Category: Health Care

Reducing Health Inequalities

A guide for NHS Trust Board Members

Source: NHS Providers

Reducing health inequalities: A guide for NHS trust board members (nhsproviders.org)

This is a guide to support NHS trust board members to address health inequalities as part of their core business. It outlines why trusts should act on health inequalities, includes a vision for what good looks like, a self-assessment tool for trusts to use to determine where they are in their journey and a list of suggested objectives. It covers a wide range of trust work, from operational and clinical delivery of services, to the trust’s role as an anchor institution.

Public Health

Current Awareness Updates

Age-Friendly Health Systems: Guide to Care of Older Adults in Nursing Homes.
Institute for Healthcare Improvement (IHI); 2022.
(This updated [US] guide helps care teams prepare for, test, and implement age-friendly care practices. Designed to be used with an accompanying workbook for nursing home teams, the guide outlines the 4Ms – What Matters, Medication, Mentation, and Mobility – for nursing home care of older adults.)

Cold weather plan for England.
UK Health Security Agency (UKHSA); 2022.
https://www.gov.uk/government/collections/cold-weather-plan-for-england
(01 November 2022: Updated Cold weather health risks slide set.)

WHO: At least 17 million people in the WHO European Region experienced long COVID in the first two years of the pandemic; millions may have to live with it for years to come.
World Health Organization (WHO); 2022.
(To help address the gaps in our knowledge of long COVID and advocate for people living with the condition, WHO/Europe today announced an official partnership with Long COVID Europe, a network organization that to date comprises 19 patient associations, based in Member States across the European Region.)

Poverty and the health and care system: the role of data and partnership in bringing change .
The King’s Fund; 2022.
(Poverty causes ill health, drives inequality in health outcomes and increases use of health services. This King’s Fund long read considers how successful sharing and acting on data can support health and care systems in mitigating, reducing and preventing poverty’s effects on health.)

Developing learning health systems in the UK: priorities for action.
The Health Foundation; 2022.
(Learning health systems are able to learn from the routine care they deliver and improve it as a result. In this report, we explore in detail what makes a learning health system, and look at how they can be developed. We explore four important areas especially relevant to LHSs: learning from data, harnessing technology, nurturing learning communities and implementing improvements to services.)

Sensory-friendly resource pack: resources to improve the sensory environment for autistic people.
NHS England; 2022.
(During 2021/22 NHS England has funded a variety of projects to support Integrated Care Systems in developing sensory friendly environments for autistic people. This document outlines the projects commissioned and draws them together into a cohesive resource pack for local health systems to use to support their autistic citizens.)

Introducing integrated care systems

Joining up local services to improve health outcomes

Source: The King’s Fund

This report examines the setup of integrated care systems (ICSs) by the Department of Health and Social Care, NHS England, and their partners and the risks they must manage. The report is not an assessment of whether the programme has secured good value for money to date because ICSs have only recently taken statutory form. Instead, it is an assessment of where they are starting from and the challenges and opportunities ahead. It makes recommendations intended to help manage those risks and realise those opportunities.

RCP view on the NHS workforce

Short- and medium-term solutions

Source: The King’s Fund

This policy paper outlines how staffing shortages are the biggest barrier to meeting demand for care and delivering health care sustainably in the long term. It describes how a long-term plan for increasing staffing numbers, including expanding medical school places, is needed to put the NHS workforce back on a sustainable footing, restore timely access to care and protect patient safety. But given the urgency of the situation, the RCP has set out a range of short- and medium-term solutions that will make a difference now, from affordable childcare and flexible working to overseas recruitment and a new ‘retire and return’ deal for consultants. 

Health and Care

LGBTQ+ inclusion framework

The LGBTQ+ population in the UK experiences significant physical and mental health inequalities compared with the general population. These inequalities extend from increased risk factors for ill health and barriers to accessing health care and support, to discrimination against LGBTQ+ staff within the workplace. This framework comprises six key pillars of inclusivity that organisations should aim to build to create and maintain inclusive cultures: visible leadership and confident staff; a strong knowledge base; being non-heteronormative and non-cisnormative; collecting and reporting data; listening to service users; and proactively seeking out partners to co-deliver services.

Long Covid

A framework for nursing, midwifery, and care staff

This framework supports nurses, midwives and care staff in ensuring care remains at a high standard, as well as demonstrating the contribution to the long Covid response. It aims to give the opportunity to embrace collective leadership in supporting people and communities served and showcase good practice as it emerges across England.

Health and Social Care in England

Tackling the myths

Source: The King’s Fund

The health and care system is under intense pressure, with rising waiting times, persistent workforce shortages and patients struggling to access the care they need. As a result, patient and public satisfaction with services has dropped significantly, prompting debate and discussion about the future of health and care services. In the context of what can feel like a heated political and media discussion, the King’s Fund have taken five myths that sometimes feature in this debate and debunked them.

Read the article here.

Public Health

Current Awareness Updates

COVID-19 vaccines for autumn 2022: JCVI advice, 15 August 2022.
Department of Health and Social Care (DHSC); 2022.
(Statement setting out the latest advice from the Joint Committee on Vaccination and Immunisation (JCVI) on COVID-19 vaccines for autumn 2022.)

NHS prescription charges in England.
House of Commons Library; 2022.
(The cost of an NHS prescription, who is entitled to free prescriptions and how to get help with prescription costs.)

Homeless hostel residents and staff struggle to access health and social care services.
The Mental Elf; 2022.
(In her debut blog, Ava Phillips summarises a paper that finds both people living in homeless hostels, and staff working there, feel marginalised and struggle to access the health and social care they need.)

As waiting lists grow for anxiety disorders, should we be turning to digital interventions?
The Mental Elf; 2022.
(Theo Kyriacou and Andie Ashdown explore a recent systematic review that brings together two decades of research, which suggests that digital health interventions for anxiety disorders may be a more effective alternative to inactive controls, such as waiting-list groups.)

No place for cheap alcohol: the potential value of minimum pricing for protecting lives.
World Health Organization (WHO); 2022.
(Pricing policies and taxation are among the most effective measures that policy-makers can use to address these harms, but they remain underutilized across the Region. This report reviews the status of implementation of minimum pricing globally, provides an overview of the most recent evidence behind the policy, addresses its main strengths and limitations and offers practical considerations for countries.)

Disabled people and health care services

Getting our voices heard

Disabled people face poorer experiences of – and worse access to – health and care services than people who aren’t disabled and these health inequalities have been exacerbated by the Covid-19 pandemic. In this context, it’s vitally important to include disabled people in planning, designing and developing health and care services. This King’s Fund long read, with Disability Rights UK sets out what we found out about how disabled people are currently involved in health and care service design, and what good might look like.

Key messages include:

  • 60 per cent of those who died from Covid-19 in the first year of the pandemic were disabled. The health inequalities disabled people already faced were made worse by the pandemic and a decade of austerity. In this context, it’s vitally important to include disabled people in designing and planning health and care system responses.
  • Health and care services need to understand the broad diversity of disabled people’s identities and experiences, and adopt a social model approach to disability, understanding that people are disabled by barriers in society, rather than by impairments or health conditions.
  • Health and care professionals need to value disabled people’s expertise through properly recognising the value of lived experience and ensure disabled people’s voices are central to any plans right from the start.
  • Disabled health and care staff are potential partners in this work, with their perspectives of both using and delivering services.
  • Disabled people’s organisations (DPOs) can strengthen their impact by working with other local DPOs and user-led organisations, understanding which parts of health and care systems they can best influence, and supporting health and care organisations to meaningfully engage with disabled people.
  • Both health and care organisations and DPOs need to improve their understanding of how people’s multiple identities shape their experiences, and embrace diversity of voices, opinions and challenges as an opportunity to think differently.
  • Ensuring disabled people’s voices are heard requires constant attention. While there are some examples of good practice, we heard many stories we heard where involvement wasn’t happening or felt tokenistic.

(The King’s Fund)

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.