Weekly Information Bulletin

Weekly Information Bulletin

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

Week Commencing  3 December 2018

Current Awareness Bulletin

Document of the week

From patent to patient: analysing access to innovative cancer drugs

This analysis of regulatory data reveals that NHS patients are waiting longer for new cancer drugs because of delays in taking them through clinical trials and getting them approved for use. The report also found stark differences in the rate of development of new cancer drugs for different tumour types – with 15 drugs licensed for breast cancer from 2000-16, but none at all for brain cancer.

Source: Institute of Cancer Research

Public Health England cardiovascular disease prevention initiatives, 2018 to 2019

This document demonstrates work that PHE is leading and involved with to help meet the challenge of cardiovascular disease in 2018 to 2019. The document follows publications from 2016 and 2017. As well as showcasing current projects and new resources, the publication updates on the progress of initiatives highlighted in last year’s Action plan.

Source: PHE

Effects of parenting interventions for at-risk parents with infants: A systematic review and meta-analyses

Evidence rating: Strong

Source: McMaster Health Evidence

Interventions to increase physical activity in children 0-5 years old: A systematic review, meta-analysis and realist synthesis

Evidence rating: Strong

Source: McMaster Health Evidence

Effectiveness and behavioral mechanisms of social media interventions for positive nutrition behaviors in adolescents: A systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

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

Evidence rating: Strong

Source: McMaster Health Evidence

Clinic-Based Programs to Prevent Repeat Teen Pregnancy: A Systematic Review
Frederiksen BN; American Journal of Preventive Medicine; 2018 55(5); p736-746
The purpose of this paper was to synthesize and evaluate the evidence on the effectiveness of repeat teen pregnancy prevention programs offered in clinical settings. The review identifies clinic-based repeat teen pregnancy prevention programs and found that few positively affect factors that may reduce repeat teen pregnancy. Access to immediate postpartum contraception or home visiting programs may be opportunities to meet adolescents where they are and reduce repeat teen pregnancy.

A place to grow: Exploring the future health of young people in five sites across the UK

This report is the second from the Young People’s Future Health Inquiry and outlines the findings from site visits to five places across the UK. In each location, the inquiry team listened to the perspectives of both a mix of young people who lived there and the people who work in organisations to support them.  The report draws out common themes which will impact on young people’s transition to a healthy adulthood.

Source: The Health Foundation

Safeguarding children affected by parental alcohol and drug use

A guide for local authorities and substance misuse services to help them work together to safeguard and promote the welfare of children.

Source: PHE

A Better Start: supporting child development in the early years

This guide sets out concisely the reasons that the early years are so essential to future outcomes and wellbeing; the measures being taken by local authorities to bring together health, social care and early education services to create a more holistic approach to identifying and meeting the needs of young children and their families – making provision more efficient and effective; and an idea of the increasing range of interventions available to address particular issues early, before they escalate into more damaging (and expensive) problems. The case studies also highlight the importance of evidence-based practice, and of local authorities and area partnerships making sure that they commission provision and implement changes which fully reflect the particular local needs and priorities of their communities.

Source: Local Government Association

Fit for and during pregnancy: A key role for local government

This report links the public health role of local government and healthy pregnancy.  It includes examples of health visitors, family workers, midwives, social care and children’s centres staff helping families through this vital period as well as areas experimenting with a new role of consultant public health midwife.

Source: Local Government Association

Understanding the new commissioning system in England: contexts, mechanisms and outcomes

This research assesses the impact of the 2012 reorganisations on the operation and outcomes of the commissioning system.

Source: Policy Research Unit in Commissioning and the Healthcare System

Does consecutive influenza vaccination reduce protection against influenza: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Efficacy, effectiveness and safety of vaccination against human papillomavirus in males: A systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

Articaine or Lidocaine for third molar removal?

Comment on a recent systematic review of anaesthetic efficiency of articaine for lower third molar extraction.

Source: The Dental Elf

Lifestyle intervention for the prevention of diabetes in women with previous gestational diabetes mellitus: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

The benefits and harms of aspirin for people with type 2 diabetes are finely balanced

Daily aspirin reduced the risk of serious vascular events among people with diabetes, while increasing the risk of major bleeding to a similar extent. Aspirin prevented one person in every 100 from having a heart attack or stroke over seven years, but an additional person per 100 experienced a major bleed. The ASCEND study is one of three large placebo-controlled trials investigating the effects of 100mg daily aspirin for primary prevention in people without established cardiovascular disease. The finding supports NICE recommendations that aspirin shouldn’t be prescribed to people with diabetes who do not have existing cardiovascular disease.

Source: NIHR Signals

Mediterranean diet and health outcomes: A systematic meta-review

Evidence rating: Medium

Source: McMaster Health Evidence

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

Source: Cochrane Database of Systematic Reviews; 2018:11

Fish oil supplements do not reduce cardiovascular deaths in people with diabetes without existing vascular disease

Omega-3 fatty acid supplements make no difference to cardiovascular outcomes in people with diabetes but without established cardiovascular disease. Serious vascular events like heart attack, stroke or deaths from these occurred in about 10% of people regardless of whether they took daily omega-3 or placebo capsules for seven years. The ASCEND study is a large UK trial assessing primary cardiovascular prevention for people with any type of diabetes.

Source: NIHR Signals

Marine n−3 Fatty Acids and Prevention of Cardiovascular Disease and Cancer

Manson JE; New England Journal of Medicine; 10 November 2018

Supplementation with n-3 fatty acids did not result in a lower incidence of major cardiovascular events or cancer than placebo.

Funding to help improve the lives of those affected by alcohol

A total of £10.5 million of funding is being allocated by Public Health England to help improve the lives of adults and children impacted by alcohol. A £4.5 million innovation fund, from the Department of Health and Social Care (DHSC) and the Department for Work and Pensions (DWP), managed by PHE, has been awarded to 9 projects across the country. In addition, PHE is announcing a call for bids for a share of a £6 million capital fund for local authorities, which can be used to improve services and facilities for people with alcohol problems.

Source: PHE

Disparities in mortality among 25–44-year-olds in England: a longitudinal, population-based study

Kontopantelis E; Lancet Public Health; Vol 3; Iss 12; Dec 2018

Since the mid-1990s, excess mortality has increased markedly for adults aged 25–44 years in the north compared with the south of England. This study examined the underlying causes of this excess mortality and the contribution of socioeconomic deprivation. It found that sharp relative rises in deaths from cardiovascular reasons, alcohol misuse and drug misuse in the north compared with the south seem to have created new health divisions between England’s regions. This gap might be due to exacerbation of existing social and health inequalities that have been experienced for many years. These divisions might suggest increasing psychological distress, despair, and risk taking among young and middle-aged adults, particularly outside of London.

New insights into living with inflammatory bowel disease

Living with inflammatory bowel disease as a `hidden’ condition can lead to feelings of isolation and exclusion. The condition can be unpredictable and have a profound impact on quality of life. The ongoing emotional and psychological difficulties caused by this chronic, long term illness can result in loss of productivity and considerable cost to the NHS. This systematic literature review looked at 23 studies combining 825 participants’ views to gain new insights into the experiences of people living with the condition. Person-centred care focussing on of the psychological impact of inflammatory bowel disease may require further consideration within health service provision.

Source: NIHR Signals

Proposed changes to the statutory scheme to control the costs of branded health service medicines: consultation response

The government will set a revised payment percentage from 1 January 2019, alongside the other changes proposed. These are described in the response document.

Source: DHSC

Health at a glance: Europe 2018

This report presents comparative analyses of mental health across the countries of the European Union. Mental health problems, such as depression, anxiety disorders and alcohol and drug use disorders, affect more than one in six people across the EU in any given year. Besides the impact on people’s well-being, the report estimates the total costs of mental ill health at more than 600 billion euros – or more than four per cent of total GDP – across the 28 member countries.

Source: OECD

Social connectedness and mental health: measures and conceptual framework

Comment on a recent systematic review and narrative synthesis, which proposes a conceptual framework for social connectedness and mental health.

Source: The Mental Elf

A psychological victory for the domestic violence and abuse sector: the PATH trial

A summary of two new studies out yesterday looking at the PATH intervention (Psychological Advocacy Towards Healing), a CBT-informed psychological intervention delivered by trained domestic violence and abuse (DVA) advocates in specialist services.

Source: The Mental Elf

Overview of meta-analyses on prevention and treatment of childhood obesity

Evidence rating: Strong

Source: McMaster Health Evidence

A review of systematic reviews targeting the prevention and treatment of overweight and obesity in adolescent populations

Evidence rating: Strong

Source: McMaster Health Evidence

Targeting the postpartum period to promote weight loss: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

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

Evidence rating: Strong

Source: McMaster Health Evidence

Help at home: use of assistive technology for older people

This review presents a selection of recent research on assistive technology for older people funded by the National Institute for Health Research (NIHR) and other government funders. The review focuses on research around the use of technology in the home, remote monitoring systems and designing better environments for older people.

Source: NIHR

How do people access and experience home adaptations? Perspectives from people in later life and practitioners

This report summarises the findings from recent research conducted on the lived experiences of home adaptations. It draws on the views of both people in later life and practitioners to explore the home adaptations journey, including triggers, access, installation and outcomes.

Source: Housing Local Improvement Network

Older people ‘would benefit’ from weight training and more protein

Source: Behind the Headlines

Impact of prenatal exercise on neonatal and childhood outcomes: A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

School-Based Exercise Programs and Cardiometabolic Risk Factors: A Meta-analysis

Pozuelo-Carrascosa DP; Pediatrics; November 2018; 142(5)

School-based physical activity interventions improve some cardiometabolic risk factors in children, such as WC, DBP, and fasting insulin.

Cardiometabolic risk reduction through recreational group sport interventions in adults: A systematic review and meta-analysis

Evidence rating: Medium

Source: McMaster Health Evidence

Cost-effectiveness of interventions based on physical activity in the treatment of chronic conditions: A systematic literature review

Evidence rating: Medium

Source: McMaster Health Evidence

Can aerobic exercise slow down ageing?

Source: Behind the Headlines

Items which should not routinely be prescribed in primary care: an update and a consultation on further guidance for CCGs

The objective of this work is to support CCGs in their decision-making, to address unwarranted variation, and to provide clear national advice to make local prescribing practices more effective. This document sets out further proposed national guidance for CCGs on medicines which can be considered to be of low priority for NHS funding. This guidance is being sent out for consultation nationally, and we encourage CCGs to take part in this consultation by engaging with their communities and local professionals.

Source: NHS England

Stool test is useful before GPs refer for possible inflammatory bowel disease

A stool test by GPs has been shown to support referral decisions for young adults, not suspected of cancer, to investigate possible inflammatory bowel disease. This study supports current NICE guidelines that the calprotectin stool test can usefully inform patient referral pathways and reduce unnecessary invasive tests such as colonoscopy.

Source: NIHR Signals

Dual combination therapy versus long‐acting bronchodilators alone for chronic obstructive pulmonary disease (COPD): a systematic review and network meta‐analysis

Source: Cochrane Database of Systematic Reviews; 2018:12

Review of adult social care complaints 2017–2018

The report looks at adult social care complaints the Ombudsman has received over the 12-month period. It finds that assessment and care planning, and how care is paid for, remain some of the biggest areas of complaint. Also that issues increasingly demonstrate a shift from one-off mistakes to problems with whole systems and policies, or procedures being incorrectly applied.   The report also examines the impact the Ombudsman has on improving services through complaints. Over the past year, it has made 274 recommendations to authorities and providers to improve procedures or undertake staff training – a 19% increase on the previous year.

Source: Local Government and Social Care Ombudsman

Reablement in a care home context: a feasibility study

Comment on a feasibility study of ‘LifeFul’, a reablement programme carried out in the care home context.

Prenatal exercise (including but not limited to pelvic floor muscle training) and urinary incontinence during and following pregnancy: a systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Health Survey for England 2017: summary of key findings

The Health Survey for England (HSE) monitors trends in the nation’s health and care. It provides information about adults aged 16 and over, and children aged 0 to 15, living in private households in England. The survey is used to monitor overweight and obesity and to estimate the proportion of people in England who have certain health conditions and the prevalence of risk factors and health related behaviours, such as smoking and drinking alcohol.

Source: National Statistics

Improving the evaluation of digital public health

Source: Public Health Matters

Making sure people seeking and refused asylum can access health care: what needs to change?

This research explores the experiences of people who are currently or have been in the asylum process in Britain, as well as engaging with health care professionals and analysing existing research. It finds that cost and fears about how they will be treated, or consequences for their immigration status, are preventing people who are seeking or have been refused asylum from using health services.

Source: Equality and Human Rights Commission

Nursing care for people experiencing homelessness

This report analyses a survey of more than 200 homeless health nurses about issues facing their area of practice. It explores the structural, contextual, environmental and practical changes needed to reduce, prevent and eliminate homelessness, and tackle the associated burden of disease.

Source: Queen’s Nursing Institute


Department of Transport

Transport accidents and casualties (TSGB08)

6 December 2018

Rail accidents and safety (RAI05)

6 December 2018

Walking and cycling (TSGB11)

6 December 2018

Transport and disability (TSGB12)

6 December 2018


Sport England

Playing fields safeguarded

We’ve protected sports provision in 93% of planning applications affecting playing fields.

11 December 2018

More than 40% of children are active

Our first-ever Active Lives Children and Young People report gives insight into activity levels of nation’s children.

06 December 2018

Volunteers to get active outdoors

Three more awards are being made from our Opportunity Fund, using nature to encourage active volunteers.

03 December 2018


NICE

Antenatal care for uncomplicated pregnancies

Axonics sacral neuromodulation system for overactive bladder and faecal incontinence

Chronic obstructive pulmonary disease (acute exacerbation): antimicrobial prescribing  

Chronic obstructive pulmonary disease in over 16s: diagnosis and management  NG115 Post-traumatic stress disorder

Post-traumatic stress disorder

Decitabine for untreated acute myeloid leukaemia (terminated appraisal)

Denosumab for preventing skeletal-related events in multiple myeloma (terminated appraisal)


The Kingsfund

New models of home care

Policy-makers have outlined their ambitions to provide joined-up care closer to home and enable people to remain independent and in their own homes. Home care will be a central component of realising these ambitions. However, there are serious concerns about the state of the home care market and the quality of care service users receive.

Home care in England: views from commissioners and providers

This report sets out the key issues facing the home care sector based on discussions with commissioners, providers and national social care organisations.

The role of volunteers in the NHS: views from the front line

Commissioned by Royal Voluntary Service and Helpforce, this report looks at the perceptions of frontline NHS staff working in acute care about the operational pressures they face, how they understand the roles and value of volunteers and what gaps there are that volunteers could help fill.


NHS North West Anglia

Department of Health funding approval for Hinchingbrooke Hospital

North West Anglia NHS Foundation Trust has had success in a funding application as part of a national allocation of nearly £1 billion investment in the NHS from the Department of Health.

NHS England

Mental health nurses and paramedics to respond together to reduce avoidable hospital admissions

7 December 2018

Thousands of Londoners experiencing a mental health crisis will be sent a specialist nurse and a paramedic in a car on blue lights. By responding together, the specialist ambulance crew is expected to reduce mental health hospital admissions from 58,000 to 30,000 per year once it is rolled out across the capital. The London Ambulance […]

First NHS cancer patient to begin treatment with state of the art proton beam therapy in Manchester

4 December 2018

The NHS’s national cancer director will today announce that an NHS state of the art proton beam therapy machine for cancer is set to treat the first patient in England at The Christie in Manchester this month, marking a major milestone for NHS care. Speaking at Britain Against Cancer in London, Cally Palmer will also […]

Partners of new mums with mental illness set to get targeted support on the NHS

3 December 2018

New and expectant fathers will be offered mental health checks and treatment under radical action to support families, NHS England chief executive Simon Stevens announced today (2 December 2018). In the landmark move, the partners of pregnant women and new mothers who are themselves suffering from anxiety, depression or more severe disorders such as psychosis […]


NHS Cambridgeshire and Peterborough

#50000 reasons for you to act on loneliness this Christmas

Waving at a neighbour in the street, sharing a mince pie or having a chat with an older neighbour are just some of the ways you can help to tackle loneliness this Christmas.

Don’t delay order repeat prescriptions today

With Christmas fast approaching the local NHS are urging patients and carers to make sure they have enough of their usual medications to last over the festive period.


GOV.UK

Cardiovascular disease prevention: action plan

3 December 2018

PHE

Pharmacovigilance inspection metrics, 2009 to present

3 December 2018

MHRA

Hydrogen fluoride: health effects, incident management and toxicology

3 December 2018

PHE

Typhoid and paratyphoid: laboratory confirmed cases in England, Wales and Northern Ireland

3 December 2018

PHE

National General Practice Profiles: 2018 annual update

4 December 2018

PHE

School-age children profiles: 2018 update

4 December 2018

PHE

Local tobacco control profiles for England: December 2018 update

4 December 2018

PHE

Musculoskeletal diseases profile: December 2018 update

4 December 2018

PHE

Local Alcohol Profiles for England: December 2018 data update

4 December 2018

PHE

Cardiovascular disease profiles: December 2018 update

4 December 2018

PHE

Cancer services profiles: 2018 annual update

4 December 2018

PHE

Mortality Profile: December 2018

4 December 2018

PHE

Young people profiles: 2018 update

4 December 2018

PHE

HPV vaccine coverage annual report for 2017 to 2018

4 December 2018

PHE

Safeguarding children affected by parental alcohol and drug use

4 December 2018

PHE

Health Survey for England 2017

4 December 2018

NHS Digital

Notifiable diseases: last 52 weeks

4 December 2018

PHE

Modernising the Mental Health Act – final report from the independent review

6 December 2018

DHSC

Scarlet fever: symptoms, diagnosis and treatment

5 December 2018

PHE

Female Genital Mutilation July-September 2018

6 December 2018

NHS Digital

Substance misuse treatment for young people: statistics 2017 to 2018

6 December 2018

PHE

Statistics on Women’s Smoking Status at Time of Delivery: England Quarter 2, July 2018 to September 2018

6 December 2018

NHS Digital

Norovirus and rotavirus: summary of surveillance 2018 to 2019

6 December 2018

PHE

Recent trends in mortality in England: review and data packs

11 December 2018

PHE

Abortion statistics for England and Wales: 2017

11 December 2018

DHSC

Drug health harms: national intelligence

11 December 2018

PHE


ONS

Household projections for England – household type projections: 2016-based

3 December 2018 (confirmed)

Alcohol-specific deaths in the UK: registered in 2017

4 December 2018 (confirmed)

National measures of loneliness: 2018

5 December 2018 (confirmed)

Children’s and young people’s experiences of loneliness: 2018

5 December 2018 (confirmed)


NHS Networks

NHS RightCare targets back pain

NHS RightCare has launched an initiative to improve the diagnosis and treatment of back pain.

10:30 – Mon 03 Dec 2018

Nursing charity launches report on care for homeless

The Queen’s Nursing Institute (QNI) has published a report on homelessness.

10:47 – Mon 03 Dec 2018

Government joins campaign to fight HIV and AIDS

Development secretary Penny Mordaunt and health secretary Matt Hancock have put their name to an article on the importance of raising our global support for HIV and AIDS prevention and care.

14:07 – Wed 05 Dec 2018

100,000 whole genomes sequenced in the NHS

The 100,000 Genomes Project has sequenced 100,000 whole genomes, helping to improve diagnosis and treatment for patients with rare diseases and cancer.

16:24 – Thu 06 Dec 2018

Final report from the mental health review

The independent review of the Mental Health Act 1983 has set out recommendations for government on how the act and associated practice needs to change.

16:23 – Thu 06 Dec 2018

Effective negotiation: tapping in to your natural resources

Successful negotiation is a tool used by all successful professionals, not a skill for special situations. This workshop promises to increase your awareness of negotiation, helping you to use it more effectively.

16:26 – Thu 06 Dec 201

UK-wide workforce planning needed to avert NHS staffing crisis, says GMC

Another report predicting a crisis in the medical workforce blames years of poor planning and warns that an already difficult situation could be compounded by Brexit.

16:25 – Thu 06 Dec 2018

Government review to improve the lives of autistic children

The government will collect evidence from autistic children, their families and their carers on how to improve the support they get.

16:28 – Thu 06 Dec 2018

Children’s and young people’s experiences of loneliness: 2018

Analysis of children’s and young people’s views, experiences and suggestions to overcome loneliness, using in-depth interviews, the Community Life Survey 2016 to 2017 and Good Childhood Index Survey, 2018.

10:50 – Mon 10 Dec 2018

Mental health nurses and paramedics to halve hospital admissions

Thousands of Londoners experiencing a mental health crisis will be sent a specialist nurse and a paramedic in a car on blue lights.

11:50 – Fri 07 Dec 2018

NHS England advertises evening and weekend GP appointments

NHS England has launched a national campaign advertising the availability of evening and weekend appointments in general practice.

11:49 – Fri 07 Dec 2018

Never too busy to learn: how the modern team can learn together in the busy workplace

This report, supported by Health Education England, helps healthcare teams make the most of daily learning opportunities in the workplace.

10:53 – Mon 10 Dec 2018

Wheelchair services data collection: quarter two 2018/19 dataset published

Wheelchair data for July to September 2018 is now available for CCGs to review their performance.

10:58 – Mon 10 Dec 2018

Innovative heart procedure will extend lives of patients with faulty heart valve

Up to 400 patients each year are set to benefit from the procedure being made available more widely.

14:14 – Today

Clarity, openness and trust: Avoiding contract disputes

No-one wants to reach a point where conflict resolution between commissioner, contract manager and provider is necessary. Constructive relationships are vital for the successful provision of high quality services that…

14:23 – Today

Benefits of digital technology in maternity services

A new report shows for the first time how digitally savvy maternity services in England are – and aims to drive up the better use of technology.

14:20 – Today


BBC News

Xanax addiction rises sharply in children

6 December 2018

From the section Health

Full article Xanax addiction rises sharply in children

Push to take up ‘well-matched’ flu jab

9 December 2018

From the section Health

Full article Push to take up ‘well-matched’ flu jab

‘Scales help fight festive weight gain’

Researchers said self-weighing and other simple tips were effective at helping to beat the Christmas bulge.

9 hours ago

From the section Health

Puzzle solving ‘won’t stop mental decline’

A new study suggests that doing intellectual activities throughout life is best.

11 December 2018

From the section Health


NHS Digital

Health survey reveals association between parent and child obesity

Tuesday 4 December 2018

Children of obese parents are more likely to be obese themselves than children whose parents are not overweight or obese, according to NHS Digital figures released today.

New UK Health Data Research Alliance to boost medical research and improve future health and care

Monday 3 December 2018

An exciting new alliance will bring the UK’s leading academics together with forward thinking health data specialists, to develop new ways to design and support the medical research of the future, to improve the care patients receive from the NHS.

Insight into digital uptake in maternity services aims to bring benefits of technology to mums

Monday 10 December 2018

A new report shows for the first time how digitally ‘savvy’ maternity services in England are – and aims to drive up the better use of technology.

Week Commencing  26 November 2018

Current Awareness Bulletin

Document of the week

Cycling and walking for individual and population health benefits: A rapid evidence review for health and care system decision-makers

Addressing the question “What is the impact of walking and/or cycling on different health outcomes?” this evidence review is the latest addition to the Everybody active, every day evidence series.

Source: PHE

Unfinished business: An assessment of the national approach to improving cancer services in England 1995–2015

This report looks at progress in cancer care over two decades. It finds that progress has been made on reducing mortality, and improving the chances of survival and the experience of care, for people in England diagnosed with cancer. However, despite persistent ambitions to be the best in Europe and the world, the gap in survival rates has not been closed. The report sets out recommendations to help close the gap in survival between England and other comparable countries.

Source: The Health Foundation

Survival differences with immediate versus delayed chemotherapy for asymptomatic incurable metastatic colorectal cancer

Source: Cochrane Database of Systematic Reviews; 2018:11

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

Source: Cochrane Database of Systematic Reviews; 2018:11

Omega6 fats for the primary and secondary prevention of cardiovascular disease

Source: Cochrane Database of Systematic Reviews; 2018:11

Routine use of a mechanical compression device is no better than manual chest compression in cardiac arrest

This Cochrane systematic review included 11 trials comparing manual CPR with that provided by mechanical devices for 12,944 people with out-of-hospital or in-hospital cardiac arrest. It found that compared with manual compression, mechanical chest compression does not improve survival rates after cardiac arrest. However, in situations where manual compression may be difficult, such as in a moving ambulance, mechanical compression may still be an option.

Source: NIHR Signals

Oral isotretinoin for acne

Source: Cochrane Database of Systematic Reviews; 2018:11

Steroids rapidly reduce children’s croup symptoms and shorten hospital stays

Croup, or laryngotracheobronchitis, is a common childhood respiratory condition, characterised by the sudden onset of a seal-like barking cough, often accompanied by high-pitched wheezing, a hoarse voice, and difficulty breathing. Although it has long been recognised that corticosteroids provide some clinical benefit for children with croup, many children don’t receive them, and there is continued medical debate in the timing of their use in this context. This updated Cochrane systematic review found that corticosteroids reduce symptoms of croup in children within two hours and continue to do so for at least 24 hours.

Source: NIHR Signals

Teens who eat meals with family ‘have healthier diets’

Source: Behind the Headlines

Health visitor service delivery metrics and outcomes: metric and outcome definitions

Reports on the metric and outcome definitions used to describe the universal activity of health visitors, and response to feedback on the metric definitions.

Source: PHE

Mental health of children and young people in England, 2017

This survey collected information from 9,117 children and young people and combines information – depending on their age – from children and young people or their parents and teachers. It found that one in eight (12.8 per cent) of children and young people aged between five and 19, surveyed in England in 2017, had a mental disorder. Mental disorders were grouped into four broad categories – emotional, behavioural, hyperactivity and other less common disorders.

Source: NHS Digital

Children’s mental health briefing

It finds that CAMHS are improving in most areas of the country, but the rate of improvement is highly variable and the increase in capacity is not keeping pace with increasing demand. There is still a vast gap between what is provided and what is needed to get help to all the children who require it.

Source: Children’s Commissioner for England

Mental health stigma in schools: helping young people access support

Comment on a recent systematic review of qualitative evidence on stigma related to targeted school-based mental health interventions. The review provides some interesting findings and useful strategies, given the recent UK government announcement that they are backing plans to make specialist mental health provision available in schools.

Source: The Mental Elf

Tackling gambling related harm – a whole council approach

Harmful gambling is increasingly cited as a public health issue which requires a broad response; that is to say, traditional approaches that focus on single interventions do not tend to work at a population level. This publication provides an overview of problem gambling, and how councils can begin to try to help local residents who are impacted by it.

Source: Local Government Association

Investigating recent developments in the commissioning system: final report

There is now a more complex local landscape of organisations all of which need to be involved in the planning of local services; and clinical commissioning groups (CCGs) need to be able to find ways to engage with them effectively. This project investigated the initial stages of this process. The questions addressed by the research were: how are CCG internal processes of decision making changing?; what is the role of the individual CCG in the current commissioning landscape?; how is accountability maintained by CCGs in the current commissioning landscape?; how is competition and the current pricing regime relevant to CCGs’ commissioning decisions?; and how should commissioning develop?

Source: Policy Research Unit in Commissioning and the Healthcare System

 Unique point of care blood test speeds up clinical decision-making, improves quality of care and reduces costs

The Oxford AHSN study found the device speeded up prescribing decisions in three-quarters of cases involving common childhood illnesses such as fever and abdominal pain. Wider application has been demonstrated and NHS organisations are now investing in the devices. They are contributing to streamlining diagnostic pathways in the community for frail elderly patients, enabling more care closer to home and easing pressure on A&E departments.

Source: Oxford Academic Health Science Network

Hepatitis C: patient re-engagement exercise

Information for GPs about the NHS England and Public Health England initiative to support finding and treating diagnosed patients.

Source: PHE 

HIV in the United Kingdom: 2018 report

The new report from PHE shows that prevention efforts to end the HIV epidemic in the UK are working, but with 8% are still unaware of their infection.

Source: PHE

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

Source: Cochrane Database of Systematic Reviews; 2018:11

Omega6 fats for the primary and secondary prevention of cardiovascular disease

Source: Cochrane Database of Systematic Reviews; 2018:11

Breast screening programme: supporting women with learning disabilities

Information for health professionals to support women with learning disabilities to access breast screening.

Source: PHE

Alcohol drinking patterns and liver cirrhosis risk: analysis of the prospective UK Million Women Study

Simpson RF; Lancet Public Health; Online first; November 21, 2018

This study aimed to investigate the associations between alcohol consumption with meals, daily frequency of consumption, and liver cirrhosis. Findings showed that in middle-aged women, cirrhosis incidence increases with total alcohol intake, even at moderate levels of consumption. For a given weekly intake of alcohol, this excess incidence of cirrhosis is higher if consumption is usually without meals, or with daily drinking.

Contributions of diseases and injuries to widening life expectancy inequalities in England from 2001 to 2016: a population-based analysis of vital registration data

Bennett JE; Lancet Public Health; Online first; 22 November 2018

This study aimed to investigate how much deaths from different diseases and injuries and at different ages have contributed to the rise in life expectancy inequalities in England. It found that inequalities are driven by a diverse group of diseases that can be effectively prevented and treated.

New treatment for multiple sclerosis has promising initial results

Source: Behind the Headlines

Baclofen for alcohol use disorder

Source: Cochrane Database of Systematic Reviews; 2018:11

Community mental health survey 2018

This survey of more than 12,000 people looks at the experiences of those receiving community mental health services. It finds that people’s experiences of the care they receive from community-based mental health services have continued to deteriorate, highlighting concerns around access to care, care planning and support for people with mental health conditions in relation to physical health needs, financial advice or benefits.

Source: Care Quality Commission

Right treatment, right time

This survey of over 1,600 people on their experiences of care and treatment shows that people severely affected by mental illness are often waiting longest for treatment and receiving the worst care. This report sets out a clear picture of the significant gap in access to health services for people severely affected by mental illness. It found that: 28 per cent were not referred to an appropriate service by their GP; 56 per cent did not receive treatment in the appropriate time; and 51 per cent found they did not receive treatment for a sufficient and appropriate length of time.

Source: Rethink Mental Illness (via King’s Fund)

Policing and mental health: picking up the pieces

This report finds that police officers are increasingly being used as the service of default in responding to people with mental health problems. Whilst the police service is doing a good job in difficult circumstances, there are concerns over whether the police should be involved in responding to mental health problems at the current level.

Source: Her Majesty’s Inspectorate of Constabulary and Fire & Rescue Services

Do you have my back? Perceived social support, loneliness, and its impact on mental health outcomes

Comment on a recent systematic review on the associations between loneliness and perceived social support and outcomes of mental health problems.

Source: The Mental Elf

Mortality Review Tool

This tool and supporting guidance has been developed to support mental health trusts in securing learning through reviewing the deaths of patients who are or have recently been under their care. It focuses on patients with severe mental illness and on four ‘red-flag’ scenarios, including where concerns have been raised by families and carers or where patients have experienced psychosis or had an eating disorder.

Source: Royal College of Psychiatrists

Trajectories of change in childhood obesity prevalence across local authorities 2007/08–2015/16: a latent trajectory analysis

Viner RM; Journal of Public Health; Advance article; 22 November 2018

This study investigated differing trajectories of childhood obesity prevalence amongst English local authorities (LAs). It found that the prevalence of childhood obesity in LAs in England follow a small number of differing trajectories that are influenced by LA deprivation and ethnic composition.

Cycling and walking for individual and population health benefits: A rapid evidence review for health and care system decision-makers

Addressing the question “What is the impact of walking and/or cycling on different health outcomes?” this evidence review is the latest addition to the Everybody active, every day evidence series.

Source: PHE

Temporal trends in use of tests in UK primary care, 2000-15: retrospective analysis of 250 million tests

O’Sullivan JW; BMJ 2018;363:k4666

This study concluded that total test use has increased markedly over time, in both sexes, and across all age groups, test types (laboratory, imaging, and miscellaneous) and for 40 of 44 tests specifically studied. Patients in 2015/16 had on average five tests per year, compared with 1.5 in 2000/1.

UK physician associate primary care placements: staff and student experiences and perceptions

Hoggins R; International.Journal of Medical Education; Oct 2018; Vol 9; p286-292

In this qualitative study, set in GP practices in East Sussex, participants were positive about their experiences however students expressed a number of anxieties and practice staff demonstrated an overall lack of knowledge of the curriculum and physician associates in general, leading to a risk of unrealistic expectations.

Hepatitis C: patient re-engagement exercise

Information for GPs about the NHS England and Public Health England initiative to support finding and treating diagnosed patients.

Source: PHE

Web-based insomnia programme available free to all adults in the Thames Valley

An online support programme to improve sleep is being offered free to over two million adults living in Berkshire, Buckinghamshire, Oxfordshire and Milton Keynes. A major study led by the University of Oxford and published in the JAMA Psychiatry journal in September 2018 found Sleepio led to improved sleep and, importantly, the knock-on health benefits. It also showed that Sleepio could be effective across a large population. The Thames Valley Sleepio project is a one-year pilot led by the Oxford AHSN which aims to find the best ways to help people access digital medicine through partnering with stakeholders such as GPs, pharmacies, libraries and employers.

Source: Oxford Academic Health Science Network

Steroids rapidly reduce children’s croup symptoms and shorten hospital stays

Croup, or laryngotracheobronchitis, is a common childhood respiratory condition, characterised by the sudden onset of a seal-like barking cough, often accompanied by high-pitched wheezing, a hoarse voice, and difficulty breathing. Although it has long been recognised that corticosteroids provide some clinical benefit for children with croup, many children don’t receive them, and there is continued medical debate in the timing of their use in this context. This updated Cochrane systematic review found that corticosteroids reduce symptoms of croup in children within two hours and continue to do so for at least 24 hours.

Source: NIHR Signals

Respiratory disease mortality in the United Kingdom compared with EU15+ countries in 1985-2015: observational study

Salciccioli JD; BMJ 2018;363:k4680

Mortality from overall respiratory disease was higher in the UK than in EU15+ countries between 1985 and 2015. In the UK, the age standardised death rate (deaths per 100 000 people) for respiratory disease mortality in the UK fell from 151 to 89 for men and changed from 67 to 68 for women. In EU15+ countries, the corresponding changes were from 108 to 69 for men and from 35 to 37 in women. The UK had higher mortality than most EU15+ countries for obstructive, interstitial, and infectious subcategories of respiratory disease in both men and women.

HIV in the United Kingdom: 2018 report

The new report from PHE shows that prevention efforts to end the HIV epidemic in the UK are working, but with 8% are still unaware of their infection.

Source: PHE

The lives we want to lead: findings, implications and recommendations on the LGA green paper for adult social care and wellbeing

In July 2018, the LGA published The lives we want to lead a Green Paper for adult social care and wellbeing. This report outlines the findings of this consultation and their implications for social care. It also sets out recommendations to government for achieving two key objectives: stabilising and sustaining the here and now; and moving towards a system that could be better.

Source: Local Government Association

Independent evaluation of The Guinness Partnership’s dementia project

A report on the progress made by the social housing provider in becoming a more dementia-friendly organisation in order to better meet the needs of its customers living with dementia.

Source: Housing LIN

Sense of coherence and mental health of caregivers: a systematic review and meta-analysis

Comment on a systematic review and meta-analysis of studies reporting on the association between informal carers’ sense of coherence, caregiver burden and mental health outcomes.

Source: The Social Care Elf

Intravenous oxytocin reduces severe bleeding after vaginal delivery

Bleeding after delivery, postpartum haemorrhage (PPH), is the second highest cause of direct maternal death in the UK. This RCT, carried out in a single maternity unit in the Republic of Ireland, randomised 1,075 women to receive either intravenous or intramuscular oxytocin after giving birth. It found that routine oxytocin injected directly into the bloodstream, rather than into the muscle, after birth results in fewer people suffering severe PPH. The overall rate of PPH or side effects was similar between the groups, but the intravenous group had fewer severe haemorrhages, needed fewer blood transfusions and fewer admissions to high dependency care. Intramuscular route oxytocin is currently recommended in the UK.

Source: NIHR Signals

Safety concerns raised over breast implants

Source: BBC Health News

A vision for population health: towards a healthier future

This report sets out an overarching vision for improving population health, with recommendations for action.

Source: The King’s Fund

Briefing: The nation’s health as an asset: Building evidence on the social and economic value of health

Despite improvements in life expectancy slowing and health inequalities widening, societal goals are still described in terms of income, employment and economic growth, rather than in terms of people’s health. This briefing argues for more action on the strategies that help people stay healthy. Good health has value in its own right and it also creates value. Put simply, health should be viewed as an asset that is worth investing in for our society to prosper.

Source: The Health Foundation

The Climate Change Act: 10 years on

Source: Public Health Matters

Leadership in integrated care systems

This paper, aimed at chief executives, directors and senior managers from the NHS, local authorities, housing organisations and voluntary and community sector, is based on findings from interviews with systems leaders and a review of the literature. The NHS Leadership Academy commissioned SCIE to undertake this research to further expand the understanding of systems leadership and leadership of integrated care systems. (Free registration is required to access this document)

Source: SCIE

Empowering NHS leaders to lead

This review was led by Sir Ron Kerr and explored three challenges faced by executive leaders across the NHS: expectations and support available for leaders; alignment of performance expectations at the organisational and system level; and level of administrative burden placed upon executive leaders.

Source: DHSC

King’s Fund

A vision for population health: Towards a healthier future

We need to move away from a system just focused on diagnosing and treating illness towards one that is based on promoting and preventing ill health.  Our report sets out a new vision of population health.

27 November 2018

NHS England

Partners of new mums with mental illness set to get targeted support on the NHS

New and expectant fathers will be offered mental health checks and treatment under radical action to support families, NHS England chief executive Simon Stevens announced today (2 December 2018). In the landmark move, the partners of pregnant women and new mothers who are themselves suffering from anxiety, depression or more severe disorders such as psychosis […]

3 December 2018

Very low calorie diets part of NHS action to tackle growing obesity and Type 2 diabetes epidemic

30 November 2018

Hundreds of thousands of people will receive NHS help to battle obesity and Type 2 diabetes under radical action set out by Simon Stevens, Chief Executive of NHS England, today. Very low calorie diets that have been shown to put Type 2 Diabetes in remission in those recently diagnosed with the condition will be trialled […]

GPs stopped from prescribing gluten free pizzas, cakes and biscuits

28 November 2018

NHS England will today consider guidance to GPs about a ban on gluten free pizzas, cakes and biscuits and set out plans to curb other low priority items such as silk garments and bath oils in moves that could save almost £70 million a year. NHS England has already ordered an end to the routine […]

Gov.uk

 

Abortion statistics for England and Wales: 2017

3 December 2018

DHSC

National Statistics

Part of a collection: Abortion statistics in England and Wales

 

Cardiovascular disease prevention: action plan

3 December 2018

PHE

Guidance

 

Notification of tobacco or herbal products for smoking

30 November 2018

PHE

Guidance

Part of a collection: Tobacco and smoking: policy, regulation and guidance

 

Continuity of care for prisoners who need substance misuse treatment

30 November 2018

PHE

Guidance

Part of a collection: Alcohol and drug misuse prevention and treatment guidance

 

HIV: North East annual data spotlight

29 November 2018

PHE

Research and analysis

Part of a collection: HIV: surveillance, data and management

 

Guidance for drug and alcohol treatment providers and clients

29 November 2018

PHE

Guidance

Part of a collection: Alcohol and drug misuse treatment core dataset collection guidance

 

HIV in the United Kingdom

29 November 2018

PHE

Research and analysis

Part of a collection: HIV: surveillance, data and management

 

NCSP: standards

28 November 2018

PHE

Guidance

Part of a collection: Chlamydia: surveillance, data, screening and management and National Chlamydia Screening Programme (NCSP)

 

Mortality Profile: indicator updates

28 November 2018

PHE

Guidance

 

Health visitor service metrics and outcomes definitions from CSDS

28 November 2018

PHE

Research and analysis

 

Health visitor service delivery metrics: 2017 to 2018

28 November 2018

PHE

Research and analysis

Part of a collection: Child and maternal health statistics

 

Health visitor service delivery metrics: 2018 to 2019

28 November 2018

PHE

Research and analysis

Part of a collection: Child and maternal health statistics

 

Health visitor service delivery metrics 2016 to 2017

28 November 2018

PHE

Research and analysis

Part of a collection: Child and maternal health statistics

 

NHS Health Check quarterly statistics: November 2018

28 November 2018

PHE

Official Statistics

 

Sustainability in Public Health England (PHE)

28 November 2018

PHE

Corporate report

Part of a collection: Sustainability and public health: a guide to good practice

ONS

Household projections for England – household type projections: 2016-based

3 December 2018 (confirmed)

Deaths registered by area of usual residence, UK: 2017

30 November 2018 (confirmed)

Excess winter mortality in England and Wales: 2017 to 2018 (provisional) and 2016 to 2017 (final)

30 November 2018 (confirmed)

Long-term international migration estimates: 2017

29 November 2018 (confirmed)

Migration Statistics Quarterly Report: November 2018

29 November 2018 (confirmed)

Population by country of birth and nationality, July 2017 to June 2018

29 November 2018 (confirmed)

Personal well-being in the UK: July 2017 to June 2018

28 November 2018 (confirmed)

Working and workless households in the UK: July to September 2018

28 November 2018 (confirmed)

NHS Networks

Patient activation is more than just a measure for Sheffield GP tackling long term conditions

Sheffield GP Ollie Hart is disarmingly frank in acknowledging the potential shortcomings in his own attempts to personalise the care of patients with long term conditions.

10:50 – Mon 03 Dec 2018

Monthly announcement of national dementia diagnosis rate

National dementia diagnosis rates (DDR) for September and October 2018 can be found on the NHS Digital website.

10:46 – Mon 03 Dec 2018

NHS RightCare targets back pain

NHS RightCare has launched an initiative to improve the diagnosis and treatment of back pain.

10:30 – Mon 03 Dec 2018

Very low calorie diets to tackle obesity and type 2 diabetes epidemic

Hundreds of thousands of people will receive NHS help to battle obesity and type 2 diabetes, according to NHS England.

12:20 – Fri 30 Nov 2018

Decline in hospital admissions for drug-related mental and behavioural disorders

Hospital admissions for drug-related mental and behavioural disorders in England dropped by 4% in a year – from 7,545 in 2016/17 to 7,258 in 2017/18, according to new figures published today by NHS Digital.

12:19 – Fri 30 Nov 2018

Latest mental health services statistics

NHS Digital has published statistics on people who have been referred for treatment or assessment with mental health services in England.

12:18 – Fri 30 Nov 2018

Nearly 7,000 children and young adults with type 2 diabetes

According to figures published by Diabetes UK, 6,836 children and young adults have been reported to have type 2 diabetes in England and Wales – only around 10% of which are receiving care in paediatric diabetes units.

09:54 – Thu 29 Nov 2018

New mental health support for mothers

NHS England has published information about mental health services for mothers, their families and people who care for them.

16:18 – Wed 28 Nov 2018

King’s Fund stresses value of prevention

A new report from the King’s Fund echoes the health and social care secretary’s recent observations that NHS strategy needs to focus more on wellbeing and prevention of ill health and less on the diagnosis and treatment of illness.

16:15 – Wed 28 Nov 2018

Children’s mental health briefing

A report from the children’s commissioner concludes that child and adolescent mental health services are improving in most areas in the country, but still patchy and changing too slowly.

16:13 – Wed 28 Nov 2018

New cervical screening figures released

NHS Digital has published data on cervical screening coverage for 2017/18.

16:11 – Wed 28 Nov 2018

National adult asthma audit programme

The national adult asthma audit launched on the 1 November 2018 across England, Scotland and Wales. To date, 156 hospitals have registered to participate.

Ambulatory emergency care could relieve winter pressures

A report from the Society of Acute Medicine calls on the government and NHS leaders to realise urgently the potential of ambulatory emergency care.

12:29 – Tue 27 Nov 2018

Local government green paper

The Local Government Association has published the results of a consultation on its green paper on adult social care, which was published in July.

12:28 – Tue 27 Nov 2018

BBC News

Not enough evidence for energy drink ban

04 December 2018

‘Excess winter deaths highest in 40 years’

30 November 2018

From the sectionHealth

Why the world is becoming more allergic to food

03 December 2018

Six key questions Brexit poses for the NHS

29 November 2018

How do we incentivise people to be healthier?

28 November 2018

NHS Digital

Health Survey for England 2017 [NS]

04 December 2018

The Health Survey for England (HSE) monitors trends in the nation’s health and care. It provides information about adults aged 16 and over, and children aged 0 to 15, living in private households in England. The survey is used to monitor overweight and obesity and to estimate the proportion of people…

 

Prescribing Costs in Hospitals and the Community, England 2017/18

30 Nov 2018

Revised 30 November 2018 – A correction has been made to this publication on 30 November 2018.This amendment relates to statistics for the overall cost of medicines at list price used in hospitals, before any discounts, for the latest 3 years as they were considerably overstated. This also impacted…

 

Mental Health Bulletin 2017-18 Annual Report

29 Nov 2018

This publication provides the most detailed picture available of people who used NHS funded secondary mental health, learning disabilities and autism services in England during the financial year 2017-18.

 

Statistics on Drug Misuse, England, 2018 (November update)

29 Nov 2018

This report presents a range of information on drug use by adults and children drawn together from a variety of sources. It focuses on England only where possible although some statistics are only readily available at GB or UK level or for England and Wales combined. Some of this is new information whilst…

 

Cervical screening programme 2017-18 [NS]

27 Nov 2018

Cervical screening programme 2017-18 [NS]

Week Commencing  19 November 2018

Current Awareness Bulletin

Telemedicine programme can prolong life for heart failure patients

A year-long study of 1,571 patients who had been admitted to hospital with heart failure within the past 12 months found that those assigned to daily telemonitoring, monthly health education and telephone support from specialist staff, were 30% less likely to die than those assigned to usual care. This group also spent around a third fewer days in hospital.

Source: NIHR Signals

Probiotics for treating eczema

Source: Cochrane Database of Systematic Reviews; 2018:11

Childhood Immunisation CCG/GP Practice level coverage statistics 2017-18 (Management Information)

This reports annual childhood vaccination data for England in 2017-18 and relates to routine vaccinations offered to all children up to the age of 5-years. Data are intended to raise awareness of and improve national, STP, CCG and GP practice childhood vaccination coverage rates.

Source: NHS Digital

Evidence-based early years intervention

This report calls on the government to draw up a new national strategy for early intervention approaches to address childhood adversity and trauma. It urges the government to capitalise fully on the opportunity that early intervention provides to transform the lives of those who suffer adversity in childhood, while also saving long-term costs for government. The report identifies examples of early intervention working well around the country, but also the challenges that local authorities and their partners currently face in delivering effective, evidence-based early intervention.

Source: House of Commons Science and Technology Committee (via King’s Fund)

Letting Local Systems Lead: How the NHS Long Term Plan can deliver a Sustainable NHS

This paper sets out the findings from a survey of senior leaders which sought a frank assessment of where local health and care systems currently are and what the key issues are that the NHS long-term plan needs to address.  It highlights NHS leaders’ views about a series of issues that considered critical to embedding system working in local areas, and to consider how these relate to ongoing policy discussions about STP/ICS implementation.

Source: NHS Confederation

Health matters: air pollution

Long-term exposure to air pollution reduces life expectancy by increasing deaths from cardiovascular and respiratory conditions, and from lung cancer. This edition of Health matters discusses how local authorities, supported by national policies, have an important role in assessing and improving local air quality – and how the cumulative effects of local action can be significant. It will be of particular value to local authority commissioners, directors of public health, environmental health officers, CCGs and health professionals.

Source: PHE

Shooting Up: infections among people who inject drugs in the UK

Updated for 2018, the Shooting Up report, data tables and briefing provide an overview of infections among people who inject drugs (PWID) in the UK.

Source: PHE

Insulin pumps offer little value over multiple injections for children at the onset of diabetes

This study found that young people newly diagnosed with type 1 diabetes achieved similar blood glucose control by 12 months if treated with multiple daily insulin injections or continuously via an insulin pump. Adverse events were rare and occur at similar rates. However, continuous insulin may be more convenient for some, particularly younger children, or later in their diabetes. Current guidelines recommend that multiple injections are considered first, with a switch to an insulin pump if these injections are inappropriate.

Source: NIHR Signals

Rotating night shift work and adherence to unhealthy lifestyle in predicting risk of type 2 diabetes: results from two large US cohorts of female nurses

Shan Z; BMJ 2018;363:k4641

A prospective cohort study to evaluate the joint association of duration of rotating night shift work and lifestyle factors with risk of type 2 diabetes risk, and to quantitatively decompose this joint association to rotating night shift work only, to lifestyle only, and to their interaction.

Omega‐3 fatty acid addition during pregnancy

Source: Cochrane Database of Systematic Reviews; 2018:11

Probiotics for treating eczema

Source: Cochrane Database of Systematic Reviews; 2018:11

Food sources of fructose-containing sugars and glycaemic control

Choo VL; BMJ 2018;363:k4644

A systematic review and meta-analysis of controlled intervention studies to determine the effect of food sources of fructose-containing sugars at different levels of energy control on glycaemic control in people with and without diabetes.

Overwhelming public support for sugar and calorie reduction

A survey from Public Health England (PHE) found that around 9 in 10 people support the government working with the food industry to make food healthier.

Source: PHE

Low-carb diet ‘could increase long-term weight loss’

Analysis of media reports on a weight loss trial recently published in the BMJ.

Source: Behind the Headlines

The effect of socioeconomic deprivation on the association between an extended measurement of unhealthy lifestyle factors and health outcomes: a prospective analysis of the UK Biobank cohort

Foster HME; Lancet Public Health; Online first 19 November 2018

Combinations of lifestyle factors interact to increase mortality. Combinations of traditional factors such as smoking and alcohol are well described, but the additional effects of emerging factors such as television viewing time are not. The effect of socioeconomic deprivation on these extended lifestyle risks also remains unclear. This study aimed to examine whether deprivation modifies the association between an extended score of lifestyle-related risk factors and health outcomes.

Reducing health inequalities in England: does the demise of NHS Stop Smoking Services matter? Analysis of mandatory monitoring data

McLeod H; Journal of Public Health; Advance article 14 November 2018

The English health inequalities strategy (1999–2010) sought to reduce health inequalities, by, in part, instigating NHS Stop Smoking Services (SSS), initially targeted in deprived ‘Spearhead’ localities. This study assesses the performance of SSS, in light of its role supporting the strategy, which evidence suggests achieved a reduction in health inequalities.

The nation’s health as an asset: Building the evidence on the social and economic value of health

This briefing makes the case for the nation’s health to be viewed as an asset that requires long-term investment for our society to prosper. It discuses the social and economic value of maintaining and improving people’s health and reducing health disparities?

Source: Health Foundation

Cognitive behavioural therapy plus standard care versus standard care plus other psychosocial treatments for people with schizophrenia

Source: Cochrane Database of Systematic Reviews; 2018:11

Cognitive behavioural therapy may not work for people with schizophrenia who haven’t completely responded to drug treatment

Cognitive behavioural therapy does not improve residual symptoms for people taking clozapine for schizophrenia. Clozapine is the gold-standard antipsychotic that is used when others have not worked. This NIHR-funded UK trial included 487 adults who had been taking clozapine for on average five years but were still symptomatic. Participants received either weekly cognitive behavioural therapy for nine months alongside usual treatment for schizophrenia or usual treatment alone.

Source: NIHR Signals

Preventing mental illness, at long last

Comment on a new BMA report entitled: “Tackling the Causes – promoting public mental health and investing in prevention”.

Source: The Mental Elf

Mental Health Act detentions are increasing, but why?

Comment on a study containing data on the use of the Mental Health Act in England over the last 30 years, which points to an inexorable rise in involuntary admissions.

Source: The Mental Elf

Preventing psychosis: no one intervention is better than the rest

Summary of a recent network meta-analysis that highlights a lack of evidence about specific interventions for preventing psychosis.

Source: The Mental Elf

Genetic links between depression and obesity explored

Analysis of media reports on a genetic variation study looking into the direct effect of obesity on depression, removing the effect of other lifestyle and health factors. The researchers looked at the DNA of around half a million adults with white European ancestry in the UK.

Source: Behind the Headlines

Age is just a number: views among people aged 50 and over in the English Longitudinal Study of Ageing

Analysis of the most recent data from the English Longitudinal Study of Ageing (ELSA) shows that across the whole sample of more than 6,000 people aged 50 and over in England, 60 per cent saying that growing older is a positive experience. However there are large and consistent differences by socioeconomic status.

Source: Centre for Ageing Better

Effects and costs of implementing predictive risk stratification in primary care: a randomised stepped wedge trial

Snooks H; BMJ Quality & Safety; Online first November 2018

This study aimed to evaluate the costs and effects of introducing an emergency admission risk prediction tool (PRISM) within primary care in urban South Wales. Introduction of PRISM resulted in a statistically significant increase in emergency hospital admissions and use of other NHS services without evidence of benefits to patients or the NHS.

Impact of London’s low emission zone on air quality and children’s respiratory health: a sequential annual cross-sectional study

Mudway IS; Lancet Public Health; Online first 14 November 2018

Low emission zones (LEZ) are an increasingly common, but unevaluated, intervention aimed at improving urban air quality and public health. This study investigated the impact of London’s LEZ on air quality and children’s respiratory health.

Smoking in the home: New solutions for a Smokefree Generation

This report considers the impact of smoking in the home and what policy measures could be taken across all housing tenures to reduce its prevalence, with the aim of protecting children and adults and supporting healthy communities. It calls for collaboration between partners including housing, public health, environmental health, trading standards and the fire service to address the harms from smoking and intervene in communities with the highest rates of smoking.

Source: ASH

Call to Action: a series of practical resources to support health and social care staff to reduce delayed transfers of care

These guides are aimed to help health and social care colleagues to take prompt practical actions and use every opportunity to prevent delayed transfers of care. Through using these guides, health and social care staff can address the evidence that staying in hospital for longer than required drives adverse outcomes for patients.

Source: NHS England

Priorities for adult social work research

This report sets out the top ten priorities for adult social work research. It aims to help make sure future research answers the questions that are important to social workers and those who are in contact with them. The priorities cover a broad range of themes and issues for adult social workers which will help to improve understanding of the approaches and interventions that work and why.

Source: DHSC

Omega‐3 fatty acid addition during pregnancy

Source: Cochrane Database of Systematic Reviews; 2018:11

Maternity DMA report: digital maturity assessment of maternity services in England

The analysis contained in this report provides an overview across the country of the progress maternity services are making in obtaining the benefits associated with adopting digital technology. The outputs of the assessment will help individual organisations to identify key strengths and gaps in their provision of digital services.

Source: NHS England

Community-centred practice: applying All Our Health

Information for front-line staff to adopt community-centred ways of working that help improves the health and wellbeing of the most marginalised communities.

Source: PHE

Health on the High Street: Running on Empty 2018

This updated research looks at the health impact of a range of high street outlets – extending a 2015 analysis to include vape shops, convenience stores, off-licences, cafes, and empty shops – and used this measure to rank Britain’s major towns and cities by the impact of their high streets on the public’s health and wellbeing. A key finding was around the proliferation of empty shops on Britain’s high streets – their clustering in more deprived areas, and the negative impact they can have on community wellbeing. The report makes a number of recommendations.

Source: Royal Society of Public Health

Predictive prevention and the drive for precision public health

Digital engagement is a sophisticated approach that is widely and effectively used in other sectors to connect people with the services and products they are most likely to want and need. The PHE blog considers how this technology can be harnessed in public health.

Source: Public Health Matters

The health care workforce in England: Make or break?

In advance of the publication of the NHS long-term plan, the Health Foundation, The King’s Fund and the Nuffield Trust have developed this joint briefing which highlights the scale of workforce challenges now facing the health service and the threat this poses to the delivery and quality of care over the next 10 years.

Source: Health Foundation/King’s Fund/Nuffield Trust

Safe and active at all ages: a national strategy to prevent serious accidental injuries in England

The strategy advocates a public health approach to accident prevention and shows how action by a wide range of local and national players could deliver reductions in accident rates and the associated injury burden. Importantly, it recognises the links between accident prevention and other issues on the public health agenda and highlights how programmes that seek to reduce accidental injury can also support healthy activity and other indicators of wellbeing.

Source: RoSPA

How can businesses contribute to people’s health?

This short guide highlights some of the ways that any business can be a force for good by having a positive impact on the health of society.

Source: Health Foundation

Skills for Health

The first in our pop-up series – ‘Are You Really Apprenticeship Ready?’

We’re extremely pleased to be launching the first in a new series of pop-up symposiums on Tuesday 8th January in collaboration with Skills for Health,…

Resilens – tools showcase 11th December

Realising European ReSiliencE for CritIcaL INfraStructure (RESILENS) is a 3-year project funded by the EU Commission under Horizon 2020. It aims to develop a user-friendly,…

Sport England

Improving LGBT experience of sport
As part of Rainbow Laces 2018, we give an update on our work in the LGBT sport and physical activity sector.
23 November 2018 #News#Active Nation

Crowdfunding Towards an Active Nation
We have partnered with Crowdfunder for a pilot scheme involving 23 Community Asset Fund projects.

NICE

Urinary tract infection (catheter-associated): antimicrobial prescribing

NICE guideline [NG113]  Published date: November 2018

The Kings fund

Shared responsibility for health: the cultural change we need

We believe that the relationship between the public and the NHS, and between patients and the staff who care for them, needs to be transformed. As well as ensuring that the resources (funding and workforce) needed to deliver care are available, national and local leaders must work to fully engage patients and the public in improving health and care.

NHS England

Recognising and acting on signs of ‘county lines’ child exploitation

21 November 2018

Children and young people

Mental health

Better Care Fund: quarterly performance report 2018/19

26 November 2018

Better Care Fund

Better Care Fund: 2018/19 planning data

26 November 2018

Better Care Fund

Vaccine ordering for 2019-20 influenza season: letters

22 November 2018

Medicine

Winter news and advice

Improving venous leg ulcer healing in the community

27 November 2018 By Leading Change, Adding Value Team

Nursing, midwifery and care

Quality Payments: Guidance for the February 2019 Review Point

27 November 2018

Commissioning

Pharmacy

Musculoskeletal (MSK) First Contact Practitioners Case Study: The Deepings Practice, Lincolnshire

26 November 2018

General practice

Primary care

Gov.uk

Breast screening programme: supporting women with learning disabilities

21 November 2018

PHE

Guidance

Part of a collection: Breast screening: professional guidance

Hepatitis C treatment monitoring in England

21 November 2018

PHE

Research and analysis

Part of a collection: Hepatitis C: guidance, data and analysis

NHS Dental Statistics for England – Quarter 1, 2018 to 2019

22 November 2018

NHS Digital

Official Statistics

Mental Health of Children and Young People in England 2017 [PAS]

22 November 2018

NHS Digital

Official Statistics

Norovirus and rotavirus: summary of surveillance 2018 to 2019

22 November 2018

PHE

Official Statistics

Part of a collection: Norovirus: guidance, data and analysis and Rotavirus: guidance, data and analysis

Everybody active, every day: framework for physical activity

22 November 2018

PHE

Research and analysis

Summary Hospital-level Mortality Indicator (SHMI) Deaths associated with hospitalisation, England, July 2017 – June 2018

22 November 2018

NHS Digital

Official Statistics

Environmental monitoring following the Grenfell Tower fire

22 November 2018

PHE

Research and analysis

Part of a collection: Grenfell Tower

22 November 2018

DHSC

Form

Voluntary reporting on disability, mental health and wellbeing

22 November 2018

DWP and DHSC

Guidance

Suspended and revoked licences and registrations for manufacturers and wholesalers of medicines and ingredients

22 November 2018

MHRA

Decision

Part of a collection: Licences to manufacture or wholesale medicines

Homelessness: duty to refer – for NHS staff

22 November 2018

DHSC

Guidance

VCSE health and wellbeing fund 2019 to 2020: how to apply

22 November 2018

DHSC

Form

Nuclear weapons test participants: epidemiological study

22 November 2018

PHE

Guidance

Part of a collection: Radiation epidemiology

Rubella: confirmed cases

23 November 2018

PHE

Research and analysis

Part of a collection: Rubella (German measles): guidance, data and analysis

Radiation workers and their health: national study

23 November 2018

PHE

Research and analysis

Part of a collection: Radiation epidemiology

Mumps: confirmed cases

23 November 2018

PHE

Research and analysis

Part of a collection: Mumps: epidemiology, surveillance and control

Bowel cancer screening: having a CT colonography (CTC) scan

23 November 2018

PHE

Promotional material

Part of a collection: Population screening programmes: leaflets and how to order them and Bowel cancer screening: commission, provide, inform

Ordinary residence: anonymised determinations 2018

23 November 2018

DHSC

Guidance

Part of a collection: Ordinary residence

Extension of HPV vaccination to boys: equality analysis

23 November 2018

DHSC

Research and analysis

Leadless cardiac pacemaker therapy: guidance from an MHRA Expert Advisory Group

23 November 2018

MHRA

Guidance

Controlled drug licensees: security advice and guidance

23 November 2018

Home Office

Guidance

Part of a collection: Drugs licensing

Measles: confirmed cases

23 November 2018

PHE

Research and analysis

Part of a collection: Measles: guidance, data and analysis

National reference laboratory for food microbiology: annual report

23 November 2018

PHE

Research and analysis

Part of a collection: UK national reference laboratory for food microbiology

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

23 November 2018

PHE

Research and analysis

Part of a collection: Health Protection Report: latest surveillance reports

Pertussis immunisation in pregnancy: vaccine coverage estimates (England)

23 November 2018

PHE

Research and analysis

Part of a collection: Health Protection Report: latest surveillance reports and Vaccine uptake guidance and the latest coverage data

Health Protection Report volume 12 (2018)

23 November 2018

PHE

Research and analysis

Herpes zoster (shingles) immunisation programme 2017 to 2018: evaluation report

23 November 2018

PHE

Research and analysis

Part of a collection: Vaccine uptake guidance and the latest coverage data

Tetanus: the green book, chapter 30

26 November 2018

PHE

Guidance

Part of a collection: Immunisation against infectious disease and Tetanus: guidance, data and analysis

Cervical screening programme 2017-18

27 November 2018

NHS Digital

Official Statistics

Local area SEND inspections: information for families

27 November 2018

Ofsted and CQC

Guidance

Cardiovascular disease prevention: cost-effective commissioning

27 November 2018

PHE

Guidance

ONS

Business demography: 2017

21 November 2018 (confirmed)

Business enterprise research and development, UK: 2017

21 November 2018 (confirmed)

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

22 November 2018 (confirmed)

Childbearing for women born in different years, England and Wales: 2017

22 November 2018 (confirmed)

Domstic abuse in England and Wales: year ending March 2018

22 November 2018 (confirmed)

Regional differences in unpaid work

23 November 2018 (confirmed)

Economies of Ale: changes to the pub industry in the UK

26 November 2018 (confirmed)

NHS Networks

Overwhelming public support for healthy food action

A new survey from Public Health England (PHE) shows overwhelming public support for reducing sugar and calories in everyday foods.

17:52 – Wed 21 Nov 2018

Evidence-based early years intervention

A parliamentary committee is calling on the government to draw up a new national strategy for early intervention approaches to address childhood adversity and trauma.

17:51 – Wed 21 Nov 2018

Community-centred approaches to health

Public Health England has published a document to help health professionals prevent ill health and promote wellbeing as part of their everyday practice.

17:48 – Wed 21 Nov 2018

Pioneering therapy for young people with blood cancer

NICE has recommended a pioneering cancer treatment, CART-cell therapy, for people under the age of 25 with leukaemia.

17:45 – Wed 21 Nov 2018

Healthwatch reports on emergency admissions

New research indicates a spike in emergency readmissions to hospital over the last year.

17:43 – Wed 21 Nov 2018

More than half of patients who finished psychological therapy recovered in 2017/18

More than half of patients (50.8%) treated for anxiety and depression in 2017/18 went on to recover, according to statistics from NHS Digital.

17:42 – Wed 21 Nov 2018

Glaucoma referral scheme showing results

Recent research by the College of Optometrists shows that a glaucoma scheme in Manchester has successfully filtered patients with low false positive and false negative rates. The results should interest commissioners considering glaucoma pathways.

12:11 – Thu 22 Nov 2018

Guidance for trusts on homelessness referrals

On 1 October 2018, the Homelessness Reduction Act 2017 introduced a new legal duty on some public services to refer service users they consider may be homeless or threatened with homelessness to a local housing authority.

12:10 – Thu 22 Nov 2018

UK care home providers for older people: advice on consumer law

The advice is being published as part of the Competition and Markets Authority’s (CMA) ongoing consumer protection work into residential care homes and nursing homes for the over-65s.

12:07 – Thu 22 Nov 2018

Faster access to new medicines agreed in deal with industry

Patients could access new medicines up to six months earlier in a deal expected to save the NHS around £930 million next year.

11:58 – Mon 26 Nov 2018

Vaccines for 2019/20 seasonal flu vaccination programme

NHS England, Public Health England and the Department of Health and Social Care have issued preliminary information on the vaccines for the 2019 to 2020 seasonal flu vaccination programme.

11:57 – Mon 26 Nov 2018

Reminder about COPD pathway

The NHS RightCare COPD pathway provides a set of resources to support local health economies to concentrate their improvement efforts where there is greatest opportunity to address variation and improve…

11:55 – Mon 26 Nov 2018

Mental health data and analysis: a guide for health professionals

Public Health England has published guidance for commissioners and health professionals to make decisions about mental health services and interventions.

11:54 – Mon 26 Nov 2018

More stroke patients to be offered life-saving procedure

Patients with acute ischaemic stroke should be offered a procedure to remove the blood clot up to 24 hours after the onset of symptoms.

11:53 – Mon 26 Nov 2018

One in eight children had a mental disorder in 2017

One in eight (12.8%) of children and young people aged between five and 19 had a mental disorder according to a new report which provides England’s best source of data…

11:51 – Mon 26 Nov 2018

Primary care network development

Primary care networks are at the heart of efforts to strengthen the foundations of primary care and build stronger links with other local services.

14:53 – Fri 23 Nov 2018

Survey charts decline of community mental health services

People’s experiences of the care they receive from community-based mental health services have continued to deteriorate, according to an annual survey from the Care Quality Commission (CQC).

14:52 – Fri 23 Nov 2018

New standard for information sharing by community pharmacies and GP practices

NHS Digital has published a new standard to improve sharing of clinical information between community pharmacies and GP practices.

14:47 – Fri 23 Nov 2018

AOP highlights the need for improved eye health services for patients with learning disabilities

The Association of Optometrists (AOP) has issued a new position statement setting out how patients with learning disabilities are being failed by current NHS services and where improvements can be made, particularly in England.

14:45 – Fri 23 Nov 2018

Smoking in the home: new solutions for a smokefree generation

A report from anti-tobacco charity ASH considers the impact of smoking in the home and what should be done to reduce it.

14:43 – Fri 23 Nov 2018

Patient and service user experience: quality standard consultation

A consultation by NICE outlines proposals to refresh the quality standards for service user experience in adult mental health services and patient experience in adult NHS services.

14:41 – Fri 23 Nov 2018

Breaking the cycle of despair: the support practices really need

National policy is focused on strengthening general practice – both as a critical service in its own right and as an essential part of emerging integrated care systems. The reality on the ground is often at odds with the national vision, either because promised funding is slow to get through or because practices are too busy keeping the show on the road to worry about the luxury of improvement.

12:14 – Thu 22 Nov 2018

Government promises patients a better alternative to hospital

More NHS patients will be cared for at home and in their community to avoid them going into or staying in hospital unnecessarily, Theresa May has announced.

12:13 – Thu 22 Nov 2018

PHE and NHSE launch national drive to trace hepatitis C patients

Public Health England (PHE) and NHS England have launched a national exercise to identify and treat patients who have been previously diagnosed with hepatitis C.

12:12 – Thu 22 Nov 2018

BBC News

Junk food’ Tube adverts will be banned

23 November 2018

From the section London

‘Emergency staff failed my suicidal brother’

23 November 2018

From the section UK

Woman developed cancer from donor kidney

26 November 2018

From the section Glasgow & West Scotland

More doctors investigated over child deaths

26 November 2018

From the section Northern Ireland

Endometriosis agony ‘dismissed for years’

26 November 2018

From the section Wales

Medical device rules need ‘drastic change’

26 November 2018

Full article ‘Emergency staff failed my suicidal brother’Full article ‘Junk food’ Tube adverts will be banned

Safety concerns raised over breast implants

26 November 2018

From the

The 20 years of failure on cancer

27 November 2018

From the section Health

67 comments

Youth mental health – what’s going on?

22 November 2018

From the section Health

Week Commencing  12 November 2018

Current Awareness Bulletin

Cost-effectiveness of prostate cancer screening: A systematic review of decision-analytical models

Evidence rating: Medium

Source: McMaster Health Evidence 

Abdominal aortic aneurysm screening for women is unlikely to be a fair use of NHS resources

Nearly 4,000 women would need screening to prevent one death, and a third of aneurysms detected wouldn’t have influenced the individual woman’s health or lifespan. This NIHR-funded study is the first to model the potential benefits, harms and cost-effectiveness of abdominal aortic aneurysm screening in women.

Source: NIHR Signals

Stroke Prevention in Patients With Atrial Fibrillation: A Systematic Review Update

To update a previous review in patients with atrial fibrillation/atrial flutter (AF) to determine the best assessment tools for predicting risk of stroke and bleeding, as well as the best treatment options to prevent stroke.

Source: AHRQ Effective Healthcare Program 2018:609

Blood Sugar Regulation for Cardiovascular Health Promotion and Disease Prevention: JACC Health Promotion Series

Schwarz PEH; Journal of the American College of Cardiology 2018; 72(15):1829-1844

The primary objective of this study was to analyze the most up-to-date evidence regarding whether and how blood sugar regulation influences cardiovascular health promotion and disease prevention by carrying out an umbrella review. Identified evidence suggests that cardiovascular disease (CVD) prevention services should consider regulation of blood glucose as a key target for intervention. Furthermore, the recommendations for effective intervention and service development/training described here for prevention of CVD should be adopted into evidence-based practice guidelines. Multidisciplinary teams should be formed to deliver multicomponent interventions in community-based settings. There may be substantial opportunities for integrating CVD and diabetes prevention services.

Sex differences in risk factors for myocardial infarction: cohort study of UK Biobank participants

Millet ERC; BMJ 2018;363:k4247

Prospective population based study to investigate sex differences in risk factors for incident myocardial infarction (MI) and whether they vary with age. Although the incidence of MI was higher in men than in women, several risk factors were more strongly associated with MI in women compared with men. Sex specific associations between risk factors and MI declined with age, but, where it occurred, the higher relative risk in women remained.

Also:

Smoking, diabetes and high blood pressure increase risk of heart attack more in women than men

Source: Behind the Headlines

Oral steroids do not help hearing for children with glue ear

Oral steroids do not improve hearing, symptoms, or quality of life in children with glue ear. This NIHR-funded trial compared oral steroids with placebo for 389 children with glue ear, also called otitis media with effusion, and found no significant effect on those outcomes.

Source: NIHR Signals 

Effect of educational interventions on health in childhood: A meta-analysis of randomized controlled trials

Evidence rating: Strong

Source: McMaster Health Evidence

Behavioural incentive interventions for health behaviour change in young people (5-18 years old): A systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

School-based education programs for the prevention of child sexual abuse: A Cochrane systematic review and meta-analysis

Evidence rating: Strong

Source: McMaster Health Evidence

Research Review: The effects of mindfulness‐based interventions on cognition and mental health in children and adolescents – a meta‐analysis of randomized controlled trials

Dunning DL; Journal of Child Psychology and Psychiatry 2018; doi.org/10.1111/jcpp.12980

This meta‐analysis reinforces the efficacy of using MBIs for improving the mental health and wellbeing of youth as assessed using the gold standard RCT methodology.

Shifting the centre of gravity: making place-based, person-centred health and care a reality

The examples in this report show what can be achieved by system leaders and staff from local government, the NHS, the voluntary, community and social enterprise sector, and service user and carer groups working together to improve health and deliver person-centred care.

Source: Local Government Association

Supporting public health: children, young people and families

Updated documents to support local authorities and providers in commissioning and delivering children’s public health services aged 0 to 19 years.

Source: PHE

Outpatients: the future – adding value through sustainability

This report argues that a new approach to outpatient care is needed if it is to meet growing demand and reduce disruption to patients’ lives. It describes the current ‘one-size-fits-all’ model as no longer fit for purpose and recommends replacing it with a person-centred approach to account for varying health needs, personal pressures and abilities to self-care or manage.

Source: Royal College of Physicians

Factors influencing application of behavioural science evidence by public health decision-makers and practitioners, and implications for practice

Curtis C; Preventive Medicine Reports; Volume 12; December 2018; p 106-115

This paper focuses on public health decision-making, within the context of service commissioning, and how it is informed by research evidence from the behavioural sciences.

Incarceration history and risk of HIV and hepatitis C virus acquisition among people who inject drugs: a systematic review and meta-analysis

Stone J; The Lancet Infectious Diseases 2018; doi.org/10.1016/S1473-3099(18)30469-9

Incarceration is associated with substantial short-term increases in HIV and HCV acquisition risk among PWID and could be a significant driver of HCV and HIV transmission among PWID. These findings support the need for developing novel interventions to minimise the risk of HCV and HIV acquisition, including addressing structural risks associated with drug laws and excessive incarceration of PWID.

Oral health status: Does it have an impact of school attendance and performance?

Comment on a review of the influence of oral health on school performance and school attendance which included 18 observational studies and suggests a significant relationship between poor dental health and school attendance and performance.

Source: The Dental Elf

Effects of self-directed exercise programmes on individuals with type 2 diabetes mellitus: A systematic review evaluating their effect on HbA1c and other metabolic outcomes, physical characteristics, cardiorespiratory fitness and functional outcomes

Evidence rating: Strong

Source: McMaster Health Evidence

NHS to provide life changing glucose monitors for Type 1 diabetes patients

The announcement of action to end the current variation patients in some parts of the country are facing to access Freestyle Libre.

Source: NHS England

Low-carbohydrate diets for overweight and obesity: A systematic review of the systematic reviews

Evidence rating: Strong

Source: McMaster Health Evidence

A systematic review of behavioural interventions promoting healthy eating among older people

Evidence rating: Strong

Source: McMaster Health Evidence

Effects of a low carbohydrate diet on energy expenditure during weight loss maintenance: randomized trial

Ebbeling CB; BMJ 2018;363:k4583

Randomized trial to determine the effects of diets varying in carbohydrate to fat ratio on total energy expenditure. Consistent with the carbohydrate-insulin model, lowering dietary carbohydrate increased energy expenditure during weight loss maintenance. This metabolic effect may improve the success of obesity treatment, especially among those with high insulin secretion.

Could a ‘red and processed meat tax’ save thousands of lives?

Source: Behind the Headlines

Ask Listen Do: Making conversations count in health, social care and education

Tips for health, social care and education organisations and practitioners. Making feedback, concerns and complaints easier for people with a learning disability, autistic people, families and carers.

Source: NHS England

Effectiveness of mass media campaigns to reduce alcohol consumption and harm: A systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

LGBT in Britain: health report

Stonewall commissioned YouGov to carry out a survey asking more than 5,000 lesbian, gay, bi and trans (LGBT) people across England, Scotland and Wales about their life in Britain today. This report, part of a series based on the research, looks at mental health and well-being of LGBT people and investigates the specific experiences of LGBT people when accessing healthcare services.

Source: Stonewall (via King’s Fund)

Briefing: Understanding the health care needs of people with multiple health conditions

Analysis of data from 2014 to 2016 for 300,000 people in England found that one in four adults had 2+ health conditions, equating to approximately 14.2 million people in England.

People with multiple conditions often have poorer quality of life and greater risk of premature death. This report describes what NHS care looks like for patients with multiple conditions and what proportion of NHS resources is used to provide care for these patients. It argues that designing high-quality care for patients with multiple conditions should be an essential part of any NHS strategy – be it for primary, secondary, community, emergency, or integrated care. The report sets out six steps the NHS could take to achieve this.

Source: Health Foundation

A systematic review on workplace interventions to manage chronic musculoskeletal conditions

Skamagki G; Physiotherapy Research International 2018; 23(4); e1738

A review to investigate whether there are effective workplace interventions that manage chronic musculoskeletal disorders.

Antibiotic awareness resources: 2018

Resources to support Antibiotic Guardian, the UK-wide campaign to improve and reduce antibiotic prescribing and use.

Source: PHE

Peer support may reduce readmissions following mental health crises

This NIHR-funded study of 440 people shows a moderate effect of peer support in reducing readmissions from about 40% to less than 30%.

Source: NIHR Signals

The effects of changes to the built environment on the mental health and well-being of adults: Systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

Approaches to the prevention of postnatal depression and anxiety- a review of the literature

Evidence rating: medium

Source: McMaster Health Evidence

Managing success in dementia care

This resource has been developed to support leaders and managers working across health and social care to implement the learning outcomes of the Dementia Training Standards Framework, which ensures staff have the right knowledge and skills to deliver high quality, person-centred care.

Source: Health Education England/Skills for Care/Skills for Health

Is third-wave CBT good value?

Comment on a systematic review of the economic impact of third-wave cognitive behavioural therapies, such as mindfulness-based cognitive therapy, acceptance and commitment therapy, extended behavioural activation, dialectical behaviour therapy, and mindfulness-based stress reduction.

Source: The Mental Elf

Does Cognitive Training Prevent Cognitive Decline?: A Systematic Review

Butler M; Annals of Internal Medicine 2018; 168(1):63-68

In older adults with normal cognition, training improves cognitive performance in the domain trained. Evidence regarding prevention or delay of cognitive decline or dementia is insufficient.

Behavioral and pharmacotherapy weight loss interventions to prevent obesity-related morbidity and mortality in adults updated evidence report and systematic review for the US preventive services task force

Evidence rating: Strong

Source: McMaster Health Evidence

Effect of educational interventions on health in childhood: A meta-analysis of randomized controlled trials

Evidence rating: Strong

Source: McMaster Health Evidence

Low-carbohydrate diets for overweight and obesity: A systematic review of the systematic reviews

Evidence rating: Strong

Source: McMaster Health Evidence

A systematic review of behavioural interventions promoting healthy eating among older people

Evidence rating: Strong

Source: McMaster Health Evidence

The impact of wearable motion sensing technology on physical activity in older adults

Evidence rating: Strong

Source: McMaster Health Evidence

Resistance training prevents muscle loss induced by caloric restriction in obese elderly individuals: A systematic review and meta-analysis

Evidence rating: Medium

Source: McMaster Health Evidence

The relationship between time spent in volunteering activities and quality of life in adults over the age of 50 years: A systematic review
Milbourn B; British Journal of Occupational Therapy 2018; 81(11):613-623
Increased attention has focused on the importance of time spent by ageing adults in volunteering. The aim of this systematic review was to analyse literature exploring the relationship between time spent volunteering and quality of life for adults over the age of 50 years.

The experience of older adults with anxiety and depression living in the community: Aging, occupation and mental wellbeing

Mulholland F; British Journal of Occupational Therapy 2018; 81(11):649-656

As life expectancy grows so does the need for mental health services for older people. The study contributes to knowledge on how occupation supports an older person’s wellbeing and identity in the face of life changes, and has implications for occupational therapists working with older adults.

The impact of wearable motion sensing technology on physical activity in older adults

Evidence rating: Strong

Source: McMaster Health Evidence

Effects of self-directed exercise programmes on individuals with type 2 diabetes mellitus: A systematic review evaluating their effect on HbA1c and other metabolic outcomes, physical characteristics, cardiorespiratory fitness and functional outcomes

Evidence rating: Strong

Source: McMaster Health Evidence

Systematic review of behaviour change techniques to promote participation in physical activity among people with dementia

Nyman SR; British Journal of Health Psychology 2018; Vol 23(1):148-170
Interventions showed mixed promise for increasing physical activity and little effect on participant adherence. Goal setting (behaviour), social support (unspecified), and using a credible source are promising approaches.

Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study

Perez T; BMJ 2018;363:k4524

Longitudinal study in 44 general practices to determine whether hospital admission is associated with potentially inappropriate prescribing among older primary care patients (aged ≥65 years) and whether such prescribing was more likely after hospital admission than before. Hospital admission was independently associated with potentially inappropriate prescribing. It is important to determine how hospital admission may affect appropriateness of prescribing for older people and how potential adverse consequences can be minimised.

Managing success in dementia care

This resource has been developed to support leaders and managers working across health and social care to implement the learning outcomes of the Dementia Training Standards Framework, which ensures staff have the right knowledge and skills to deliver high quality, person-centred care.

Source: Health Education England/Skills for Care/Skills for Health

Service Standards on Obtaining Valid Consent in Sexual and Reproductive Health Services

The modernised Service Standards on Obtaining Valid Consent in Sexual and Reproductive Health (SRH) Services include essential updates for healthcare professionals working for and commissioning SRH services. Updates focus on explaining risk to patients, advice and consent for multimedia and education purposes. They also reference a timely potential change in relationship with the European Court of Human Rights at the time of Brexit.

Source: Faculty of Sexual and Reproductive Healthcare (FSRH)

Which eHealth interventions are most effective for smoking cessation? A systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

Effectiveness of decision aids for smoking cessation in adults: A quantitative systematic review

Evidence rating: Strong

Source: McMaster Health Evidence

Managing success in dementia care

This resource has been developed to support leaders and managers working across health and social care to implement the learning outcomes of the Dementia Training Standards Framework, which ensures staff have the right knowledge and skills to deliver high quality, person-centred care.

Source: Health Education England/Skills for Care/Skills for Health

Social work and acquired brain injury: could this be the start of something new?

Comment on a scoping review of the social work‐generated evidence base on people with traumatic brain injury (TBI) of working age.

Source: The Social Care Elf

Efficacy and safety of pertussis vaccination for pregnant women – a systematic review of randomised controlled trials and observational studies

Evidence rating: Strong

Source: McMaster Health Evidence

Systematic review of pelvic floor interventions during pregnancy

Evidence rating: Medium

Source: McMaster Health Evidence

Maternal position in the second stage of labour for women with epidural anaesthesia

Source: Cochrane Database of Systematic Reviews; 2018:11

Each Baby Counts: 2018 progress report

The second Each Baby Counts annual report into stillbirth, early neonatal death and severe brain injury occurring during labour. Based on data for babies born in the UK in 2016, this report reviews the care provided to women and their babies and provides an opportunity to measure progress and identify areas for improvement in maternity safety.

Source: Royal College of Obstetricians and Gynaecologists (via King’s Fund)

Association between maternal overweight or obesity and cerebral palsy in children: A meta-analysis

Xiao D; PLoS One 2018; 13(10):e0205733

This study suggests that maternal obesity and overweight increase the risk of CP in offspring. Further studies are required to confirm these results and determine the influence of variables across studies.

Cutting through the app: How can mobile health apps meet their true potential?

This report examines the evidence for the potential of apps to promote positive health behavioural change in the UK population.  Summary with link to full report.

Source: International Longevity Centre UK

Managing success in dementia care

This resource has been developed to support leaders and managers working across health and social care to implement the learning outcomes of the Dementia Training Standards Framework, which ensures staff have the right knowledge and skills to deliver high quality, person-centred care.

Source: Health Education England/Skills for Care/Skills for Health

Ask Listen Do: Making conversations count in health, social care and education

Tips for health, social care and education organisations and practitioners. Making feedback, concerns and complaints easier for people with a learning disability, autistic people, families and carers.

Source: NHS England

Budget 2018: what it means for health and social care

This joint piece with the Health Foundation and Nuffield Trust, analyses what was announced in the 2018 Budget and what it means for health and social care.

Source: The King’s Fund

A society of readers

Demos carried out research over the summer of 2018 to assess the potential impact of reading on several great challenges of our time: loneliness, mental health problems, dementia and social (im)mobility.

Source: Demos

King’s Fund

Budget 2018: what it means for health and social care

In this joint piece with the Health Foundation and Nuffield Trust, we analyse what was announced in the 2018 Budget and what it means for health and social care.

9 November 2018

NHS ENGLAND

Cancer screening to be overhauled as part of NHS long term plan to improve care and save lives

Professor Sir Mike Richards will lead a major overhaul of national cancer screening programmes as part of a renewed drive to improve care and save lives, NHS England has today announced. Increasing early detection of cancers when they are easier to treat is at the heart of the NHS’s long term plan to upgrade services […]

15 November 2018

NHS to provide life changing glucose monitors for Type 1 diabetes patients

Tens of thousands of people with Type 1 diabetes across the country will benefit from life changing glucose monitors on the NHS. To coincide with World Diabetes Day, Simon Stevens, Chief Executive of NHS England, is announcing action to end the current variation patients in some parts of the country are facing to access Freestyle […

14 November 2018

Gov.uk

Breast screening programme: supporting women with learning disabilities

21 November 2018

PHE Guidance

Part of a collection: Breast screening: professional guidance

Hepatitis C treatment monitoring in England

21 November 2018

PHE Research and analysis

Flu vaccination: recommended vaccines letter

20 November 2018

PHE Correspondence

Hepatitis C: estimating disease burden

20 November 2018

PHE Form

Part of a collection: Hepatitis C: guidance, data and analysis

PHE Board meeting papers: November 2018

20 November 2018

PHE Corporate report

Part of a collection: Public Health England advisory board meetings

Notifiable diseases: last 52 weeks

20 November 2018

PHE Research and analysis

Part of a collection: Notifications of infectious diseases (NOIDs)

Abdominal aortic aneurysm screening: reducing inequalities

19 November 2018

PHEGuidance

Part of a collection: AAA screening: supporting documents

Shooting Up: infections among people who inject drugs in the UK

19 November 2018

PHE Research and analysis

Part of a collection: Alcohol and drug misuse prevention and treatment guidance and Hepatitis C: guidance, data and analysis

Health Protection Report volume 12 (2018)

16 November 2018

PHE Research and analysis

Prevention concordat for better mental health: consensus statement

16 November 2018

PHE Policy paper

Part of a collection: Prevention concordat for better mental health

Hepatitis A infection: prevention and control guidance

16 November 2018

PHE Guidance

Part of a collection: Hepatitis A: guidance, data and analysis

Environmental monitoring following the Grenfell Tower fire

15 November 2018

PHE Research and analysis

Part of a collection: Grenfell Tower

Tetanus in England: annual reports

15 November 2018

PHE Research and analysis

Part of a collection: Health Protection Report: latest surveillance reports and Tetanus: guidance, data and analysis

Tetanus: epidemiological data

15 November 2018

PHE Research and analysis

Part of a collection: Tetanus: guidance, data and analysis

NHS Network

Government promises more funding to fight superbugs

The government has agreed an extra £10m to fight antimicrobial resistance (AMR) at home and abroad.

15:42 – Tue 20 Nov 2018

NHS long-term plan must let local systems lead say commissioners and providers

The NHS long-term plan must help bring about a “breakthrough” in the development of local health and care systems by allowing them greater freedom and minimising central control, according to a new report based on the views of NHS Confederation members.

13:54 – Mon 19 Nov 2018

Cancer screening to be overhauled as part of NHS long term plan

Professor Sir Mike Richards will lead a major overhaul of national cancer screening programmes as part of a renewed drive to improve care and save lives, NHS England has announced.

11:41 – Fri 16 Nov 2018

Improving air quality

This publication from Public Health England focuses on air pollution and discusses how local authorities have an important role in assessing and improving local air quality.

11:35 – Fri 16 Nov 2018

Health care needs of people with multiple conditions

A Health Foundation report found that one in four adults in England (14.2 million people) had two or more health conditions.

22:17 – Wed 14 Nov 2018

Encouraging people to choose self care for life

More than 22 million people are being targeted as part of Self Care Week which launches this week.

15:41 – Tue 13 Nov 2018

Public Health England warns travellers of rabies risk

PHE is reminding travellers to avoid coming into contact with animals when travelling to rabies affected countries due to the risk of catching the disease.

15:38 – Tue 13 Nov 2018

LGBT in Britain: health report

Stonewall commissioned YouGov to carry out a survey asking more than 5,000 lesbian, gay, bi and trans (LGBT) people across England, Scotland and Wales about their life in Britain today.

15:32 – Tue 13 Nov 2018

BBC News

Check NHS cancer, A&E, ops and mental health targets in your area

The NHS is under severe pressure. Rising numbers of patients need hospital care – whether in an accident and emergency department, for cancer treatment or for planned operations and care, such as knee and hip replacements. Growing numbers of people are also reporting they are struggling with their mental health.

For each there are strict targets local services are expected to meet across the UK. But what are the chances of being seen in time where you live? Use our interactive tracker to find out.

20 November 2018

Parents ‘not wholly to blame for child weight gain’

By Katherine Sellgren

BBC News family and education reporter

20 November 2018

Peanut allergy treatment ‘in sight’

19 November 2018

NHS Digital

Psychological Therapies, Annual report on the use of IAPT services – England, 2017-18 [PAS]

20 Nov 2018

Safeguarding Adults, England, 2017-18 [PAS]

20 Nov 2018

This report provides the findings from the Safeguarding Adults Collection (SAC) for the period 1 April 2017 to 31 March 2018.

NHS Outcomes Framework Indicators – November 2018 Release

15 Nov 2018

National Statistics

The NHS Outcomes Framework (NHS OF) is a set of indicators developed by the Department of Health and Social Care 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…

Prescribing Costs in Hospitals and the Community, England 2017/18

15 Nov 2018

Published 15 November 2018. This report shows the overall cost at list price, before any discounts, of medicines used in hospitals and those used in primary care. It also looks at the medicines positively appraised by the National Institute for Health and Clinical Excellence (NICE).

Learning Disabilities Health Check Scheme England, Quarter 2, 2018-19

15 Nov 2018

The learning disabilities health check scheme is designed to encourage practices to identify all patients aged 14 and over with learning disabilities, to maintain a learning disabilities ‘health check’ register and offer them an annual health check, which will include producing a health action plan….

Week Commencing  5 November 2018

Current Awareness Bulletin

Changes in health in the countries of the UK and 150 English Local Authority areas 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

Steel N; The Lancet; Vol 392; Iss 10158; p1647-1661; November 03, 2018

Because of substantial variation in health within the UK, action to improve it requires comparable estimates of disease burden and risks at country and local levels. We use GBD 2016 data on mortality, causes of death, and disability to analyse the burden of disease in the countries of the UK and within local authorities in England by deprivation quintile. These estimates at local, regional, and national level will allow policy makers to match resources and priorities to levels of burden and risk factors. Improvement in YLLs and life expectancy slowed notably after 2010, particularly in cardiovascular disease and cancer, and targeted actions are needed if the rate of improvement is to recover. A targeted policy response is also required to address the increasing proportion of burden due to morbidity, such as musculoskeletal problems and depression. Improving the quality and completeness of available data on these causes is an essential component of this response.

Cancer prevention – the East Midlands Approach

A summary of the work being done with Cancer Research UK in the East Midlands region, including data projections on the number and types of preventable cancers.

Source: PHE Public Health Matters

A data-driven approach to personalised cancer care

This report advocates that much more data is collected on cancer patients including survival, treatment, patient experience and medical history. With better analysis of data there could be improvements in the prevention of cancer, earlier diagnosis and effectiveness of treatment. Making better use of data will not only improve cancer outcomes but will also enable the Service to manage the disease far more effectively, now, and in the future.

Source: Reform

Graduated compression stockings for prevention of deep vein thrombosis

Source: Cochrane Database of Systematic Reviews; 2018:11

Methylphenidate remains first-choice drug treatment for children and young people with ADHD

The stimulant methylphenidate has the best balance of effectiveness against side effects in children and young people with attention deficit hyperactivity disorder. Amphetamines are more effective, but also more likely to be stopped for a reason other than side effects. This large, NIHR-funded systematic review compared a range of drugs against each other through a network meta-analysis.

Source: NIHR Signals

Sodium thiosulfate reduces hearing loss in children treated with chemotherapy

Treatment with sodium thiosulfate alongside cisplatin chemotherapy can reduce hearing loss in children with a liver tumour called hepatoblastoma. The risk of hearing loss was reduced by 48% in children who had the combination treatment compared with those who had cisplatin only. Although small, this study adds to growing evidence that this well tolerated, cheap treatment might reduce cisplatin-induced hearing loss in a range of childhood cancers.

Source: NIHR Signals

Communication interventions for autism spectrum disorder in minimally verbal children

Source: Cochrane Database of Systematic Reviews; 2018:11

Addressing health inequalities in homeless children, young people and families:  learning resource and toolkit for public health nurses

Homeless Link and a number of other organisations have collaborated with PHE to produce a toolkit and learning resource designed to support public health nurses including health visitors, school nurses, general practice nurses and midwives to engage effectively with children, young people and families experiencing homelessness, in order to reduce health inequalities and lead to better outcomes.

Source: Homeless Link

Air pollution and child health: prescribing clean air

This report summarizes the latest scientific knowledge on the links between exposure to air pollution and adverse health effects in children. It is intended to inform and motivate individual and collective action by health care professionals to prevent damage to children’s health from exposure to air pollution.

Source: World Health Organization

Health problems ‘more common for babies with older fathers’

Analysis of reports on a study published in the BMJ which found that babies born to men aged 45 or older were more likely to be born prematurely, have a low birth weight and need intensive care after birth than babies with younger fathers.

Source: Behind the Headlines

Children’s tonsils ‘are being removed unnecessarily’

Analysis of reports on a study published in the British Journal of General Practice which suggests that 7 out of 8 children who have their tonsils removed (tonsillectomy) will experience no benefit.

Source: Behind the Headlines

Improving access and continuity in general practice

As the Improving Access to General Practice programme rolls out across England, The Nuffield Trust was commissioned to investigate the impact of improved access upon continuity of care. This report summarises key findings and provides a series of recommendations for commissioners and policy-makers. It sets out the evidence on continuity of care, its impact on clinical outcomes and wider health services, its importance to patients and GPs, and the relationship between improved access initiatives and continuity of care within general practice.

Source: Nuffield Trust

Breast screening: leading a service

Best practice guidance for local providers and commissioners on the organisation and leadership of local breast screening services.

Source: PHE

How do we include health inequality impacts in economic analysis of policy options?

This briefing introduces the health equity impact plane – a visual tool for clarifying the relationship between cost-effectiveness and equity impact. The equity impact plane can be used to compare policy options based on these two policy objectives. It can also be used to clarify thinking about policy trade-offs and compromises, and to re-design policies to reduce health inequality in cost-effective ways that do not sacrifice large potential health gains.

Source: Centre for Health Economics

How should health policy respond to the growing challenge of multimorbidity?

With growing awareness internationally of the increasing number of people living with multiple long-term health conditions, known as multimorbidity, health services, including the NHS, need to adapt to address this challenge. This policy report discusses the issue of multimorbidity, and offers a summary of recommendations.

Source: University of Bristol

Amending the 2012 Act: can it be done?

The Health and Social Care Act 2012 is widely seen as dysfunctional, getting in the way of the more integrated care it seeks to achieve. This article identifies some current problems and implications of change, and asks how far progress can be made within existing legislation.

Source: The King’s Fund

Oral hygiene advice: insufficient evidence for best way of providing one to one advice

Comment on a recent Cochrane systematic review.

Source: The Dental Elf

Mouthguards: Do they reduce dental trauma in contact sports?

This review of whether mouthguard use reduces dental trauma included 14 cross-sectional studies demonstrating an association between the prevalence of dental trauma and mouthguard use.

Source: The Dental Elf

Dental restorations: repair or replace?

10 studies were included in this review of the effectiveness of minimally invasive repair or replacement of dental restorations. The reviewers suggest that seal and refurbishment techniques did not present a significant difference in clinical longevity in comparison to the replacement technique in permanent teeth.

Source: The Dental Elf

Omega-3 supplements do not prevent heart disease, stroke or death

This extensive review provides robust evidence confirming current guidance that omega-3 supplements should not be used to prevent cardiovascular disease. However, few of the trials included in this review looked at foodsources of omega-3. Other studies have demonstrated that intake of omega-3 is essential to human health, and it is possible that the intake of foods rich in omega-3 may have a place in a healthy balanced diet.

Source: NIHR Signals

Vitamin and mineral supplementation for preventing dementia or delaying cognitive decline in people with mild cognitive impairment

Source: Cochrane Database of Systematic Reviews; 2018:11

Managing malnutrition to improve lives and save money

This report examines the cost of malnutrition and highlights the importance of identifying and appropriately managing malnutrition and the cost savings that can be achieved by better management of the condition.

Source: British Association for Parental and Enteral Nutrition (via King’s Fund)

What are the barriers to eating healthily in the UK?

This research examines the economic barriers to healthy eating in the UK. In particular, the report focuses on three barriers to healthy eating in the UK: food affordability, food prices and access to food stores selling healthy groceries at a good price.

Source: Social Market Foundation

Vegan diet ‘helps people better manage type 2 diabetes’

Analysis of a reported review which summarised the results of 11 studies looking at the effects of a plant-based diet on adults with type 2 diabetes.

Source: Behind the Headlines

A Fair, Supportive Society: a social determinants of health approach to improving the lives and health of people with learning disabilities: Summary Report

This report highlights that some of the most vulnerable people in society – those with learning disabilities – will die 15-20 years sooner on average than the general population – that’s 1,200 people every year.  The report commissioned by NHSE highlights key facts, stats, and interventions.

Source: Institute of Health Equity

Substance misuse treatment for adults: statistics 2017 to 2018

Includes statistics summary and full report on alcohol and drug misuse treatment for adults from PHE’s national drug treatment monitoring system.

Alcohol treatment inquiry: summary of findings

Report on the findings and recommendations of Public Health England’s inquiry into the fall in numbers of people in treatment for alcohol dependence. Alcohol treatment commissioners and providers can use this report to understand what was behind the fall in the numbers of people in treatment for alcohol dependence in England since 2013 to 2014. The report’s findings can be used to inform local commissioning and service development plans for increasing the numbers of people in alcohol treatment.

Source: PHE

What we’ve learned from the latest alcohol and drug treatment statistics

A summary of the main issues that this year’s stats have shown us.

Source: PHE Public Health Matters

Years Lost Interactive Map

The University of East Anglia has created an interactive map which allows users to explore the data and learn how many years of life are lost to the UK’s leading 20 causes of death for people in their area.​

A Fair, Supportive Society: a social determinants of health approach to improving the lives and health of people with learning disabilities: Summary Report

This report highlights that some of the most vulnerable people in society – those with learning disabilities – will die 15-20 years sooner on average than the general population – that’s 1,200 people every year.  The report commissioned by NHSE highlights key facts, stats, and interventions.

Source: Institute of Health Equity

Addressing health inequalities in homeless children, young people and families:  learning resource and toolkit for public health nurses

Homeless Link and a number of other organisations have collaborated with PHE to produce a toolkit and learning resource designed to support public health nurses including health visitors, school nurses, general practice nurses and midwives to engage effectively with children, young people and families experiencing homelessness, in order to reduce health inequalities and lead to better outcomes.

Source: Homeless Link

English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) report 2018

This report reviews ESPAUR activities and progress over the past year and details trends on antimicrobial usage and resistance over 2012 to 2016.

Source: PHE

Efficacy, effectiveness, and safety of herpes zoster vaccines in adults aged 50 and older: systematic review and network meta-analysis

Tricco AC; BMJ 2018;363:k4029

A study to compare the efficacy, effectiveness, and safety of the herpes zoster live attenuated vaccine with the herpes zoster adjuvant recombinant subunit vaccine or placebo for adults aged 50 and older. Findings indicate that using the adjuvant recombinant subunit vaccine might prevent more cases of herpes zoster than using the live attenuated vaccine, but the adjuvant recombinant subunit vaccine also carries a greater risk of adverse events at injection sites.

Blood pressure drug linked to possible small increased risk of lung cancer

Analysis of a reported study which used medical records to compare cancer outcomes for almost 1 million patients treated with different high blood pressure drugs. It found people who took one type of drug, called an angiotensin converting enzyme inhibitor (ACE inhibitor), were 14% more likely to get lung cancer than those taking another type, called an angiotensin receptor blocker (ARB).

Source: Behind the Headlines

Amphetamines probably the best first-choice treatment for adults with ADHD

This large, comprehensive NIHR-funded systematic review included published and unpublished randomised controlled trials of different drug treatments. It strengthens the evidence behind NICE guidelines which recommend a trial of either the amphetamine lisdexamfetamine or another stimulant, methylphenidate, as first-line treatments.

Source: NIHR Signals

Guided online interventions can help people recover from depression

Internet-based interventions combined with remote professional support can improve outcomes for people with depression. Those receiving the intervention show better initial response to treatment and higher recovery rates compared with control groups who are either waiting for treatment or receiving less support. This meta-analysis shows people using guided internet therapy are over twice as likely to respond to treatment and achieve remission.

Source: NIHR Signals

The impact of facial scarring: routinely assess for affective distress

Comment on a recent systematic review that explores the associations linking facial scarring (largely caused by assaults or burn injuries) to depression and anxiety.

Source: The Mental Elf

Improving antidepressant outcomes: what works for whom and why?

Comment on a new systematic meta-review of predictors of antidepressant treatment outcome in depression, which looks at clinical and demographic variables, but also biomarkers including both genetic and neuroimaging data.

Source: The Mental Elf

Promoting healthy weight in children, young people and families

A resource to support local authorities, NHS commissioners and providers, voluntary and community sector organisations to take action to reduce obesity. The resource is made up of briefings and practice examples to promote healthy weight for children, young people and families as part of a whole systems approach.

Source: PHE

Prison health

This report finds that prisons, largely as a result of staff shortages and overcrowding, are limiting prisoners’ access to healthcare and their ability to lead healthy lives. The report makes recommendations to tackle this cycle of disadvantage, by reducing the health inequities people in prison face.

Source: House of Commons Health and Social Care Select Committee

Will population ageing spell the end of the welfare state? A review of evidence and policy options

This brief reviews the main evidence on the health and long-term care costs associated with ageing populations to better understand the expected cost pressures due to changing demographics. At the same time, it explores how older populations can and do contribute meaningfully both in economic and societal terms, particularly if they are able to remain healthy and active into later life. It concludes by reviewing selected policy areas that have been shown to either support the health and activity of older people or which otherwise reinforce sustainable care systems more broadly in the context of population ageing.

Source: WHO/European Observatory on Health Systems and Policies (via King’s Fund)

GP online services communications toolkit

This guide aims to support GP practices in promoting GP online services to patients and to encourage them to register for this service.

Source: NHS England

Tools for GPs can help reduce unnecessary antibiotic prescribing

This systematic review of qualitative studies explored what primary care professionals who prescribe thought about interventions designed to reduce antibiotic prescribing for acute respiratory infections. Interventions to reduce inappropriate antibiotic prescribing for upper respiratory tract infections are most effective when they provide a negotiation tool to support patient interaction. These interventions are more likely to be rejected if they are perceived as interfering with individual clinical judgment or damaging patient relationships.

Source: NIHR Signals

Reducing emergency hospital admissions: a population health complex intervention of an enhanced model of primary care and compassionate communities

Abel J; British Journal of General Practice; 2018 Nov; 68(676): e803-e810

Reducing emergency admissions to hospital has been a cornerstone of healthcare policy. Little evidence exists to show that systematic interventions across a population have achieved this aim. The authors report the impact of a complex intervention over a 44-month period in Frome, Somerset, on unplanned admissions to hospital. The complex intervention in Frome was associated with highly significant reductions in unplanned admissions to hospital, with a decrease in healthcare costs across the whole population of Frome.

Prophylactic antibiotic therapy for chronic obstructive pulmonary disease (COPD)

Source: Cochrane Database of Systematic Reviews; 2018:10

Antibiotics for exacerbations of chronic obstructive pulmonary disease

Source: Cochrane Database of Systematic Reviews; 2018:10

Protect against STIs campaign

Public Health England have launched two new films as part of a campaign to highlight the increased likelihood of contracting a sexually transmitted infection if people have sex without using a condom. The campaign is targeting 16-24 year olds as latest figures show that a case of chlamydia or gonorrhea is diagnosed in a young person every four minutes in England.

Source: PHE

Getting PrEP to those who need it

The number of people newly diagnosed with HIV has fallen for the last 2 years.  This article summarises the progress made in increasing awareness and use of PrEP.

Source: PHE Public Health Matters

E‐cigarette use in England 2014–17 as a function of socio‐economic profile

Kock L; Addiction; published online 10 October 2018

E‐cigarettes have the potential either to decrease or increase health inequalities, depending on socio‐economic differences in their use and effectiveness. This paper estimated the associations between socio‐economic status (SES) and e‐cigarette use and examined whether these associations changed between 2014 and 2017.

Swallowing therapy for dysphagia in acute and subacute stroke

Source: Cochrane Database of Systematic Reviews; 2018:10

Genetic risk, incident stroke, and the benefits of adhering to a healthy lifestyle: cohort study of 306 473 UK Biobank participants

Rutten-Jacobs LCA; BMJ 2018;363:k4168

This study aimed to evaluate the associations of a polygenic risk score and healthy lifestyle with incident stroke. It found that genetic and lifestyle factors were independently associated with incident stroke. The results emphasise the benefit of entire populations adhering to a healthy lifestyle, independent of genetic risk

Awareness of fetal movements and care package to reduce fetal mortality (AFFIRM): a stepped wedge, cluster-randomised trial

Norman J; The Lancet; Vol 392; Iss 10158; p1629-1638; November 03, 2018

The aim of the AFFIRM study was to test the hypothesis that introduction of a reduced fetal movement (RFM), care package for pregnant women and clinicians that increased women’s awareness of the need for prompt reporting of RFM and that standardised management, including timely delivery, would alter the incidence of stillbirth. The study found that the incidence of stillbirth was 4·40 per 1000 births during the control period and 4·06 per 1000 births in the intervention period. The RFM care package did not significantly reduce the risk of stillbirths and the benefits of a policy that promotes awareness of RFM remains unproven.

A new study advises women to leave 12 to 18 months between giving birth and getting pregnant again to reduce health risks to mother and baby

Analysis of a reported study which advises women to leave 12 to 18 months between giving birth and getting pregnant again to reduce health risks to mother and baby.

Source: Behind the Headlines

Prevention is better than cure: our vision to help you live well for longer

This document sets out the government’s vision for putting prevention at the heart of the nation’s health. The goal is to improve healthy life expectancy by at least 5 extra years, by 2035, and to close the gap between the richest and poorest.

Prevention is better than cure: case studies

A collection of case studies showing examples of good practice in preventing health problems from happening.

Source: DHSC

What’s new in the November 2018 PHOF update

A summary of the latest updates to the Outcomes Framework.

Source: PHE Public Health Matters

Environmental Noise Guidelines for the European Region (2018)

Noise is an important public health issue. It has negative impacts on human health and well-being and is a growing concern. The WHO Regional Office for Europe has developed these guidelines, based on the growing understanding of these health impacts of exposure to environmental noise. The main purpose of these guidelines is to provide recommendations for protecting human health from exposure to environmental noise originating from various sources: transportation (road traffic, railway and aircraft) noise, wind turbine noise and leisure noise. They provide robust public health advice underpinned by evidence, which is essential to drive policy action that will protect communities from the adverse effects of noise.

Source: World Health Organization

Air pollution and child health: prescribing clean air

This report summarizes the latest scientific knowledge on the links between exposure to air pollution and adverse health effects in children. It is intended to inform and motivate individual and collective action by health care professionals to prevent damage to children’s health from exposure to air pollution.

Source: World Health Organization

Health on the High Street: Running on empty

This report, building on one published in 2015, looks at changes in the past three years and to what extent these have affected the health impact of UK high streets. A number of recommendations suggest how the business that retailers provide can be made more health promoting.

Source: Royal Society for Public Health

Department for Transport

Quarterly statistics on reported road accidents (RAS45)

8 November 2018

DfT

Statistical data set

Part of a collection: Road accidents and safety statistics

Reported road casualties in Great Britain, provisional estimates: year ending June 2018

8 November 2018

DfT

National Statistics

Part of a collection: Road accidents and safety statistics

Sport England

Funding for social action projects

To kick off #iwillWeek we announce two more awards from our Potentials Fund, aiming to enable youth social action.

12 November 2018 #News#Funding#Volunteering

Funding for low income groups

More than £3 million has been allocated to 34 projects to help tackle inactivity in lower income groups.

06 November 2018 #News#Active Nation

NICE

Heavy menstrual bleeding: assessment and management Reference:NG88 Published:March 2018 Last updated:November 2018

King’s Fund

Prevention and early action are key to positive, healthy outcomes

The ‘radical shift in approach’ towards preventive care proposed by Health Secretary Matt Hancock would align with the goals of many in the charity sector who have long been promoting prevention and early action. But will he put his money where his mouth is?

By Jo Davies – 8 November 2018

Prevention is better than cure – and actions speak louder…

We welcome today’s ‘prevention vision’ from Matt Hancock. But how and when will the words become deeds?

By David Buck – 5 November 2018

Health inequalities and the NHS

How can our health services help to reduce health inequalities? Victor Adebowale argues that involving communities and working holistically can help, while remembering the founding principles of the NHS.

By Lord Victor Adebowale – 1 November 2018

Mental health funding in the 2018 Autumn Budget: the devil will be in the detail

While the additional funding for mental health services announced in this week’s Budget is welcome, it will take more than money to deliver parity of esteem.

By Helen Gilburt – 31 October 2018

NHS North West Anglia

Hospital Volunteer Service gets Five Star Rating

Hospital Volunteer Service gets Five Star Rating12 November 2018

Football match raises thousands for local cancer patients

Jeremy Hall and a team of volunteers organised a football match which raised thousands of pounds to help treat cancer patients.06 November 2018

Hospital Trust Council of Governors meeting – 7 November

Hospital Trust Council of Governors meeting – 7 November02 November 2018

Be Santa to a Senior at North West Anglia NHS Foundation Trust

Staff at North West Anglia NHS Foundation Trust have launched a brand new Christmas campaign ‘December Magic.’01 November 2018

NHS England

Speaking up in support of self care

13 November 2018

A group of senior health professionals have today thrown their support behind Self Care Week 2018. Self Care Week 2018, which began yesterday and runs until November 18, is urging people to ‘Choose Self Care for Life’ by making health-savvy decisions. Whether it is about self-treatable conditions, long term conditions, or lifestyle choices to ensure […]

Encouraging people to choose self care for life

12 November 2018

More than 22 million people are being targeted as part of Self Care Week which launches today. Under the banner of “Choose Self Care for Life” the aim is to engage and empower people to better look after their own health. Whether it is about self-treatable conditions, long term conditions, or lifestyle choices to ensure […]

NHS leaders commit to specialist health support for veterans in every part of NHS

10 November 2018

NHS leaders have confirmed today that specialist health support for veterans will be available in every part of the health service, across the country. The commitment will ensure that those who have served in the armed forces have the best possible experience of the NHS and get the best care, regardless of whether they get […]

Instant messaging services a “vital part of the NHS toolkit” during a crisis

9 November 2018

New guidance for the NHS will help doctors, nurses and other staff use instant messaging safely to co-ordinate patients’ care during emergencies. Medics have turned to communication channels such as Whatsapp to deal with emergency situations like the Croydon tram crash, Grenfell Tower fire and terrorist attacks in London Bridge and Manchester Arena. The new […]

England’s top doctor calls on NHS to use tech to revamp outpatient system

9 November 2018

England’s top doctor is calling on the NHS to enlist the power of tech and innovation to reduce the thousands of unnecessary outpatient appointments carried out every day. In his foreword to the Royal College of Physicians report published today, NHS England Medical Director, Professor Stephen Powis, says it’s time to ‘grasp the nettle’ to […]

Advice line for GPs saves hours of travel for patients and £100k to be reinvested back into NHS

2 November 2018

A neurology hotline for GPs in the north west has spared patients unnecessary worry and travel time, while £100,000 a year has been reinvested back into the NHS. The advice line, run by the Walton Centre in Liverpool, means GPs in the Cheshire and Merseyside area can call neuro consultants for fast advice any weekday […]

NHS Cambridgeshire and Peterborough CCG

Local NHS thanks patients for help with amazing reduction in spend of £1,190,751

Last year patients across Cambridgeshire and Peterborough have helped the local NHS save £1,190,751, by purchasing their own non-prescription medication over the counter, instead of getting it on prescription.

Movember is back for 2018

This November, the Movember Foundation returns with its annual month-long fundraiser challenging men across the UK to grow a moustache to raise awareness and funds for men’s health issues.

Gov.uk

Healthcare UK annual review April 2017 to March 2018

31 October 2018

DHSC, NHS England, Healthcare UK and DIT

Corporate report

Abortion statistics for England and Wales: 2017

1 November 2018

DHSC

National Statistics

Part of a collection: Abortion statistics in England and Wales

Characteristics of disabled people in employment: April to June 2017

1 November 2018

DWP and DHSC

Official Statistics

Part of a collection: Ad hoc statistical analyses: 2018

Cannabis-based products for medicinal use

2 November 2018

DHSC

Correspondence

Part of a collection: Medicinal cannabis: information and resources

Prevention is better than cure: our vision to help you live well for longer

5 November 2018

DHSC

Policy paper

UK Public Health Rapid Support Team annual review: 2018

5 November 2018

DHSC

Corporate report

International Health Regulations strengthening project annual review: 2018

5 November 2018

DHSC

Corporate report

Pharmaceutical buying groups in the NHS

13 November 2018

DHSC

Guidance

Part of a collection: Commercial Medicines Unit (CMU)

Gluten-free foods on NHS prescription

6 November 2018

DHSC

Consultation outcome

Office for National Statistics

Children living in long-term workless households in the UK: 2017

31 October 2018 (confirmed)

Overview of the UK population: November 2018

1 November 2018 (confirmed)

Distribution of UK earnings analyses: 2017

2 November 2018 (confirmed)

Public and private sector earnings in the UK: 2017

2 November 2018 (confirmed)

Is there a gender commuting gap?

7 November 2018 (confirmed)

Sustainable Development Goals in the UK, an update on progress: November 2018

6 November 2018 (confirmed)

How much do you really know about crime?

12 November 2018 (confirmed)

NHS Network

Social media boost for breast screening

An NHS social media campaign has led to a 13% increase in first time attendances for breast screening in Stoke-on-Trent over four years.

13:59 – Wed 31 Oct 2018

Four essential elements of asset-based community development

This blog by asset-based community development (ABCD) experts Cormac Russell and John McKnight looks at what makes ABCD different to other community support approaches.

12:20 – Wed 31 Oct 2018

Negotiation skills: the principles

PCC has launched a new e-learning course on negotiation skills.

12:23 – Thu 01 Nov 2018

Stronger protection from violence for NHS staff

Secretary of state for health and social care Matt Hancock has announced measures to reduce assaults on NHS staff. This is a growing problem which is also thought to be under-reported.

12:22 – Thu 01 Nov 2018

Obesity is second biggest cause of cancer after smoking

Obesity is the biggest preventable cause of cancer after smoking and around 22,800 cases of cancer in the UK are caused by excess body weight every year, according to Cancer Research UK.

12:20 – Thu 01 Nov 2018

NHS Prescription Services newsletter

NHS Prescription Services produces a quarterly newsletter called Hints and Tips for Dispensing Contractors.

12:19 – Thu 01 Nov 2018

Fair funding for mental health: putting parity into practice

The NHS is currently in the process of authoring a long-term plan that will set out what it wants to achieve with additional funding and how this funding will be allocated.

12:17 – Thu 01 Nov 2018

How should health policy respond to the growing challenge of multimorbidity?

There is growing awareness internationally of the increasing number of people living with multiple long-term health conditions, known as multimorbidity.

12:14 – Thu 01 Nov 2018

Practical tools for problem-solving

Professionals at every level need to find solutions to problems – practical solutions that can be justified and implemented. Although the context and content of our problems may be unique, it is likely that somebody has had this sort of problem before. Don’t waste valuable time reinventing the wheel.

14:07 – Wed 31 Oct 2018

Annual report on GP activity in England

NHS Digital has published the annual report on the quality and outcomes framework (QOF), which contains information about the prevalence of the 21 conditions covered by the scheme.

14:04 – Wed 31 Oct 2018

Test your antimicrobial prescribing knowledge

The British Association of Oral Surgeons (BAOS) has launched a new antimicrobial stewardship e-learning resource for oral health professionals to test their knowledge of antibiotic prescribing.

14:03 – Wed 31 Oct 2018

Making feedback easier for people with a learning disability or autism

NHS England has published tips for health, social care and education organisations and practitioners with the aim of making feedback, concerns and complaints easier for people with a learning disability or autism.

14:02 – Wed 31 Oct 2018

NHS Employers looks at workforce implications of the latest budget

Chancellor Philip Hammond has announced the government’s plans for tax and spending for the next financial year.

14:00 – Wed 31 Oct 2018

A data-driven approach to personalised cancer care

Cancer survival could significantly improve if the NHS collects and uses its data more intelligently.

14:51 – Fri 02 Nov 2018

Health Foundation launches consultation for research and improvement grants

The Health Foundation is carrying out a consultation for its research and improvement programmes and want to hear the views of academics and staff from other institutions in the UK.

14:50 – Fri 02 Nov 2018

Comprehensive model of personalised care

The comprehensive model of personalised care helps to establish a whole-population approach to supporting people of all ages and their carers to manage their physical and mental health and wellbeing, build community resilience, and make informed decisions and choices when their health changes.

11:57 – Tue 06 Nov 2018

Accreditation of diagnostic services

NHS England, NHS Improvement and the Care Quality Commission (CQC) have written to NHS provider organisations to raise awareness of the accreditation of diagnostic services and to strongly endorse uptake of this quality improvement mechanism, focused on patient safety and experience.

14:56 – Fri 02 Nov 2018

Medicinal cannabis available on NHS prescriptions

Changes to the Misuse of Drugs Regulations 2001 will reclassify cannabis-based medicines from Schedule 1 to Schedule 2 controlled drugs as of 1 November 2018.

12:20 – Tue 06 Nov 2018

Young people are getting better at looking after their health

A new study by the University of the West of England shows that young people are becoming more responsible for looking after their own health.

12:03 – Tue 06 Nov 2018

Learning disability newsletter

In this edition of the learning disability newsletter from NHS England you can find out about supporting children and young people, sharing health information, and more.

12:25 – Tue 06 Nov 2018

Health secretary outlines vision of prevention

Matt Hancock has published his vision for how he plans to transform the government’s approach to prevention, paving the way for a green paper in 2019.

12:24 – Tue 06 Nov 2018

New resource to improve dementia care

People living with dementia could benefit from improved care following the launch of a new resource for healthcare providers and carers.

11:39 – Wed 07 Nov 2018

A fair, supportive society: summary report

This report, commissioned by NHS England, highlights that some of the most vulnerable people in society – those with learning disabilities – will die 15-20 years sooner on average than the general population.

11:33 – Wed 07 Nov 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. Changes in recent years have made them more important than ever. More and more services are subject to a procurement process, rather than being simply directly awarded by commissioners. These include many of the “enhanced” services that GP practices could once expect to win almost by default.

12:26 – Tue 06 Nov 2018

All parents should be offered the opportunity to engage with the review of their baby’s death

When a baby dies in hospital, a perinatal mortality review (PNMR) takes place. Currently, parents are largely unaware these reviews even take place and in most cases, bereaved parents are not given the opportunity to be involved and share their perspective of their care.

13:40 – Thu 08 Nov 2018

The principles of project management

Good project management is of the art of getting a successful outcome using the resources available. This is more important than ever in health and social care where managers are under increasing pressure to deliver better outcomes and greater efficiency in every aspect of their work.

11:45 – Wed 07 Nov 2018

NHS Jobs is changing

On 1 April this year, NHS Jobs transferred to the NHS Business Services Authority.

11:44 – Wed 07 Nov 2018

Service specification for hyperbaric oxygen therapy

NHS England has published a service specification for provision of hyperbaric oxygen treatment services.

11:15 – Fri 09 Nov 2018

Preventing stress at work

The Health and Safety Executive (HSE) has launched a new “talking toolkit” to help employers prevent work related stress.

11:13 – Fri 09 Nov 2018

Effective negotiation: tapping in to your natural resources

In this interactive, one-day training event on 29 January in London and 7 February in Leeds we will discover how to make the best of a skill that we possess naturally and yet rarely use to best effect – negotiation.

13:46 – Thu 08 Nov 2018

Guidance for GP practices in England: advice for patients aged 65 years and over regarding 2018/19 flu vaccination: Letter from Pauline Philip

NHS England has written to GP practices to highlight the support in place to manage this year’s phased delivery of the adjuvanted trivalent vaccine (aTIV) for flu which is recommended for people over 65.

13:45 – Thu 08 Nov 2018

2018/19 CCG improvement and assessment framework

The CCG improvement and assessment framework (IAF) for 2018/19 contains seven new indicators among the total of 58.

11:19 – Fri 09 Nov 2018

Atlas of variation in palliative and end of life care in England

Public Health England (PHE) has launched the first atlas of variation in palliative and end of life care in England.

11:18 – Fri 09 Nov 2018

NHS leaders commit to improve support for veterans

NHS leaders have confirmed that specialist health support for veterans will be available in every part of the health service across the country.

13:56 – Mon 12 Nov 2018

Guide for stroke survivors

Around 80,000 people a year are admitted to hospital with a stroke, and there are more than one million stroke survivors in England.

13:55 – Mon 12 Nov 2018

Guide for parents and guardians to new statutory child death reviews

The Department of Health and Social Care has published statutory and operational guidance for child death review.

13:53 – Mon 12 Nov 2018

NICE standard for suicide prevention

NICE is consulting on a quality standard that will cover ways to reduce suicide and to help people bereaved or affected by suicides in community and custodial settings.

13:49 – Mon 12 Nov 2018

Urging GPs towards prevention and self-care

A GP who represents primary care providers on Gloucestershire’s integrated care services delivery board, discusses the county’s social prescribing initiative.

13:33 – Mon 12 Nov 2018

A hub for respiratory care commissioning

The Primary Care Respiratory Academy Commissioning Platform aims to offer the tools and resources you need to optimise respiratory outcomes in your population.

13:58 – Mon 12 Nov 2018

BBC News

‘Remarkable’ decline in fertility rates

9 November 2018

Drug firms fear ‘wasting’ money on Brexit

12 November 2018

Full article Drug firms fear ‘wasting’ money on Brexit

‘Disturbing’ self-harm rates at youth jails

13 November 2018

Full article NI child autopsies to be done in England

Neck scan ‘can spot early dementia signs’

12 November 2018

Britain’s first specialist wound hub to open

5 hours ago

Why obesity increases cancer risk

A type of cell the body uses to destroy cancer gets clogged by fat and stops working, findings suggest.

12 November 2018

Call for UK ban on freakshakes

Action on Sugar surveyed milkshakes on sale in the UK – one contained 39 teaspoons of sugar.

13 November 2018

NHS Digital

Prescribing for Diabetes in England – 2007/08 – 2017/18 [PAS] 8 Nov 2018

Published: 08 November 2018 Prescribing for Diabetes reports on and examines prescribing trends on medicines prescribed in primary care in England for the treatment and monitoring of diabetes during the period April 2007 to March 2018.

National Diabetes Audit Report 1 Care Processes and Treatment Targets 2017-18 8 Nov 2018

The National Diabetes Audit (NDA) is part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP) which is commissioned by the Healthcare Quality Improvement Partnership (HQIP) and funded by NHS England. The NDA is managed by NHS Digital in partnership with Diabetes UK.

Patients Registered at a GP Practice – November 2018 13 Nov 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 November 2018. GP Practice; Sustainability and transformation partnership (STP); Clinical Commissioning Group (CCG);…

Week Commencing  22 October 2018

Current Awareness Bulletin

Cardiovascular disease prevention: cost-effective commissioning

This guidance provides a return on investment tool to help commissioners provide cost-effective interventions to prevent cardiovascular disease.

Source: PHE

Infant formulas containing hydrolysed protein for prevention of allergic disease

Source: Cochrane Database of Systematic Reviews; 2018:10

A crying shame: a report by the Office of the Children’s Commissioner into vulnerable babies in England

Data used in this report suggests that there over 50,000 children aged 0-5 years old – including around 8,300 babies under 1 – living in households where all three of the most dangerous combined risk factors are present: current domestic violence and adult alcohol or drug dependency, and adult severe mental ill-health. Children in such households are known to be at very heightened risk of severe harm. It also suggests that a further 160,000 children aged 0-5 – including 25,000 babies under 1 – live in a household where two of the three most ‘toxic’ risk factors are present. These numbers are considerably higher than local authority ‘in need’ data for children.

Source: Children’s Commissioner

A visual guide to vaccines poster

This new poster shows the vaccine, product name and packaging to compliment the routine immunisation schedule.

Source: PHE

End of life care: strengthening choice

The All-Party Parliamentary Group (APPG) for Children Who Need Palliative Care has been examining the extent to which the government is meeting its end of life care choice commitment to babies, children and young-people with life-limiting conditions and their families. Despite the commitment – which outlines six ways ministers believe that people approaching the end of their lives should be supported – the APPG has heard evidence from young people, families, services and professionals that the quality of palliative care children and families can access is patchy and depends on where in England they live.

Source: All-Party Parliamentary Group for Children Who Need Palliative Care (via King’s Fund)

Does TV and internet advertising feed children’s junk food habits?

Comment on media reporting of a Cancer Research UK survey of almost 2,500 children which found those who used the internet or watched commercial television for more than half an hour a day were more likely to ask for, buy or eat junk food (food high in fat, salt and sugar).

Source: Behind the Headlines

Evaluating implementation of the WHO set of recommendations on the marketing of foods and non-alcoholic beverages to children

The report finds that many existing policies and regulations aimed at tackling food marketing to children are markedly insufficient.

Source: WHO

Cardiovascular disease prevention: cost-effective commissioning

This guidance provides a return on investment tool to help commissioners provide cost-effective interventions to prevent cardiovascular disease.

Source: PHE

Implant overdentures: effectiveness of attachment systems

Comment on a recent Cochrane systematic review of attachment systems for implant overdentures.

Source: The Dental Elf

Self-monitoring of blood glucose provides no important benefit for most people with type 2 diabetes

Patients with type 2 diabetes who monitor their blood glucose themselves may see small, short-term improvements in blood sugar control. This is not enough to be clinically important or outweigh the costs and personal inconvenience of long-term self-testing. This systematic review supports current guideline recommendations that self-monitoring is not routinely used for people with type 2 diabetes controlled on diet or tablets.

Source: NIHR Signals

Negative pressure wound therapy for treating foot wounds in people with diabetes mellitus

Source: Cochrane Database of Systematic Reviews; 2018:10 

Serial circulating omega 3 polyunsaturated fatty acids and healthy ageing among older adults in the Cardiovascular Health Study: prospective cohort study

Lai HTM; BMJ 2018;363:k4067

This study aimed to do determine the longitudinal association between serial biomarker measures of circulating omega 3 polyunsaturated fatty acid (n3-PUFA) levels and healthy ageing. It found that among older adults, a higher cumulative level of the circulating long chain n3-PUFAs from seafood was associated with a lower likelihood of unhealthy ageing.

Coffee drinking linked to reduced rates of rosacea

Comment on media reporting of a study which found that women who reported drinking coffee regularly were less likely to be diagnosed with rosacea, compared with those who rarely, if ever, drank coffee.

Source: Behind the Headlines

“Just one thing after another”: living with multiple conditions

Around 15 million people in England have a long-term condition, and the number of people living with several of these conditions is growing. This report shares learning from ten in-depth interviews with people living with multiple long-term conditions from a wide range of demographics and locations across England. What is it really like to live with several long-term conditions that can be managed but not cured? How does it affect someone if they are in near constant pain or their mobility has been severely curtailed? In what ways do the cumulative effects of multiple conditions affect people’s relationships, mental wellbeing and daily life? How and why do these experiences differ? How could the health and social care systems support these people to continue to lead the lives of their choosing?

Source: Richmond Group of Charities

English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) report 2018

The fifth annual report of the English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR), which was established in 2013 to support Public Health England (PHE) in the delivery of the UK Five Year Antimicrobial Resistance Strategy 2013 to 2018. It includes national data on antibiotic prescribing and resistance, antimicrobial stewardship implementation, education and engagement activities.

Source: PHE

Antimicrobial resistance

This report states that tackling antimicrobial resistance needs to be firmly established as a ‘top five policy priority’ for the government in order to help prevent the virtual loss of worldwide modern medicine. No new classes of antibiotics have been developed for decades. Investment in basic scientific research is essential but so too is the investment by pharmaceutical companies in further development and bringing products to the market.

Source: House of Commons Science and Technology Committee (via King’s Fund)

Flu vaccination programme in England

This report examines the planning for the flu vaccination programme, how advice is formulated and cost-effectiveness issues are addressed, the reasons for different types of vaccines for different groups of the population, the effectiveness and take-up of the vaccination programme, and any plans for adjustments for the next flu season in terms of the vaccines uses and groups targeted.

Source: House of Commons Science and Technology Committee (via King’s Fund)

Tackling the causes: Promoting public mental health and investing in prevention

This briefing explores the social determinants of mental health and the relationship between physical and mental health, investigates what is being invested in public mental health across the UK, and makes recommendations for improving public mental health.

Source: BMA

Antidepressant withdrawal: reviewing the paper behind the headlines

Comment on a recent systematic review which looked at the incidence, severity and duration of antidepressant withdrawal effects.

Source: The Mental Elf

The impact of overweight and obesity on hospital resource use (hospital episodes) in Scotland

The aim of this study was to estimate the percentage of hospital resource use explained by overweight and obesity in 2015/16, as measured by specialty-level admission to hospital and the direct cost of these hospital episodes in Scotland.

Source: NHS Health Scotland

Housing and ageing: linking strategy to future delivery for Scotland, Wales and England 2030

This report calls for a Commissioner for Ageing in England and Scotland to encourage service integration that enables people to age in the right place. It also finds that the UK housing sector is still not ready for ageing, but that there is evidence of real support and political buy-in for ongoing and future solutions.

Source: University of Stirling

A retrospective qualitative evaluation of barriers and facilitators to the implementation of a school-based running programme

Chalkley AE; BMC Public Health2018; 18:1189

The purpose of this retrospective qualitative investigation was to understand the barriers and facilitators to the implementation of the Marathon Kids running programme within primary schools in England.

NHS screening programmes: information for GPs and practice staff

Information for GPs and practice staff to support their patients in accessing population screening programmes and obtaining screening results.

Source: PHE

A visual guide to vaccines poster

This new poster shows the vaccine, product name and packaging to compliment the routine immunisation schedule.

Source: PHE

Efficacy and cost-effectiveness of nurse-led care involving education and engagement of patients and a treat-to-target urate-lowering strategy versus usual care for gout: a randomised controlled trial

Doherty M; The Lancet; Vol 392; Iss 10156; p1403-1412; Oct 20, 2018

In the UK, gout management is suboptimum, with only 40% of patients receiving urate-lowering therapy, usually without titration to achieve a target serum urate concentration. Nurses successfully manage many diseases in primary care. This study compared nurse-led gout care to usual care led by general practitioners (GPs) for people in the community.

The clinical and cost-effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome (INSTINCTS trial): an open-label, parallel group, randomised controlled trial

Chesterton LS; The Lancet; Vol 392 Iss 10156; p1423-1433; Oct 20, 2018

Carpal tunnel syndrome is the most common compression neuropathy affecting the upper limb, which results from entrapment of the median nerve in the carpal tunnel. No consensus exists for the best primary care management for mild or moderate carpal tunnel syndrome. This study found clinically significant short-term and sustained improvements for corticosteroid injections compared with night splints, with no safety issues. This is the first study to carry out a full economic assessment and show that both interventions are relatively inexpensive, with corticosteroid injection proving cost-effective over the use of night splints over 6 months.

Pre-eclampsia and risk of dementia later in life: nationwide cohort study

Basit S; BMJ 2018;363:k4109

This Danish study found that women with a history of pre-eclampsia had more than three times the risk of vascular dementia later in life compared with women with no history of pre-eclampsia.

Taking our health for granted: Plugging the public health grant funding gap

The focus of this briefing paper is the public health grant and the core services it is intended to deliver. It assesses the extent of the real-terms reduction in the grant since 2014/15, at a time when demand is increasing and key indicators, such as mortality improvements and health inequalities, are causing concern.

Source: The Health Foundation

Doomed to repeat? Lessons from the history of NHS reform

Since 2000 the NHS has seen at least 6 major national plans, accompanied by at least 10 reorganisations at various levels. This essay collection brings together research and analysis of the key questions that should inform the new long-term plan for the health service.

Source: The Nuffield Trust

Care staffing in the NHS: the good, the bad and the promising

The NHS is struggling to recruit enough nurses and care staff. In 2018, BPP approached 220 NHS trusts in England – of which 89 per cent responded as part of this report. While it is clear that NHS trusts are having to deal with budgetary pressures and a skills shortage which may be exacerbated by Brexit, they are also facing significant changes to their traditional training models. This includes factors such as cuts to bursaries and the declining numbers of those applying for nursing degrees.

Source: BPP University School of Nursing

Talking about dying: how to begin honest conversations about what lies ahead

This report highlights professional reluctance to engage in conversations with patients about uncertainty, treatment ceilings, resuscitation status and death. It offers some ‘mythbusters’ to get physicians thinking and signposts to tools and educational resources to support physicians and other healthcare professionals.

Source: Royal College of Physicians

Sport England

Fit Got Real launches

The new phase of This Girl Can aims to tackle the social and gender gaps in exercise levels around the country.

26 October 2018

NICE

Renal replacement therapy and conservative management

NG107 October 2018

Decision-making and mental capacity

NG108 October 2018

Lyme disease

NG95 October 2018

Myeloma: diagnosis and management

NG35 October 2018 

King’s Fund

Amending the 2012 Act: can it be done?

The Health and Social Care Act 2012 is widely seen as dysfunctional, getting in the way of the more integrated care it actually seeks to achieve. As the Prime Minister has once again opened the door to changes, this piece identifies some of the current problems and implications of change, and asks how far progress could be made within the existing legislation.

Nomis

Mortality data

23/10/2018

New 2017 figures for deaths registered in England and Wales were released on 23 October 2018. The statistics include registered deaths by age, sex, selected underlying causes of death and the leading causes of death for both males and females.

Annual Survey of Hours and Earnings 2018

New 2018 provisional results from the Annual Survey of Hours and Earnings (ASHE) were added to Nomis on 25 October 2018. ASHE estimates for 2017 have been revised at the same time.

Estimates are available for local authorities, parliamentary constituencies, regions and countries. ASHE estimates are not available below local authority or constituency level i.e. no ward or super output area data.

NHS North West Anglia Trust

CQC inspection report published

First rating for our merged Trust announced

24 October 2018

Stamford Hospital launches Christmas appeal to help local Foodbank

Donate to Stamford Hospital’s foodbank appeal and support local families struggling this winter

30 October 2018

It’s beginning to look a lot like Christmas at North West Anglia NHS Foundation Trust

North West Anglia NHS Foundation Trust has launched a brand new campaign just in time for Christmas.

30 October 2018

NHS England

“Our Lives, Our Way, Our Journey” empowering people through co-production to influence the quality of their services

23 October 2018

By Leading Change, Adding Value Team Nursing, midwifery and care

2018/19 Community Pharmacy Contractual Framework (CPCF) National Clinical Audit: Flu Vaccination for People with Diabetes

24 October 2018

Gov.uk

Multi-agency statutory guidance on female genital mutilation

23 October 2018

DfE, DHSC and Home Office

Statutory guidance

Part of a collection: Schools: statutory guidance and Female genital mutilation

Sex ratios at birth in Great Britain: 2012 to 2016

23 October 2018

DHSC

Official Statistics

Part of a collection: Sex ratios at birth: statistics

Code on genetic testing and insurance: consumer guide

23 October 2018

DHSC

Guidance

Bioscience and health technology database: annual report 2017

25 October 2018

DHSC, OLS and BEIS

Research and analysis

Part of a collection: Bioscience and health technology database annual reports

Calorie labelling for food and drink served outside of the home

25 October 2018

DHSC

Open consultation

Health care and adult social care in England: 2017 to 2018

25 October 2018

DHSC

Research and analysis

NHS Pension Board annual report: 2017 to 2018

30 October 2018

DHSC

Independent report

ONS

Deaths registered in England and Wales (series DR): 2017

23 October 2018 (confirmed)

Young people’s earnings progression and geographic mobility, England and Wales: tax year ending 2012 to tax year ending 2016

23 October 2018 (confirmed)

Deaths registered in England and Wales – 21st century mortality: 2017

23 October 2018 (confirmed)

NHS Networks

Managing malnutrition to improve lives and save money

This report explains why malnutrition costs so much and highlights the importance of identifying and appropriately managing malnutrition, as well as the cost savings that can be achieved by better management of this issue.

14:36 – Fri 26 Oct 2018

Cardiovascular disease prevention return on investment tool

This resource has been developed to help commissioners provide cost-effective interventions to prevent cardiovascular disease.

14:35 – Fri 26 Oct 2018

Patients start testing the new NHS app

Patients at a number of practices across England have begun testing the new NHS app.

14:32 – Fri 26 Oct 2018

Changes to clinical pharmacy criteria

GP practices will find it easier to apply for the clinical pharmacists in general practice programme following the relaxation of criteria.

14:31 – Fri 26 Oct 2018

Feedback in distressing situations

Asking patients who have gone through distressing experiences for feedback can be challenge

14:30 – Fri 26 Oct 2018

Care staffing in the NHS: the good, the bad and the promising

The NHS is the biggest employer in England and the fifth biggest in the world, but it is struggling to recruit enough nurses and care staff.

13:53 – Mon 29 Oct 2018

Local authorities told to come up with local solutions to childhood obesity

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

13:48 – Mon 29 Oct 2018

Guidance on business cases

NHS England has published guidance to help commissioners, sustainability and transformation partnerships and regional teams to develop business cases.

13:30 – Thu 25 Oct 2018

A visual guide to vaccines

This poster shows the vaccine, product name and packaging to complement the routine immunisation schedule.

13:27 – Thu 25 Oct 2018

Under-pressure doctors need time for patients, says GMC

Heavy workloads are undermining doctor-patient relationships by eroding the time they have together to discuss treatment and care, the General Medical Council (GMC) has warned.

13:24 – Thu 25 Oct 2018

Doctors encouraged to talk about dying

A report from the Royal College of Physicians says doctors are too often reluctant to engage in conversations with patients about uncertainty, treatment ceilings, resuscitation status and death.

13:22 – Thu 25 Oct 2018

New plans to combat NHS fraud

The government has announced how it will take tougher action on fraud and save hundreds of millions of pounds for the NHS over the next five years.

10:52 – Wed 24 Oct 2018

Self Care Week 2018

Self Care Week is from 12 to 18 November 2018.

10:49 – Wed 24 Oct 2018

Committee shocked by low uptake of flu vaccine

The House of Commons science and technology committee was shocked by survey results which showed that the flu vaccination uptake in social care settings was at best around 25%.

10:46 – Wed 24 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. Changes in recent years have made them more important than ever. More and more services are subject to a procurement process, rather than being simply directly awarded by commissioners. These include many of the “enhanced” services that GP practices could once expect to win almost by default.

11:47 – Tue 23 Oct 2018

GP online services communications toolkit

NHS England has published a guide for GP practices to promote GP online services to patients.

11:46 – Tue 23 Oct 2018

NHS pledges to eliminate ethnicity pay gap

The NHS will work towards eliminating the gender pay gap and ensuring top managers are as diverse as the staff they represent.

11:44 – Tue 23 Oct 2018

Keep Antibiotics Working campaign returns

The Keep Antibiotics Working campaign returns to alert the public to the risks of antibiotic resistance, urging them to always take their doctor, nurse or healthcare professional’s advice on antibiotics.

11:42 – Tue 23 Oct 2018

Older people could play bigger part in volunteering

An older people’s charity is calling for charities, voluntary organisations and the public sector to make better use of older volunteers.

11:41 – Tue 23 Oct 2018

Government’s vision for digital, data and technology in health and care

The Department of Health and Social Care has published a policy paper on what is needed to enable the health and care system to make the best use of technology to support preventive, predictive and personalised care.

11:39 – Tue 23 Oct 2018

BBC News

Wait a year before new pregnancy – study

A study says 12-to-18 months is the ideal interval between giving birth and becoming pregnant again.

  • 30 October 2018
  • From the section Health
  • 47 comments

Full article Wait a year before new pregnancy – study

Surgery students ‘losing dexterity to sew’

A surgery professor expresses fears over the consequences of a generation more adept at using screens.

Amnesty bins yield thousands of drugs

Sniffer dogs can identify malaria

Women over 34 refused IVF treatment

  • 29 October 2018
  • From the section Health
  • 608 comments

Are supplements safe and do they work?

More students seek help for mental health

Organ donation plan gets through Commons

NHS surgeons to operate in private hospital

New ‘Trojan horse’ antibiotic promising

Rise in women having induced labours

  • 25 October 2018
  • From the section Health

Unpublished trials a health risk – MPs

  • 30 October 2018
  • From the section Health

NHS Digital

Quality and Outcomes Framework, Achievement, prevalence and exceptions data – 2017-18 [PAS] 26 Oct 2018

The Quality and Outcomes Framework (QOF) was introduced as part of the General Medical Services (GMS) contract on 1 April 2004. The objective of the QOF is to improve the quality of care patients are given by rewarding practices for the quality of care they provide to their patients. This publication…

National Audit of Pulmonary Hypertension, 9th Annual Report 25 Oct 2018

Pulmonary hypertension is a rare disease which occurs at any age, has many causes, and often shortens life expectancy. In the UK, seven hospitals are designated to diagnose and treat pulmonary hypertension in adults, and one hospital for children. The National Audit of Pulmonary Hypertension (NAPH) is…

Statistics on NHS Stop Smoking Services in England April 2018 to June 2018 25 Oct 2018

This quarterly report presents results from the monitoring of the NHS Stop Smoking Services in England during the period April 2018 to June 2018. NHS Stop Smoking Services offer support to help people quit smoking. This can include intensive support through group therapy or one-to-one support. The support…

NHS Maternity Statistics, England 2017-18 25 Oct 2018

This is a publication on maternity activity in English NHS hospitals. This report examines data relating to delivery and birth episodes in 2017-18, and the booking appointments for these deliveries. This annual publication covers the financial year ending March 2018.

Measures from the Adult Social Care Outcomes Framework, England – 2017-18 23 Oct 2018

The Adult Social Care Outcomes Framework (ASCOF) measures how well care and support services achieve the outcomes that matter most to people. The ASCOF is used both locally and nationally to set priorities for care and support, measure progress and strengthen transparency and accountability.

Adult Social Care Activity and Finance Report, England – 2017-18 [PAS] 23 Oct 2018

This publication contains data taken from the Adult Social Care Finance Return (ASC-FR) and Short and Long Term (SALT) collection to provide information regarding adult social care activity and finance on local authorities in England for 2017-18.

Deferred Payment Agreements Report, England – 2017-18 [PAS] 23 Oct 2018

This publication contains data taken from the Deferred Payment Agreements (DPA) return to provide information regarding the number and associated £ value of Adult Social Care Deferred Payment Agreements in England for 2017-18.

Week Commencing  15 October 2018

Current Awareness Bulletin

 

The nature and frequency of abdominal symptoms in cancer patients and their associations with time to help-seeking: evidence from a national audit of cancer diagnosis

Koo MM; Journal of Public Health; Vol 40, Iss 3; September 2018; pages e388

Raising awareness of possible cancer symptoms is important for timely help-seeking; recent campaigns have focused on symptom groups (such as abdominal symptoms) rather than individual alarm symptoms associated with particular cancer sites. The evidence base supporting such initiatives is still emerging however; understanding the frequency and nature of presenting abdominal symptoms among cancer patients could inform the design and evaluation of public health awareness campaigns.

 

Dietary modifications for infantile colic

Source: Cochrane Database of Systematic Reviews; 2018:10

 

Naloxone for opioid‐exposed newborn infants

Source: Cochrane Database of Systematic Reviews; 2018:10

 

Parent‐mediated interventions for promoting communication and language development in young children with Down syndrome

Source: Cochrane Database of Systematic Reviews; 2018:10

 

Child health in 2030 in England: comparisons with other wealthy countries

This report uses long-term historical data on key child health outcomes and various projection modelling methods to estimate outcomes in 2030 in England compared with other wealthy European and western countries. Based on this data, it concludes that England/the UK currently have poorer health outcomes than the average across the EU15+ in most areas studied, and the rate of improvement in England/the UK for many outcomes is lower than across the EU15+. Also that the marked inequalities observed in most key outcomes are likely to widen over the next decade as problems in areas such as infant mortality and obesity are worsening more quickly amongst the most deprived section of the population.

Source: Royal College of Paediatrics and Child Health

 

Child death review: statutory and operational guidance (England)

This guidance sets out the full process to follow the death of a child resident in England, combining best practice with statutory requirements that must be followed.

Source: DHSC

 

Early Years Provision: survey results June 2018

This report presents the results from a survey of local authorities that explored recent changes by central government to both funding and policy in the early years sector. The survey focused in the cap on central spend, maintained nursery schools, early years entitlements, provision for disadvantaged children and early years practitioners.

Source: Local Government Association

NHS funding: clinical commissioning groups

This paper gives details of funding allocations for each CCG in England from 2013/14 to 2020/21 and describes the process used to allocate the funds.

Source: House of Commons Library

 

 

Evaluation of the diet wide contribution to serum urate levels: meta-analysis of population based cohorts

Major TJ; BMJ 2018;363:k3951

Hyperuricaemia (elevated serum urate concentration) is a central risk factor for gout, and is also associated with chronic kidney disease, hypertension, and metabolic syndrome. This study aimed to systematically test dietary components for association with serum urate levels and to evaluate the relative contributions of estimates of diet pattern and inherited genetic variants to population variance in serum urate levels. It found that, in contrast with genetic contributions, diet explains very little variation in serum urate levels in the general population.

 

New policy to fortify flour with folic acid

The government looks set to introduce mandatory fortification of flour with folic acid to help prevent neural tube defects, such as spina bifida, according to reports in the media today (15 October). The policy will bring the UK in line with many other countries, including the US and Canada, that already fortify their flour with folic acid.

Source: Royal College of Midwives

 

Physical activity for general health benefits in disabled adults: Summary of a rapid evidence review for the UK Chief Medical Officers’ update of the physical activity guidelines

Disabled people are twice as likely to be inactive when compared to non-disabled people. This report provides a review of the scientific evidence of the health benefits for physical activity specifically for disabled adults.

Source: PHE

See also:

PHE news item New support launched for disabled adults to improve health including link to new infographic for health professionals and disabled people.

 

 

Young people turning their backs on alcohol

Comment on a study involving nearly 10,000 young people in the UK which found that the proportion of 16- to 24-year-olds who say they never drink alcohol rose from 18% in 2005 to 29% in 2015. The study also found that young people who did drink alcohol were drinking less nowadays and that binge drinking rates were falling.

Source: Behind the Headlines

 

Investigating the growing trend of non-drinking among young people; analysis of repeated cross-sectional surveys in England 2005–2015

Fat LN; BMC Public Health 18:1090; Oct 2018

Non-drinking among young people has increased over the past decade in England, yet the underlying factor driving this change is unknown. This study explores among which sub-groups non-drinking has increased, and how this correlates with changes in drinking patterns, to identify whether behaviours are becoming more polarised, or reduction is widespread among young people.

 

The Impact of Age on Income-Related Health Status Inequalities from Birth to Adolescence: A Systematic Review with Cross-Country Comparisons

Van Swieten A; Journal of Pediatrics; online 25 Sept 2018

It is uncertain whether income-related health inequalities remain stable, widen, or narrow as children age, which impacts optimal timing of equity-focused interventions. This study found that in many countries, income-related health status inequalities persist or widen as children age.

 

Support surfaces for treating pressure ulcers

Source: Cochrane database of Systematic Reviews; 2018:10

 

Effect of health literacy on the quality of life of older patients with long-term conditions: a large cohort study in UK general practice

Panagioti M; Quality of Life Research, Vol 25 (5); p1257-68

This is the largest, most complete assessment of the effects of health literacy on QoL in older adults with LTCs. Low health literacy is an independent indicator of poor QoL in older patients with LTCs. Interventions to improve health literacy in older people with LTCs are encouraged by these findings.

 

The blood-thinner apixaban is less likely to cause major bleeding than warfarin

People who take apixaban to prevent blood clots are less likely to suffer major bleeding complications than those taking warfarin. This large NIHR-funded study examined registry data from 196,061 people taking anticoagulants for any reason. Fewer people had intracranial bleeding on the direct acting oral anticoagulants apixaban, dabigatran and rivaroxaban than warfarin. However, the death rate was higher for people taking low dose apixaban and rivaroxaban compared with warfarin, emphasising the need to base decisions on multiple sources of evidence.

Source: NIHR Signals

 

Eszopiclone for insomnia

Source: Cochrane database of Systematic Reviews; 2018:10

 

Price increases for generic medications

During 2017, the prices of certain generic medicines purchased by community pharmacies for the NHS increased unexpectedly, affecting an unusually high number of medicines.

Source: House of Commons Public Accounts Committee

 

Decision-making and mental capacity (NG108)

Source: NICE

 

Family therapy approaches for anorexia nervosa

Source: Cochrane database of Systematic Reviews; 2018:10

 

Dementia and Black, Asian and Minority Ethnic Communities: Report of a Health and Wellbeing Alliance project

The number of black and minority ethnic people with dementia is increasing, and increasing faster than for the White British community. This report examines dementia within the black and minority ethnic population and the level of current services being provided to support them and their carers.

Source: VCSE Health and Wellbeing Alliance

 

Predictors of outcomes for patients with common mental health disorders receiving psychological therapies in community settings: a systematic review

Amati F; Journal of Public Health; Vol 40; Iss 3; September 2018; pages e375

The aim of this review is to establish which predictors have a significant impact on recovery from common mental health disorders in community settings.

 

Baclofen: its effectiveness in reducing harmful drinking, craving, and negative mood. A meta‐analysis

Rose AK; Addiction; Vol 113; Iss 8; p 1396-1406

A meta‐analysis of randomized controlled trials (RCTs) was conducted to determine the efficacy of baclofen in reducing drinking behaviour, craving, depression and anxiety compared with placebo.

 

National Child Measurement Programme, England – 2017/18 School Year

This report presents findings from the Government’s National Child Measurement Programme (NCMP) for England, 2017-18 school year. It covers children in Reception (aged 4-5 years) and Year 6 (aged 10-11 years) in mainstream state-maintained schools in England. The report contains analyses of Body Mass Index (BMI) classification rates by age, sex and ethnicity as well as geographic analyses.

Source: NHS Digital

See also:

Record high levels of severe obesity found in year 6 children

PHE press release following publication of the NCMP data.

 

Acceleration of BMI in Early Childhood and Risk of Sustained Obesity

Geserick M et al; New England Journal of Medicine; Oct 2018; 379:1303-1312

To assess the age at onset of obesity, this study performed prospective and retrospective analyses of the course of BMI over time in a population-based sample of US 51,505 children. It found that found that almost 90% of the children who were obese at 3 years of age were overweight or obese in adolescence, and among obese adolescents, the most rapid weight gain had occurred between 2 and 6 years of age.

 

Obesity and loss of disease-free years owing to major non-communicable diseases: a multicohort study

Nyberg ST; The Lancet Public Health; Vol 3; Iss 10; p e490-e497; October 2018

This large study estimated the number of years free from major non-communicable diseases in adults who are overweight and obese, compared with those who are normal weight, and how this association varies by lifestyle category and socioeconomics. It found that mild obesity was associated with the loss of one in ten, and severe obesity the loss of one in four potential disease-free years during middle and later adulthood.

 

Lifetime risk of common neurological diseases in the elderly population

Licher S et al: Journal of Neurology, Neurosurgery and Psychiatry: online 2 Oct 2018

One in two women and one in three men will develop dementia, stroke or parkinsonism during their life. These findings support prioritising the focus on preventive interventions at population level which could substantially reduce the burden of such diseases in the ageing population.

 

A football programme for overweight men achieves sustained weight loss

A 12-week weight management programme for men, centred on football, achieved 4.9kg weight loss at 12 months. Modest weight loss of 2.9kg was maintained at 3.5 years. This NIHR-funded study followed 488 of 747 men (65%), average age 47 years, originally allocated to a programme of behavioural advice and football training with a professional coach or to a waitlist control. In this follow-on study, the control group also received the intervention after 12 months.

Source: NIHR Signals

 

Increasing physical activity in every level of society

A summary of the progress towards increasing physical activity prior to the seventh International Society for Physical Activity and Health Congress (ISPAH) on 15-17 October 2018.

Source: Public Health Matters

 

New physical activity resource for health professionals

A new resource that will improve conversations about physical activity between patients and healthcare professionals has been launched. The new digital Moving Medicine tool will help healthcare professionals advise patients on how physical activity can help to manage their conditions, prevent disease and aid recovery.

Source: PHE

 

Treating depression with physical activity in young people

Comment on a systematic review that looks at the effectiveness of physical activity as a treatment for depression in adolescents and young adults.

Source: The Mental Elf

 

Effectiveness of the Stand More AT (SMArT) Work intervention: cluster randomised controlled trial

Edwardson CL; BMJ 2018;363:k3870

This trial, based on a sample of office workers in an English NHS trust, evaluated the impact of a multicomponent intervention (Stand More AT (SMArT) Work) designed to reduce sitting time on short (three months), medium (six months), and longer term (12 months) changes in occupational, daily, and prolonged sitting, standing, and physical activity, and physical, psychological, and work related health. It found that SMArT Work successfully reduced sitting time over the short, medium, and longer term, and positive changes were observed in work related and psychological health.

 

 

Active mind‐body movement therapies as an adjunct to or in comparison with pulmonary rehabilitation for people with chronic obstructive pulmonary disease

Source: Cochrane Database of Systematic Reviews; 2018:10

 

Trends in moderate and severe exacerbations among COPD patients in the UK from 2005 to 2013

Oshagbemi OA et al; Respiratory Medicine; Vol 144 Nov 2018

This is the first study that reports the long-term changes in the incidence rates of moderate and severe exacerbations within the UK general practice. Women showed a substantially higher risk of any COPD exacerbations, and their risk is increasing. The incidence rates of any exacerbations increased during the study period, while severe exacerbations were variable. Furthermore, incidence rates varied substantially by age group.

 

The state of health care and adult social care in England: 2017/18

Covering social care, acute care, primary and community care, and mental health care, this report looks at trends, shares examples of good and outstanding care, highlights challenges where care needs to improve, and considers factors affecting the sustainability of good care.

Source: Care Quality Commission

 

Very early versus delayed mobilisation after stroke

Source: Cochrane database of Systematic Reviews; 2018:10

 

Early diagnosis key to reducing harm from placental complications

This RCOG bulletin highlights updated guidance on early diagnosis and specialised care to reduce harms associated with complications of the placenta – placenta praevia and placenta accreta – and ensure the safest possible outcome for mother and baby.

Source: Royal College of Obstetricians and Gynaecologists

 

MRI scan does not help to find the cause of pelvic pain in women

MRI scans are not sufficiently accurate to find the cause of chronic pelvic pain in women and should not replace laparoscopy (keyhole surgery), which can be used for diagnosis and often treatment. MRI only correctly ruled out a gynaecological condition in half of women judged to have no obvious cause and missed half of women who did have a treatable gynaecological condition.

Source: NIHR Signals

 

Factors Associated with Breastfeeding Initiation and Continuation: A Meta-Analysis

Cohen SS et al; Journal of Pediatrics; online 4 October 2018

This study uses a quantitative approach to evaluate the literature for quantity, quality, and consistency of studies of maternal and infant characteristics in association with breastfeeding initiation and continuation, and conducts a meta-analysis to produce summary relative risks (RRs) for selected factors.

 

Quantifying the burden of stillbirths before 28 weeks of completed gestational age in high-income countries: a population-based study of 19 European countries

Smith LK; The Lancet; online 27 Sept 2018

Present definitions used for international comparisons exclude a third of stillbirths. International consistency of reporting stillbirths at 24 weeks to less than 28 weeks suggests these deaths should be included in routinely reported comparisons. This addition would have a major impact, acknowledging the burden of perinatal death to families, and making international assessments more informative for clinical practice and policy. Ascertainment of fetal deaths at 22 weeks to less than 24 weeks should be stabilised so that all stillbirths from 22 completed weeks of gestation onwards can be reliably compared.

 

New strategy to reduce stillbirths remains unproven

Comment on the results of the AFFIRM trial which sought to test whether stillbirth rates could be reduced by raising awareness about the importance of fetal movements among pregnant women and health professionals, and introducing a consistent package of care when women present with a history of reduced fetal movements. The results reveal that the package of care did not lead to a statistically significant reduction in the number of stillbirths, but it did lead to an increase in medical interventions including induction of labour and CS.

Source: Royal College of Midwives

 

The state of health care and adult social care in England: 2017/18

Covering social care, acute care, primary and community care, and mental health care, this report looks at trends, shares examples of good and outstanding care, highlights challenges where care needs to improve, and considers factors affecting the sustainability of good care.

Source: Care Quality Commission

 

Sector-led improvement in public health: progress and potential

The case studies in this publication show the innovations that can be achieved by local areas collaborating within regions on health issues that can best be tackled at scale.

Source: Local Government Association

 

An overview of reviews: the effectiveness of interventions to address loneliness at all stages of the life-course

An evidence review based on the research question: What is the effectiveness of interventions to alleviate loneliness in people of all ages across the life-course?

Source: What Works Centre for Wellbeing

 

A connected society: a strategy for tackling loneliness – laying the foundations for change

This strategy highlights the importance of social relationships to people’s health and wellbeing and sets out the government’s approach to tackling loneliness in England.

Source: Department for Digital, Culture, Media and Sport

 

Standards of proficiency for nursing associates

This document sets out the minimum standards required for nursing associates when they join the Nursing & Midwifery Council (NMC) register. Approved education institutions, with their practice placement partners, will need to ensure that nursing associate education and training programmes enable students to demonstrate these proficiencies and qualify as nursing associates.

Source: Nursing & Midwifery Council

 

Decision-making and mental capacity (NG108)

Source: NICE 

Gov UK

1.     ‘Keep Warm Keep Well’ leaflet

2.     Norovirus and rotavirus: summary of surveillance 2018 to 2019

3.     Rabies: risks from bat bites

4.     Regional research and practice workshops: reports

    • 17 October 2018
    • PHE
    • Guidance

5.     Oxfordshire: diabetic eye screening service

6.     Torbay and South Devon: antenatal and newborn screening programme

7.     Littlefield: cervical screening programme

8.     Syndromic surveillance: weekly summaries for 2018

9.     Remote health advice: weekly bulletins for 2018

10.  Medway: breast screening programme

11.  South Yorkshire and Bassetlaw: abdominal aortic aneurysm screening

12.  Kettering: breast screening programme

13.  Bradford and Airedale: bowel cancer screening programme

14.  Royal Devon and Exeter: antenatal and newborn screening programmes

15.  Liverpool Women’s NHS Trust: antenatal and newborn screening

16.  East and North Hertfordshire: antenatal and newborn programmes

17.  Shiga toxin-producing Escherichia coli O157 outbreak: August 2017

18.  The future of healthcare: our vision for digital, data and technology in health and care

    • 17 October 2018
    • DHSC
    • Policy paper

19.  Health Protection Report volume 12 (2018)

    • 19 October 2018
    • PHE
    • Research and analysis

20.  Cold weather plan for England

21.  High consequence infectious diseases: monthly summaries

22.  Weekly national flu reports: 2018 to 2019 season

23.  Air pollution: a tool to estimate healthcare costs

    • 17 October 2018
    • PHE
    • Guidance

24.  Breast screening: ergonomics in screening mammography

25.  NCARDRS congenital anomaly statistics: annual data

26.  COMA reports

    • 17 October 2018
    • PHE
    • Independent report

27.  NHS Bursary Scheme rules 2018

    • 18 October 2018
    • DHSC
    • Guidance

28.  Suspended and revoked licences and registrations for manufacturers and wholesalers of medicines and ingredients

29.  Proposal to make Colourstart Test 65mcg Cutaneous Patch available from general sales outlets without prescription

    • 17 October 2018
    • MHRA
    • Open consultation

30.  GP out-of-hours syndromic surveillance: weekly bulletins for 2018

ONS

Crime in England and Wales: year ending June 2018

18 October 2018 (confirmed)

NHS Digital

Review of ways to tackle loneliness

A review by What Works Wellbeing considers what we know about loneliness and how to tackle it.

10:33 – Thu 18 Oct 2018

New tool to make it easier for health professionals to talk about physical activity

The Moving Medicine tool will help healthcare professionals advise patients on how physical activity can help to manage their conditions, prevent disease and aid recovery.

12:02 – Wed 17 Oct 2018

 

NHS England urged to develop children’s health strategy

A report by the Royal College of Paediatrics and Child Health (RCPCH) compares health outcomes of children and young people in England compared with other wealthy European and western countries.

12:00 – Wed 17 Oct 2018

Government launches loneliness strategy

Theresa May called it one of the greatest public health challenges of our time, as she launched the first cross-government strategy to tackle loneliness.

16:49 – Tue 16 Oct 2018

 

Improving children and young people’s mental health services

A report from the National Audit Office examines whether the government is on track to meet its ambitions for children and young people’s mental health services.

16:46 – Tue 16 Oct 2018

BBC News

Check NHS cancer, A&E, ops and mental health targets in your area

  • 18 October 2018

Children with problems or problem children?

By Hannah Richardson BBC News education and social affairs reporter

  • 19 October 2018

NHS Digital

Health Secretary: My tech vision will help build most advanced health and care system in the world

Wednesday 17 October 2018

Outdated and obstructive NHS IT systems will become a thing of the past, Health and Social Care Secretary Matt Hancock has said as he launches his technology vision today.

 

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 […]

Read more

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 […]

Read more

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 […]

Read more

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 […]

Read more

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 […]

Read more

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