Public Health

Current Awareness Updates

WHO European regional obesity report 2022

(Overweight and obesity affect almost 60 per cent of adults and nearly one in three children in the WHO European Region. Recent estimates suggest that overweight and obesity is the fourth most common risk factor for noncommunicable diseases in the Region, after high blood pressure, dietary risks and tobacco. This report examines the growing challenge and impact of obesity in the Region and focuses on managing obesity throughout the life course and tackling obesogenic environments. It also considers more recent challenges, including problematic digital marketing to children and the impact of the Covid-19 pandemic on obesity prevalence.)

Doctor’s orders: Why adherence is critical to improving health outcomes across the life course

(Nearly half of all adults and approximately 8% of children worldwide have a chronic condition. Yet, studies have shown that adherence to medication is poor. This is expensive for governments, requiring three extra medical visits per year. This article from the ILC suggests some key recommendations to support adherence.)

Thousands of people with diabetes set to benefit from real time information after updated NICE recommendations

(More than 250,000 people living with type 1 diabetes are set to be offered new technology to help them manage their condition and at the same time reduce the need for finger prick testing by up to 50%, following new advice from NICE.)

Link workers for population health: it’s time to get with the (social prescribing) programme

(Embedding a population health approach into health care at the local, regional and national level in England will require slow, incremental cultural shifts over the space of years, as suggested in their report; A vision for population health.)

Public Health

Current Awareness Updates

Young Changemakers tackling mental health inequalities in racialised communities.
Centre for Mental Health; 2022.
https://www.centreformentalhealth.org.uk/publications/voice-change
[It is well documented that people from racialised communities face inequalities in mental health. Young Changemakers is a programme created by UK Youth, The Diana Award and Centre for Mental Health to equip young people with the tools to produce youth-led social action projects aimed at tackling these mental health inequalities. This is a three-year programme funded by the People’s Postcode Lottery and Comic Relief to support mental health in young people from racialised communities.]

Evaluating a community programme to promote young Black men’s mental health.
Centre for Mental Health; 2022.
https://www.centreformentalhealth.org.uk/publications/shifting-dial
[Young Black men are overrepresented in restrictive mental health settings, but are less likely to get early community-based mental health support. Shifting the Dial shares learning from a three-year project to promote the mental health and wellbeing of young Black men in Birmingham. The project built upon the findings from an earlier pilot, Up My Street. Shifting the Dial has worked with over 500 young Black men, offering peer support, mentoring, skills development and community events.]

The People and Nature Survey.
Natural England; 2022.
https://www.gov.uk/government/collections/people-and-nature-survey-for-england#full-publication-update-history
[The People and Nature Survey for England gathers evidence and trend data through an online survey relating to people’s enjoyment, access, understanding of and attitudes to the natural environment, and its contributions to wellbeing. 13 April 2022: New data for February 2022 added to monthly interim indicators data section. Also new data for year 2 quarter 2 (1st April 2020 – 30th September 2021) added to Adult Survey section.]

Daily Insight: Infection control calls heeded.
HSJ: Health Service Journal (Daily Insight) 2022;:7032315.
[NHS England has relaxed the isolation period for inpatients with covid-19 after the UK Health Security Agency changed its recommendations. Also: Although describing integrated care system ratings as a “bit of a distraction” in an interview with HSJ the CQC chief executive Ian Trenholm set out what systems could soon expect to see over the coming months. 20 April.]

The public’s experience of monitoring their blood pressure at home.
Healthwatch; 2022.
https://www.healthwatch.co.uk/report/2022-04-26/publics-experience-monitoring-their-blood-pressure-home
[People with high blood pressure are increasingly being asked to monitor their condition at home. The NHS programme ‘Blood Pressure @Home’ (BP@Home) enables people with high blood pressure to measure and share their blood pressure readings with their GP from home. This report evaluates that programme to see how it is working for patients and how GPs use their readings, and suggests steps the NHS can take to improve support and outcomes for people who monitor their blood pressure from home.]

Adult tier 2 weight management services provisional data for quarters 1 to 3, 2021 to 2022 (experimental statistics).
Office for Health Improvement & Disparities (OHID); 2022.
https://www.gov.uk/government/statistics/adult-tier-2-weight-management-services-provisional-data-for-quarters-1-to-3-2021-to-2022-experimental-statistics
[Provisional data from the adult tier 2 behavioural weight management services data collection from quarter 1 and 3 of the 2021 to 2022 financial year.]

Public Health

Current Awareness Updates

Smaller hospitals are urged to increase collaborative working to meet the needs of an ageing population.
NIHR Evidence; 2022.

[Collaborative working among staff is likely to be the best way to improve performance in smaller hospitals, a new study concluded. It explored the approaches smaller hospitals take to organising emergency care for people admitted to hospital. There were huge variations, but no single way of working (‘model of care’) was more effective than others.]

Eating Disorders.
Scottish Intercollegiate Guidelines Network (SIGN); 2022.
https://www.sign.ac.uk/our-guidelines/eating-disorders/
[This guideline provides recommendations based on current evidence for best practice in the management of people with eating disorders of all ages and gender groups, in any health or social care setting. Eating disorders covered are anorexia nervosa, bulimia nervosa, binge eating disorder and eating-disordered psychopathology occurring in the context of type 1 diabetes mellitus.]

HPV vaccination brings the WHO European Region closer to a cervical cancer-free future.
World Health Organization (WHO); 2022.
https://www.euro.who.int/en/health-topics/disease-prevention/pages/news/news/2022/4/hpv-vaccination-brings-the-who-european-region-closer-to-a-cervical-cancer-free-future
[New data from one of the first countries in the Region to introduce HPV vaccination reveal just how well the vaccines work to prevent invasive cervical cancer. In England researchers found that the HPV immunization programme has almost eliminated cervical cancer in women born since 1 September 1995 (who were vaccinated at age 12−13). Incidence among these women of late-stage (grade 3) CIN that could later develop into cancer has also been significantly reduced.]

Community Network: ‘Hidden waits: The lasting impact of the pandemic on children’s services in the community’.
NHS Providers; 2022.

[The Community Network, which is hosted by the NHS Confederation and NHS Providers, has today published a new briefing which brings together new evidence about backlogs and increasing demand for children and young people’s services. It also demonstrates what community providers are currently doing to meet demand, including how they are innovating, and makes a series of recommendations on the national support needed, both now and in the longer term.]

Public Health

Current Awareness Updates

Reducing the spread of respiratory infections, including COVID-19, in the workplace UK Health Security Agency; April 14 2022

(Public health principles for reducing the spread of respiratory infections, including COVID-19, in the workplace.)

Out of Area Placements in Mental Health Services, January 2022 NHS Digital; April 14 2022

(Publication of adult acute mental health patients being treated outside their provider of usual treatment in January 2022. Statistics are presented nationally and at regional, sustainability and transformation partnership (STP) footprint, clinical commissioning group (CCG) and provider level.)

Mental Health Services Monthly Statistics , Performance January, Provisional February 2022 NHS Digital; April 14 2022

(This publication provides the most timely statistics available relating to NHS funded secondary mental health, learning disabilities and autism services in England. This information will be of use to people needing access to information quickly for operational decision making and other purposes. These statistics are derived from submissions made using version 4.1 of the Mental Health Services Dataset (MHSDS))

Thunderstorm asthma and public health – looking back to move forward UK Health Security Agency; March 18 2022

(In June 2021, the UK Health Security Agency detected a potential episode of
thunderstorm asthma; an increase in people reporting asthma symptoms linked to thunderstorm activity. In this blog post they look at the interplay between the weather and our health and how they can use their scientific surveillance systems to inform future public health responses.)

Integrated health and care services for people experiencing homelessness NICE Talks

(In this episode of NICE Talks they discuss NICE’s recently published guideline on integrated health and social care services for people experiencing homelessness.

The guideline was developed in partnership with the Centre for Homelessness Impact and the Office for Health Improvement and Disparities. The guideline outlines how people experiencing homelessness can access services tailored for their needs. It highlights that more effort and targeted approaches are often needed to ensure that people experiencing homelessness have access to the same standard of health and social care as the general population.)

Public Health

Current awareness updates

Restricting promotions of products high in fat, sugar or salt by location and by volume price.
Department of Health and Social Care (DHSC); 2022.

[Outlines the provisions of the Food (Promotion and Placement) (England) Regulations 2021, and provides assistance in understanding and applying them.]

United against health inequalities: a commitment to lasting change NHS Providers, April 2022

(This survey of trust leaders shows high board-level commitment and strategic emphasis on tackling health inequalities and commitment to making action on health inequalities ‘core business’. However, they describe several barriers to progress with nearly two in three (65 per cent) saying that wider pressures on the system and operational challenges hinder their ability to progress work on reducing health inequalities. Nearly half of trust leaders expressed concerns about the lack of access to data about health inequalities within trusts (49 per cent) and across the health system (48 per cent).)

Coronavirus Act 2020 two years on.
House of Commons Public Administration and Constitutional Affairs Committee; 2022.
[This report sets out concerns about parliament’s lack of ability to scrutinise and amend emergency provisions in the Coronavirus Act over the past two years and draws out the lessons that can be learnt in legislating for future emergencies.]

Covid-19: The public inquiries.
House of Commons Library; 2022.
[The Covid-19 pandemic was a severe test of the state’s preparedness, resilience and co-ordination. The response from the UK Government and devolved administrations has raised broader questions about how effectively the challenges have been met. There have been longstanding calls for a public inquiry to be held into the UK’s pandemic response. Two public inquiries have been set up: one by the UK Government and one by the Scottish Government.]

Shifting the Dial: evaluating a community programme to promote young Black men’s mental health.
Centre for Mental Health (CMH); 2022.
https://www.centreformentalhealth.org.uk/publications/shifting-dial
[Young Black men are overrepresented in restrictive mental health settings, but are less likely to get early community-based mental health support. This report shares learning from a three-year project to promote the mental health and wellbeing of young Black men in Birmingham. The project built upon the findings from CMH’s evaluation of an earlier pilot, Up My Street. Shifting the Dial has worked with more than 500 young Black men.]

Can fermented foods boost mental health? Medscape: March 22, 2022

(Commentary by Dr Drew Ramsey)

Public Health

Current awareness updates

The problem with ‘My Five Moments for Hand Hygiene’.[Abstract]
Gould D. BMJ Quality & Safety 2022;31(4):322-326.
[“We propose four solutions to promote hand hygiene. The COVID-19 pandemic has brought rapid change to health services delivery, including all aspects of infection prevention, and could be the catalyst to update hand hygiene programmes incorporating these solutions.”]

‘My Five Moments’: understanding a user-centred approach to hand hygiene improvement within a broader implementation strategy. [Editorial][Abstract]
Allegranzi B. BMJ Quality & Safety 2022;31(4):259-262.
[Conclusions: The Five Moments approach is being constantly tailored to meet the challenges of care locations outside the traditional hospital setting, as well as across all countries and resource levels. The main thrust of the approach remains targeted at patient and health worker safety at the point of care where the risk of acquiring infection can be at its highest. Further work to help meet the Five Moments objectives through its adaptation and adoption worldwide is to be welcomed.]

Obesity statistics.
House of Commons Library; 2022.
[28% of adults in England are obese and a further 36% are overweight. This briefing provides statistics on the obesity among adults and children in the UK, along with data on bariatric surgery and international comparisons.]

Pressure redistributing static chairs for preventing pressure ulcers.[Abstract]
Stephens M. Cochrane Database of Systematic Reviews 2022;2:CD013644.[OBJECTIVES: To assess the effects of pressure redistributing static chairs on the prevention of pressure ulcers in health, rehabilitation and social care settings, and places of residence in which people may spend their day.]

Culturally adapting internet- and mobile-based health promotion interventions might not be worth the effort: a systematic review and meta-analysis.
Balci S. npj Digital Medicine 2022;5:34.
[Adapting health promotion IMI to the cultural context of different cultural populations seems not yet to be recommendable given the substantial adaption efforts necessary and the mostly non-significant findings. However, these findings need to be seen as preliminary given the limited number of included trials with varying methodological rigor and the partly substantial between-trial heterogeneity pointing in the direction of potentially useful culturally adapted IMI.]

Association of Music Interventions With Health-Related Quality of Life: A Systematic Review and Meta-analysis.
JAMA Network Open; 2022.
[This systematic review and meta-analysis of 26 studies comprising 779 individuals found that music interventions were associated with statistically and clinically significant changes in mental HRQOL, both preintervention to postintervention as well as when music interventions were added to treatment as usual vs treatment as usual control groups.]

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