Public Health

Current Awareness Updates

Online support for family carers of people with dementia: what works for their mental health?
The Mental Elf; 2022.
https://www.nationalelfservice.net/populations-and-settings/family-carers/online-support-family-carers-dementia/
(Clarissa Giebel reflects on a recent systematic review which investigates online support for family carers of people with dementia.)

The Khan review: making smoking obsolete.
Office for Health Improvement & Disparities (OHID); 2022.
https://www.gov.uk/government/publications/the-khan-review-making-smoking-obsolete
(Independent review by Dr Javed Khan into the government’s ambition to make England smokefree by 2030. The review makes 15 recommendations for government to achieve a smokefree society.)

Safer by Design: How can collaboration help design safer gambling?
Demos; 2022.
https://demos.co.uk/project/safer-by-design-how-can-collaboration-help-design-safer-gambling/ (Demos and Playtech hosted two roundtables that brought together those in the industry with gambling experts from academia, charities and policy. The first looked at the role policy and regulation can play, and sought ideas and input on how the gambling sector could learn from other areas. The second looked at gambling as a health issue, and how stakeholders might draw on progress made in other areas such as digital resilience and wellbeing.)

State of the Nation: A comprehensive, retrospective view of NHS data.
Wilmington Healthcare; 2022.
https://wilmingtonhealthcare.com/state-of-the-nation/
(This report looks at key data trends over the course of the pandemic, establishing how new trends in health care activity, patient numbers, disease burden, NHS operational practice, prescribing and regional variation have emerged. The report groups the data into six key areas: hospital episode statistics; demographic segmentation; therapy area analysis; referral to treatment; prescribing insights; and regional insights.)

Mental health and loneliness: the relationship across life stages.
Department for Digital, Culture, Media and Sport; 2022.
https://www.gov.uk/government/publications/mental-health-and-loneliness-the-relationship-across-life-stages
(This report presents the findings from a qualitative study exploring the experiences of loneliness among those who had experienced a mental health condition. Previous research has shown there is a link between experiences of loneliness and poor mental health. The DCMS commissioned the National Centre for Social Research (NatCen) to explore this issue across four key life stages as part of developing the evidence base for work on tackling loneliness.)


Public Health

Current Awareness

Bringing baby home: UK fathers in the first year after the birth Father Institute, June 2022

(This review of empirical evidence about UK fathers and fatherhood in the first postnatal year, explores who fathersare; what they do as caregivers, and what influences this; what impact they have (on children and mothers); and how services engage with them. The review finds that NHS systems are not set up to engage with, assess and support new fathers, despite clear evidence that there is a strong case for routine engagement with them in the perinatal period.)

Public attitudes towards institutions involved in tackling the Covid-19 pandemic King’s College London

(According to this international study of six countries three in four (74 per cent) people in the UK think the government is motivated by building or protecting its own reputation when it comes to Covid-19, while six in ten (61 per cent) believe it is motivated by making lots of money in relation to the pandemic. However, majorities in other nations share the same perceptions. These perceptions also extend, although to a lesser extent, to scientists involved in tackling coronavirus.)

Investigating factors associated with loneliness in adults in England National Centre for Social Research (NatCen)

(The DCMS commissioned the National Centre for Social Research (NatCen) to explore factors associated with loneliness in adults in England. The research investigated: the characteristics of those at risk of loneliness; whether the risk factors for loneliness have changed over time; whether any factors predict the alleviation of loneliness over the short term; and the relationship between loneliness and mental wellbeing.)

Make Every Contact Count (MECC) for Menopause training session The Royal Society for Public Health

(MECC for Menopause is aimed at front line health, social, wellbeing, care staff and volunteers, who have direct contact with women accessing services. It aims to raise awareness within the workplace as women often find it difficult to discuss menopause related health problems. This session is delivered by Health Education England and Royal Society for Public Health on Wednesday 13th July 2022.)

Mental health and loneliness

The relationship across life stages

Source: Department for Digital, Culture, Media and Sport (DCMS)

This report presents the findings from a qualitative study exploring the experiences of loneliness among those who had experienced a mental health condition. Previous research has shown there is a link between experiences of loneliness and poor mental health. The DCMS commissioned the National Centre for Social Research (NatCen) to explore this issue across four key life stages as part of developing the evidence base for work on tackling loneliness.

Public Health

Current awareness updates

The cost effectiveness of ecotherapy as a healthcare intervention, separating the wood from the trees.
Hinde S. International Journal of Environmental Research and Public Health (IJERPH) 2021;18(-):11599.
[This paper explores the capacity for ecotherapy to be cost-effective as a healthcare intervention. We show that there is the potential for ecotherapy for people with mild to moderate common mental health problems to be cost-effective but significant further research is required.]

Community support versus health care services: time to change our definition of impact.
Evidence & Policy Blog; 2021.
[Non-profit community anchor organisations in England typically provide a range of support to local people, including wellbeing support, advocacy, social activities, and training and employment advice. This array of services takes a wider perspective on the determinants of health than the approach taken within the NHS, which generally focuses on mental and physical ill health. Despite the different approaches, the funding for organisations is often dependent on the impact on health outcomes.]

National Pregnancy in Diabetes (NPID) Audit Report 2019.
Healthcare Quality Improvement Partnership (HQIP); 2021.
[The National Pregnancy in Diabetes (NPID) Audit measures the quality of antenatal care and pregnancy outcomes for women with pre-gestational diabetes. Overall, there were 4,525 pregnant women with diabetes in 2020 – 325 fewer pregnancies than 2019 – of which, 54% had type 2 diabetes (44% had type 1 diabetes and 2% were recorded as having ‘other diabetes’). The audit includes analysis by age, ethnicity, social deprivation and weight.]

Better together: a public health model for mentally healthier integrated care systems.
Centre for Mental Health; 2021.
[According to this briefing paper, England’s 42 integrated care systems have an opportunity to protect and promote mental health in the communities they serve. The briefing explores how integrated care systems can address the social and environmental factors that affect people’s health in their communities.]

Saving lives, improving mothers’ care: lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2017-19.
National Perinatal Epidemiology Unit (NPEU); 2021.
[This report finds that pregnancy remains safe in the UK, with the overall maternal death rate showing a slight decrease. Among 2,173,810 women who gave birth in 2017-2019, 191 died during or up to six weeks after pregnancy, and 495 during or up to one year after their pregnancy. However, the findings show a continued inequality in the mortality rates for women of different ethnic backgrounds, ages and socio-economic circumstances.]

Ethnic and socio-economic Inequalities in NHS maternity and perinatal care for women and their babies.
Healthcare Quality Improvement Partnership (HQIP); 2021.
[This report describes inequalities in maternity and perinatal care for women and their babies in England, Scotland and Wales during the period 1 April 2015 to 31 March 2018. Using routinely collected data, care and outcomes experienced by women and babies using NHS maternity services are measured and stratified by ethnicity and by Index of Multiple Deprivation (IMD), a proxy for socio-economic deprivation.]

Fulfilling the promise: how social prescribing can most effectively tackle loneliness.
British Red Cross; 2021.
[This report draws on practical experience of delivering social prescribing services to those experiencing or at risk of loneliness through Red Cross Community Connector schemes.]

What works when evaluating social prescribing? A realist review report.
Wales School for Social Prescribing Research; 2021.
[An analysis of approaches used to evaluate social prescribing.]

Newcastle GP Services Social Prescribing Navigator Service: an independent evaluation.
North of England Commissioning Support Network; 2021.
[The aims of this evaluation were to: • Understand the update and usage of the service across Newcastle with regards population, conditions, and sites. • Analyse trends in unplanned access to secondary care. • Understand the experience and impact from the patient as end user of this service and navigators as deliverers of the service • Recommend data collection and analysis for the ongoing service to have greater comprehension of the impact of the service.]

The role of data in unlocking the potential of social prescribing.
Open Data Institute; 2021.
[A report by Frontier Economics for the ODI concludes there are a number of barriers to social prescribing reaching its full potential, including the lack of available data, and solid data infrastructure, such as statistics, maps and real-time service-use data that could help social prescribers and the providers of services to make decisions, build services and gain insight.]


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

Use of the AstraZeneca COVID-19 vaccine: JCVI statement.
Department of Health and Social Care (DHSC); 2021.
[Statement from the Joint Committee on Vaccination and Immunisation (JCVI) on the use of the AstraZeneca COVID-19 vaccine.]

COVID-19 vaccines and vaccine administration.
Gordon C. British Journal of Nursing 2021;30(6):344-349.
[This article provides an overview of current COVID-19 vaccines available within the UK, including their mode of action, storage and handling. It outlines the recommendations on priority groups for vaccination and provides insight into the training recommendations for vaccinators.]


How will the public mood shape care after the pandemic?
[The Health Foundation is hosting a webinar exploring what the public thought of care during the COVID-19 pandemic and what this means for future care – being held 15th April 11:45am]

The impact of the COVID-19 pandemic on child health and the provision of Care in Paediatric Emergency Departments: a qualitative study of frontline emergency care staff.
Conlon C. BMC Health Services Research 2021;21(1):279.
[This qualitative study utilized insight from multidisciplinary frontline staff to understand 1) the changes in paediatric emergency healthcare utilization during COVID-19 2) the experiences of working within the restructured health system.]

A connected recovery: Findings of the APPG on Loneliness Inquiry.
All-Party Parliamentary Group on Loneliness; 2021.

[This inquiry makes the case for a ‘connected recovery’ from the pandemic. It explored four crucial policy areas, including: translating national policy into local action through local authorities; community infrastructure (including housing, transport and public spaces); how to adequately fund the voluntary and community sector upon which social prescribing depends; and designing and implementing ways to test the implications of government policies on loneliness.]

National Centre for Creative Health.
National Centre for Creative Health; 2021.

[The NCCH will advance good practice and research, inform policy and promote collaboration, helping foster the conditions for creative health to be integral to health and social care and wider systems. It was formed in response to the Creative Health report, the result of a two-year inquiry led by the All-Party Parliamentary Group on Arts, Health and Wellbeing.]

Tackling Loneliness

Useful resources

With the support of Library Service from across the country, we have compiled a list of resources to provide support or advice for anyone who is suffering from loneliness during the pandemic. The initiatives aim to reduce loneliness and help people stay connected during this unprecedented time.

Tackling loneliness Research briefing, 16 June 2020 This briefing looks at research into the causes and impact of loneliness and possible interventions

Loneliness: a reading list Research briefing, 18 February 2020

This reading list provides links to various publications considering the causes and impact of loneliness, as well as possible interventions to deal with the issue in society. (Section 17 is Loneliness interventions)

Loneliness: Care Homes Research briefing, 17 March 2020 This briefing examines recent Government policy to tackle loneliness in care homes in the UK.

How has Covid-19 affected loneliness?
What Works Centre for Wellbeing, August 2020
https://whatworkswellbeing.org/resources/loneliness-lockdown-and-covid/ This briefing highlights findings from the Covid Social Study, as part of ongoing data analysis work with University College London. The study has surveyed more than 70,000 people since March 2020, asking different questions about their experiences and wellbeing over the past few months, including asking people about loneliness.

Life after lockdown: tackling loneliness
British Red Cross, June 2020
https://www.redcross.org.uk/about-us/what-we-do/we-speak-up-for-change/life-after-lockdown-tackling-loneliness The Covid-19 crisis has made loneliness worse, with some people more affected than others. This report shows that although social distancing and lockdown measures will continue to be eased, loneliness will remain. And for those most left behind, it may continue to grow. The research draws on findings from a collection of national-level polling, interviews and evaluations from British Red Cross services during Covid-19. Quick overview of key findings and recommendations, as well as the full report, from the link above.

Loneliness, social isolation and COVID-19: practical advice
Local Government Association / Association of Directors of Public Health, 21 May 2020
https://www.local.gov.uk/loneliness-social-isolation-and-covid-19-practical-advice “The LGA and ADPH have jointly produced this practical advice for Directors of Public Health and others leading the response to the loneliness and social isolation issues arising from the COVID-19 pandemic.”

What you can do if you feel lonely during the coronavirus outbreak: https://www.nhs.uk/oneyou/every-mind-matters/coping-loneliness-during-coronavirus-outbreak/

Campaign to end loneliness https://www.campaigntoendloneliness.org/helpful-links/

We hope that none of our friends, family or colleagues have to face the feeling of loneliness. If you do, we hope that these resources may bring a sense of hope or enlighten you to try something new.

Loneliness

How can psychological approaches help tackle loneliness?

A new policy report from the Campaign to End Loneliness looks at evidence for using psychological approaches, such as mindfulness and Cognitive Behavioural Therapy (CBT), to tackle loneliness for older adults.

Tackling loneliness: (Briefing Paper number 8514)

House of Commons Library, August 2019

The government’s Loneliness Strategy was published in October 2018. It set out a wide variety of cross-departmental measures that the government would take to provide ‘national leadership’ to tackle loneliness in England. This briefing: explains the Strategy; the steps taken so far by the government; looks at research into the causes and impact of loneliness and possible interventions; and briefly outlines the situation in Wales, Scotland and Northern Ireland. The briefing is accompanied by a reading list. The latest official figures suggest that just under half of adults in England experience loneliness occasionally or more often. The proportion of adults reporting that they often or always feel lonely (6%) shows little variation by gender or by region, but the data does suggest that younger people are more likely to report feeling frequently lonely. Certain groups are also associated with an increased risk of loneliness, such as those with a longterm disability, widowed homeowners, unmarried middle-agers, and young renters. Studies have found links between loneliness (or social isolation) and poorer health outcomes, such as early death, higher rates of depression and cognitive decline. This may lead to higher costs in the public and private sector due to greater service usage, absences and productivity losses.

Click here to view the full report.

Finding connection in a disconnected age: Stories of community in a time of change

Cares Family and Nesta, July 2019

Our need for social connection is at the heart of what it is to be human. It is essential to our health and well-being, the vitality of our communities and has inspired many of the most successful innovations of the modern day. With evermore efficient ways to communicate, many of us have experienced a rapid increase in the number and reach of our connections. And yet, despite these growing networks, we find ourselves increasingly disconnected and many more of us are feeling alone. The stories in this collection paint a rich and varied picture of the many faces of loneliness and what it means to feel disconnected from those around us. But the stories also give us much to be hopeful about.

Click here to view the report.