Source: The King’s Fund Podcast
Helen McKenna talks with Dr Bola Owolabi, Director of Health Inequalities at NHS England and NHS Improvement, about the NHS’s spheres of influence, the power of gathering around a common cause, and whether the experience of the pandemic will lead to a step change in tackling health inequalities.
Listen to the podcast here
Source: The King’s Fund
The case for tackling health inequalities is clear and overwhelming, and yet attempts to do so in recent decades have had mixed success. Crucially, none of these efforts have translated into the enduring focus on addressing health inequalities that is needed.
Read more here.
Source: The King’s Fund
Host Helen McKenna speaks with Professor Dame Lesley Regan and Dr Janine Austin Clayton about women’s health journeys from start to finish. They explore why women can struggle to get medical professionals to listen to them and the impact this has on diagnosis and treatment, as well as the mental and physical effects on women themselves.
Listen to the podcast here
This report aims to provide insights into the historical challenges and approaches taken to tackle the problems affecting public health. Key findings include the need for: longer-term funding and commissioning cycles, investment in the public health workforce; and for public health to be recognised and valued as an integral part of the integrated care system.
Protecting Nursing Homes and Long-Term Care Facilities From COVID-19: A Rapid Review of International Evidence.
Dykgraaf SH. Journal of the American Medical Directors Association 2021;22(10):1969-1988 .
[High-quality evidence of effectiveness in protecting LTCFs from COVID-19 was limited at the time of this study, though it continues to emerge. Despite widespread COVID-19 vaccination programs in many countries, continuing prevention and mitigation measures may be required to protect vulnerable long-term care residents from COVID-19 and other infectious diseases. This rapid review summarizes current evidence regarding strategies that may be effective.]
Coronavirus: lessons learned to date.
House of Commons Library; 2021.
[This inquiry looked at six key areas of the response to the pandemic in England: the country’s preparedness for a pandemic; the use of non-pharmaceutical interventions such as border controls, social distancing and lockdowns to control the pandemic; the use of test, trace and isolate strategies; the impact of the pandemic on social care; the impact of the pandemic on specific communities; and the procurement and roll-out of covid-19 vaccines.]
The Big Ask: The Big Answer.
The Children’s Commissioner; 2021.
[The Children’s Commissioner’s Big Ask set out to hear the voices of as many children in England as possible, to amplify them, and to deliver improved life chances for this generation and beyond, following recovery from the pandemic.]
The digital divide: Amplifying health inequalities for people with severe mental illness in the time of COVID-19. [Editorial]
Spanakis P. British Journal of Psychiatry 2021;219(4):529-531.
[People with severe mental illness face profound health inequalities (eg. a >20-year mortality gap). Digital exclusion puts this population at risk of heightened or compounded inequalities. This has been referred to as the ‘digital divide’. For new digital means introduced in clinical practice to augment healthcare service provision, issues of accessibility, acceptability and usability should be addressed early in the design phase, and prior to implementation, to prevent digital exclusion.]
Time use and mental health in UK adults during an 11-week COVID-19 lockdown: A panel analysis.
Bu F. British Journal of Psychiatry 2021;219(4):551-556.
[To examine the associations between specific activities (or time use) and mental health and well-being among people during the COVID-19 pandemic. Conclusions: These results are relevant to the formulation of guidance for people obliged to spend extended periods in isolation during health emergencies and may help the public to maintain well-being during future lockdowns and pandemics.]
COVID-19 vaccination: women of childbearing age, currently pregnant or breastfeeding.
UK Health Security Agency (UKHSA); 2021.
[Information for all women of childbearing age, those currently pregnant or breastfeeding on coronavirus (COVID-19) vaccination. 8 October 2021: Updated ‘COVID-19 vaccination: a guide on pregnancy and breastfeeding’ and links to translated versions of the poster and social media cards.]
Delivering safe, face-to-face adult day care.
Social Care Institute for Excellence (SCIE); 2021.
[The latest updates to the guidance include: Isolation and vaccination info; Lifting of restrictions (Step 4); Webinar recording on day care; How to access testing; What to do in case of an outbreak; Free provider PPE until March 2022.]
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.
Source: The King’s Fund
People who identify as LGBTQ+ experience disproportionately worse health outcomes and have poorer experiences when accessing health services. Three years on from the Government’s LGBT action plan, Helen McKenna sat down with Dr Michael Brady, National Advisor for LGBT Health at NHS England, and Michelle Ross, Co-Founder and Director of Holistic Wellbeing services at cliniQ to explore the health inequalities LGBTQ+ people face and what needs to happen to make sure health services are inclusive.
Listen to the podcast here.
Characterisation of in-hospital complications associated with COVID-19 using the ISARIC WHO Clinical Characterisation Protocol UK: a prospective, multicentre cohort study.
Drake TM. The Lancet 2021;:https://doi.org/10.1016/S0140-6736(21)00799-6.
[Complications and worse functional outcomes in patients admitted to hospital with COVID-19 are high, even in young, previously healthy individuals. Acute complications are associated with reduced ability to self-care at discharge, with neurological complications being associated with the worst functional outcomes. COVID-19 complications are likely to cause a substantial strain on health and social care in the coming years.]
COVID-19 and the digital divide: Supporting digital inclusion and skills during the pandemic and beyond.
Centre for Ageing Better; 2021.
[This report offers examples of good practice and recommendations for organisations that deliver services to users and help digitally excluded people with skills training. The report finds that the key to building digital inclusion isn’t only about getting more people online, but also building skills and confidence.]
Alcohol consumption and harm during the COVID-19 pandemic.
Public Health England (PHE); 2021.
[A report collating data on alcohol consumption and alcohol-related harm in England during the COVID-19 pandemic and comparing it to data from previous years. The report improves our understanding of how alcohol consumption and harm changed in England while physical and social restrictions to prevent and control coronavirus were in place. The findings help to understand whether pandemic-related changes have affected rates of alcohol hospital admissions and deaths as well as health inequalities.]
COVID-19 vaccination of children and young people aged 12 to 17 years: JCVI statement.
Department of Health and Social Care (DHSC); 2021.
[Statement from the Joint Committee on Vaccination and Immunisation (JCVI) on COVID-19 vaccination of children and young people aged 12 to 17 years.]
NHS COVID Pass Verifier app.
NHS England; 2021.
[A fast, secure and easy way of allowing people to demonstrate their COVID pass is valid, giving staff confidence in the legitimacy of what is being presented to them. It is a fast, secure way to scan the 2D barcode on an individual’s NHS COVID Pass and verify whether or not they have been fully vaccinated against COVID-19, had a negative test, or have recovered from the virus – allowing staff to check the legitimacy of what is being presented to them.]
JCVI issues advice on COVID-19 vaccination of children and young people.
Public Health England (PHE); 2021.
[The Joint Committee on Vaccination and Immunisation (JCVI) is today advising that children at increased risk of serious coronavirus (COVID-19) disease are offered a vaccine.]
The impact of Brexit and COVID-19 on nursing in the UK. [Comment]
Carvalho F. British Journal of Nursing 2021;30(13):822-823.
[Over the years, many experts have stated that nursing in the UK is in crisis and nurses are struggling owing to the increasing number of older and sicker patients, staff shortages and budget cuts that have affected working conditions (Beech et al, 2019). With the rise of the COVID-19 pandemic, unprecedented levels of pressure were placed on an already strained nursing workforce.]
A healthy recovery – Acting on findings from the COVID-19 impact inquiry
The Health Foundation; 2021.
[Launched in October 2020, the COVID-19 impact inquiry has been carefully exploring the pandemic’s broad impact on health and what this means for improving health and reducing health inequalities in the UK – now and in the future. The inquiry launched its final report on 6 July 2021. This webinar, held on the same day, discussed key issues raised in the report – the impact of the pandemic and what needs to be done in recovery to create a healthier, fairer society.]
Unequal pandemic, fairer recovery: The COVID-19 impact inquiry report.
The Health Foundation; 2021.
[By mid-March 2021 the pandemic had led to 119,000 excess deaths in the UK and in 2020 caused a 9.9% drop in GDP. Behind these overall figures lie the unequal burdens carried by different population groups and regions. Although the pandemic is still ongoing, this report explores these impacts and the range of different, intersecting factors influencing them. It provides an initial assessment of the effects of the pandemic using evidence available up to May 2021.]
Source: The King’s Fund
What is the role of the NHS in tackling health inequalities? | The King’s Fund
Helen McKenna talks with Dr Bola Owolabi, Director of Health Inequalities at NHS England and NHS Improvement, about the NHS’s spheres of influence, the power of gathering around a common cause, and whether the experience of the pandemic will lead to a step change in tackling health inequalities.
Listen to the podcast here.
COVID-19: advice for smokers and vapers.
Public Health England (PHE); 2021.
(Advice for people who smoke or vape during the coronavirus (COVID-19) outbreak. People who smoke generally have an increased risk of contracting respiratory infection and of more severe symptoms once infected. Coronavirus (COVID-19) symptoms may therefore be more severe for smokers. This guidance advises how to reduce the risk of contracting COVID-19 for those who smoke or vape, and how to access support to stop smoking and remain smokefree.)
Crisis, Communities, Change: demands for an equitable recovery.
Royal Society for Arts, Manufactures and Commerce (RSA); 2021.
(This report explores how communities have fared during the pandemic. The survey of 2,600 people in Great Britain found that discrimination in local services was twice as high among ethnic minorities: 52 per cent of Asian and 50 per cent of black respondents have faced discrimination when accessing local services – compared with 19 per cent of the white population. The data suggests that institutional distrust because of discrimination may play a role in vaccine hesitancy.)
Covid 19 and the BAME population Greater Manchester Mental Health Trust
Levelling up health All Party Parliamentary Group for Longevity
(This report states that Covid-19 has had a devastating impact on the United Kingdom, exposing the nation’s poor health and health inequalities – 90 per cent of those who died with Covid had significant prior poor health. The report explains why a new health care system is essential to confront how unhealthy the UK population is. It proposes a 10-year health improvement plan and new health improvement fund, a shift in political attitudes that have impeded progress, clear priorities for action, and the need to challenge and change organisations that harm children and health.)
NHS Covid-19 app: early adopter evaluation report Department of Health and Social Care
(An NHS Covid-19 app was developed in response to the Covid-19 pandemic. The NHS Covid-19 app has been trialled in the London Borough of Newham, the Isle of Wight and among NHS Volunteer Responders. This trial period is referred to as the early adopter phase. The NHS Covid-19 app programme commissioned a formal evaluation to ascertain perceptions of the NHS Covid-19 app and (intended) usage of its features during the early adopter phase.)
Longer waits, missing patients and catching up The Health Foundation
(This analysis looks at the impact of the second wave of the Covid-19 pandemic on elective care in England. The waiting list has now reached the highest level since comparable records began, with more patients experiencing long delays in diagnosis and treatment.)
