Covid 19

Current awareness updates

COVID-19 lockdowns and school closures: what’s the impact on youth mental health?
The Mental Elf; 2021.
[Douglas Badenoch appraises a recent cross-sectional survey study, which looks at COVID-19 partial school closures and mental health problems.]

Investigation of SARS-CoV-2 variants of concern: variant risk assessments.
UK Health Security Agency (UKHSA); 2021.
[Risk assessment dated 09 December for Omicron variant added.]

Consensus statements on COVID-19.
UK Health Security Agency (UKHSA); 2021.
[Updated 10 December 2021: UKHSA has added the EMRG’s consensus statement for 24 November 2021 to its website.]

Resilience and recovery following COVID-19.
McIntosh B. British Journal of Healthcare Management 2021;27(11):263-264.
[The healthcare sector has a crucial role to play in the wider economic and social recovery of society following COVID-19. Events since March 2020 have highlighted the need to see health and public services as a crucial investment, not an afterthought.]

An evaluation of a virtual COVID-19 ward to accelerate the supported discharge of patients from an acute hospital setting.
Swift J. British Journal of Healthcare Management 2021;27(12):1-9.
[The virtual ward appeared to assist with earlier discharges, had a low rate of clinically necessary re-admissions, and seemed to reduce costs without compromising patient safety. The authors believe that this intervention could be applied across other NHS trusts facing similar capacity issues as a result of COVID-19.]

Nudging healthcare professionals to improve treatment of COVID-19: a narrative review.[Abstract]
Vilhelmsson A. BMJ Open Quality 2021;10(4):doi: 10.1136/bmjoq-2021-001522.
[Conclusion: Evidence suggests that different nudging techniques can be used in clinical settings as simple, cost-effective strategies to fight COVID-19, reduce complications for intubated patients, improve hand hygiene, increase vaccination rates and avoid unnecessary antibiotic prescriptions. These strategies could be important in the continued handling of the pandemic, which will not be over until the whole world reaches herd immunity from vaccination…]

COVID-19 rapid guideline: managing COVID-19 NICE guideline.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers the management of COVID-19 for children, young people and adults in all care settings. In December, NICE added new recommendations on COVID-19-associated pulmonary aspergillosis. NICE revised their statement about the Omicron variant in the recommendation on casirivimab and imdevimab.]

COVID-19 vaccination: resources for schools and parents.
UK Health Security Agency (UKHSA); 2021.
[17 December 2021: Added version 3 of the guidance for schools and guidance for parents.]

COVID-19: guidance for first responders.
UK Health Security Agency (UKHSA); 2021.
[Updated advice for first responders (as defined by the Civil Contingencies Act) and others where close contact may be required as part of their normal duties.]

COVID-19: infection prevention and control (IPC).
UK Health Security Agency (UKHSA); 2021.
[17 December 2021: Added UK IPC Cell consensus statement in response to the emergence of the Omicron variant of SARS-CoV-2. Added paragraph to main IPC guidance on risk assessment and use of RPE in response to Omicron variant.]

Covid 19

Current awareness updates

How many care home staff in England have received two Covid-19 vaccine doses? Nuffield Trust chart.
Nuffield Trust; 2021.
[After the deadline passed, care home staff in England now need to have received two Covid-19 jabs to carry on working. Nina Hemmings looks at how many had been vaccinated twice only a few weeks before the deadline.]

Effects of COVID-19 pandemic on mental health outcomes in a cohort of early psychosis patients.[Abstract]
Szmulewicz AG. Early Intervention in Psychiatry 2021;15(6):1799-1802.
[AIM: To evaluate the impact of the COVID-19 pandemic on clinical outcomes, we used data from Electronic Health Records from 128 patients receiving care at a First Episode Psychosis clinic. CONCLUSIONS: We report that patients have avoided accessing higher levels of care, except in extreme cases. We argue that this is not a sustainable trajectory and that public health actions are required.]

Provider collaboration review: Mental health care of children and young people during the COVID-19 pandemic.
Care Quality Commission (CQC); 2021.
[Review of care in 7 areas of England in June and July 2021 found COVID-19 pandemic has had an enormous impact on the mental health of children and young people, and has led to an increased demand on services, particularly eating disorder services.]

Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: systematic review and meta-analysis.
BMJ; 2021.
[This systematic review and meta-analysis suggests that several personal protective and social measures, including handwashing, mask wearing, and physical distancing are associated with reductions in the incidence covid-19. Public health efforts to implement public health measures should consider community health and sociocultural needs.]

COVID-19 Young people and vaccines Toolkit.
Cabinet Office; 2021.
[An updated vaccines toolkit for younger people has been launched by the Cabinet Office. The toolkit includes links to assets and videos designed to encourage vaccine uptake among young people aged 18 to 29.]

Emotional Support

Online resources – Wot Wud U Do?

Wot Wud U Do is an interactive and thought provoking resource, designed to help professionals to educate the younger generation on topics that impact them daily, such as mental health, relationships and sex. 

Their vision is simple; to change how young people think when confronted with day to day challenges on mental health, relationships and/or sex. They support their vision with three main aims, which are:

  • To educate young people to think critically when it comes to making decisions
  • To raise their awareness of how their level of self-esteem affects their ability to make decisions
  • To stimulate a lively debate within the classroom by simply asking ‘Wot Wud U Do’.

For more information visit the website or watch the video below.

Emotional Support

Online resources – Master the Mind Master Anything podcast – Kids’ Mental Health Special

Source: Mindset by Dave podcast

Today’s resource is the Master the Mind Master Anything podcast presented by Dave Cottrell (Mindset by Dave). In this episode Dave talks, from one parent to another, about some of the things he has learned as a parent and how these can be applied in your relationships with your own kids.

Listen to the podcast here.

Emotional Support

Online resources – Mental Health Family Hour

Today’s resource is the hugely popular Mental Health Family Hour with Sam Tyrer (Change Talks) and Dave Cottrell (Mindset by Dave) and this episode is about young carers.

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.]

Emotional Support

Online resources – Master the Mind Master Anything podcast

Source: Mindset by Dave podcast

Today’s resource is the Master the Mind Master Anything podcast presented by Dave Cottrell (Mindset by Dave). This episode features Sam Tyrer (Change Talks), talking about his experiences and taking mental health awareness into schools.

Listen to the podcast here.

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.]


Emotional Support

Online resources – Young Minds

Young Minds is the UK’s leading charity fighting for children and young people’s mental health.

They want to see a world where no young person feels alone with their mental health, and all young people get the mental health support they need, when they need it, no matter what.

For more information visit the website.

Emotional Support

Online resources – Butterfly and Phoenix

The Butterfly and Phoenix Project has a team of counsellors supporting young people aged 11-18 in various areas across Lancashire. As part of n-compass, they are a trusted service with over 10 years’ experience in support and advice.

If any families need support with a young child age 11-19, this service can provide support via texts, phones calls and video links. They aim to help the young person cope better with difficult circumstances, preventing them from escalating into more serious issues.

For more information visit the website here.