Public Health

Current Awareness Updates

#HealthNow Literature review update: how has patient experience changed for people who are homeless?
Groundswell; 2022.
(People experiencing homelessness face significant health inequalities. They encounter barriers to accessing the health care they need and often have poor experiences of engaging with health care services. This report examines research published since the Groundswell 2020 #HealthNow literature review and outlines the findings from its five #HealthNow research reports.)

Health disparities and health inequalities: applying All Our Health.
Office for Health Improvement and Disparities (OHID); 2022.
(Evidence and information for health and care professionals and the wider workforce on health disparities and health inequalities, and how they can be addressed. This resource will help frontline professionals and organisations use their trusted relationships with individuals, families and communities to address the impact of health disparities and health inequalities on groups or populations. We also recommend important actions that managers and staff holding strategic roles can take.)

National Audit of Dementia: Memory Assessment Services Spotlight Audit 2021.
Healthcare Quality Improvement Partnership (HQIP); 2022.
(The National Audit of Dementia (NAD) is a clinical audit programme commissioned by the Healthcare Quality Improvement Partnership on behalf of NHS England and the Welsh Government. In 2019 we undertook an audit of community-based memory assessment services in England and Wales.)

World Mental Health Day: rising cost of living and mental health.
House of Commons Library; 2022.
(Our mental health can change depending on our financial situation and it’s thought this relationship works in both directions: suffering financial losses or living in poverty can worsen mental health; people with mental health conditions may end up in poverty or suffer financial loss because of their illness, for example, if they are not able to work. Financial difficulties and problem debt are also associated with suicidal thoughts and dying by suicide.)

Valuing health: why prioritising population health is essential to prosperity.
British Medical Association (BMA); 2022.
(This report calls on the government to consider the health of the population as crucial to sustainable economic growth, rather than being dependent on a prosperous economy. Raising alarm about rapidly declining population health and widening health inequalities, the report identifies that the nation is facing a ‘ticking time-bomb’ of ill health with current government policies insufficient to meet the scale of the challenge.)

Bereavement is everyone’s business.
The UK Commission on Bereavement; 2022.
(This report shows how bereavement impacts us all. From dealing with complicated administration, to coping with financial and housing insecurity, it explores the challenges of returning to work or school after a bereavement and highlights the challenges being bereaved throws up in every area of life.)


The Patients Association

Shared decision making from the perspective of clinicians and healthcare professionals

Source: The King’s Fund

This report finds health care professionals are positive about shared decision-making – a way of working with patients to decide treatment options. But the report also finds professionals’ ability to practice shared decision-making regularly is limited by the current crisis in the NHS. The report makes a number of recommendations and The Patients Association will now look to partner with NHS England, the Personalised Care Institute and other organisations to support professionals’ call for more support to practice shared decision-making.

Covid 19

Current awareness updates

Designated settings for people discharged to a care home.
Department of Health and Social Care (DHSC); 2022.
[Guidance on the designated settings scheme for people discharged from hospital to a care home with a positive coronavirus (COVID-19) test (UPDATED: 07 February 2022 The ‘designated settings’ guidance has been updated throughout in line with the latest clinical advice from UKHSA. This update reflects the change in isolation period in care settings from 14 to 10 days for cases of COVID-19. It also provides information on how individuals can end their isolation before day 10)]

Patient experience before the omicron wave: the storm before the storm.
Patients Association; 2022.
[This report, based on a survey of more than 1,000 UK patients conducted over a month just before Christmas 2021, finds the disruption to health and care services caused by the pandemic is profound and long-term.]

COVID-19 Schools Infection Survey, England: attitudes to vaccines and preventative measures, November to December 2021.
Office for National Statistics (ONS); 2022.
[Initial insights from the first round of questionnaire data collected as part of the Schools Infection Survey. Questionnaires are completed by parents of participating children, secondary school aged children and headteachers. Topics cover vaccine sentiment, ventilation in schools and preventative measures implemented in schools.]

Health Literacy

Shared reading – online via Microsoft Teams

As part of Health Literacy Month, Royal Berkshire NHS Foundation Trust Library & Knowledge Services are running a shared reading session on Wednesday that has a Health Literacy aspect. They will be reading a couple of extracts from Karen Havelin’s ‘Please read this leaflet carefully’. It looks at the patient experience and her experiences of endometriosis, through diagnosis, treatment, and managing day to day life with a long term medical condition.

The session is on Wednesday 13th October. It is open to everyone with an interest in health literacy. There is no need to book, just turn up! It will take place via Teams from 12-12.30pm. The meeting link is here: Click here to join the meeting

Ethnic diversity in fertility treatment 2018

Human Fertilisation and Embryology Authority Report

Source: The King’s Fund Health Management and Policy Alert

This report looks at how access to, and outcomes of, fertility treatment differed by ethnic group between 2014 and 2018. It finds disparities in the experience of patients from ethnic minority backgrounds and makes recommendations for the HFEA, fertility clinics and commissioners to help better understand the root of these inequalities so that action can be taken to improve access and outcomes for ethnic minority groups.

Healthwatch

590 people’s stories of hospital during Covid-19

In partnership with British Red Cross, this report reviews the experiences of 590 people after being discharged from hospital. The research shows significant numbers of people are not receiving follow-up support under the new policy to switch to a ‘discharge to assess’ model introduced in March 2020 to cope with demand at the peak of the Covid-19 pandemic), leading to unmet needs. It calls on the NHS to address these issues coming into the busy winter period amid growing pressures of a second Covid-19 wave.

To find out more click here.

BMJ Open

Racial and socioeconomic disparities in patient experience of clinician empathy: a protocol for systematic review and meta-analysis

Clinician empathy is a vital component of high-quality healthcare. Healthcare disparities may reflect a societal lack of empathy for disadvantaged persons in general, and recent research suggests that socioeconomic disparities exist in patient satisfaction with clinicians. However, it is currently unclear if there are disparities in patient experience of empathy from clinicians. The objective of this article is to systematically analyse the scientific literature to test the hypothesis that racial and socioeconomic status (SES) disparities exist in patient-reported experience of clinician empathy. 

Read the article here