Public Health

Current Awareness Updates

ASH brief for local authorities on youth vaping.
Action on Smoking and Health (ASH); 2022.
(This short briefing is to help local authorities respond to growing concerns about youth vaping in their communities. It is primarily for public health officials and trading standards officers, but also sets out important information for councillors, schools, parents and retailers. Links to further information are also provided.)

Quantifying health inequalities in England.
The Health Foundation; 2022.
(Results show health inequalities starting at a very early age and continuing to develop through adulthood. The early ages and changing structure of health inequalities reinforces the notion that nothing short of a joined-up policy approach can address the wide and complex health inequalities we see in England. We believe this new presentation of health inequalities shows powerfully that investing in the circumstances in which people live will help people stay healthier for longer.)

Advertising ban was linked to lower purchases of unhealthy food and drink.
NIHR Evidence; 2022.
(This is the first study to look at the implementation of the TfL advertising ban. It found that advertising restrictions are feasible, and could have a meaningful impact on population health. The findings could encourage governments and local authorities to consider similar policies to prevent obesity. The TfL restrictions were part of a childhood obesity strategy, but they could influence the whole population.)

Commission on Young Lives,
Centre for Mental Health; 2022.
(Alongside the Children & Young People’s Mental Health Coalition, Centre for Mental Health have co-authored the fourth report from the Commission on Young Lives on rethinking mental health services for vulnerable young people. It reviews the latest data with a focus on those who are at higher risk, including those from racialised communities, lower socioeconomic backgrounds, young people with SEND, those in contact with the criminal justice and care systems, as well as LGBTQI+ communities.)

Domestic abuse and mental health: the amplified risks created during the pandemic.
Hisham I N. BJPsych Advances 2022;28(5):316-327.
[This article focuses on how COVID-19 and its anticipated aftermath exacerbate the risk factors for domestic abuse in the general population and discusses clinical implications for mental health practitioners in the UK. It aims to provide a point of learning based on previous disease outbreaks and recessions, with a focus on specific factors, such as unemployment and alcohol misuse, and how these contribute to increasing incidence and severity of abuse and how to mitigate these for patients…] Open Athens account required.

Centre for Mental Health

Tracking young Black men’s experiences of community wellbeing and mental health programmes

There are few culturally relevant tools focusing on young Black men’s mental health outcomes. Using approaches that lack cultural sensitivity limits services’ ability to know whether they are working well, and can lead to mistrust and disengagement. Funded by Mind, the Centre for Mental Health has designed a new, culturally informed approach to monitoring young Black men’s outcomes for accessing wellbeing support: Culturally appropriate evaluation for young Black men. It was coproduced with young Black men to identify what impact a service has on their mental health and wellbeing. Community wellbeing and mental health programmes are being asked to pilot the tool, to help determine its effectiveness.

Read the full report here.

Tackling mental health disparities

Centre for Mental Health 

Source:King’s Fund

Mental health inequalities mean that while it is true that anyone can experience mental ill health, the risks are much higher for certain groups who experience structural discrimination and disadvantage. This briefing sets out 10 evidence-based actions that the government could take in the forthcoming disparities White Paper. Read the briefing here.

Public Health

Current Awareness Updates

Young Changemakers tackling mental health inequalities in racialised communities.
Centre for Mental Health; 2022.
https://www.centreformentalhealth.org.uk/publications/voice-change
[It is well documented that people from racialised communities face inequalities in mental health. Young Changemakers is a programme created by UK Youth, The Diana Award and Centre for Mental Health to equip young people with the tools to produce youth-led social action projects aimed at tackling these mental health inequalities. This is a three-year programme funded by the People’s Postcode Lottery and Comic Relief to support mental health in young people from racialised communities.]

Evaluating a community programme to promote young Black men’s mental health.
Centre for Mental Health; 2022.
https://www.centreformentalhealth.org.uk/publications/shifting-dial
[Young Black men are overrepresented in restrictive mental health settings, but are less likely to get early community-based mental health support. Shifting the Dial shares learning from a three-year project to promote the mental health and wellbeing of young Black men in Birmingham. The project built upon the findings from an earlier pilot, Up My Street. Shifting the Dial has worked with over 500 young Black men, offering peer support, mentoring, skills development and community events.]

The People and Nature Survey.
Natural England; 2022.
https://www.gov.uk/government/collections/people-and-nature-survey-for-england#full-publication-update-history
[The People and Nature Survey for England gathers evidence and trend data through an online survey relating to people’s enjoyment, access, understanding of and attitudes to the natural environment, and its contributions to wellbeing. 13 April 2022: New data for February 2022 added to monthly interim indicators data section. Also new data for year 2 quarter 2 (1st April 2020 – 30th September 2021) added to Adult Survey section.]

Daily Insight: Infection control calls heeded.
HSJ: Health Service Journal (Daily Insight) 2022;:7032315.
[NHS England has relaxed the isolation period for inpatients with covid-19 after the UK Health Security Agency changed its recommendations. Also: Although describing integrated care system ratings as a “bit of a distraction” in an interview with HSJ the CQC chief executive Ian Trenholm set out what systems could soon expect to see over the coming months. 20 April.]

The public’s experience of monitoring their blood pressure at home.
Healthwatch; 2022.
https://www.healthwatch.co.uk/report/2022-04-26/publics-experience-monitoring-their-blood-pressure-home
[People with high blood pressure are increasingly being asked to monitor their condition at home. The NHS programme ‘Blood Pressure @Home’ (BP@Home) enables people with high blood pressure to measure and share their blood pressure readings with their GP from home. This report evaluates that programme to see how it is working for patients and how GPs use their readings, and suggests steps the NHS can take to improve support and outcomes for people who monitor their blood pressure from home.]

Adult tier 2 weight management services provisional data for quarters 1 to 3, 2021 to 2022 (experimental statistics).
Office for Health Improvement & Disparities (OHID); 2022.
https://www.gov.uk/government/statistics/adult-tier-2-weight-management-services-provisional-data-for-quarters-1-to-3-2021-to-2022-experimental-statistics
[Provisional data from the adult tier 2 behavioural weight management services data collection from quarter 1 and 3 of the 2021 to 2022 financial year.]

Covid 19

Current awareness updates

Student Space: An evaluation of a web-based intervention supporting student mental wellbeing over the pandemic.
Centre for Mental Health; 2022.
[This report is based on Centre for Mental Health’s independent evaluation of Student Space, which was launched by Student Minds in August 2020 to support the mental wellbeing of students during the pandemic. The report finds that the platform was a valuable extra resource for students’ mental health, and offered a high quality, rapid response to a crisis when it was set up in 2020.]

Understanding local patterns of volunteer activity during COVID-19.
The Young Foundation; 2021.
[This research, commissioned by the Department for Digital, Culture, Media and Sport, seeks to improve understanding of the ways in which volunteers were mobilised at local authority levels in England during the Covid-19 pandemic, with the overarching aim to support future policy development on volunteering. The findings reflect the experiences of community organisations, local authorities and funding bodies, among others, during the spring and summer of 2020.]

Public Health

Current awareness updates

The cost effectiveness of ecotherapy as a healthcare intervention, separating the wood from the trees.
Hinde S. International Journal of Environmental Research and Public Health (IJERPH) 2021;18(-):11599.
[This paper explores the capacity for ecotherapy to be cost-effective as a healthcare intervention. We show that there is the potential for ecotherapy for people with mild to moderate common mental health problems to be cost-effective but significant further research is required.]

Community support versus health care services: time to change our definition of impact.
Evidence & Policy Blog; 2021.
[Non-profit community anchor organisations in England typically provide a range of support to local people, including wellbeing support, advocacy, social activities, and training and employment advice. This array of services takes a wider perspective on the determinants of health than the approach taken within the NHS, which generally focuses on mental and physical ill health. Despite the different approaches, the funding for organisations is often dependent on the impact on health outcomes.]

National Pregnancy in Diabetes (NPID) Audit Report 2019.
Healthcare Quality Improvement Partnership (HQIP); 2021.
[The National Pregnancy in Diabetes (NPID) Audit measures the quality of antenatal care and pregnancy outcomes for women with pre-gestational diabetes. Overall, there were 4,525 pregnant women with diabetes in 2020 – 325 fewer pregnancies than 2019 – of which, 54% had type 2 diabetes (44% had type 1 diabetes and 2% were recorded as having ‘other diabetes’). The audit includes analysis by age, ethnicity, social deprivation and weight.]

Better together: a public health model for mentally healthier integrated care systems.
Centre for Mental Health; 2021.
[According to this briefing paper, England’s 42 integrated care systems have an opportunity to protect and promote mental health in the communities they serve. The briefing explores how integrated care systems can address the social and environmental factors that affect people’s health in their communities.]

Saving lives, improving mothers’ care: lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2017-19.
National Perinatal Epidemiology Unit (NPEU); 2021.
[This report finds that pregnancy remains safe in the UK, with the overall maternal death rate showing a slight decrease. Among 2,173,810 women who gave birth in 2017-2019, 191 died during or up to six weeks after pregnancy, and 495 during or up to one year after their pregnancy. However, the findings show a continued inequality in the mortality rates for women of different ethnic backgrounds, ages and socio-economic circumstances.]

Ethnic and socio-economic Inequalities in NHS maternity and perinatal care for women and their babies.
Healthcare Quality Improvement Partnership (HQIP); 2021.
[This report describes inequalities in maternity and perinatal care for women and their babies in England, Scotland and Wales during the period 1 April 2015 to 31 March 2018. Using routinely collected data, care and outcomes experienced by women and babies using NHS maternity services are measured and stratified by ethnicity and by Index of Multiple Deprivation (IMD), a proxy for socio-economic deprivation.]

Fulfilling the promise: how social prescribing can most effectively tackle loneliness.
British Red Cross; 2021.
[This report draws on practical experience of delivering social prescribing services to those experiencing or at risk of loneliness through Red Cross Community Connector schemes.]

What works when evaluating social prescribing? A realist review report.
Wales School for Social Prescribing Research; 2021.
[An analysis of approaches used to evaluate social prescribing.]

Newcastle GP Services Social Prescribing Navigator Service: an independent evaluation.
North of England Commissioning Support Network; 2021.
[The aims of this evaluation were to: • Understand the update and usage of the service across Newcastle with regards population, conditions, and sites. • Analyse trends in unplanned access to secondary care. • Understand the experience and impact from the patient as end user of this service and navigators as deliverers of the service • Recommend data collection and analysis for the ongoing service to have greater comprehension of the impact of the service.]

The role of data in unlocking the potential of social prescribing.
Open Data Institute; 2021.
[A report by Frontier Economics for the ODI concludes there are a number of barriers to social prescribing reaching its full potential, including the lack of available data, and solid data infrastructure, such as statistics, maps and real-time service-use data that could help social prescribers and the providers of services to make decisions, build services and gain insight.]


Webinar

The truth about mental health inequality, 8th October 2021

Join the Centre for Mental Health to mark World Mental Health Day by putting the spotlight on mental health inequalities. A year on from their ground-breaking report Mental Health For All?, this webinar looks at the hard facts surrounding inequality in mental health: why some people are so much more likely to face mental health difficulties, or struggle to get the help they deserve.

Read more and register for this event here.

Public Health

Current awareness updates

Increasing COVID-19 vaccination rates amongst vulnerable groups: summary advice for GPs.
Royal College of General Practitioners (RCGP); 2021.
[GPs will be aware of the disparity in uptake of the COVID-19 vaccine between different population groups; often, the groups most at risk from infection and serious illness are those least represented at vaccination centres. We continue to collect examples, case studies or evidence on what works in addressing this issue.]

Vaccination of people working or deployed in care homes: operational guidance.
Department of Health and Social Care (DHSC); 2021.
[From 11 November 2021, anyone working or volunteering in a care home will need to be fully vaccinated against coronavirus (COVID-19), unless exempt.]

JCVI statement, August 2021: COVID-19 vaccination of children and young people aged 12 to 17 years.
Department of Health and Social Care (DHSC); 2021.
[This statement sets out JCVI’s latest considerations and advice regarding the potential extension of the COVID-19 vaccination programme to children and young people.]

JCVI issues updated advice on COVID-19 vaccination of young people aged 16 to 17.
Public Health England (PHE); 2021.
[The Joint Committee on Vaccination and Immunisation (JCVI) is today advising that all 16 and 17 year olds receive their first dose of the Pfizer-BioNTech vaccine.]

COVID-19 vaccination: resources for children and young people.
Public Health England (PHE); 2021.
[Information for eligible children and young people on COVID-19 vaccination.]

PHE women’s reproductive health programme 2020 to 2021.
Public Health England (PHE); 2021.
[Progress update on the PHE reproductive health programme, including a new return on investment tool and the next steps for 2021 to 2022. ‘Extending PHE’s contraception return on investment tool: maternity and primary care settings’ outlines a new return on investment (ROI) model for contraception in maternity and the provision of long-acting reversible contraceptives (LARC) in primary care, building on the existing contraception ROI tool published in 2018.]

BHIVA guidance for virtual consultations for people with HIV: May 2021.
British HIV Association (BHIVA); 2021.
[This guidance was released in May 2021 in response to the increased proportion of consultations carried out remotely due to COVID-19. The guidance highlights issues important for safe and effective consultation, including awareness of the limitations of remote consultation.]

Expanding access to naloxone.
Department of Health and Social Care (DHSC); 2021.
[Naloxone is a drug that reverses the effects of an opioid overdose and can help to prevent overdose deaths. We are seeking responses to this consultation to assess the viability of proposals to widen access to naloxone by expanding the list of services and individuals that can give it out without a prescription or other written instruction.]

Quality indicators in lung cancer: a review and analysis. [Abstract]
Chiew KL. BMJ Open Quality 2021;10(3):DOI: 10.1136/bmjoq-2020-001268.
[Conclusions: We found a large number of published QIs in lung cancer but they focused on relatively few areas not reflective of patterns of contemporary practice. We identified gaps in lung cancer QIs especially for systemic therapies, radiotherapy, palliative care and patient-reported outcomes. In order to comprehensively assess the care of patients with lung cancer, future efforts should focus on developing readily measurable QIs in these areas…]

Now or never: A systemic investment review of mental health care in England.
Centre for Mental Health; 2021.
[This report, commissioned by the NHS Confederation’s Mental Health Network, sets out ten key areas where strategic investment could solve systemic issues in the mental health system, with significant benefits to the lives of people with mental health difficulties and their experiences of support.]

The role of epigenetics in psychological resilience. [Abstract]
Smeeth D. The Lancet Psychiatry 2021;8(7):620-629.
[In this Review, we propose a new conceptual model for the different functions of epigenetic mechanisms in psychological resilience. After reviewing empirical evidence for the various components of the model, we identify research that should be prioritised and discuss practical implications of the proposed model for epigenetic research on resilience.]

Effect of telehealth interventions on quality of life in cancer survivors: A systematic review and meta-analysis of randomized controlled trials.
Li J. International Journal of Nursing Studies 2021;122:103970 .
[Telehealth interventions are effective and alternative methods for improving quality of life among cancer survivors. The most effective approach was application-based intervention, the most common approach was website-based intervention, and in terms of intervention durations, the short-term telehealth intervention was the most effective. Most telehealth interventions included breast cancer survivors.]

Podcast

Marsha McAdam

Source: Centre for Mental Health

Marsha McAdam, mental health ambassador, speaks to Thea Joshi about being diagnosed with borderline personality disorder. She talks about using her experience of mental health difficulties to create meaningful changes in services, and how those of us living with mental health difficulties can ‘bring our whole selves’ to work.

Read more and listen to the podcast here.

Maternal mental health

Current Awareness

Delivering preconception care to women of childbearing age with serious mental illness

This guide is for health care professionals involved in the care of women with serious mental illness (SMI) in primary and secondary care. It aims to provide the latest evidence to support health care professionals having informed conversations on the considerations regarding mental and physical health for women of childbearing age with SMI, whether or not they are planning a pregnancy.

For more information click here.

Maternal mental health during a pandemic: a rapid evidence review of Covid-19’s impact

This rapid evidence review (produced together with the Maternal Mental Health Alliance) looks at the impact of Covid-19 on the mental health of new and expectant mothers and the support that’s been available during the pandemic.

For more information click here.

Perinatal mental health bulletin, produced by Greater Manchester Mental Health NHS Foundation Trust, provides a list of current journal articles. View or download below. Please get in touch if you would like access to any of this research by emailing academic.library@lscft.nhs.uk with the article you would like to read.