Podcast

Well-being: Speaking out about mental health in the NHS

Source: BMJ Talk Medicine podcast

Ashling Lillis is a now consultant in acute medicine at Whittington Health NHS Trust, and she was almost a consultant in intensive care medicine – but a mental health crisis just 6 months before she qualified made her reassess her career, and choose a different path.

In this podcast, Ash talks to Abi and Cat about the difficulty many doctors have when discussing their mental health – and how speaking out about her own experiences, has encouraged others to talk to her privately – and opened her eyes to the extent of the problem in the NHS.

Public Health

Current awareness updates

How has cognitive behaviour therapy been adapted for adolescents with comorbid depression and chronic illness? A scoping review.[Abstract]
Morey A. Child and Adolescent Mental Health 2021;26(3):252-264.
[BACKGROUND: Depression becomes increasingly common in adolescence. Around 10%-20% of adolescents have a chronic illness, and they are more likely to experience depression. There is emerging evidence for cognitive behaviour therapy (CBT) interventions to treat depression in adolescents with chronic illnesses, yet no review has been undertaken of how these CBT interventions are delivered in practice.]

The best terminology to describe self-harm: “There is more that unites us than divides us”.
The Mental Elf; 2021.
[Angharad de Cates reviews a recent study which examined international definitions of English-language terms for suicidal and self-harm behaviours.]

Education, schooling and health summary.
Department of Health and Social Care and Public Health England; 2021.
[Summary of the existing evidence of the health and wellbeing benefits of school-age education. This paper aims to summarise the existing evidence of the health and wellbeing benefits of school-age education, including the wider impacts on mental and physical health and wellbeing of being in school and the observed impacts of the loss of education in the last 18 months.]

Does the IAPT self-referral process work for people living in poverty?
The Mental Elf; 2021.
[In her debut blog, Alice Potter reviews a qualitative study exploring different perspectives on the accessibility of current IAPT self-referral processes for people with mental health problems living in poverty.]

STI rates remain a concern despite fall in 2020.
Public Health England (PHE); 2021.
[New data from Public Health England (PHE) reveal that diagnoses of sexually transmitted infections (STIs) decreased in 2020 by 32% compared to 2019.]

Promotional material: Flu immunisation for social care staff.
Public Health England (PHE); 2021.
[Leaflets for social care workers and personal care assistants to support the annual flu programme.]

Dismissed for too long: recommendations to improve migraine care in the UK.
The Migraine Trust; 2021.
[This report found a wide range of issues with migraine health care, including slow or no diagnosis and lack of access to specialist care. It sets out the action needed from the government, health care systems and other organisations to give everyone living with migraine in the UK the support they need.]




Lunch and Learn

A session around the Soundskills project

Thank-you to everyone who attended our lunch and learn session yesterday. Our guest speaker, Chris Davies, an artist specialising in painting, film, graphics and photography, gave a very interesting presentation on this worthwhile project.

If you missed the session, you can watch the session recording here (please use your LSCFT email to access).

For more information about the project please read here.

We would really appreciate any feedback on these sessions. If you have a few spare minutes we kindly ask you to complete our survey- which should take no longer than 5 minutes to complete: https://www.surveymonkey.com

Covid 19

Current awareness updates

Contingency framework: education and childcare settings.
Department for Education (DfE); 2021.
[The updated framework describes the principles of managing local outbreaks of Coronavirus (COVID-19) (including responding to variants of concern) in education and childcare settings, covering: the types of measures that settings should be prepared for; who can recommend these measures and where; when measures should be lifted; how decisions are made.]

Use of telecritical care for family visitation to ICU during the COVID-19 pandemic: an interview study and sentiment analysis.[Abstract]
Sasangohar F. BMJ Quality & Safety 2021;30(9):715-721.
[Conclusions: Use of virtual intensive care unit (vICU) for remote family visitations evoked happiness, joy, gratitude and relief and a sense of closure for those who lost loved ones. Identified areas for concern and improvement should be addressed in future implementations of telecritical care for this purpose.]

Impact of COVID-19 on migrants’ access to primary care and implications for vaccine roll-out: a national qualitative study.
British journal of general practice; 2021.
[COVID-19 has led to big changes in UK primary care, including rapid digitalisation, with unknown impact on migrant groups. The aim of this study is to understand the pandemic’s impact on recently-arrived migrants and their access to primary health care, and implications for vaccine roll-out.]

A rapid needs assessment of excluded people in England during the 2020 COVID-19 pandemic.
Doctors of the World UK; 2020.
[The aim of this rapid needs assessment was to identify and describe the needs of routinely excluded groups, arising from the COVID-19 pandemic in England, to raise awareness, inform advocacy and form recommendations for action. Groups included refugees, migrants, people affected by modern slavery, homeless, Roma and traveller communities, sex workers and people recently released form prison.]

Volunteering and wellbeing during the Coronavirus pandemic.
Wales Centre for Public Policy; 2021.
[Volunteering has played a crucial role in supporting communities during the pandemic. Interest in volunteering saw a dramatic spike early in the pandemic, and volunteers have helped meet people’s emotional and physical needs during the crisis. To inform this recovery planning, WCPP conducted 2 studies on the contribution of volunteering to individual and community wellbeing during the pandemic: a synthesis of 50 practice-based case studies using a synthesis method and a rapid evidence review.]

Public Health

Current awareness updates

Drug users urged to be extra careful following a high number of likely heroin overdoses.
Public Health England (PHE); 2021.
[Public Health England (PHE) has issued a warning of a sharp rise in the number of overdoses linked to people using drugs in several areas across England. To date, there have been at least 46 poisonings resulting in 16 deaths but investigations are still ongoing. The areas affected include South London, the South East, South West and East of England.]

Mental Health Crisis Care Profile.
PHE Fingertips; 2021.
[The Crisis Care Profile collates and analyses a wide range of publicly available data on associated prevalence of mental health crisis. Risk factors include access to care, treatment, and outcomes. Includes risk factors around age, deprivation, illness and disabilities, crime and social isolation. Other topics – urgent and emergency care, quality of treatment, access to support. Data available by local authorities.]

Dental health: migrant health guide.
Public Health England (PHE); 2021.
[Advice and guidance on the health needs of migrant patients for healthcare practitioners. 17 August 2021: New model of care to support refugees and asylum seekers to access NHS dental services.]

Cervical screening: support for people who find it hard to attend.
Public Health England (PHE); 2021.
[Guidance on support for people who find it hard to attend cervical screening due to having a mental health condition, or having experienced trauma or abuse. 16 August 2021: Clarification that this guidance is based on research conducted with users of mental health services and addition of signposting to guidance to support other underserved groups.]

Oral healthcare: model for asylum seekers and refugees.
Public Health England (PHE); 2021.
[This model of care provides professionals with guidance to support access to NHS dentists. Asylum seekers and refugees can face barriers when accessing NHS dentists. This model of care details the processes, rights and entitlements to care and includes supporting information and links to forms and guidance. It is designed for local authorities, support services and health professionals who work with asylum seekers and refugees.]

Antenatal care.
National Institute for Health and Care Excellence (NICE); 2021.
[This quality standard covers care for healthy women and their babies during pregnancy (up to 42 weeks). It covers routine antenatal care in primary, community and hospital settings. It describes high-quality care in priority areas for improvement. In August 2021, changes were made to align this quality standard with the updated NICE guideline on antenatal care.]


Service specification: Cystinosis diagnosis and co-ordination of management (all ages).
NHS England; 2021.
[This service specification covers the provision of services for patients with Cystinosis, all ages.]

Continuous positive airway pressure for the treatment of obstructive sleep apnoea/hypopnoea syndrome.
National Institute for Health and Care Excellence (NICE); 2021.
[Evidence-based recommendations on continuous positive airway pressure for treating obstructive sleep apnoea/hypopnoea syndrome in adults. August 2021: The recommendation on continuous positive airway pressure (CPAP) for mild obstructive sleep apnoea/hypopnoea syndrome (OSAHS) has been updated and replaced by recommendation 1.5.2 on CPAP for mild OSAHS in the NICE guideline on obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s.]

Obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers the diagnosis and management of obstructive sleep apnoea/hypopnoea syndrome (OSAHS), obesity hypoventilation syndrome (OHS) and chronic obstructive pulmonary disease with OSAHS (COPD–OSAHS overlap syndrome) in people over 16. It aims to improve recognition, investigation and treatment of these related conditions.]

Ethnic differences in SARS-CoV-2 vaccine hesitancy in United Kingdom healthcare workers: Results from the UK-REACH prospective nationwide cohort study.
Woolf K. The Lancet Regional Health – Europe 2021;8(-):100180.
[Using a nationwide prospective cohort study and qualitative study in a multi-ethnic cohort of clinical and non-clinical UK healthcare workers (HCWs) researchers analysed ethnic differences in SARS-CoV-2 vaccine hesitancy. Of the 11,584 HCWs included in the cohort analysis, 23% (2704) reported vaccine hesitancy. Ethnicity was a significant predictor of hesitancy.]

Association of the COVID-19 lockdown with smoking, drinking and attempts to quit in England: an analysis of 2019–20 data.
Addiction; 2021.
[Following the March 2020 COVID-19 lockdown, smokers and high-risk drinkers in England were more likely than before lockdown to report trying to quit smoking or reduce alcohol consumption and rates of smoking cessation and use of remote cessation support were higher. However, high-risk drinking prevalence increased post-lockdown and use of evidence-based support for alcohol reduction by high-risk drinkers decreased with no compensatory increase in use of remote support.

Everybody active, every day: 5 years on.
Public Health England (PHE); 2021.
[Summary of the 5 year review to the national physical activity framework, ‘Everybody active, every day’ and the PHE response.]

Quality in Qual: a proposed framework to commission, judge and generate good qualitative evaluation in wellbeing impacts.
whatworkswellbeing; 2021.
[Based on interviews with ten leading organisations and individuals who have in-depth evaluation and methodological expertise this report sets out why work on qualitative evaluation is valuable and important, what resources already exist. The report identifies six prompts for potential uses of qualitative research in evaluations.]

Genomics nation: A benchmark of the size and strengths of the UK genomics sector.
UK Bioindustry Association; 2021.
[The NHS Long Term Plan promised greater focus on prevention to help people stay healthy and ease the burden on the health service. The early detection of disease, rather than merely the diagnosis and treatment of illness, will be critical to achieve this objective. The NHS Genomic Medicine Service (GMS), launched in 2018, provides a single, national coordinated approach to genomic testing and genomic research in the NHS.]

A joint thematic inspection of community-based drug treatment and recovery work with people on probation.
HM Inspectorate of Probation (HMIP); 2021.
[Probation services across England and Wales supervise nearly 156,000 people in the community. HM Inspectorate of Probation estimates that almost 75,000 of these individuals have a drugs problem, yet fewer than 3,000 people were referred by probation services to specialist drug misuse treatment in 2019/2020. HMIP partnered with the Care Quality Commission to examine how probation services supervise this cohort and found probation services are responding poorly to drugs misuse and addiction cases.]

Podcast

Friendship and Health: Why We Need Friends to Thrive

Source: Feel Better Live More Bite Size

Life can be busy, and it’s easy to forget to make time to catch up with friends– but spending time with your friends is more important than you think.

Feel Better Live More Bitesize is a weekly podcast for your mind, body, and heart. This episode features Dhru Purohit talking to Dr. Rangan Chatterjee about why our friendships are so important and why we need deep connections to others to truly thrive.

Lunch and Learn – August Reminder

A session around the Soundskills Project

This is just a reminder that the next Lunch and Learn session will be held via Teams on Wednesday 25th August between 12pm and 1pm.

This session will discuss:

  • The Soundskills project and visual arts based community development work
  • The principles of socially engaged practice
  • The health benefits of creative expression