The state of medical education and practice in the UK

The workforce report 2022

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

This report finds that the number of doctors joining the workforce overall has grown by around 17 per cent over the past five years, but that growth is not consistent. It varies considerably between different groups of doctors, leaving a shortfall in primary care that puts at risk patients’ ability to access GP services. The number of specialty and associate specialty (SAS) and locally employed (LE) doctors on the GMC register has increased at six times the rate of GPs, largely driven by doctors coming from overseas. Current rules actively prevent these doctors from working in areas such as primary care, and the GMC is proposing the government change the Performers List criteria to allow more doctors to work in general practice.

NHS Key Statistics: England

June 2022

Source: House of Commons Library; 2022.

A summary of NHS demand, performance, backlogs, and capacity of services in England. It covers A&E statistics, waiting lists and pressures, ambulance data, delayed discharges, staffing levels including doctors and nurses, and more.

Take a look here: NHS Key Statistics: England, June 2022 – House of Commons Library (parliament.uk)

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.)

Covid 19

Current awareness updates

Daily Insight: Covid can’t peak too soon.
HSJ: Health Service Journal (Daily Insight) 2021;:7030598.
[Confirmed covid cases in the community fell again on Tuesday, offering further hope that the current wave could have peaked. Most experts are highly cautious about saying so – there is likely to be further growth following ‘freedom day’. Also: In the Cheshire and Merseyside ICS, the nine local authorities have issued a series of “red lines” and pre-conditions to health service leaders. 28 July.]

Daily Insight: Covid puts one in 10 beds to sleep.
HSJ: Health Service Journal (Daily Insight) 2021;:7030631.
[A major hospital trust has made its highest number of bed closures “for many years” due to covid staffing pressures. Newcastle upon Tyne Hospitals Trust lost 933 bed days in the first week of June due to staff testing positive for covid or being required to isolate. Also: Latest figures show just 3 per cent of A&E attendances nationally are ‘booked’ through the 111 First service. And Healthwatch England says the NHS has not done enough to publicise this new service. 3 August.]

New study into COVID-19 vaccine dose interval for pregnant women.
Department of Health and Social Care (DHSC); 2021.
[The Preg-CoV clinical trial has been launched to help determine optimal gap between doses as well as explore potential side-effects in more detail. Research shows pregnant women more likely to become seriously ill from COVID-19 and 98% of those in hospital due to COVID-19 are unvaccinated.]

Coronavirus: the consequences for mental health.
Mind; 2021.
[This research with almost 12,000 people found that those with mental health problems report an increase in the severity of challenges they’re facing now and concerns about the future. The authors call for services to be ready for the increase in severity of people’s mental health problems, and to take into account the trauma that people have experienced over the past year and how this might affect the support they need.]

Coronavirus: Adult social care key issues and sources.
House of Commons Library; 2021.
[House of Commons Library research Briefing updated 23 July 2021. An overview of key issues facing the adult social care sector during the coronavirus (Covid-19) outbreak, with links to some of the key official guidance for the sector.]

Coronavirus and the social impacts of ‘long COVID’ on people’s lives in Great Britain: 7 April to 13 June 2021.
Office for National Statistics (ONS); 2021.
[Indicators from the Opinions and Lifestyle Survey covering the period 7 April to 13 June 2021 to understand the impact of the coronavirus (COVID-19) pandemic on people by their self-reported long COVID-19.]

Covid 19

Current awareness updates

Inequalities in healthcare disruptions during the Covid-19 pandemic: Evidence from 12 UK population-based longitudinal studies.
medRxiv; 2021.

[The research, led by UCL and the University of Glasgow, found further evidence that minority ethnic groups were more likely to have their healthcare affected by the Covid crisis than white people, with the combined results of the 12 studies suggesting minority ethnic groups reported 19% more problems during the epidemic. This article is a preprint and has not been certified by peer review.]

An obesity strategy to reduce COVID-19 morbidity and mortality.
Glasper A. British Journal of Nursing 2021;30(10):612-614.

[In 2020 Prime Minister Boris Johnson launched a series of policy initiatives as part of his government’s new obesity strategy. The prime minster himself was admitted to an intensive care unit after being infected with the SARS-CoV-2 coronavirus and succumbing to COVID-19. Following his successful treatment and discharge from hospital he acknowledged that his deterioration was probably linked to his own excess body weight.]

Importance of patient bed pathways and length of stay differences in predicting COVID-19 hospital bed occupancy in England.[Abstract]
Leclerc QJ. BMC Health Services Research 2021;21(1):566.

[We identified five bed pathways, with substantial variation in LoS by bed type, pathway, and geography. This might be caused by local differences in patient characteristics, clinical care strategies, or resource availability, and suggests that national LoS averages may not be appropriate for local forecasts of bed occupancy for COVID-19.]

Delivering routine immunisations in London during the Covid-19 pandemic: lessons for future vaccine delivery.
Skirrow H. British Journal of General Practice Open 2021;(18 May)

[Mixed-methods study of immunisation delivery in London including an online survey of GP practices and interviews were used to explore new immunisation delivery models which built on existing local knowledge, experiences and networks.]

Strategies and action points to ensure equitable uptake of COVID-19 vaccinations: A national qualitative interview study to explore the views of undocumented migrants, asylum seekers, and refugees.
Deal A. Journal of Migration and Health 2021;4(-):100050.

[Report of in-depth semi-structured qualitative interviews (n=32) of recently arrived migrants (foreign-born, >18 years old; <10 years in the UK) to the UK with precarious immigration status, seeking their input into strategies to strengthen COVID-19 vaccine delivery and uptake.]

Community-based volunteering in response to COVID-19: the COV-VOL project.
NIHR Applied Research Collaboration, Kent, Surrey and Sussex; 2021.

[A study by a team from the University of Kent, Brighton and Sussex Medical School and Sussex University shows how voluntary community and social enterprise (VCSE) organisations have made a significant, positive impact on the well-being of older people self-isolating at home during the first COVID-19 lockdown. The pandemic has highlighted the importance of volunteers and community and the role VCSE organisations can play as key and essential partners in our health and social care systems.]

The 3 R’s of Social Care Reform: How constructive risk taking, respectful relationships and a sense of reciprocity characterised a positive response to the Covid-19 pandemic.
Think Local Act Personal; 2021.

[TLAP has been talking to people across social care, and including those who draw on care and support, about their experiences during the pandemic. This paper reflects on these conversations and identifies drivers of the promising examples of practice, marked by changes in behaviour and increased levels of trust. It suggests that positive risk-taking, respectful relationships and a sense of reciprocity are key ingredients in characterising a positive response to the pandemic.]

Unlocking the digital front door – keys to inclusive healthcare.
National Voices; 2021.

[This report explores how the move to remote service models impacted people and how the Voluntary, Community and Social Enterprise sector (VCSE) has led innovative ways to deliver healthcare and support to people during the COVID 19 pandemic. Also available is a literature review and insight data, personal narratives and recommendations for better practice, better policy, and better innovations.]

School closures and parents’ mental health.
Institute for Social and Economic Research (ISER); 2021.

[In this study, researchers from the universities of Essex, Surrey and Birmingham, funded by the Nuffield Foundation, consider the dynamics of parents’ mental health during the pandemic. The study is the first of its kind to look specifically at the impact of having children at home as a result of school closures, separating it from other factors affecting parents’ mental health during the pandemic.]

Outsourcing as a threat to public health: the case for insourcing public sector cleaners and facilities management.
New Economics Foundation; 2021.

[The evidence cited in this report suggests that outsourced health facilities management services pose a threat to public health. This represents a major weakness in the UK’s ability to cope with subsequent waves of Covid-19. As a matter of public health, this paper recommends that the government should launch an urgent and independent inquiry into the outsourcing of key workers.]

Targeted AF detection in COVID-19 vaccination clinics.
Getting It Right First Time (GIRFT), Oxford AHSN; 2021.

[This document brings together learning from several pilot sites which have been carrying out targeted detection of atrial fibrillation (AF) in COVID-19 vaccination clinics. The aim is to provide guidance for systems wishing to develop a standard operating procedure for offering targeted rhythm checks for AF detection in mass vaccination clinics.]

Coronavirus and vaccination rates in people aged 70 years and over by socio-demographic characteristic, England : 8 December 2020 to 9 May 202.
Office for National Statistics (ONS); 2021.

[Difference in vaccination rates by sociodemographic group, sex, ethnicity, religion, main language, living in areas of deprivation, and disability.]


Covid 19

Current awareness updates

Fairer foundations: How has the pandemic affected young people’s mental health? Infographic
The Health Foundation; 2021.

[This infographic highlights the unequal mental health effects of the pandemic among young people. Young people’s lives have been significantly impacted by the pandemic – disrupted schooling, lost employment and not being able to see friends. But the effects of the crisis have not been the same for everyone, including a divergence of mental health experiences.]

Coronavirus and depression in adults, Great Britain: January to March 2021.
Office for National Statistics (ONS); 2021.

[Analysis of the proportion of the British adult population experiencing some form of depression in early 2021, by age, sex and other characteristics. Includes comparisons with 2020 and pre-pandemic estimates.]

Care pathway and prioritization of rapid testing for COVID-19 in UK hospitals: a qualitative evaluation.[Abstract]
Hicks T. BMC Health Services Research 2021;21(1):532.

[This study sought to understand the care pathways in place in UK NHS hospitals during the first wave (March-July 2020) for identification of patients with COVID-19 and to learn lessons to inform optimal testing strategies within the COVID-19 National Diagnostic Research and Evaluation Platform (CONDOR). During the winter months, priority for provision of rapid testing at admission should be given to hospitals with limited access to laboratory services and single room availability.]

Adult social care and COVID-19 after the first wave: assessing the policy response in England: Our analysis of the national government policy response for social care between June 2020 and March 2021.
The Health Foundation; 2021.

[In this briefing, the Health Foundation analyse policies to support adult social care during the height of the second wave of the pandemic in January and February 2021, and in the months leading up to it. We provide a narrative summary of central government policies related to adult social care in different areas, such as policies on testing and support for the workforce. We also provide a summary of the latest publicly available data on the impacts of COVID-19 on adult social care.]


Happy to help: the welfare effects of a nationwide micro-volunteering programme.
London School of Economics and Political Science (LSE); 2021.

[This paper estimates the wellbeing benefits from volunteering for England’s NHS Volunteer Responders programme, which was set up in response to the Covid-19 pandemic. It found that active volunteers report significantly higher life satisfaction, feelings of worthwhileness, social connectedness, and belonging to their local communities. A social welfare analysis shows that the benefits of the programme were at least 140 times greater than its costs.]


Coronavirus Act report: May 2021.
Department of Health and Social Care (DHSC); 2021.

[The seventh two-monthly report on which powers in the Coronavirus Act 2020 are currently active.]


Vivaldi study: results.
Department of Health and Social Care (DHSC); 2021.

[Results for the Vivaldi study for antibody and cellular immune responses to coronavirus (COVID-19) in approximately 340 care homes.]

Deaths involving COVID-19 in the care sector, England and Wales: deaths registered between week ending 20 March 2020 and week ending 2 April 2021.
Office for National Statistics (ONS); 2021.

[Provisional figures on deaths involving the coronavirus (COVID-19), an investigation into wave 1 versus wave 2 within the care sector, in England and Wales.]

Statistics

Personal and economic wellbeing in Great Britain: May 2020

This report from the Office for National Statistics looks across personal and economic wellbeing during the period October 2019 to April 2020. It aims to understand the impact of the COVID-19 pandemic on people and households in Great Britain.

Read the report here