New Covid variant emerging?

There’s a new Covid variant affecting increasing numbers of people in the US – what could it mean for UK public health?

The ‘kraken’ variant is a subvariant of the omicron variant of Covid 19 – and it looks like it is even more infectious. This link has more details.

The ‘kraken’ COVID variant XBB.1.5 is rising quickly in the US – here’s what it could mean for the UK (theconversation.com)

Public Health

Current Awareness Updates

Source: KnowledgeShare

Apps to support the mental health of young people: flashy and available versus evidence-based and hidden?
The Mental Elf; 2022.
(Belinda Platt highlights a new review of mental health apps for young people, which finds there are many apps which seem appealing to young people but have no evidence-base, but only a handful of apps with a sound evidence-base which are available to young people. The post Apps to support the mental health of young people: flashy and available versus evidence-based and hidden? appeared first on National Elf Service.)

Supporting healthy relationships among parents with mental health difficulties: A practical guide.
Early Intervention Foundation (EIF); 2022.
(This practical guide for local areas has been developed to improve understanding of how risk factors among parents with mental health difficulties can impact on parental conflict and in turn on child outcomes, how to effectively engage these parents, what evidence-based support can be offered, and how to appropriately assess progress for these families.)

UK Biobank: a globally important resource for cancer research.
Conroy MC. British Journal of Cancer 2022;:doi.org/10.1038/s41416-022-02053-5.
(UK Biobank is a large-scale prospective study with deep phenotyping and genomic data. Its open-access policy allows researchers worldwide, from academia or industry, to perform health research in the public interest. UK Biobank is uniquely placed to transform our understanding of the causes of cancer development and progression, and drive improvements in cancer treatment and prevention over the coming decades.)

Parental perception of mental health needs in young children.[Abstract]
McGinnis EW. Child and Adolescent Mental Health 2022;27(4):328-334.
Check for full-text availability
(There is evidence of unmet psychiatric needs in children under 6. These young children are dependent on their parents to identify their mental health needs. This study tested child and parent associations with parent perception of young child mental health need. CONCLUSIONS: Most preschool children that meet criteria for a psychiatric disorder are not perceived as needing help by their parents, which is dependent on both child and parent factors.)

Talking to young people about online safety: the who, what, when and how.
The Mental Elf; 2022. (In his debut blog, Luke Bayliss explores a Delphi study that will help mental health practitioners to converse with young people about their online activities and impact on mental health. The post Talking to young people about online safety: the who, what, when and how appeared first on National Elf Service.)

To create your own personalised current awareness update, please complete the KnowledgeShare form and send it back to: academic.library@lscft.nhs.uk

Public Health

Current Awareness

Source: KnowledgeShare

Financial wellbeing: applying All Our Health.
Office for Health Improvement and Disparities (OHID); 2022.
(Evidence and information for health and care professionals and the wider workforce to promote the benefits of financial wellbeing. The resource illustrates how money can impact on wellbeing and identifies how frontline health and care staff can use their trusted relationships with patients, families and communities to promote the benefits of financial wellbeing. It also recommends important actions that managers and staff holding strategic roles can take.)

Young Black Men and Mental Health Programme.
Islington Council; 2022.
(This pioneering and innovative programme is designed to improve mental health wellbeing, and wellbeing life outcomes for young Black men. The video promotes the Barbers Project, which is part of Islington Council’s larger Young Black Men and mental health programme.)

A Torn Safety Net: How the cost of living crisis threatens its own last line of defence.
Theos; 2022.
(A report on the effect the cost of living crisis has had on social and economic security. This report is the culmination of a year–long project exploring how economic and social insecurity is affecting churches, faith groups and local communities.)

Child and maternal health statistics.
Office for Health Improvement and Disparities (OHID); 2022.
(Statistics to support improvements in decision making when planning services for pregnant women, children, young people and families. Change made: Added the following publications: ‘Child development outcomes at 2 to 2 and a half years: annual data 2021 to 2022’, ‘Breastfeeding at 6 to 8 weeks after birth: annual data 2021 to 2022’ and ‘Health visitor service delivery metrics experimental statistics: annual data 2021 to 2022’.)

Why can’t I get care? Older people’s experiences of care and support.
Age UK; 2022.
(This report aims to answer the question as to why 14,000 people per week are having their requests for care turned down by councils, many of which are facing growing demand and static or reducing resources with which to respond. It highlights the number of unpaid carers who provide hours of care for their loved ones, often at the expense of their own health and wellbeing.)

If you would like to receive personalised research directly to your inbox, please complete the form below and send it back to academic.inbox@lscft.nhs.uk where our team can set you up with an KnowledgeShare account.

Public Health

Current Awareness Updates

Age-Friendly Health Systems: Guide to Care of Older Adults in Nursing Homes.
Institute for Healthcare Improvement (IHI); 2022.
(This updated [US] guide helps care teams prepare for, test, and implement age-friendly care practices. Designed to be used with an accompanying workbook for nursing home teams, the guide outlines the 4Ms – What Matters, Medication, Mentation, and Mobility – for nursing home care of older adults.)

Cold weather plan for England.
UK Health Security Agency (UKHSA); 2022.
https://www.gov.uk/government/collections/cold-weather-plan-for-england
(01 November 2022: Updated Cold weather health risks slide set.)

WHO: At least 17 million people in the WHO European Region experienced long COVID in the first two years of the pandemic; millions may have to live with it for years to come.
World Health Organization (WHO); 2022.
(To help address the gaps in our knowledge of long COVID and advocate for people living with the condition, WHO/Europe today announced an official partnership with Long COVID Europe, a network organization that to date comprises 19 patient associations, based in Member States across the European Region.)

Poverty and the health and care system: the role of data and partnership in bringing change .
The King’s Fund; 2022.
(Poverty causes ill health, drives inequality in health outcomes and increases use of health services. This King’s Fund long read considers how successful sharing and acting on data can support health and care systems in mitigating, reducing and preventing poverty’s effects on health.)

Developing learning health systems in the UK: priorities for action.
The Health Foundation; 2022.
(Learning health systems are able to learn from the routine care they deliver and improve it as a result. In this report, we explore in detail what makes a learning health system, and look at how they can be developed. We explore four important areas especially relevant to LHSs: learning from data, harnessing technology, nurturing learning communities and implementing improvements to services.)

Sensory-friendly resource pack: resources to improve the sensory environment for autistic people.
NHS England; 2022.
(During 2021/22 NHS England has funded a variety of projects to support Integrated Care Systems in developing sensory friendly environments for autistic people. This document outlines the projects commissioned and draws them together into a cohesive resource pack for local health systems to use to support their autistic citizens.)

Public Health

Current Awareness

Girls’ Attitudes Survey 2022.
Girlguiding; 2022.
https://www.girlguiding.org.uk/girls-making-change/girls-attitudes-survey/
(This 2022 survey asks girls and young women how they feel about their daily lives and society after the pandemic, their safety, their experiences of sexism and stereotypes, their involvement in social and community action and their mental health. To delve deeper into these findings, we’ve reported on a regional basis for the first time.)

Tracking the price of the lowest-cost grocery items, UK, experimental analysis: April 2021 to September 2022.
Office for National Statistics (ONS); 2022.
https://www.ons.gov.uk/economy/inflationandpriceindices/articles/trackingthelowestcostgroceryitemsukexperimentalanalysis/april2021toseptember2022
(How the prices of the lowest-cost products for 30 everyday items have changed since April 2021. The figures highlight how poorer families are bearing the brunt of the cost of living crisis, with prices for some budget grocery items soaring far ahead of the official 10.1% rate of inflation, which is at a 40-year high. Pasta prices rose 60%, tea jumped 65% and chips went up 39%. There were also large price increases for other everyday low-cost items including milk, biscuits and bread.)

BReATHE interventions (Beating Regional Asthma Through Health Education):an innovative approach to children’s asthma care in the North East and North Cumbria, UK: an interventional study.
Townshend J. Archives of Disease in Childhood 2022;107(5):500-504.
(BReATHE (Beating Regional Asthma Through Health Education) is a new, innovative approach to improving asthma care and outcomes for CYP (children and young people) across the North East and North Cumbria, co-designed with patients, families, local authorities and health professionals and guided by the NRAD recommendations. The impact on the unplanned hospital admission rates in children due to asthma in Newcastle-upon-Tyne hospitals is highlighted.) Accessible with Open Athens

People with complex emotional needs and their views of community mental health services.
The Mental Elf; 2022.
https://www.nationalelfservice.net/mental-health/personality-disorder/complex-emotional-needs-community-mental-health/
(Emmeline Lagunes Cordoba summarises a co-produced qualitative interview study on service user perspectives of community mental health services for people with complex emotional needs.)


Cannabis use in college: genetic predispositions less influential than social environment.
The Mental Elf; 2022.
https://www.nationalelfservice.net/mental-health/substance-misuse/cannabis-use-in-college/
(Sally Turner reviews a recent study exploring cannabis use in college, which provides useful evidence relating to how universities could promote a sense of community, belonging and support to students who use cannabis.)

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.)


Public Health

Current Awareness

Sexual assault has lasting effects on teenagers’ mental health and education.
NIHR Evidence; 2022.
(The mental and physical health symptoms reported in this study were higher than in the general population. Young people who had been involved with social services, or who had mental health problems before the assault had worse mental health problems and worse school attendance afterwards. Sexual assault can therefore increase health inequalities in this already vulnerable group.)

Autistic people’s healthcare information strategy for England.
NHS England; 2022.
(This document sets out an initial strategy for the development of information about the health of, and health care received by people with autism in England, from sources already collected or being established. It proposes the development of three dashboards, setting out statistics for: autism diagnosis services and transition from child to adult services; long-term health conditions, healthcare use and mortality for autistic people; more intensive inputs from mental health services.)

Suicide prevention – priorities in the next decade.
(Consultant psychiatrist JS Bamrah speaks to Professor Louis Appleby, who leads the National Suicide Prevention Strategy for England and directs the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. The webinar will cover current suicide prevention priorities, tying in with the recently announced suicide prevention strategy from the UK Government, before answering questions from the chair and audience. The event is open to BMA members and non-members.)

Food poverty: households, food banks and free school meals
House of Commons Library; 2022.
(There is no widely accepted definition of ‘food poverty’. However, a household can broadly be defined as experiencing food poverty or ‘household food insecurity’ if they cannot (or are uncertain about whether they can) acquire “an adequate quality or sufficient quantity of food in socially acceptable ways”. The increase in the cost of living has increased household food insecurity.)

Public Health

Current Awareness Updates

ASH brief for local authorities on youth vaping.
Action on Smoking and Health (ASH); 2022.
(This short briefing is to help local authorities respond to growing concerns about youth vaping in their communities. It is primarily for public health officials and trading standards officers, but also sets out important information for councillors, schools, parents and retailers. Links to further information are also provided.)

Quantifying health inequalities in England.
The Health Foundation; 2022.
(Results show health inequalities starting at a very early age and continuing to develop through adulthood. The early ages and changing structure of health inequalities reinforces the notion that nothing short of a joined-up policy approach can address the wide and complex health inequalities we see in England. We believe this new presentation of health inequalities shows powerfully that investing in the circumstances in which people live will help people stay healthier for longer.)

Advertising ban was linked to lower purchases of unhealthy food and drink.
NIHR Evidence; 2022.
(This is the first study to look at the implementation of the TfL advertising ban. It found that advertising restrictions are feasible, and could have a meaningful impact on population health. The findings could encourage governments and local authorities to consider similar policies to prevent obesity. The TfL restrictions were part of a childhood obesity strategy, but they could influence the whole population.)

Commission on Young Lives,
Centre for Mental Health; 2022.
(Alongside the Children & Young People’s Mental Health Coalition, Centre for Mental Health have co-authored the fourth report from the Commission on Young Lives on rethinking mental health services for vulnerable young people. It reviews the latest data with a focus on those who are at higher risk, including those from racialised communities, lower socioeconomic backgrounds, young people with SEND, those in contact with the criminal justice and care systems, as well as LGBTQI+ communities.)

Domestic abuse and mental health: the amplified risks created during the pandemic.
Hisham I N. BJPsych Advances 2022;28(5):316-327.
[This article focuses on how COVID-19 and its anticipated aftermath exacerbate the risk factors for domestic abuse in the general population and discusses clinical implications for mental health practitioners in the UK. It aims to provide a point of learning based on previous disease outbreaks and recessions, with a focus on specific factors, such as unemployment and alcohol misuse, and how these contribute to increasing incidence and severity of abuse and how to mitigate these for patients…] Open Athens account required.

Public Health

Current Awareness Updates

Vulnerability in infancy.
Office for Health Improvement & Disparities (OHID); 2022.
(Descriptive analysis of vulnerability in infancy using data from the Community Services Dataset (CSDS). Analysis which describes and quantifies the reasons given for hospital and community services recording children as vulnerable in a child’s health record. Vulnerable children are at greater risk of experiencing physical or emotional harm or experiencing poor outcomes because of one or more factors in their lives.)

Unemployment and insecure housing are linked to less successful treatment for depression.
NIHR Evidence; 2022.
(The study found poorer outcomes after treatment for depression among people who are unemployed, struggling financially, not homeowners, and have educational qualifications beyond school. The research concluded that housing and employment status are likely to have a clinically meaningful effect on recovery, independent of the severity of depression, age, marital status or other factors.)


Commission on Young Lives,
Centre for Mental Health; 2022.
(Alongside the Children & Young People’s Mental Health Coalition, Centre for Mental Health have co-authored the fourth report from the Commission on Young Lives on rethinking mental health services for vulnerable young people. It reviews the latest data with a focus on those who are at higher risk, including those from racialised communities, lower socioeconomic backgrounds, young people with SEND, those in contact with the criminal justice and care systems, as well as LGBTQI+ communities.)

Public Health

Current Awareness Updates

Suspected acute viral respiratory infections: managing outbreaks in schools. UK Health Security Agency (UKHSA); 2022.
(Guidance for local UKHSA centre health protection teams about assessing and managing outbreaks of suspected acute viral respiratory infections in schools.)

COVID-19: testing during periods of low prevalence.
UK Health Security Agency (UKHSA); 2022.
(Explains the purpose of ongoing testing and sets out who is currently eligible for access to testing and when tests should be used.)

Moderate alcohol consumption linked with higher iron levels and poorer thinking skills Alzheimer’s Research UK (July 2022)

(UK researchers have found moderate alcohol consumption is linked with higher iron levels in a region of the brain and was associated with poorer thinking skills. Above seven units weekly was associated with higher iron levels in a part of the brain called the basal ganglia, which is responsible for movement.)

NHS to roll out variant busting booster jab from September ahead of winter (NHS England; August 2022)

(The NHS will become the first healthcare system in the world to use the next generation, bivalent COVID vaccine when it kickstarts the autumn booster rollout in early September.)