Learning Disabilities and Autism

April Bulletin

With thanks to our colleagues from Mersey Care NHS Foundation Trust please find the latest bulletin attached. Some articles are freely accessible, others require an Open Athens account. For support accessing any of the articles, please contact academic.library@lscft.nhs.uk

The Health Foundation’s Networked Data Lab

Improving children and young people’s mental health services: local data insights from England, Scotland and Wales

This briefing presents analysis from The Health Foundation’s Networked Data Lab (NDL) about children and young people’s mental health. The analysis from local teams across England, Scotland and Wales has highlighted three key areas for urgent investigation, to help ensure children and young people get the care they need. These are: rapid increases in mental health prescribing and support provided by GPs; the prevalence of mental health problems among adolescent girls and young women; and stark socio-economic inequalities across the UK.

Covid 19

Current awareness updates

COVID-19 rapid guideline: managing COVID-19.
National Institute for Health and Care Excellence (NICE); 2022.
[This guideline covers the management of COVID-19 for children, young people and adults in all care settings. In February 2022, NICE added recommendations on molnupiravir and remdesivir for people with COVID-19 who do not need supplemental oxygen.]

A systematic scoping review of research on COVID-19 impacts on eating disorders: A critical appraisal of the evidence and recommendations for the field.[Abstract]
Linardon J. International Journal of Eating Disorders 2022;55(1):3-38.
[Symptom escalation and mental health worsening during-and due to-the pandemic were commonly reported, and those most susceptible included confirmed eating disorder cases, at-risk populations, and individuals highly anxious or fearful of COVID-19. Evidence emerged for increased demand for specialist eating disorder services during the pandemic. The forced transition to online treatment was challenging for many, yet telehealth alternatives seemed feasible and effective.]

Growing problems: What has been the impact of Covid-19 on health care for children and young people in England?
Quality Watch; 2022.
[This analysis from QualityWatch (a Nuffield Trust and Health Foundation programme) shows that the pandemic has led to an unprecedented increase in demand for mental health services for children and young people. Despite children and young people being 10 times less likely to be hospitalised with Covid, the period has had a heavy toll on them. The briefing explains the findings and discusses the potential implications for the younger generation.]

Beyond recovery: the case for transforming UK clinical cancer research.
Cancer Research UK (CRUK); 2022.
[This position paper finds that Covid-19 has worsened pre-existing barriers to clinical cancer research, and recovering to a pre-pandemic ‘normal’ for research won’t be enough to deliver world-class cancer outcomes. Instead, the UK government must choose to go beyond recovery by expanding clinical research capacity, transforming how research is delivered, and supporting innovative cancer research.]

Living with Covid-19.
House of Commons Library; 2022.
[This page provides an overview of the Government’s strategy on Living with Covid-19 and a summary of the relevant policy changes.]

Social care reform: an independent review by Baroness Cavendish.
Department of Health and Social Care (DHSC); 2022.
[A report looking at how the government can lock in the lessons of the COVID-19 pandemic to build a more robust, sustainable and joined-up system of social care.]

The rollout of the COVID-19 vaccination programme in England.
National Audit Office (NAO); 2022.
[According to this report, the Covid-19 vaccination programme met stretching and unprecedented targets, helping to save lives and reduce serious illness and hospitalisation. However, it concludes that there are risks to be managed as the programme continues to evolve in response to the Covid-19 pandemic and to new clinical advice and evidence about vaccines. The report concludes that the programme has provided value for money to date.]

Coronavirus (COVID-19) vaccination uptake in school pupils, England: up to 9 January 2022.
Office for National Statistics (ONS); 2022.
[Figures on vaccine uptake in school pupils aged 12 to 17 attending state funded schools, broken down by demographic and geographic characteristics, using a linked schools and vaccinations dataset, up to 9 January 2022 (experimental statistics).]

The response of the scientific community to a global crisis: a systematic review of COVID-19 research in 2020.
Srivastava PR. British Journal of Healthcare Management 2022;28(2):1-7.
[This article provides a bibliometric analysis of the direction of research relating to COVID-19 during the first year after the virus was first identified as a potential threat to public health.]

Public Health

Current awareness updates

10-Year Cancer Plan: Call for Evidence.
Department of Health and Social Care (DHSC); 2022.
[The NHS Long Term Plan, published in 2019, set an ambition to save thousands more lives each year by dramatically improving how we diagnose and treat cancer. The DHSC is seeking the views of individuals, professionals and organisations to understand how we can do more to make progress against this ambition, and to build on lessons learned from the pandemic. You can respond as an individual, or on behalf of an organisation by completing the online survey (Closes 23:45, 01 April 2022)]

Improving annual albuminuria testing for individuals with diabetes. [Abstract]
Kam S. BMJ Open Quality 2022;11(1):doi: 10.1136/bmjoq-2021-001591.
[Conclusions: This project demonstrates that a series of simple interventions can significantly impact annual albuminuria testing. This project’s success likely hinged on using an existing workflow to systematically determine if a patient was due for testing and prompting the provider to sign a pended order for an albuminuria test. Other diabetes/endocrinology and primary care clinics can likely implement a similar process and so improve testing rates in other settings…]

Atrial fibrillation detection using a automated electrocardiographic monitoring in a transient ischaemic attack service. [Abstract]
D’Anna L. BMJ Open Quality 2022;11(1):doi: 10.1136/bmjoq-2021-001433.
[Conclusions: In conclusion, the present study suggests early initiation of automated continuous ECG monitoring (ACEM) in a rapid outpatient transient ischaemic attacks (TIA) clinic improves atrial fibrillation (AF) detection and is associated with a reduced risk of recurrent TIA/stroke. Further studies are required to confirm the enhanced rate of AF detected using ACEM]

Autism – overview of policy and services.
House of Commons Library; 2022.
[This briefing provides an overview of policies and services for people with autism spectrum disorder in England.]

Measuring the economic value of community nursing: scoping the challenge.
Healthcare Financial Management Association (HFMA); 2022.
[NHS community services are an essential part of national ambitions to support people to manage their conditions, prevent ill health and deliver care closer to home. Community nurses are central to the care delivered for many people, across a broad range of conditions and needs. This briefing considers the challenge of understanding the economic value of community nursing, building on a roundtable discussion in March 2021 and drawing in other sources of evidence.]

Covid 19

Current awareness updates

Latest data reinforces the safety of COVID-19 vaccinations in pregnant women.
UK Health Security Agency (UKHSA); 2022.
[The UK Health Security Agency (UKHSA) urges pregnant women to get vaccinated as latest data reinforces previous findings on the safety of COVID-19 vaccines in pregnancy.]

Coronavirus: adult social care key issues and sources.
House of Commons Library; 2022.
[This briefing provides an overview of key issues facing the adult social care sector during the coronavirus (Covid-19) pandemic, and provides links to some of the key official guidance for the sector. Updated 28 January 2022.]

Measures implemented in the school setting to contain the COVID-19 pandemic: a rapid review. [Abstract]
Krishnaratne S. Cochrane Database of Systematic Reviews 2022;1:CD015029.
[OBJECTIVES: To assess the effectiveness of measures implemented in the school setting to safely reopen schools, or keep schools open, or both, during the COVID-19 pandemic, with particular focus on the different types of measures implemented in school settings and the outcomes used to measure their impacts on transmission-related outcomes, healthcare utilisation outcomes, other health outcomes as well as societal, economic, and ecological outcomes. ]


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.]

Covid 19

Current awareness updates

Face coverings and COVID-19: statement from an expert panel .
UK Health Security Agency (UKHSA); 2021.
[An expert panel statement, informed by evidence and expertise, on the role of face coverings in mitigating COVID-19 transmission.]

Impact evaluation of the Coronavirus Community Support Fund: final report.
The National Lottery Community Fund; 2021.
[Ipsos MORI, in partnership with New Philanthropy Capital (NPC) and The Tavistock Institute of Human Relations (TIHR), was commissioned to undertake an evaluation of the Coronavirus Community Support Fund (CCSF). This document summarises the findings from an assessment of the impact the CCSF had on the people and communities that were supported, the organisations that were funded, and the volunteers involved.]

COVID-19: impact on childhood vaccinations: data to August 2021.
UK Health Security Agency (UKHSA); 2021.
[Final report of the series providing an early assessment of the impact of COVID-19 on delivery of childhood vaccination programmes in England.]

Covid and beyond: confronting the unequal access to type 1 diabetes healthcare.
Juvenile Diabetes Research Foundation; 2021.
[JDRF surveyed more than 1,000 people living with type 1 diabetes, or caring for a child living with it, to reveal their experiences through the upheavals of the Covid pandemic. The findings of the report reveal the impact of the withdrawal and repurposing of many NHS diabetes services on people with type 1. The report sets out a series of recommendations, anchored in the needs of people living with type 1.]

Assessing the impact of COVID-19 on the clinically extremely vulnerable population.
The Health Foundation; 2021.
[This briefing presents analysis from the Networked Data Lab on the impact the pandemic has had on the clinically extremely vulnerable population; assesses the mental health of people identified as clinically extremely vulnerable; examines the data on access to care for clinically extremely vulnerable;
assess the limitations to the use of an algorithm-driven approach to identifying the clinically extremely vulnerable population which were exacerbated by poor availability of high-quality data.]

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

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.]

Institute for Research and Innovation in Social Services – Briefing

Evaluating Social Prescribing

This briefing provides a review of the research methods and approaches used to evaluate UK-based social prescribing interventions in recent years, to inform health care and social services professionals, as well as organisations delivering social prescribing interventions and those conducting evaluations of them. It aims to give an overview of how social prescribing has been evaluated, and what can be learned from this.