Tag: National Audit Office

Millions of people with mental health needs still not accessing services, NAO finds

Despite funding and staffing levels for mental health services increasing and more patients being treated, millions of people with mental health needs are still not accessing services, with some facing lengthy waits for treatment, according to a new National Audit Office (NAO) report, Progress in improving mental health services in England.

The report says it is unclear how far current government commitments take the NHS towards its end goal, and what else is needed to achieve it. While funding and the workforce for mental health services have increased and more people have been treated, many people still cannot access services or have lengthy waits for treatment. Staff shortages continue and data that would demonstrate the results of service developments are limited.

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.]

Covid 19

Current Awareness Updates

The impact of Covid-19 on the lives of Latin American migrants IRMO Research Report; Feb 2021

(This report reveals the intersecting crises of rising unemployment, abusive employment practices, inadequate housing and increasing food poverty facing the Latin American community. This is compounded by digital exclusion and the language barrier, meaning that many find it difficult to access mainstream support. The lack of access to basic health care raises concerns about the rollout of the vaccine among the community.)

Community testing – GOV.UK

(Community asymptomatic testing helps identify and isolate individuals who have coronavirus (COVID-19) but do not have symptoms.)

COVID-19: migrant health guide – GOV.UK

(Advice and guidance for healthcare practitioners on the health needs of migrant patients.)

Protecting and supporting the clinically extremely vulnerable during lockdown.
National Audit Office (NAO); 2021.

(Report looks at how effectively government identified and met the needs of clinically extremely vulnerable (CEV) people. It found there was impressive initial support offered to many people, but it took time for people to be identified as CEV, and therefore access formal support.)

Public Health

Current Awareness Updates

Hepatitis C in England and the UK.
Public Health England (PHE); 2020.

[Latest PHE hepatitis C virus (HCV) reports and supporting documents, for England and the UK. 14 December 2020: Added Hepatitis C in the UK: 2020 report and accompanying slide set and infographic.]

Drug misuse in England and Wales: year ending March 2020.
Office for National Statistics (ONS); 2020.

[This publication reports on trends in drug use across England and Wales for the year ending March 2020. This publication is largely unaffected by the coronavirus (COVID-19) pandemic as it mainly relates to the period prior to the lockdown. Overall drug use continued to remain stable, with around 1 in 11 adults aged 16 to 59 years having taken a drug in the past year.]

Whole systems approach to obesity.
Public Health England (PHE); 2020.

[A guide and set of resources to support local authorities with implementing a whole systems approach to address obesity and promote a healthy weight.
14 December 2020: Added ‘Opportunities to strengthen place-based systems approaches’ report and annexes.]


Coronavirus and the social impacts on Great Britain: 11 December 2020.
Office for National Statistics (ONS); 2020.

[One in five adults in Great Britain experienced some form of depression in November. This is similar to levels reported earlier in the year, but double that reported before the pandemic. Since late October, more adults say they believe life will return to normal within six months. However, a lower proportion of adults experiencing some form of anxiety and/or depression felt this was the case.]

The government’s approach to test and trace in England – interim report.
National Audit Office (NAO); 2020.

[This interim report provides an overview of test and trace services for addressing COVID-19 in England, including how the government’s approach has developed, and how it managed performance and capacity in the period from May to October 2020.]

A ‘new normal’? How people spent their time after the March 2020 coronavirus lockdown.
Office for National Statistics (ONS); 2020.

[During the first national coronavirus (COVID-19) lockdown, many people in Great Britain were forced to make changes to their lifestyles. But it appears that some of those changes may not have lasted long. On the whole, people returned to pre-lockdown behaviour in September to October 2020.]


Sexual and Reproductive Health Services, England (Contraception) 2019/20.
NHS Digital; 2020.

[This publication primarily covers contraceptive activity taking place at dedicated Sexual and Reproductive Health (SRH) services in England, as recorded in the Sexual and Reproductive Health Activity Dataset (SRHAD), a mandated collection for all providers of NHS SRH services. People attend SRH services for a variety of reasons, but the main focus of this report is contraception.]

National Diabetes Audit – Report 1 Care Processes and Treatment Targets 2018-19, Full Report.
NHS Digital; 2020.

[This report details the findings and recommendations relating to diabetes care process completion, treatment target achievement and structured education for the 2018-19 audit.]


Statistics on Smoking, England 2020.
NHS Digital; 2020.

[This report presents newly published information on smoking including:
Smoking-related hospital admissions from NHS Digital’s Hospital Episode Statistics (HES).Smoking-related deaths from Office for National Statistics (ONS) mortality statistics. Prescription items used to help people stop smoking from prescribing data held by NHS Prescription Services. Affordability of tobacco and expenditure on tobacco using ONS economic data.]