health Services, England 2016 to 2017

  • 5 October 2017
  • NHS Digital
  • National Statistics

King’s Fund

Statistics and data

 

 

BBC

 

Child and teen obesity spreading across the globe  http://www.bbc.co.uk/news/health-41550159

Week Commencing 11 September 2017

Current Awareness Bulletin

Better Mental Health: JSNA Toolkit

This toolkit aims to support the joint strategic needs assessment (JSNA) process in relation to mental health needs. It links mental health data, policy and knowledge to help planners understand needs within the local population and assess local services.

Source: Public Health England (PHE)/King’s Fund

Stocktake Of Local Mental Health Prevention Planning Arrangements

This report, commissioned by PHE and written by The King’s Fund, provides a high-level summary of how local areas are currently incorporating mental health promotion and prevention of mental ill-health in their planning processes. The findings are based primarily on a content analysis of key planning documents in 35 local areas. This included a random sample of 16 areas across England and 19 areas selected as possible examples of transferable effective practice.

Source: Public Health England (PHE)/King’s Fund

Sexual Health, Reproductive Health And HIV: A Review Of Commissioning

This report outlines the findings of a 2016 survey, carried out jointly with the Association of Directors of Public Health, which aimed to gain a clear picture of the commissioning arrangements for sexual health, reproductive health and HIV services. The survey found that whilst there has been progress in improving services and the development of collaborative approaches there is also evidence of structural concerns which have the potential to impede effective commissioning. Key findings from the survey highlight the fragmentation of commissioning, barriers to access for those at greatest risk, increasing financial pressures and patient demand, and workforce concerns.

Source: PHE/King’s Fund

Diet, nutrition, physical activity and colorectal cancer 

The report produced by World Cancer Research Fund International is the most rigorous, systematic, global analysis of the scientific research currently available on diet, weight, physical activity and colorectal cancer, and which of these factors increase or decrease the risk of developing the disease.

Source: UK Health Forum

Housing Our Ageing Population: Learning From Councils Meeting The Housing Need For Our Ageing Population

This report argues that the number of specialist homes for older people will need to increase by 400,000 units in less than 20 years as a result of our ageing population. It calls for the government to help support a residential revolution for older people’s housing by giving councils the tools to deliver more housing that supports positive and healthy ageing. This includes planning powers to ensure developers build quality homes and infrastructure that are well designed to support positive ageing and long term sustainable funding for councils to adapt existing homes to help support older people remain in their homes for longer and to support positive ageing.

Source: Local Government Association (LGA)/King’s Fund

 

Statistics and data

 

Statistics and data

 

Pharmacy: a way forward for public health – opportunities for action through pharmacy for public health

This guidance sets out a range of opportunities for pharmacy teams working in communities, and through their daily interactions with patients and the public, to play an important role in protecting and improving the health of the nation.

Guidance
PHE publications
 

Statistics and data

ONS