Category: Ethnic Minorities

Public Health

Current Awareness Updates

#HealthNow Literature review update: how has patient experience changed for people who are homeless?
Groundswell; 2022.
(People experiencing homelessness face significant health inequalities. They encounter barriers to accessing the health care they need and often have poor experiences of engaging with health care services. This report examines research published since the Groundswell 2020 #HealthNow literature review and outlines the findings from its five #HealthNow research reports.)

Health disparities and health inequalities: applying All Our Health.
Office for Health Improvement and Disparities (OHID); 2022.
(Evidence and information for health and care professionals and the wider workforce on health disparities and health inequalities, and how they can be addressed. This resource will help frontline professionals and organisations use their trusted relationships with individuals, families and communities to address the impact of health disparities and health inequalities on groups or populations. We also recommend important actions that managers and staff holding strategic roles can take.)

National Audit of Dementia: Memory Assessment Services Spotlight Audit 2021.
Healthcare Quality Improvement Partnership (HQIP); 2022.
(The National Audit of Dementia (NAD) is a clinical audit programme commissioned by the Healthcare Quality Improvement Partnership on behalf of NHS England and the Welsh Government. In 2019 we undertook an audit of community-based memory assessment services in England and Wales.)

World Mental Health Day: rising cost of living and mental health.
House of Commons Library; 2022.
(Our mental health can change depending on our financial situation and it’s thought this relationship works in both directions: suffering financial losses or living in poverty can worsen mental health; people with mental health conditions may end up in poverty or suffer financial loss because of their illness, for example, if they are not able to work. Financial difficulties and problem debt are also associated with suicidal thoughts and dying by suicide.)

Valuing health: why prioritising population health is essential to prosperity.
British Medical Association (BMA); 2022.
(This report calls on the government to consider the health of the population as crucial to sustainable economic growth, rather than being dependent on a prosperous economy. Raising alarm about rapidly declining population health and widening health inequalities, the report identifies that the nation is facing a ‘ticking time-bomb’ of ill health with current government policies insufficient to meet the scale of the challenge.)

Bereavement is everyone’s business.
The UK Commission on Bereavement; 2022.
(This report shows how bereavement impacts us all. From dealing with complicated administration, to coping with financial and housing insecurity, it explores the challenges of returning to work or school after a bereavement and highlights the challenges being bereaved throws up in every area of life.)


Nursing and Midwifery Council

Internationally trained professionals joining the NMC register: 1 April 2021–31 March 2022

This analysis reveals that the profile of international professionals registered in 2021–2022 is very different from UK joiners and the register they joined. They’re more likely to be men and they’re much more likely to be ethnically diverse. The NMC is calling on health and care employers to fully support internationally trained professionals into UK practice – and join with UK-trained nurses and midwives to create the most inclusive environment possible.

To find out more click here.

Centre for Mental Health

Tracking young Black men’s experiences of community wellbeing and mental health programmes

There are few culturally relevant tools focusing on young Black men’s mental health outcomes. Using approaches that lack cultural sensitivity limits services’ ability to know whether they are working well, and can lead to mistrust and disengagement. Funded by Mind, the Centre for Mental Health has designed a new, culturally informed approach to monitoring young Black men’s outcomes for accessing wellbeing support: Culturally appropriate evaluation for young Black men. It was coproduced with young Black men to identify what impact a service has on their mental health and wellbeing. Community wellbeing and mental health programmes are being asked to pilot the tool, to help determine its effectiveness.

Read the full report here.

Podcast

Supporting refugee and migrant health care in England

We know people who are refugees, asylum seekers and migrants can arrive at their destination with complex physical and mental health needs. So how does the health and care system respond when they arrive in England? Take a listen to this King’s Fund podcast as they discuss refugee and migrant health care.

Public Health

Current awareness updates

The Lancet Psychiatry Commission on Intimate Partner Violence and Mental Health.
The Mental Elf; 2022.
(Rachel Milligan summarises the recently published Lancet Psychiatry Commission on Intimate Partner Violence and Mental Health, which establishes a roadmap for strengthening responses across mental health services, research, and policy.)

Indicator: Hospital admissions as a result of self-harm in children and young people.
Nuffield Trust; 2022.
(Early identification, accurate diagnosis and effective treatment of mental health conditions can help to prevent self-harm and suicide in children and young people. Self-harm is when somebody intentionally damages or injures their body, and is a common way of coping with or expressing overwhelming emotional distress. Hospital admission rates are a useful measure of intentional self-harm, and an indicator of how well we are preventing this suffering from occurring.)

Finding an NHS dentist in England.
House of Commons Library; 2022.
(This page provides information on how to find an appointment with an NHS dentist in England, including a summary of guidance from the NHS and Healthwatch websites. It also provides information on NHS dental charges. The Commons Library debate pack on NHS Dentistry in England (June 2022) – https://commonslibrary.parliament.uk/research-briefings/cdp-2022-0112/ – provides more in-depth, contextual information on Government policy, dental contracts and provision.)

Improving the way family support services work for minority ethnic families.
Early Intervention Foundation (EIF); 2020.
(This report explores the experiences of minority ethnic families in accessing and receiving family support, to better understand the challenges and opportunities in how family support services work for minority ethnic families and young people.)

Improving children and young people’s mental health services Local data insights from England, Scotland and Wales.
The Health Foundation; 2022.
(This briefing presents analysis from the Health Foundation’s Networked Data Lab (NDL) about children and young people’s mental health. The analysis highlighted three key areas for urgent investigation, to help ensure children and young people get the care they need. These are: rapid increases in mental health prescribing and support provided by GPs; the prevalence of mental health problems among adolescent girls and young women; stark socioeconomic inequalities across the UK.)

Shattered hopes

Black and minority ethnic leaders’ experiences of breaking the glass ceiling in the NHS

Source: NHS Confederation

This survey, carried out by the NHS Confederation’s BME Leadership Network, found that many senior leaders from BME backgrounds had experienced verbal abuse and behaviour targeting their racial, national or cultural heritage at least once in the past three years. In addition, only one in ten respondents were confident that the NHS is delivering its commitment to combat institutional racism.

Public Health

Current Awareness Updates

Monkeypox cases reported in the WHO European Region.
World Health Organization (WHO); 2022.

(Links to 2 reports: Monkeypox – United Kingdom of Great Britain and Northern Ireland; and Monkeypox – Key facts. While the number of cases in the Region is still relatively small, what is concerning is that some of the cases appear to have been acquired in the Region without a link to travel to countries where monkeypox is known to be endemic. Many cases have been detected in clinics specialized in sexually transmitted infections.)

Mental Health Awareness Week 2022: Loneliness.
House of Commons Library; 2022.

(How does loneliness affect our mental health and what the Government has done to address the issue?)

Vaccine uptake in the general population.
National Institute for Health and Care Excellence (NICE); 2022.

(This guideline aims to increase the uptake of all vaccines provided on the NHS routine UK immunisation schedule by everyone who is eligible. It supports the aims of the NHS Long Term Plan, which includes actions to improve immunisation coverage by GPs (including the changes to vaccinations and immunisations detailed in the 2021/2022 and 2022/23 GP contracts) and support a narrowing of health inequalities.)

The over-representation of Black people as restricted patients in secure hospitals. Nuffield Trust chart of the week.
Nuffield Trust; 2022.

(People with severe mental health problems who are in contact with the criminal justice system can be held as restricted patients in hospitals if they have been assessed as needing treatment. Miranda Davies takes a closer look at new data that shows that 16% of restricted patients in hospital are Black or Black British, despite only making up 3% of the general population.)

Smoking bans in prisons improve health and reduce medications.
NIHR Evidence; 2022.

(This study found that the smoking ban did not affect dispensing for mental health conditions which suggests that it did not increase levels of depression. However, the researchers caution that there may have been an impact on mental health since, in the interviews, some prisoners reported raised anxiety levels. Improvements in respiratory health were especially marked. Removing second-hand smoke from prisons also improved working conditions for staff.)

Public Health

Current awareness updates

Drug users urged to be extra careful following a high number of likely heroin overdoses.
Public Health England (PHE); 2021.
[Public Health England (PHE) has issued a warning of a sharp rise in the number of overdoses linked to people using drugs in several areas across England. To date, there have been at least 46 poisonings resulting in 16 deaths but investigations are still ongoing. The areas affected include South London, the South East, South West and East of England.]

Mental Health Crisis Care Profile.
PHE Fingertips; 2021.
[The Crisis Care Profile collates and analyses a wide range of publicly available data on associated prevalence of mental health crisis. Risk factors include access to care, treatment, and outcomes. Includes risk factors around age, deprivation, illness and disabilities, crime and social isolation. Other topics – urgent and emergency care, quality of treatment, access to support. Data available by local authorities.]

Dental health: migrant health guide.
Public Health England (PHE); 2021.
[Advice and guidance on the health needs of migrant patients for healthcare practitioners. 17 August 2021: New model of care to support refugees and asylum seekers to access NHS dental services.]

Cervical screening: support for people who find it hard to attend.
Public Health England (PHE); 2021.
[Guidance on support for people who find it hard to attend cervical screening due to having a mental health condition, or having experienced trauma or abuse. 16 August 2021: Clarification that this guidance is based on research conducted with users of mental health services and addition of signposting to guidance to support other underserved groups.]

Oral healthcare: model for asylum seekers and refugees.
Public Health England (PHE); 2021.
[This model of care provides professionals with guidance to support access to NHS dentists. Asylum seekers and refugees can face barriers when accessing NHS dentists. This model of care details the processes, rights and entitlements to care and includes supporting information and links to forms and guidance. It is designed for local authorities, support services and health professionals who work with asylum seekers and refugees.]

Antenatal care.
National Institute for Health and Care Excellence (NICE); 2021.
[This quality standard covers care for healthy women and their babies during pregnancy (up to 42 weeks). It covers routine antenatal care in primary, community and hospital settings. It describes high-quality care in priority areas for improvement. In August 2021, changes were made to align this quality standard with the updated NICE guideline on antenatal care.]


Service specification: Cystinosis diagnosis and co-ordination of management (all ages).
NHS England; 2021.
[This service specification covers the provision of services for patients with Cystinosis, all ages.]

Continuous positive airway pressure for the treatment of obstructive sleep apnoea/hypopnoea syndrome.
National Institute for Health and Care Excellence (NICE); 2021.
[Evidence-based recommendations on continuous positive airway pressure for treating obstructive sleep apnoea/hypopnoea syndrome in adults. August 2021: The recommendation on continuous positive airway pressure (CPAP) for mild obstructive sleep apnoea/hypopnoea syndrome (OSAHS) has been updated and replaced by recommendation 1.5.2 on CPAP for mild OSAHS in the NICE guideline on obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s.]

Obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers the diagnosis and management of obstructive sleep apnoea/hypopnoea syndrome (OSAHS), obesity hypoventilation syndrome (OHS) and chronic obstructive pulmonary disease with OSAHS (COPD–OSAHS overlap syndrome) in people over 16. It aims to improve recognition, investigation and treatment of these related conditions.]

Ethnic differences in SARS-CoV-2 vaccine hesitancy in United Kingdom healthcare workers: Results from the UK-REACH prospective nationwide cohort study.
Woolf K. The Lancet Regional Health – Europe 2021;8(-):100180.
[Using a nationwide prospective cohort study and qualitative study in a multi-ethnic cohort of clinical and non-clinical UK healthcare workers (HCWs) researchers analysed ethnic differences in SARS-CoV-2 vaccine hesitancy. Of the 11,584 HCWs included in the cohort analysis, 23% (2704) reported vaccine hesitancy. Ethnicity was a significant predictor of hesitancy.]

Association of the COVID-19 lockdown with smoking, drinking and attempts to quit in England: an analysis of 2019–20 data.
Addiction; 2021.
[Following the March 2020 COVID-19 lockdown, smokers and high-risk drinkers in England were more likely than before lockdown to report trying to quit smoking or reduce alcohol consumption and rates of smoking cessation and use of remote cessation support were higher. However, high-risk drinking prevalence increased post-lockdown and use of evidence-based support for alcohol reduction by high-risk drinkers decreased with no compensatory increase in use of remote support.

Everybody active, every day: 5 years on.
Public Health England (PHE); 2021.
[Summary of the 5 year review to the national physical activity framework, ‘Everybody active, every day’ and the PHE response.]

Quality in Qual: a proposed framework to commission, judge and generate good qualitative evaluation in wellbeing impacts.
whatworkswellbeing; 2021.
[Based on interviews with ten leading organisations and individuals who have in-depth evaluation and methodological expertise this report sets out why work on qualitative evaluation is valuable and important, what resources already exist. The report identifies six prompts for potential uses of qualitative research in evaluations.]

Genomics nation: A benchmark of the size and strengths of the UK genomics sector.
UK Bioindustry Association; 2021.
[The NHS Long Term Plan promised greater focus on prevention to help people stay healthy and ease the burden on the health service. The early detection of disease, rather than merely the diagnosis and treatment of illness, will be critical to achieve this objective. The NHS Genomic Medicine Service (GMS), launched in 2018, provides a single, national coordinated approach to genomic testing and genomic research in the NHS.]

A joint thematic inspection of community-based drug treatment and recovery work with people on probation.
HM Inspectorate of Probation (HMIP); 2021.
[Probation services across England and Wales supervise nearly 156,000 people in the community. HM Inspectorate of Probation estimates that almost 75,000 of these individuals have a drugs problem, yet fewer than 3,000 people were referred by probation services to specialist drug misuse treatment in 2019/2020. HMIP partnered with the Care Quality Commission to examine how probation services supervise this cohort and found probation services are responding poorly to drugs misuse and addiction cases.]

Public Health

Current Awareness Updates

Care homes: visiting restrictions during the Covid-19 pandemic House of Commons; 2021

(This report calls on the government to make the existing requirements for individualised assessment for visits mandatory by laying its draft regulations, as soon as possible. Government guidance now makes clear that care home providers should not impose blanket bans on visiting but should instead conduct individualised risk assessments for each resident. However, without statutory force, there is no legal recourse for residents to require their providers to implement the guidance.)

Racism and discrimination: the experience of primary care professionals in the Humberside region Humberside LMC: April 2021

(This report highlights discrimination faced by staff and patients from ethnic minority backgrounds in general practice. It finds that respondents reported experiences of discrimination in a wide range of areas such as training, working patterns and complaints, and it calls for a zero-tolerance approach to tackle racism in all its forms. )

Pandemic patient experience II: from lockdown to vaccine roll-out The Patient’s Association; April 2021

(In 2020, patients told the Patients Association about their experiences of living with health and care needs during the Covid-19 pandemic. Their testimony painted a bleak picture in many ways. This follow-up survey (drawing on 453 responses, submitted over February, March and early April 2021) finds that many aspects of their experiences are not much better, and some are worse. Accessing general practice services remains difficult for many, and patients overall do not regard remote consultations as an adequate replacement for in-person appointments.)

Outpatient appointments intended but not booked after inpatient stays Healthcare Safety Investigation Branch (HSIB); April 2021

(This investigation explores the patient safety risk of outpatient appointments that are intended but not booked following an inpatient stay. It also considers opportunities for building resilience into the process to ensure timely appointments. It concludes with two safety recommendations that are aimed at reducing the chance that patients will be lost after an inpatient stay and supporting the staff within trusts who are responsible for arranging appointments and tracking patients.)

Unemployment and mental health The Health Foundation; April 2021

(This analysis estimates that an increase of 900,000 people in unemployment expected by the end of the year, compared with before the pandemic, will lead to 200,000 more people with poor mental health in the UK. It acknowledges that while government action to reduce a rise in unemployment by extending the furlough scheme to September will support mental health, it suggests that the benefits system and employment support programmes currently fail to properly account for the mental health needs of those who are unemployed. It concludes that there is now an opportunity to ensure that efforts to tackle unemployment in the pandemic recovery are designed to better support mental health.)

Skin cancer awareness month toolkit Skin Cancer Foundation; May 2021

(A social media toolkit giving you downloadable skin cancer images and resources to help you share the facts during Skin Cancer Awareness Month)

Commission on Race and Ethnic Disparities

The Report

Source: The King’s Fund Health Management and Policy Alert

This report includes a chapter on health that looks at life expectancy, cancer, diabetes, obesity, maternal mortality as well as access to health care, Covid-19 and more.

The Commission’s report sets out a new, positive agenda for change. It balances the needs of individuals, communities and society, maximising opportunities and ensuring fairness for all.

The Commission has considered detailed quantitative data and qualitative evidence to understand why disparities exist, what works and what does not. It has commissioned new research and invited submissions from across the UK.

Its work and recommendations will improve the quality of data and evidence about the types of barriers faced by people from different backgrounds. This will help to inform actions and drive effective and lasting change.