Public Health

Current awareness updates

Tick bite risks and prevention of Lyme disease: resources.
Public Health England (PHE); 2021.
[Toolkit and resources for local authorities and other stakeholders to raise awareness of the potential risks created by ticks and tick-borne disease in England. You can choose to co-brand leaflets and posters with PHE by adding your logo to the Word files or simply download the PDFs.]

Holiday activities and food programme 2021.
Department for Education (DfE); 2021.
[This document provides information for local authorities delivering the holiday activities and food programme in 2021. In 2020 the government announced that the holiday activities and food programme, that covers the Easter, summer and Christmas holidays, will be expanded across the whole of England in 2021. There will be up to £220 million available to local authorities to coordinate free holiday provision, including healthy food and enriching activities.]

New cross-government unit to tackle drug misuse following major independent review.
Department of Health and Social Care (DHSC), Home Office, and Public Health England (PHE); 2021.
[The new unit aims to end illegal drug-related illness and deaths. The rise in drug misuse poisoning deaths has been driven by increases in heroin deaths which have doubled in this time and other substances such as cocaine have seen notable recent increases. The proportion of 11 to 15-year-olds who use drugs has increased in recent years with one in three 15-year-olds saying they took drugs in the last year.]

Tackling obesity: the role of the NHS in a whole-system approach.
The King’s Fund; 2021.
[Rates of obesity in England are high and rising, with a strong systemic relationship between obesity and deprivation. Rates are also higher in women than in men, and in some ethnic minority groups compared to the white British group. This briefing explores the role of the NHS in tackling obesity, focusing on how the NHS can work with local partners and engage with communities to deliver targeted interventions to treat and prevent obesity.]

Effectiveness of complementary therapies in cancer patients: a systematic review.
Guerra-Martin MD. International Journal of Environmental Research & Public Health 2021;18(3):1017.
[The findings reveal some effective complementary therapies: auriculotherapy and acupuncture, laser moxibustion, hypnosis, Ayurveda, electroacupuncture, progressive muscle relaxation and guided imagery, yoga, phytotherapy, music therapy and traditional Chinese medicine. On the other hand, electroacupuncture, laser moxibustion and traditional Chinese medicine presented adverse effects, and kinesiology did not show effectiveness.]

Wellbeing toolkit for Alcohol Related Brain Damage (ARBD).
Penumbra; 2021.
[As well as providing important medical information about ARBD and alcohol use, the toolkit covers key practical and holistic information on recovery – including information on reducing stress, improving memory, coping with challenging emotions without using alcohol, nutrition and exercise, connecting with others and the community, along with guidance on improving digital skills, budgeting and knowing your rights. It includes a podcast of relaxation exercises.]

What support do young people with sickle cell disease need when moving into adult services?.
NIHR Evidence; 2021.
[This research suggests that non-specialist healthcare services are failing young people with sickle cell disorder. This is a critical period in their development when they are learning to live as adults. It is difficult to manage conflicting demands, such as wanting to work hard at school but needing to rest to avoid pain. Researchers suggest healthcare professionals shouuld work with schools to create supportive services that can help young people to achieve their life goals.]

Loneliness is strongly linked to depression in older adults in a large, long-term study.
NIHR Evidence; 2021.
[Depression is a major public health problem that is growing worldwide. The causes are complex and vary from person to person. However, new research estimates that up to one in five cases of depression among older adults could be prevented by reducing loneliness. The study therefore has important public health implications, highlighting the need for comprehensive action across society to combat loneliness.]

HIV infection and AIDS.
Clinical Knowledge Summary (CKS); 2021.
[This CKS topic has been updated.]

Could a decision support tool help to guide mental health treatment in primary care?
The Mental Elf; 2021.
[Linda Gask reviews a recent randomised controlled trial on the clinical efficacy of a Decision Support Tool (Link-me) to “guide the intensity of mental health care in primary practice”.]

Improving the care of patients discharged following a pulmonary embolism, in line with NICE Guidelines (NG158).
[Shared learning from Nottingham Universities Hospitals Trust. Project started out as audit looking into how to improve discharge process for patients following a PE, however upon understanding limitations of care provided on discharge, practice was changed in line with NICE guidelines to ensure safest possible discharge for these patients.]

Risk factors for LGBTQ+ youth self-harm and suicide.
The Mental Elf; 2021.
[In her debut blog, Hazel Marzetti reviews a recent systematic review and meta-analysis on victimisation and mental illness prevalence among LGBTQ+ young people with experiences of self-harm and suicide.]

European Surveillance of Antimicrobial Consumption Network (ESAC-Net).
World Health Organization (WHO); 2021.
[The report found some differences in the use of antibiotics between two sets of countries, the ECDC’s European Surveillance of Antimicrobial Consumption Network (ESAC-Net) and WHO/Europe’s Antimicrobial Medicines Consumption (AMC) Network. Findings show a significant decrease in the consumption of antibacterials in eight ESAC-Net countries including the United Kingdom. However, figures for the AMC Network were less clear, reflecting the more complicated nature of data collection.]

Transition to adulthood and transfer to adult care of adolescents with congenital heart disease: a global consensus statement.
Moons P. European Heart Journal 2021;:ehab388.
[This consensus document describes issues and practices of transition and transfer of adolescents with CHD. Transitional care ought to be provided to all adolescents with CHD, taking into consideration the available resources. When reaching adulthood, patients ought to be transferred to adult care facilities capable of managing their needs, and systems have to be in place to ensure continuity of high-quality care.]

Children and young people’s mental health – policy, CAMHS services, funding and education.
House of Commons Library; 2021.
[Research briefing on children and young people’s mental health policy, June 2021.]

Community mental health and wellbeing : what does gold standard look like?
Digital Health & Care Innovation Centre, Scotland; 2021.
[Following interviews and meetings with key stakeholders a range of tools were developed to support collaborative discussion around gold standard community mental health and wellbeing, key relationships and challenges to implementation. This report presents findings of the resulting workshop.]

Emerging lessons from the commissioning and delivery of a gambling treatment service.
Woodall J. Public Health 2021;196:69-73.
[This article offers a unique contribution to understanding more about the provision of gambling treatment services. This is crucial, given that a greater number of people face challenges as a consequence of gambling harms, and such services should be seen part of forming a coherent public health response.]

PHE women’s reproductive health programme 2020 to 2021.
Public Health England (PHE); 2021.
[Progress update on the PHE reproductive health programme, including a new return on investment tool and the next steps for 2021 to 2022. Use these documents and tools to understand how this programme integrates with the upcoming women’s and sexual and reproductive health strategies. Links to new tools, publications and examples of best practice can also be used as a reference point for colleagues across the healthcare system, to inform prioritisation and planning.]

National flu immunisation programme plan.
Department of Health and Social Care (DHSC); 2021.
[The annual flu letter for 2021 to 2022 describes the national flu immunisation programme and outlines which groups are eligible for flu vaccination.]

Life Sciences Vision.
Department for Business, Energy & Industrial Strategy; 2021.
[This document outlines the government’s and the life science sector’s ambitions for the sector over the next decade. It sets out the government’s plans to stimulate a thriving UK life sciences sector. It also focuses on how the sector can address some of the UK’s most significant health care challenges, including cancer, dementia and obesity.]

Alcohol consumption and harm during the COVID-19 pandemic.
Public Health England (PHE); 2021.
[A report collating data on alcohol consumption and alcohol-related harm in England during the COVID-19 pandemic and comparing it to data from previous years. The report improves our understanding of how alcohol consumption and harm changed in England while physical and social restrictions to prevent and control coronavirus were in place. The findings help to understand whether pandemic-related changes have affected rates of alcohol hospital admissions and deaths as well as health inequalities.]

Early evaluation of the Children and Young People’s Mental Health Trailblazer programme.
University of Birmingham; 2021.
[The programme was launched in December 2018 to improve the prevention of mental health problems and early intervention for children and young people with mild to moderate mental health problems. The early evaluation is following the experiences of the initial group of mental health support teams, which are based in 25 areas across England (called Trailblazers) and work with more than 1,000 schools and colleges.]

Public Health

Current Awareness Updates

Reduced drinking and harm reduction in the treatment of alcohol use disorders.
Bischof. Drugs and Alcohol Today 2020;21(1):31-44.
(The purpose of this paper is to give an overview of the scientific evidence for reduced drinking in alcohol use disorders.)

Inequalities in oral health in England.
Public Health England (PHE); 2021.

(The report describes the current picture of oral health inequalities and oral health service inequalities in England by socioeconomic position, geographic area, protected characteristics and vulnerable (disadvantaged) groups. Information in the report may be used to inform the equality impact assessment of proposed public health interventions and to inform the commissioning of services.)

Alcohol and drugs evidence reviews and inquiries.
Public Health England (PHE); 2021.

(Reports and reviews relating to substance misuse. Policy makers, commissioners and service providers can use the evidence presented in these reviews and reports when deciding how best to implement policies and interventions relating to drugs and alcohol.)

Case study synthesis: community hubs and green space.
What Works Centre for Wellbeing; 2021.

(This review of practice-based case studies plugs some gaps in the evidence on how community hubs and green spaces can enhance wellbeing in a place. The case study evidence provides important and rich detail on these projects and activities, and how they are delivered, which will provide policy-makers and practitioners with tangible illustrations to refer to in the design and modification of interventions.)

Composition of foods integrated dataset (CoFID).
Public Health England (PHE); 2021.

(McCance and Widdowson’s ‘composition of foods integrated dataset’ on the nutrient content of the UK food supply. Public Health England (PHE) is responsible for maintaining up-to-date data on the nutrient content of the UK food supply in order to support the National Diet and Nutrition Survey, and funds nutrient analysis of foods commonly consumed in the UK.)

Preventing and reducing drug-related harm.
Public Health England (PHE); 2021.

(Information and resources to support commissioners, service providers and others to reduce harm and prevent deaths related to substance misuse.)

Reducing harm due to alcohol: success stories from 3 countries.
World Health Organization (WHO); 2021.

(The WHO-recommended “best buys” for alcohol policy can easily help countries to reduce health harms related to alcohol consumption. Experience from Lithuania, Scotland and the Russian Federation shows how effective they can be when countries choose to implement them.)

Changing the perfect picture: an inquiry into body image.
House of Commons Women and Equalities Committee; 2021.

(This inquiry sought to determine which groups were most at risk of developing poor body image, the factors driving its increased prevalence, and the impact of poor body image on the lives of those affected by it. It considers the impact body dissatisfaction can have on physical and mental health and its relationship with advertising in traditional and social media. It also considers the role the government should play through health, education or digital policy interventions.)

Public Health

Current Awareness Updates

Misuse of illicit drugs and medicines: applying All Our Health.
Public Health England (PHE); 2021.

(Evidence and guidance to help health professionals identify, prevent or reduce drug-related harm. The information will help front-line health and care staff use their trusted relationships with patients, families and communities to promote the benefits of asking patients about drug use.)

NHS population screening: identifying and reducing inequalities.
Public Health England (PHE); 2021.

(Guidance and resources to support providers and commissioners in reducing screening inequalities. Variation in participation exists both within and between national screening programmes. Barriers can result in some people being unable to maximise the benefits of screening. And people at higher risk of the conditions being screened for are generally less likely to participate.)

Alcohol dependence prevalence in England.
Public Health England (PHE); 2021.

(Estimates of the number of alcohol dependent adults in each local authority in England. The data is from national and local authorities, and is organised by age and gender.)

Children living with parents in emotional distress: March 2021 update.
Public Health England (PHE); 2021.

(The proportion of children living with at least one parent reporting symptoms of emotional distress, by family type and work status.)

How can touch-free technology help the NHS? Open Access Government, 31 March 2021

(Videx UK aims to help the health care and business sector return to normal with hands-free door entry.)

From computers to communities: how remote technology will transform rural neighbourhoods TechRadar, 1 April 2021

(The pandemic has meant a change in the way we live and work. However, virtually all health care sectors have successfully implemented remote collaboration tools.)

Library Bulletin

Substance use research

The latest research bulletin featuring new research on substance use, treatment and recovery (produced by Greater Manchester Mental Health Trust) is now available to view and download.

For any support accessing of the articles, please contact academic.library@lscft.nhs.uk

Public Health

Current Awareness Updates

Syphilis: Public Health England action plan.
Public Health England (PHE); 2021.

(Addressing the increase in syphilis in England.)

The obesity paradigm and the role of health services in obesity prevention: a grounded theory approach.[Abstract]
Pearce C. BMC Health Services Research 2021;21(1):111.

(The aim of this research was to examine whether and how hospital and community-based health services incorporate adult obesity prevention into policy and practice. An alternative systems-level approach is needed to align health service responses with contemporary approaches that address obesity prevention as a complex problem.)

The impact of household energy poverty on the mental health of parents of young children.
Journal of Public Health; 2021.

(Energy poverty increases the likelihood of depression in parents. These findings merit policy attention since a mental health burden is in itself important, and more widely, parental well-being can influence child development and outcomes.)

Raising awareness of funding for vulnerable two-year-old children.
Social Care Institute for Excellence (SCIE); 2021.

(SCIE is helping the Professional Association for Childcare and Early Years (PACEY) to raise awareness about the 15 hours funded early years provision, particularly to more families who are vulnerable. This programme improves the health, learning and development of disadvantaged two-year-old children as well as being beneficial for the parent.)

‘Do No Harm’: Lived Experiences and Impacts of FGM Safeguarding Policies and Procedures, Bristol study.
FORWARD UK; 2021.

(The research reveals worrying evidence that FGM safeguarding policies are inadvertently causing a great deal of harm to families, communities and young girls, both in Bristol and potentially across the UK. Their targeted and heavy-handed approach have increased scrutiny, suspicion and stigmatisation of families in many areas of their lives, from schools, to healthcare, to overseas travel.)

Still not safe: the public health response to youth violence.
The Children’s Commissioner; 2021.

(This report assesses how effectively existing infrastructure within local authorities is being used to deliver a public health approach to preventing gang involvement and youth violence. The Children’s Commissioner concludes that two years on from her last report into this issue and a year after the Prime Minister promised to ‘cut the head off the snake’ of county lines, thousands of children are still not being kept safe.)

Dementia profile: February 2021 update.
Public Health England (PHE); 2021.

(Updated statistics on dementia prevalence, hospital admissions, care and mortality, at the national and subnational geographical areas in England. The dementia profile is designed to improve the availability and accessibility of information on dementia. The data is presented in an interactive tool that allows users to view and analyse it in a user-friendly format.)

Health and Care of People with Learning Disabilities 2019-20.
NHS Digital; 2021.

(The most recent release of the 2019-20 Health and Care of Learning Disability Publication. These are aggregated data on key health issues for people who are recorded by their GP as having a learning disability, and comparative data about a control group who are not recorded by their GP as having a learning disability.)

Statistics on Drug Misuse, England 2020.
NHS Digital; 2021.

[This report presents newly published information on hospital admissions attributable to drug-related mental health and behavioural disorders and on hospital admissions attributable to poisoning by illicit drugs.

The report also provides links to information on drug misuse among both adults and children from a variety of sources, including the National Drug Treatment Monitoring System and the Crime Survey for England and Wales (date range:01 Apr 2019 to 31 Mar 2020)]


Public Health

Current Awareness Updates

How to stop the spread of coronavirus (COVID-19).
Public Health England (PHE); 2021.

(Advice for everyone to help stop the spread of coronavirus (COVID-19).)

Shooting Up: infections among people who inject drugs in the UK.
Public Health England (PHE); 2021.

(This Public Health England report describes the extent of infections among people who inject drugs (PWID) in the United Kingdom.
27 January 2021: Added December 2020 update report, data tables and links to the slide set and infographic.)

Young people’s mental and emotional health: Trajectories and drivers in childhood and adolescence.
Education Policy Institute; 2021.

(Based on data from the Millennium Cohort Study, this report reveals insights into the determinants of young people’s wellbeing, including how it is affected by their relationships, background, and use of social media. The research shows that while the wellbeing of all young people declines by the end of their teenage years, there is a strong gender divide within this: girls see far lower levels of wellbeing and self-esteem than boys – driven by a sharp fall of both during mid-adolescence.)

Engaging men earlier: a guide to service design.
Samaritans; 2021.

(This handbook aims to provide a set of principles upon which wellbeing initiatives for men should be based. It is aimed at anyone commissioning, designing, evaluating or delivering initiatives, services or activities aimed at improving the wellbeing of men.)

Child obesity: patterns and trends.
Public Health England (PHE); 2021.

(Slide sets presenting the latest data on child obesity in England and the 9 English regions. These slide sets present the latest data on child obesity from the National Child Measurement Programme. The national slide set also includes data from the Health Survey for England. Trends in child overweight and obesity are shown and patterns are examined by age, sex, ethnic group, and area deprivation.)

Public Health Outcomes Framework: February 2021 data update.
Public Health England (PHE); 2021.

(The Public Health Outcomes Framework (PHOF) examines indicators that help health and care professionals and the public to understand trends in public health. The data are presented in an interactive tool that allows users to view them in a user-friendly format. The data tool also provides links to further supporting information.)

The American Journal on Addictions

Editorial: Challenges to opioid use disorders during COVID-19

COVID-19 brings an opportunity to learn as well as a responsibility to prevent and treat. Clinical scientists must learn from early experience and communicate to the global community as well as adapt local health care to emergencies such as the COVID-19 epidemic. This adaptation to COVID-19 must include paying attention to pre-existing medical and mental disorders and understanding the interrelationship of these comorbid disorders in drug-dependent populations.

Read the editorial here

Drugs policy: First Report of Session 2019–20: Report, together with formal minutes relating to the report

House of Commons Health and Social Care Committee, October 2019

The United Kingdom has some of the highest drug death rates in Europe, particularly in Scotland. This Report shows how the rate of drug-related deaths has risen to the scale of a public health emergency. It recommends a radical change in approach to UK drugs policy, moving from the current criminal justice approach to a health approach, with responsibility for drugs policy moving from the Home Office to the Department of Health and Social Care suggesting a health focused and harm reduction approach would not only benefit those who are using drugs but reduce harm to and the costs for their wider communities.

Click here to view the full report.

Drug-related harms in homeless populations and how they can be reduced

Advisory Council on the Misuse of Drugs, September 2019

This report finds that there is increased risk of problematic drug use associated with people who experience homelessness. There is a higher rate of drug-related deaths, infections among people who inject drugs, and multiple morbidities. People who experience homelessness and use substances have particularly complex circumstances and additional risks which require intensive long-term support. An integrated health, social care, and community care approach to the recovery and housing needs of people who are homeless would provide the optimal model of service delivery. This must include a focus on safe, stable housing and evidence-based harm reduction initiatives.

Click here to view the full report.

Ageing cohort of drug users

Advisory Council on the Misuse of Drugs, June 2019

This report from the Advisory Council on the Misuse of Drugs (ACMD) explores the specific issues for older people with a drug problem focusing on those who have had a drug problem for an extended period of time. It describes the health and social care needs of this population, and identifies effective services responses and best practice. It finds that the past decade has seen a shift in the age profile of those seeking treatment for drug use. An ageing cohort, who have survived lengthy histories of heavy drug use, now account for an increasing portion of the treatment group in the UK and Europe.

Click here to view the full report.