Improving patient wellbeing

Creating spaces for community and patient wellbeing

Source: The King’s Fund

NHSPS (NHS Property Service) wants to enable more patients and communities to have the opportunity to use NHS spaces to create health in ways that work for them. This report, commissioned from the Health Creation Alliance, sheds light on what matters most to ten different communities when accessing and using repurposed NHS community spaces. The communities that participated are some of those disproportionately affected by health inequalities across the UK.

To find out more click here.

A working partnership

A guide to developing integrated statutory and voluntary sector mental health services

Source: Centre for Mental Health

Increasingly, the NHS and the voluntary and community sector (VCS) are being expected to work together to shape and deliver integrated mental health (and other health) services. This guide has been developed drawing on the experiences of a significant number of people actively involved in the development of integrated mental health services across the country from a range of perspectives. It reflects the many common themes and suggestions they shared.

Public Health

Current awareness updates

Campaigning to eliminate drink spiking.
Stamp Out Spiking UK; 2022.
[This campaign offers anti-drink spiking resources and solutions that help people to stay safe, with a mission to raise awareness and promote personal safety issues, by providing people with information and a practical means of protecting themselves, and ultimately, to stamp out drink spiking.]

Delivering safe, face-to-face adult day care.
Social Care Institute for Excellence (SCIE); 2022.
[Supporting care managers, social workers, commissioners and providers, with activities. The latest updates to the guidance include: Infection control and testing; vaccination information; and changes to restrictions due to Omicron.]

Recent increase in group B meningococcal disease among teenagers and young adults.
UK Health Security Agency (UKHSA); 2022.
[Teenagers and young adults are urged to look out for symptoms and check that they have received all routine vaccinations. Recent data and analysis shows that in autumn 2021 there was an increase in the number of cases of meningococcal disease in teenagers and young adults, mainly caused by group B meningococcal disease (MenB) – with the majority among university students.]

Focusing on men’s health: it’s time for a national strategy.
Baker P. British Journal of Nursing 2022;31(1):50-51.
[It is surely time for a men’s health strategy in the UK. Or, rather, a strategy for each of the UK’s nations. Seven other countries—including our nearest neighbour, Ireland—already have men’s health strategies or policies. The UK Government has also signed up to World Health Organization (WHO) Europe’s regional men’s health strategy (WHO Regional Office for Europe, 2018). A Women’s Health Plan for Scotland was published in August and a women’s health strategy for England is being developed.]

Stop Abuse Together.
Cabinet Office; 2022.
[Tool to help parents, carers, teachers or other professionals working with children, to spot the potential signs of child sexual abuse and where to go for support. This website brings together advice and resources to help you keep the children in your life safe.]

Covid 19

Current awareness updates

COVID-19: infection prevention and control (IPC).
UK Health Security Agency (UKHSA); 2021.
[November 2021 Updates: 1) Guidance broadened to include seasonal respiratory infections; 3 COVID-19 specific pathways removed; section on the hierarchy of controls added; physical distancing advice updated. 2) Updated to clarify text on aerosol generating procedures. 3) Dental appendix broadened to include seasonal respiratory infections; 3 COVID-19 specific pathways removed and replaced with respiratory and non-respiratory pathways.]

COVID-19 rapid guideline: managing COVID-19
National Institute for Health and Care Excellence (NICE); 2021.
[In November, NICE added a new recommendation on ivermectin.]

Daily Insight: Another test for NHS staff.
HSJ: Health Service Journal (Daily Insight) 2021;:7031436.
[A letter sent by Chris Whitty, Ruth May and Susan Hopkins has strengthened expectations on NHS staff who have just returned from abroad. NHS workers returning from any non red-list country must have a negative PCR test before returning to work. Also: New guidance has recommended that trusts relax the segregation of patients according to covid-19 risk. There is likely to be a developing picture on infection control guidance over the next few weeks in light of the Omicron variant. 30 November.]

Frequently asked questions: Demonstrating Covid-19 and vaccination status.
House of Commons Library; 2021.
[This briefing paper provides answers to frequently asked questions about demonstrating Covid-19 status (otherwise called Covid-19 status certification) and use of the NHS Covid Pass in England.]

Covid-19 status certification.
House of Commons Library; 2021.
[Covid-19 status certification (also referred to as a “vaccine passport”) has been proposed as a means of reducing the risk of transmitting the Covid-19 virus in a number of settings. This briefing explores the Government’s policy on certification. It also provides discussion on the scientific evidence and other issues associated with the use of certification.]

Responding to violence against women and children during COVID-19: impact on service provision, strategies and actions in the WHO European Region (2021).
World Health Organization (WHO); 2021.
[A new report published by WHO/Europe shows that helplines providing support to women and children experiencing violence saw a spike in calls during the first 9 months of the COVID-19 pandemic. The data in the new report was collected between January and September 2020, a time in which millions of people in the WHO European Region were confined to their homes because of lockdowns or other restrictive measures.]

UK vaccine response to the Omicron variant: JCVI advice.
Department of Health and Social Care (DHSC); 2021.
[Advice from the Joint Committee on Vaccination and Immunisation (JCVI) in response to the emergence of the Omicron variant. This statement sets out the JCVI’s advice on extending the UK COVID-19 vaccination programme to offer booster doses to adults aged 18 to 39 years, and second doses to children and young people aged 12 to 15 years.]

Public Health

Current Awareness Updates

Increased inequalities and barriers to healthy eating and exercise during lockdown for those with obesity.
Carried out by Frankie Marcelline from Brighton and Sussex on 8/3/2021
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_download&RequestID=27968
(This evidence search report includes studies and reports on barriers to healthy eating and exercise that people have faced during the Covid-19 pandemic lockdown in the UK. People with obesity in particular may have poorer mental health and are at higher risk of additional challenges during this lockdown as they are likely to be isolating and find it harder to exercise or eat well. Also includes results focused on what support is required for people with obesity in the post-Covid recovery.)

COVID-19 vaccine hesitancy – debunking the myths using a community engagement approach underpinned by NICE guidance.
NICE Shared Learning Database; 2021.

(Shared learning case study. This example describes how GPs from Black Women in Health (BWIH) reduced COVID-19 vaccine hesitancy amongst the BAME population by debunking the myths about COVID-19 vaccines by organising webinars, virtual group talks, podcasts, videos in other languages and dialects. The approach to community engagement was informed by recommendations from NICE’s guidance for Community engagement: improving health and wellbeing and reducing health inequalities.)

The NHS’s role in tackling poverty: awareness, action and advocacy The King’s Fund

(One of the main drivers behind the creation of the NHS was to protect the poorest in society from being bankrupted by the need to pay for care. But the NHS can do more to mitigate, prevent and reduce poverty. This report sets out what the NHS, as the largest economic institution in the country, needs to maximise its contribution to tackling poverty, within its resources and with its partners.)

COVID-19: guidance on supporting children and young people’s mental health and wellbeing GOV.UK

(Advice for parents and carers on looking after the mental health and wellbeing of children or young people during the coronavirus (COVID-19) outbreak.)

Tackling Loneliness

Useful resources

With the support of Library Service from across the country, we have compiled a list of resources to provide support or advice for anyone who is suffering from loneliness during the pandemic. The initiatives aim to reduce loneliness and help people stay connected during this unprecedented time.

Tackling loneliness Research briefing, 16 June 2020 This briefing looks at research into the causes and impact of loneliness and possible interventions

Loneliness: a reading list Research briefing, 18 February 2020

This reading list provides links to various publications considering the causes and impact of loneliness, as well as possible interventions to deal with the issue in society. (Section 17 is Loneliness interventions)

Loneliness: Care Homes Research briefing, 17 March 2020 This briefing examines recent Government policy to tackle loneliness in care homes in the UK.

How has Covid-19 affected loneliness?
What Works Centre for Wellbeing, August 2020
https://whatworkswellbeing.org/resources/loneliness-lockdown-and-covid/ This briefing highlights findings from the Covid Social Study, as part of ongoing data analysis work with University College London. The study has surveyed more than 70,000 people since March 2020, asking different questions about their experiences and wellbeing over the past few months, including asking people about loneliness.

Life after lockdown: tackling loneliness
British Red Cross, June 2020
https://www.redcross.org.uk/about-us/what-we-do/we-speak-up-for-change/life-after-lockdown-tackling-loneliness The Covid-19 crisis has made loneliness worse, with some people more affected than others. This report shows that although social distancing and lockdown measures will continue to be eased, loneliness will remain. And for those most left behind, it may continue to grow. The research draws on findings from a collection of national-level polling, interviews and evaluations from British Red Cross services during Covid-19. Quick overview of key findings and recommendations, as well as the full report, from the link above.

Loneliness, social isolation and COVID-19: practical advice
Local Government Association / Association of Directors of Public Health, 21 May 2020
https://www.local.gov.uk/loneliness-social-isolation-and-covid-19-practical-advice “The LGA and ADPH have jointly produced this practical advice for Directors of Public Health and others leading the response to the loneliness and social isolation issues arising from the COVID-19 pandemic.”

What you can do if you feel lonely during the coronavirus outbreak: https://www.nhs.uk/oneyou/every-mind-matters/coping-loneliness-during-coronavirus-outbreak/

Campaign to end loneliness https://www.campaigntoendloneliness.org/helpful-links/

We hope that none of our friends, family or colleagues have to face the feeling of loneliness. If you do, we hope that these resources may bring a sense of hope or enlighten you to try something new.

Mental Health Campaign

Every Mind Matters campaign launched

Public Health England have launched a new campaign – Every Mind Matters, to support the well being of children, young people and their carers. The Covid pandemic has impacted everyone and research shows that children are more anxious, worried and lonely than ever before. These new stresses could cause harm to the mental health of the young generation.

This new advice supports parents and carers to recognise signs that their child may be struggling with their mental health and provides support to help them maintain good quality well being.

https://www.nhs.uk/oneyou/every-mind-matters/childrens-mental-health/

Top tips for telephone triage and video consulting

Resources to support your practice

Total triage is important to reduce avoidable footfall in practices and reduce the risk and spread of infection. How to establish a remote total triage model in GP using online consultations available here.

Support for telephone and video consulting, GP’s, dentists, mental heath patients and cancer patients can be accessed here.