Living and working with complexity

Thinking clearly, acting wisely and staying healthy

The uncertainty and anxiety that come with the experience of complexity can be overwhelming. It can be hard to think clearly and act wisely, and our wellbeing can easily suffer. The Covid-19 pandemic has made these experiences an everyday occurrence for many people, and the need for us to work clearly, wisely and healthily has never been more pressing.

The King’s Fund have put together 3 workshops to lift the lid on complexity. They’ll explore how encouraging ourselves and others to understand and acknowledge the loss of control when faced with complexity can help us, our teams and our wider organisational systems survive and even thrive in conditions of uncertainty.

The workshops will help you:

make sense of the messy reality of complexity, accurately categorise different aspects of that reality and be able to choose appropriate, measured, responses
understand your own preferences and strengths in relation to the complexity around you and develop strategies to stretch beyond them
help yourself and others be their best during uncertain times.

To find out more or buy your tickets click here.

The future of vaccination

Driving the UK’s leadership in vaccine research & innovation

This series of articles brings together experts from the government, the scientific research community, and the life sciences sector to discuss the future of vaccination and how the UK can retain its leading position in vaccine research.

To read the report click here. Or to find out more information click here.

Public Health

Current Awareness

Suicide awareness materials: do they help people with suicidal ideation?
The Mental Elf; 2020.

(Hanzla Amir and Derek Tracy summarise a recent online randomised controlled trial on the effects of suicide awareness materials on people who feel suicidal, which finds that the Papageno effect is real and that stories of hope and recovery can help.)

Whole systems approach to obesity.
Public Health England (PHE); 2020.

(A guide and set of resources to support local authorities with implementing a whole systems approach to address obesity and promote a healthy weight.
7 December 2020: Added ‘Engaging NHS system leaders in whole systems approaches to physical activity’.)

Supporting public health: children, young people and families.
Public Health England (PHE); 2020.

(Documents to support local authorities and providers in commissioning and delivering maternal and child public health services from preconception up to 24 years. 8 December 2020: Updated to include the 6 maternity high impact area guides.)

How England will end new cases of HIV: final report and recommendations.
HIV Commission; 2020.

(The HIV Commission is an ambitious, independent process to find the path to ending new HIV transmissions and HIV-attributed deaths in England by 2030. Its report sets out 20 achievable and evidence-based actions that need to be taken if this goal is to be met.)

Obesity Profile: December 2020 update.
Public Health England (PHE); 2020.

(Obesity Profile online data tool: update with new data from the National Child Measurement Programme (NCMP) for academic year 2019 to 2020.)

What people are telling us: a summary, July – September 2020 Healthwatch, 2020

(Between July and September 2020, more than 38,082 people shared their experiences of using health and social care with Healthwatch. This briefing is a summary of the key issues that the public are telling us about, including access to NHS dental care; the support provided in care homes; and accessing Covid-19 tests.)

Interventions to prevent intimate partner and sexual violence Public Health England (PHE), 2020

(A guidance resource from PHE to help tackle the root causes of violence and
change behaviours that lead to violence. It includes a summary of research and good practice in bystander interventions.)

Digital technology and health inequalities

A scoping review

Source: King’s Fund Digital Health Digest

This report, published jointly by Public Health Wales and The King’s Fund, explores how a lack of access, skills and motivation for using digital technologies could contribute to inequalities in health and other outcomes. It considers approaches to reduce the widening differences between groups.

Covid 19

Updates on the Covid 19 Pandemic

Update on COVID-19 pandemic.
BMJ Best Practice; 2020.

(Epidemiology: updated data on children and pregnant women; updated risk factors (solid organ transplant). Aetiology: updated data on viral shedding in immunocompromised people. Emerging: WHO Solidarity trial results published; NIH recommends against casirivimab/imdevimab as standard of care for patients with mild to moderate disease; UK trial starts investigating use of colchicine. Prevention: first vaccine authorised for use in the UK; WHO updates guidance on mask use in community settings.)

Mask use in the context of COVID-19.
World Health Organization (WHO); 2020.

(This document provides updated guidance on mask use in health care and community settings, and during home care for COVID-19 cases. It is intended for policy makers, public health and infection prevention and control professionals, health care managers and health workers. Updated 1 December 2020.)

COVID-19: vaccination programme guidance for healthcare practitioners.
Public Health England (PHE); 2020.

(Guidance for healthcare practitioners about the coronavirus (COVID-19) vaccination programme. 4 December 2020: Update report: details on page 3.)

COVID-19 vaccination: women of childbearing age, currently pregnant, planning a pregnancy or breastfeeding.
Public Health England (PHE); 2020.

(Information for all women of childbearing age, those currently pregnant, planning a pregnancy or breastfeeding on coronavirus (COVID-19) vaccination.)

Covid-19 Insight: issue 5.
Care Quality Commission (CQC); 2020.

(In this month’s report, we build on the learning about good practice in infection prevention and control that we discussed in the last issue by focusing on care homes. We also present the key findings from a survey to understand the experience of inpatients who were discharged from hospital from April to May 2020, when the first wave of the pandemic was at its height.)

King’s Fund Podcast

Can the NHS be a truly flexible workplace?

‘How is it possible for a newly qualified nurse to work flexibly? How is it possible for a junior doctor to work flexibly? That was the thinking behind Flex NHS.’ In the latest episode of The King’s Fund podcast, they sit down with Kate Jarman, Director of Communications and Corporate Affairs at Milton Keynes University Hospital and co-founder of Flex NHS to discuss what working flexibly means in practice, communicating during Covid-19 and activism in the health service.

To listen to the podcast, click the image above.

Improving the nation’s health

The future of the public health system in England

Source: King’s Fund Health Management and Policy Alert

In light of the impact of the pandemic and the government’s decision to abolish Public Health England (PHE), this briefing explores what needs to be put in place to make progress on the government’s commitments to improve the nation’s health. It looks at the role the government can play in improving the nation’s health before examining how England might transition to a new public health system and what the main priorities for any new system should be.

To find out more click here.