Nuffield Trust

Fronting up to the problems: what can be done to improve the wellbeing of NHS staff?

The NHS is not in a position where it can lose staff, but many workers in the health service have faced almost unimaginable difficulties during the pandemic. How worried should we be about NHS staff health and wellbeing? This long read looks at how bad the situation is and what can be done to improve things.

Covid 19

Current awareness updates

How many care home staff in England have received two Covid-19 vaccine doses? Nuffield Trust chart.
Nuffield Trust; 2021.
[After the deadline passed, care home staff in England now need to have received two Covid-19 jabs to carry on working. Nina Hemmings looks at how many had been vaccinated twice only a few weeks before the deadline.]

Effects of COVID-19 pandemic on mental health outcomes in a cohort of early psychosis patients.[Abstract]
Szmulewicz AG. Early Intervention in Psychiatry 2021;15(6):1799-1802.
[AIM: To evaluate the impact of the COVID-19 pandemic on clinical outcomes, we used data from Electronic Health Records from 128 patients receiving care at a First Episode Psychosis clinic. CONCLUSIONS: We report that patients have avoided accessing higher levels of care, except in extreme cases. We argue that this is not a sustainable trajectory and that public health actions are required.]

Provider collaboration review: Mental health care of children and young people during the COVID-19 pandemic.
Care Quality Commission (CQC); 2021.
[Review of care in 7 areas of England in June and July 2021 found COVID-19 pandemic has had an enormous impact on the mental health of children and young people, and has led to an increased demand on services, particularly eating disorder services.]

Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: systematic review and meta-analysis.
BMJ; 2021.
[This systematic review and meta-analysis suggests that several personal protective and social measures, including handwashing, mask wearing, and physical distancing are associated with reductions in the incidence covid-19. Public health efforts to implement public health measures should consider community health and sociocultural needs.]

COVID-19 Young people and vaccines Toolkit.
Cabinet Office; 2021.
[An updated vaccines toolkit for younger people has been launched by the Cabinet Office. The toolkit includes links to assets and videos designed to encourage vaccine uptake among young people aged 18 to 29.]

Nuffield Trust Report

Attracting, supporting and retaining a diverse NHS workforce

This report, commissioned by NHS Employers, examines the representation of under-served groups and provide a set of recommendations for change as the NHS strives to become an exemplar of equality, diversity and inclusion.

Report from the Nuffield Trust

Untapped? Understanding the mental health clinical support workforce

This report explores the roles, responsibilities and diversity of mental health clinical support staff. It aims to draw out the number and distribution of this workforce and issues around recruitment, career progression and retention.

Brexit and Health Care

Understanding the impact of Brexit on health in the UK

Source: King’s Fund Health Management and Policy Alert

This report maps out the health areas that will be affected by the exit from the European Union and discusses the dilemmas confronting the health sector in the face of legislative changes. It suggests that new barriers to migration, an unknown level of disruption to medicines and devices, a prolonged economic slowdown and barriers to investment in science could impact the health sector almost immediately.

To find out more information click here.

Research by Nuffield Trust

Achieving scale and spread: Learning for innovators and policy-makers

In recent years, a significant number of innovators have forged ways to scale and spread innovation in the NHS. However, despite some existing work in this area, less is known about how to achieve greater scale and spread beyond early adopters. The Nuffield Trust was commissioned by the NHS Innovation Accelerator to help fill this knowledge gap.

Read the research report here