Tag: NHS England

Public Health

Current awareness updates

Statistics on alcohol: England.
House of Commons Library; 2021.
[Research briefing. This note provides a summary of statistics on alcohol consumption among adults and children in England. Data on alcohol-related hospital admissions in England and alcohol-related deaths in
England, the UK and worldwide is also shown.]

Towards a dementia-inclusive society: WHO toolkit for dementia-friendly initiatives.
World Health Organization (WHO); 2021.
[This toolkit supports individuals, communities and countries in raising awareness of, and empowering people living with, dementia to remain in, and be a significant part of, their community. The toolkit provides practical guidance and tools that can support efforts, including planning and implementation activities, to create dementia-inclusive societies.]

Social isolation and loneliness among older people: advocacy brief.
World Health Organization (WHO); 2021.
[This brief highlights the growing public health and policy concern on these issues, made more salient by the COVID-19 pandemic. The brief summarises the scale, impact, and harms of social isolation and loneliness among older people and outlines what can be done to reduce them. It also describes several policy windows that offer opportunities for addressing social isolation and loneliness among older people and proposes a three-point global strategy for tackling these issues.]

WHO guideline on school health services.
World Health Organization (WHO); 2021.
[School health services are services provided by a health worker to students aged 5–19 in primary or secondary education, either within school premises or in a health service situated outside the school. Schools offer a unique opportunity to implement effective health services at scale for children and adolescents. Web Annexes found at the end of this summary link to intervention and implementation tools.]

WHO Guideline on the prevention of drowning through provision of day-care and basic swimming and water safety skills.
World Health Organization (WHO); 2021.
[This guideline addresses: provision of day-care for children under the age of 6 years and provision of basic swimming skills and water safety training to children aged 6 years and older. Developed following GRADE methodology, approved by the WHO Guideline Review Committee and intended for use by policy-makers and practitioners, the guideline issues strong recommendations in favour of both interventions for drowning prevention.]

Alcohol and drug misuse prevention and treatment guidance.
Public Health England (PHE); 2021.
[Information and other resources to support commissioners, service providers and others providing alcohol and drug interventions. 11 August 2021: Added new group: Opioid substitution treatment good practice resources.]

Supporting mental healthcare in a maternity and neonatal setting: good practice guide and case studies.
NHS England; 2021.
[This guide is for commissioners and staff involved in maternity and neonatal care. It describes the underpinning principles of and good practice for supporting good mental health and psychological wellbeing in maternity and neonatal settings. It also considers the role of specialist maternal mental health services (MMHS) in supporting this function.]

Improving non-emergency patient transport services.
NHS England; 2021.
[This report sets out a new national framework for non-emergency patient transport services to support them in becoming consistently more responsive, fair and sustainable.]

PCN winter planning tool.
Primary Care Commissioning (PCC); 2021.
[PCC has published a winter planning tool to support PCNs in preparing for the winter pressures that are anticipated. The tool is free to download and contains an introductory sheet with instructions for completion. We have also recorded a short video guide to using the tool.]

Responding to pandemics and other disease outbreaks in homeless populations: a review of the literature and content analysis.
Babando J. Health & Social Care in the Community 2021;-(6 April):13380.
[This review illustrates that the current breadth of academic literature on homeless populations has focused on tuberculosis rather than diseases that are more recent and closely related to COVID-19. Thematic content analysis revealed six themes that offer recommendations which include (1) education and outreach, (2) adapting structure of services, (3) screening and contract tracing, (4) transmission and prevention strategies, (5) shelter protocols and (6) treatment, adherence and vaccination.]

Government response to the independent review of drugs by Dame Carol Black.
Department of Health and Social Care (DHSC); 2021.
[Part 2 of Dame Carol Black’s review set out 32 recommendations for a whole system approach to tackling drug misuse. As a result, the government is developing a long-term strategy which will present a whole-of-government response to drive down drug supply and demand to be published by the end of the year. Immediate actions include a new cross government joint combating drugs unit and development of a national outcomes framework to set out measurable goals for the combating drugs programme.]

Restrictive eating disorders in higher weight persons: A systematic review of atypical anorexia nervosa prevalence and consecutive admission literature.[Abstract]
Harrop EN. International Journal of Eating Disorders 2021;54(8):1328-1357.
[Although atypical anorexia (AAN) appears to occur more frequently than AN in communities, fewer patients with AAN are being referred and admitted to eating disorder specific care, particularly in the United States. Given the significant medical and psychosocial consequences of AAN, and the importance of early intervention, this represents a crucial treatment gap.]

Attentional bias in eating disorders: A meta-review.[Abstract]
Stott N. International Journal of Eating Disorders 2021;54(8):1377-1399.
[There is evidence for attentional avoidance and vigilance in eating disorders depending on stimulus properties (low vs. high-calorie food; high-body mass vs. low-body mass index photos of others) and attentional avoidance of food stimuli in those with anorexia nervosa. Sad mood induction may generate attentional bias for food in those with binge-eating disorder. There may also be attentional bias to general threat in eating disorder samples.]

Podcast

‘If you’re not counted, you don’t count’: what can be done to tackle LGBTQ+ health inequalities?

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.

Covid 19

Current awareness updates

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.]


NHE Virtual Festival

NHS Net Zero: How are you contributing to help reach a net-zero NHS?

NHS England and the NHS Improvement Public Board, have reaffirmed their support for delivering the world’s first net zero national health service.

With a number of cost-effective solutions focused on anaesthetic gases, virtual appointments, and energy efficiency measures, the NHS has already made significant progress in decreasing emissions.

Join in on the 25th August as this event brings together health sector professionals for a day of innovation, education and collaboration around achieving a net-zero NHS.

If you haven’t already registered for this virtual event you can sign up here.

Covid 19


Current awareness updates

The impact of COVID-19 restrictions in the United Kingdom on the positive behavioural support of people with an intellectual disability
Murray G. British Journal of Learning Disabilities 2021;49(2):138-144.
[It has been suggested that COVID-19 and the associated restrictions are likely to have a negative impact on the provision of positive behavioural support (PBS) to people with an intellectual disability. Participants reported a neutral or somewhat positive impact on all the areas measured and the learning from their PBS programme as helping them cope with COVID-19. Many staff developed creative solutions that allowed them to provide PBS despite COVID-19 restrictions.]

VacciNation: Exploring vaccine confidence.
Healthwatch England; 2021.
[Our new research explores vaccine confidence amongst people from African, Bangladeshi, Caribbean, and Pakistani backgrounds. We want to understand these barriers to ensure key lessons are taken forward for future public health campaigns.]

Lateral flow device performance data.
Department of Health and Social Care (DHSC); 2021.
[Analysis confirms lateral flow devices (LFDs) are successful at identifying infectious cases of coronavirus (COVID-19) and real-world data shows Innova LFDs are capable of detecting the Delta variant.]

COVID-19 surveillance and immunity studies.
Department of Health and Social Care (DHSC); 2021.
[Updated 01 July 21: Added link to Schools Infection Survey research findings – round 5.]

JCVI issues interim advice on COVID-19 booster vaccination.
Public Health England (PHE); 2021.
[The Joint Committee on Vaccination and Immunisation (JCVI) has been asked to consider the options for a potential coronavirus (COVID-19) booster programme.]

COVID-19 and adult congenital heart disease services: impact on support and advice from nurse specialists.
Anthony J. British Journal of Nursing 2021;30(12):730-732.
[Although the focus on service provision in response to the COVID-19 pandemic has mainly been on acute and particularly intensive care, it is important to consider other services that are still needed. This is especially the case for vulnerable patients with long-term conditions, such as those under the care of an adult congenital heart disease (ACHD) service.]

Use of Telehealth in Mental Health (MH) Services During and After COVID-19.
Molfenter T. Community Mental Health Journal 2021;:Online ahead of print.
[COVID-19 social distancing guidelines caused a rapid transition to telephone and video technologies for the delivery of mental health (MH) services. The study examined: (a) adoption of these technologies across the MH service continuum; (b) acceptance of these technologies; and (c) intention of providers to use these technologies following the pandemic based on a sample of 327 MH organizations from 22 states during May-August 2020.]

Persistent symptoms following SARS-CoV-2 infection in a random community sample of 508,707 people.
Imperial College London; 2021.
[Random samples of the population between September 2020 and February 2021 found that nearly 27,000 (around 6%) reported experiencing at least one of 29 symptoms linked with COVID-19 for 12 weeks or more.]

Potential Coronavirus (COVID-19) symptoms reported through NHS Pathways and 111 online (18 Mar 2020-30 Jun 2021).
NHS Digital; 2021.
[Data published on potential COVID-19 symptoms reported through NHS Pathways and 111 online Dashboard shows the total number of NHS Pathways triages through 111 and 999, and online assessments in 111 online which have received a potential COVID-19 final disposition. This data is based on potential COVID-19 symptoms reported by members of the public to NHS Pathways through NHS 111 or 999 and 111 online, and is not based on the outcomes of tests for coronavirus. This is not a count of people.]


Coronavirus Shielded Patient List Summary Totals, England – as at 01 July 2021.
NHS Digital; 2021.
[Snapshot on 22 Jun 2021 – England only.]

Primary Care Workforce in Alternative Settings – General Practitioners in the Covid Clinical Assessment Service.
NHS Digital; 2021.
[28 Mar 2020 to 31 Mar 2021.The COVID-19 Clinical Assessment Service was operative from 28 March 2020 to May 2021 and there were fluctuations in the demand for patient appointments during this period according to the COVID-19 infection rates. Recruitment to the service ceased in January 2021 and all GPs were onboarded by March this year.]

Remote home monitoring (virtual wards) for confirmed or suspected COVID-19 patients: a rapid systematic review.
Vindrola-Padros C. EClinicalMedicine 2021;37:Vindrola-Padros.
[A rapid systematic review on models led by primary and secondary care across seven countries (US, Australia, Canada, The Netherlands, Ireland, China, UK) identified 27 articles. Monitoring was carried out via online platforms, paper-based systems with telephone calls or (less frequently) through wearable sensors. No substantive conclusions regarding patient safety and the identification of early deterioration due to lack of standardized reporting and missing data.]

Bridging the uptake gap – COVID-19 vaccination toolkit for Black African and Black African Caribbean communities.
NHS England; 2021.
[Evidence-based good practice for increasing vaccination confidence and uptake among Black African and Black African Caribbean populations.]


NHS England and NHS Improvement

Long Covid: the NHS plan for 2021/22

A five-point plan including advice for clinicians and information for patients, post-Covid assessment clinics, and specialist online rehabilitation support was published in October 2020. This plan outlines 10 key next steps to be taken to support those suffering from long Covid.

Read the plan here.

Covid 19

Current Awareness Updates

Specific COVID-19 messaging targeting ethnic minority communities.
EClinical Medicine, The Lancet; 2021.

(The proportion of ethnic minority groups accepting vaccines remains low. A culturally appropriate COVID-19 information and messaging platform is urgently required (Fig. 1). The messaging should be clear in style and content, conveying simple, easy to understand, visual, consistent, and generic to all communities, ethnic groups, cultures, and faiths. Trust between healthcare staff and communities is essential for the success of any COVID-19 intervention.)

Mental health policy in England.
House of Commons Library; 2021.

(This briefing examines the Coronavirus Act 2020 and the potential impact on human rights. It also looks at the impact of the pandemic on population mental health, including for specific groups such as BAME communities. It briefly sets out resources to support population mental health and wellbeing during the pandemic, including specific mental health support for the health and social care workforce.)

COVID-19 vaccination: accelerating second doses for priority cohorts 1-9
NHS England & NHS Improvement; 2021.

(Letter from Emily Lawson (SRO Vaccine Deployment, NHS England and NHS Improvement), Dr Nikki Kanani (Medical Director for Primary Care) and Eleanor Kelly (LA CEO advisor). In response to advice from the independent JCVI, the Government sets out further action aimed at tackling rising cases of the COVID-19 B1.617.2 variant.)

Communicating with patients about COVID-19 vaccination: evidence-based guidance for effective conversations to promote COVID-19 vaccine uptake (2021).
World Health Organization (WHO); 2021.

(This training module is designed to equip health workers (HWs) with knowledge, skills, confidence and resources to help them in their role to recommend the COVID-19 vaccine. It is tailored to specific patient positions on vaccination and provides a structured approach to assist HWs with interpersonal communication during COVID-19 vaccination consultations.)

Pandemic Pressures: How Greater Manchester equalities organisations have responded to the needs of older people during the Covid-19 crisis.
Ambition for Ageing; 2021.

(This report highlights a number of recommendations for service commissioners, funders and contractors to contribute to future emergency planning and responses. It recognises the expertise of equalities organisations in understanding and meeting the needs of the communities they represent, and to involve them in coproducing emergency planning and responses.)

Characteristics and predictors of acute and chronic post-COVID syndrome: A systematic review and meta-analysis.
EClinical Medicine, The Lancet; 2021.

(A significant proportion of individuals experience lingering and debilitating symptoms following acute COVID-19 infection. NICE have coined the persistent cluster of symptoms as post-COVID syndrome. The aim of this review was to detail the prevalence of clinical features and identify potential predictors for acute and chronic post-COVID syndrome.)

Public Health

Current Awareness Updates

Asthma: diagnosis, monitoring and chronic asthma management.
National Institute for Health and Care Excellence (NICE); 2021.

(This guideline covers diagnosing, monitoring and managing asthma in adults, young people and children. It aims to improve the accuracy of diagnosis, help people to control their asthma and reduce the risk of asthma attacks. It does not cover managing severe asthma or acute asthma attacks. In March 2021, we highlighted the importance of including advice in the personalised action plan on minimising indoor air pollution and reducing exposure to outdoor air pollution.)

Support for people with a learning disability.
House of Commons Library; 2021.

(A description of recent changes to policy and services for people with a learning disability in England. Briefing paper.)

The coronavirus (COVID-19) pandemic: a year like no other.
Office for National Statistics (ONS); 2021.

(Analysis of data from a variety of sources on the way life, society and the economy changed during the coronavirus (COVID-19) pandemic and how the period compares with other years.)

Coronavirus and the different effects on men and women in the UK: March 2020 to February 2021.
Office for National Statistics (ONS); 2021.

(Brings together different sources to examine how men and women have been affected differently throughout the coronavirus (COVID-19) pandemic. Includes information on physical health, mental health, paid work, unpaid work, home-schooling, and loneliness.)

Every action counts.
NHS England; 2021.

(Persuading everyone – staff, patients and visitors – to follow good practice in COVID-19 infection prevention and control is key to keeping healthcare settings as safe as possible. Every Action Counts draws on behavioural expertise to support local NHS organisations with resources on awareness, leadership, morale and wellbeing, training, and operational interventions.)

Global report on Ageism World Health Organisation (WHO); 18th March 2021

(The Global report on ageism outlines a framework for action to reduce ageism including specific recommendations for different actors (e.g. government, UN agencies, civil society organizations, private sector). It brings together the best available evidence on the nature and magnitude of ageism, its determinants and its impact. It outlines what strategies work to prevent and counter ageism, identifies gaps and proposes future lines of research to improve our understanding of ageism.)

Inclusive and sustainable economies: leaving no-one behind Public Health England (PHE); 25th March 2021

(A report and data catalogue from PHE supporting place-based action to reduce health inequalities and build back better. It addresses the social, economic and environmental determinants of health and wellbeing to help achieve healthy people, thriving communities and increased prosperity.)

NHS performance summary: December 2020-January 2021

Monthly round-up of the latest NHS performance data.

Source: KnowledgeShare

NHS England and NHS Digital have published the latest data on key activity and performance measures for December of last year and January of this year. Urgent and Emergency Care Daily Situation Reports were also published for the first week of February, giving a more up-to-date analysis of how the NHS is coping this winter. They show some of these statistics and how they compare with previous trends.

Read the summary here.

Covid 19

Current awareness updates

COVID-19: guidance on shielding and protecting people defined on medical grounds as extremely vulnerable.
Department of Health and Social Care (DHSC); 2020.
(Information for shielding and protecting people defined on medical grounds as extremely vulnerable from COVID-19. Updated 31 December: Added new shielding advice for the clinically extremely vulnerable in Tier 4.)

COVID-19 vaccination programme 2020/21: COVID-19 Enhanced Service Vaccination Collaboration Agreement.
NHS England; 2020.
(The purpose of this COVID-19 ES Vaccination Collaboration Agreements to support the delivery of the individual and collective responsibilities of the Collaborating Practices as part of the COVID-19 vaccination programme as set out in COVID-19 vaccination programme 2020/21 Enhanced Service Specification.)

New SARS-CoV-2 variant.
Public Health England (PHE); 2020.
(Information on the new variant of the SARS-CoV-2 virus.)

Rapid evaluation confirms lateral flow devices effective in detecting new COVID-19 variant.
Public Health England (PHE); 2020.
(Public Health England (PHE) has confirmed that lateral flow devices (LFDs) used in mass testing can detect the new COVID-19 variant.)

Confirmed cases of COVID-19 variant from South Africa identified in UK.
Public Health England (PHE); 2020.
(Two cases of a new SARS-CoV-2 variant, which originated in South Africa, have been identified in the UK.)

Persistent symptoms after Covid-19: qualitative study of 114 “long Covid” patients and draft quality principles for services.[Abstract]
Ladds E. BMC Health Services Research 2020;20(1):1144.
Full-text availability
(Suggested quality principles for a long Covid service include ensuring access to care, reducing burden of illness, taking clinical responsibility and providing continuity of care, multi-disciplinary rehabilitation, evidence-based investigation and management, and further development of the knowledge base and clinical services.)

Covid-19 Insight: issue 6.
Care Quality Commission (CQC); 2020.
(In this month’s report, we share regional data on the designated settings that allow people with a COVID-positive test result to be discharged safely from hospital, and also the latest data on registered care home provision. We also look at how providers have collaborated to provide urgent and emergency care during the pandemic.)

Coronavirus data dashboard
UK Government; 2020.
(The official UK Government website for data and insights on Coronavirus (COVID-19))