Allied Health Professions Day

Friday 14 October 2022

AHPs are the third largest healthcare workforce, with significant opportunities to support delivery of the NHS Long Term Plan. AHPs’ Day is an annual opportunity for AHPs to come together and celebrate being part of the AHP family, and the day gives an opportunity to showcase to others the impact they make to the delivery of high quality care. The collaborations in services, organisations, trusts, regions and nationally enable:

  • Improved awareness of the role of the fourteen allied health professions
  • Showcasing the achievements of local services and their impact on patient care and population health
  • Integrated working with other services and organisations.

Read more here

Resource of the Month

ORCHA APP Library

ORCHA (the Organisation for the Review of Care and Health Applications) is an online app library, giving you the opportunity to download, share and recommend health and care related apps.

With thousands of health and care apps available on the market, it can be hard to decide which apps are reliable and trustworthy.

  • ORCHA only include apps which have been reviewed against best practice criteria.
  • This allows you to map apps for either your personal or professional needs.
  • Simply search for the app you are looking for or browse the contents.
  • Save the apps to your favourites or recommend to others (including patients via a text/email or APP code).
  • Access the Digitial Health Academy for bite size training videos to gain new skills and CPD points.

It’s easy to sign up. Visit: https://lscft.orcha.co.uk. In the top right corner – click ‘Sign up’ and enter your details. Upgrade your account with the code: LSCFT01 to access the Digital Health Academy.

Please feel free to download our resource of the month poster and share with your team or within your department.

The Patients Association

Shared decision making from the perspective of clinicians and healthcare professionals

Source: The King’s Fund

This report finds health care professionals are positive about shared decision-making – a way of working with patients to decide treatment options. But the report also finds professionals’ ability to practice shared decision-making regularly is limited by the current crisis in the NHS. The report makes a number of recommendations and The Patients Association will now look to partner with NHS England, the Personalised Care Institute and other organisations to support professionals’ call for more support to practice shared decision-making.

Royal College of Psychiatrist

Eliminating inappropriate out of area placements in mental health

Source: Royal College of Psychiatrist

The government’s deadline to eliminate inappropriate out of area placements for adult acute patients by the end of March 2021 has now been missed by a full year. Sometimes hundreds of miles away from home, patients are unable to access their usual support networks while at their most vulnerable, often finding their care seriously disrupted, with long-term implications for their recovery. The NHS spent £102 million on inappropriate out of area placements in the 12 months up to and including March 2022 – the equivalent to the cost of the annual salary of more than 900 consultant psychiatrists. This briefing sets out the urgent action the NHS should take to ensure all patients get the care they need from properly staffed, specialist services in their local area.  

Digital Health

Supporting patients

Source: The King’s Fund

Putting patients first: championing good practice in combatting digital health inequalities

This report focuses on digital health inequalities and the impact that digital exclusion is having on health in the UK. It highlights different reasons for disparities in a person’s ability to access and use digital health technology and provides insights into the severity of the UK’s digital inequalities. It looks at four case studies demonstrating unique ways to combat digital health inequalities and improve access, and use of digital health technology for patients.

Patient engagement with digital health care: lessons from the Care City test bed

Health apps and digital tools have the potential to help alleviate some of the huge pressures the NHS faces from Covid-19, the backlog of care and rising demand. But introducing these tools into health care and supporting people to use them is never a quick fix, and they will not work for everyone. This summary provides a set of lessons for ensuring digital health innovations are applied in optimal ways for the people using them. The findings are based on a large-scale evaluation of digital technologies being implemented in health and social care in east London.

Webinar

Keeping The Clinician By The Bedside

Source: National Health Executive

Watch the recording of this webinar from NHE’s Finger on the Pulse podcast. It features Will Warburton from the Health Foundation and Dr Shanti Vijayaraghavan and the focus is on the ability to provide results and support virtually to patients, without an in-person visit, allowing much greater convenience for patients.

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.]

Improving Patient Care

How PCNs are working in partnership to support mental health


Source: NHS Confederation; 2021.

This briefing was developed jointly by the NHS Confederation’s Mental Health Network and PCN Network and provides examples of three models of partnership working that are currently underway in primary care to support mental health at place level.

Key points include:

  • A seamless referral system between primary and secondary care is important for patients who have mental health needs.
  • Early interventions for young people can be very cost effective and improve access and outcomes in mental health, wellbeing, and physical health.
  • Working in partnership across the community, and pooling knowledge, resources and assets is important for improving access to services, providing cost effective interventions, and improving outcomes.
  • Joining up primary care and mental health services is essential. Primary care can help people who have milder mental health issues access support and reduce referral to secondary mental health services.

NHS Confederation Mental Health Network

Working together to improve patient care: how PCNs are working in partnership to support people’s mental health

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

Mental health disorders are one of the common causes of morbidity in England and primary care plays a key role in supporting patients’ mental health and wellbeing, so it has become a priority for many primary care networks (PCNs). This briefing provides examples of three models of partnership working that are currently under way in primary care to support mental health at place level.

Good communication with patients

Third phase of the NHS response to COVID-19 letter

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

The challenge Covid-19 poses means that clear, concise and timely communication with patients is more critical than ever. This guidance, and accompanying supporting documents, present providers with core principles that will help deliver personalised, patient-centred communications to patients who are waiting for care.

For more information and resources click here.