Public Health

Current awareness updates

Alcohol is one of the biggest risk factors for breast cancer.
World Health Organization (WHO); 2021.
[Alcohol is classified as a Group 1 human carcinogen by IARC. It is causally linked to 7 types of cancer. Besides female breast cancer, it increases the risk of developing oral cavity (mouth), pharynx (throat), oesophagus (gullet), liver, larynx (voice box) and colorectum (large intestine and rectum) cancers. There is no safe level of alcohol consumption. The risk of breast cancer increases with each unit of alcohol consumed per day.]

Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers diagnosing and managing myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome (ME/CFS) in children, young people and adults. It aims to improve awareness and understanding about ME/CFS and when to suspect it, so that people are diagnosed earlier. It includes recommendations on diagnosis, assessment and care planning, safeguarding, access to care and managing ME/CFS and its symptoms.]

Eligible for a free flu vaccine this winter? Don’t wait, book it.
UK Health Security Agency (UKHSA); 2021.
[With flu and COVID-19 expected to be in wide circulation together this winter, UK Health Security Agency is urging more people than ever to get their free flu vaccine, if they are eligible. In this blog the UK Health Security Agency answers some common questions about this year’s flu season.]

The use of wearables and health apps and the willingness to share self-collected data among older adults.
Seifert A. Aging and Health Research 2021;1(3):100032.
[The aim of this study was to examine the extent to which older adults utilize mobile health tracking tools in everyday life and their willingness to share the collected health-related data with doctors, health insurance companies, or research institutions. 75.0% of the participants used at least one mobile device; 22.9% used health-related apps. Participants were more often willing to share their data with doctors than with health insurance companies or researchers.]

Changes in childhood experimentation with, and exposure to, tobacco and e-cigarettes and perceived smoking norms: a repeated cross-sectional study of 10–11 year olds’ in Wales.
BMC Public Health; 2021.
[Children’s experimentation with and exposure to tobacco, and their perceptions of smoking as a normative behaviour, have continued to decline alongside growth in exposure to e-cigarettes. Although a large majority of pupils reported they minded people smoking around them, there was some evidence of diminishing disapproval of secondhand smoke since 2007.]

Understanding Sexual Aggression in UK Male University Students: An Empirical Assessment of Prevalence and Psychological Risk Factors.
Sexual Abuse; 2021.
[University-based sexual aggression is an international public health issue; however, to date, there have been no formal assessments of the prevalence or psychological indicators associated with the proabuse behaviors of the most common perpetrators at UK universities: heterosexual male students.]

Patients as team members: Factors affecting involvement in treatment decisions from the perspective of patients with a chronic condition.
Health Expectations; 2021.
[From the patients’ perspective, this study shows that there is no one-size-fits-all approach to involving patients more actively in their healthcare journey. Strategies aiming to enhance active patient involvement among patients with a chronic condition should consider this diversity in perspectives among these patients.]

Lead exposure in children: surveillance reports (from 2021).
UK Health Security Agency (UKHSA); 2021.
[Results of laboratory-based surveillance of elevated blood lead concentrations in children in England.]

Seasonal flu vaccine uptake in children of school age: monthly data, 2021 to 2022.
UK Health Security Agency (UKHSA); 2021.
[Cumulative vaccine uptake data for the childhood seasonal flu programme in England.]

Review: Physical activity interventions for the mental health and well-being of adolescents – a systematic review. [Abstract]
Hale GE. Child and Adolescent Mental Health 2021;26(4):357-368.
[Rates of physical activity decline throughout adolescence, and evidence indicates that this has an adverse impact on psychological health. This paper aims to synthesise available evidence for physical activity interventions on the mental health and well-being of young people (11-19 years) from the general population.]

Telehealth interventions: remote monitoring and consultations for people with chronic obstructive pulmonary disease (COPD). [Abstract]
Janjua S. Cochrane Database of Systematic Reviews 2021;7:CD013196.
[BACKGROUND: Face-to-face visits with health professionals can be hindered by severity of COPD or frailty, and by people living at a distance from their healthcare provider and having limited access to services. Telehealth technologies aimed at providing health care remotely through monitoring and consultations could help to improve health outcomes of people with COPD.]

Strategies to improve smoking cessation rates in primary care. [Abstract]
Lindson N. Cochrane Database of Systematic Reviews 2021;9:CD011556.
[OBJECTIVES: To assess the effectiveness of strategies intended to increase the success of smoking cessation interventions in primary care settings. To assess whether any effect that these interventions have on smoking cessation may be due to increased implementation by healthcare providers.]

Living with dementia: my life, my goals.
Alzheimer’s Society; 2021.
[A new self-help guide for people living with dementia. The guide helps people with dementia achieve their goals step-by step. It was created by researchers from the GREAT trial in collaboration with people living with dementia.]

Public Health

Current awareness updates

Are we Improving Access to Psychological Treatment for everyone?
The Mental Elf; 2021.
[Bibire Baykeens reviews a general population cohort study which suggests that recent migrants are less likely to use the Improving Access to Psychological Treatment programme.]

Flu in prisons and secure settings.
UK Health Security Agency; 2021.
[This guidance, updated for 2021/22, details how to respond to cases of seasonal flu in prisons and other secure settings (e.g. immigration removal centres; secure training centres), including vaccination, treatment and managing outbreaks.]

Flu in the children and young people’s secure estate.
UK Health Security Agency; 2021.
[This guidance, updated for 2021/22, details how to respond to cases of seasonal flu in the children and young people’s secure estate (e.g. young offender institutions, secure training centres, secure children’s homes), including vaccination, treatment and managing outbreaks.]

Flu vaccination in schools.
Department of Health and Social Care (DHSC); 2021.
[Flu vaccination guidance and resources for schools.]

Cold weather plan: action cards for cold weather alert service.
Department of Health and Social Care (DHSC); 2021.
[These action cards summarise advice on how different organisations need to respond to cold weather alert levels 0 through 4.]

Access to palliative care: the primacy of public health partnerships and community participation.
Mills J. The Lancet Public Health 2021;:doi.org/10.1016/S2468-2667(21)00213-9.
[This viewpoint highlights that palliative care is a public-health concern and the need to promote equity in access to palliative care through public-health partnerships that prioritise community development and participation in end of life care.]

Forthcoming UK asthma guidelines: an opportunity to improve asthma outcomes.
Bush A. The Lancet 2021;:doi.org/10.1016/S0140-6736(21)02244-3.
[Comment proposes the guideline committees set SMART objectives, e.g. reporting of patients who access less than 80% of their inhaled corticosteroid requirements, suggesting adoption of their proposed strategies could help the guidelines group rise to the challenge of improving asthma outcomes.]

A public health approach to estimating the need for long COVID services.
Journal of Public Health; 2021.
[This paper illustrates how a public health approach was used to influence and inform the development of post-COVID services across two Integrated Care Systems (ICSs). The findings have been valuable in informing early service developments, engaging with managers and clinicians, and supporting applications for funding at a local level.]

Self-Care Readiness Index.
Global Self Care Federation; 2021.
[The Self-Care Readiness Index (SCRI) is a research and policy initiative by the Global Self Care Federation and supported by the World Health Organisation (WHO). It explores enablers of self care across the health systems of 10 countries, including the UK.]

Online services in general practice: patterns of use and barriers to uptake.
Public Health England (PHE); 2021.
[This project is in line with the national ambition to support the adoption of a range of technology initiatives in general practice. The aims were to understand the needs of the population relating to the effectiveness of online services to support general practice, and identifying groups and exploring barriers and enablers to the use of GP online services. The report is mainly intended for commissioners and providers of GP services.]

Voluntary, Community and Social Enterprise (VCSE) Health and Wellbeing Programme: An evaluation.
Department of Health and Social Care (DHSC); 2021.
[An independent evaluation of the Voluntary, Community and Social Enterprise (VCSE) Health and Wellbeing Programme.]

Best foot forward: exploring the barriers and enablers to active travel among 50–70 year olds.
Centre for Ageing Better; 2021.
[This report finds that too many people in their 50s and 60s will remain physically inactive unless we redesign our neighbourhoods to encourage walking and cycling. The report, which looked at the barriers people in this age group face to walking and cycling, says that action is needed from national and local government, service providers and health systems to get people moving.]

Adult social care in England, monthly statistics: October 2021.
Department of Health and Social Care (DHSC); 2021.
[Experimental statistics on a range of topics including infection control measures, coronavirus (COVID-19) vaccinations and testing for COVID-19 in adult social care settings.]

Transport initiatives to increase uptake of breast screening programmes.
Carried out by Frankie Marcelline from Brighton and Sussex on 12/10/2021
[The evidence search report covers studies on the links between breast cancer screening uptake and ease of transport to appointments. In Tower Hamlets an initiative for encouraging uptake of breast cancer screening appointments includes transport-related support.]


Library Bulletin

Public Health

The current bulletin for Public Health, produced by Greater Manchester Mental Health Trust, is now available to view and download here

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

Public Health

Current awareness updates

Flu in the children and young people’s secure estate.
Department of Health and Social Care (DHSC); 2021.
[How to respond to cases of seasonal flu in the children and young people’s secure estate, including vaccination, treatment and managing outbreaks.]

Flu in prisons and secure settings: information for staff.
Department of Health and Social Care (DHSC); 2021.
[How to respond to cases of seasonal flu in prisons, including vaccination, treatment and managing outbreaks.]


Public Health

Current awareness updates

Promoting the sexual health and wellbeing of gay, bisexual and other men who have sex with men.
Public Health England (PHE); 2021.
[This resource provides information to support commissioners, providers and voluntary and community sector organisations in developing interventions for improved sexual health and wellbeing among gay, bisexual and other men who have sex with men (MSM).]

Promoting the sexual health and wellbeing of people from a Black Caribbean background: an evidence-based resource.
Public Health England (PHE); 2021.
[This resource provides information to support commissioners, providers and third-sector organisations in developing interventions for improved sexual health and wellbeing in people from a Black Caribbean background.]

Mental health in prison.
House of Commons Justice Committee; 2021.
[This report finds that a disjointed and incoherent approach to care has left many prisoners suffering from mental health issues undiagnosed and unable to access care. It calls on the NHS, Ministry of Justice and the Prison and Probation Service to implement a system of integrated care that improves identification of mental health issues, provides seamless care while in prison and supports transition to care in community settings on release.]

The cost of eating disorders in the UK 2019 and 2020.
Hearts Minds and Genes Coalition for Eating Disorders; 2021.
[This report highlights the cost of eating disorders in the UK, in terms of financial costs to the NHS, the financial, social and emotional impact on individuals, families and wider society, and in terms of the ongoing loss of lives to illnesses that can be treated but that are currently subject to severe underfunding and lack of services.]

Long-term prisoners: the facts: England and Wales. October 2021.
Prison Reform Trust; 2021.
[In the last twenty years, the prison population has changed hugely. Sentences for more serious crimes have become longer and far more people will now spend 10 or more years in prison. Meeting the challenges of this change will shape the prison landscape for the foreseeable future.]

Measuring Children and Young People’s Subjective Wellbeing.
What Works Centre for Wellbeing; 2021.
[While we have very good national data on the wellbeing of adults, the national statistics on children and young people’s wellbeing in the UK, is not collected regularly, or nationally. The Measures Bank is a searchable database of measures, a resource for policy-makers and practitioners to identify appropriate measures for children’s wellbeing for use in their specific context.]

Characteristics of women who stop smoking in pregnancy.
Public Health England (PHE); 2021.
[Experimental analysis of data from the Maternity Services Data Set (MSDS), April 2018 to March 2019.]

NHS population screening: identifying and reducing inequalities.
Public Health England (PHE); 2021.
[Guidance and resources to support providers and commissioners in reducing screening inequalities.]

Physical activity: promotion within primary and secondary care.
Public Health England (PHE); 2021.
[Report and learning from the evidence base and local practice of physical activity promotion in the NHS. The report provides practitioners, commissioners and policy makers with the factors that influence successful integration and implementation of physical activity promotion in primary and secondary care. It focuses on understanding how to integrate physical activity promotion into preventative and treatment care and support for people living with one or more long-term conditions.]

Behaviour change: helping health professionals deliver brief interventions.
Public Health England (PHE); 2021.
[This report focuses on how we can use behavioural science to support healthcare professionals to deliver brief interventions for alcohol, smoking and Making Every Contact Count (MECC) programmes. It includes examples of the barriers and facilitators that affect whether healthcare professionals deliver brief interventions. The report also includes examples of behaviour change techniques (BCTs) that could be used to support and encourage healthcare professionals to deliver brief interventions.]

Long COVID

MEDBOX issue brief on Long COVID

The MEDBOX team publishes issue briefs on different topics around COVID-19. They have prepared a new issue brief on the long-term effects of coronavirus infection, Long COVID (also known as long-haul COVID, post-acute COVID-19, long-term effects of COVID, or chronic COVID). The issue brief includes many links to relevant reports and guidance about long COVID.

Read the brief here