Public Health

Current Awareness Bulletin

Systemic racism, not broken bodies: an inquiry into racial injustice and human rights in UK maternity care Birthrights, May 2022

(This year-long inquiry heard testimony from women, birthing people, health care professionals and lawyers outlining how systemic racism within maternity care – from individual interactions and workforce culture through to curriculums and policies – can have a deep and devastating impact on basic rights in childbirth. The report sets out five actions maternity services should take to drive forward concrete change. Please note that free registration is required to read this report)

Support at the end of life: the role of hospice services across the UK Eilís Keeble, Sarah Scobie and Rachel Hutchings, May 2022

(Covid-19 created huge disruption to end of life care services, with many thousands more people dying at home than previously. Hospices play a vital role supporting people and their families at the end of life, but little is known about how these services are being delivered and the issues they are grappling with. This analysis, based on a survey carried out by Hospice UK, provides a picture of a sector undergoing rapid change in the face of fast-changing circumstances.)

Drug misuse prevention review Advisory Council on the Misuse of Drugs (ACMD), May 18 2022

(The ACMD was commissioned in December 2021 to provide advice on preventing drug use among vulnerable groups of people, and how those groups can be prevented both from first using and from developing dependence on drugs. This report explores the factors that contribute to vulnerability, then examines general principles and specific approaches to prevention that are supported by the available evidence. It also considers the need for the delivery of interventions to be embedded properly in the wider system and context if their potential is to be achieved.)

Recruiting young people from care into NHS careers NHS Employers, May 19 2022

(The Northern Care Alliance NHS Foundation Trust (NCA) Looked After Children re-employment programme supports young people with a background in care and unaccompanied asylum seeker children, providing opportunities in NHS roles such as health care support, administration and ancillary. It was developed in partnership with NHS England and NHS Improvement, Next Step and The Prince’s Trust.)

Public Health

Current Awareness Updates

Improving inclusion in health and care research: reflections and next steps.
HSR UK; 2022.

(In autumn 2021 HSR UK, the Nuffield Trust, The King’s Fund, The Health Foundation and PPI representatives from The Health Foundation Inclusion Panel co-developed a series of events to address improving inclusion in health and care research. This report shares insights from the expert speakers who participated in events, as well as reflections and learnings from running the series.)

Key findings from Healthwatch England’s national dental polling in 2022.
Healthwatch; 2022.

(A representative poll of 2,026 adults based in England on attitudes to NHS dentistry shows that half of the adults in England find dental charges unfair amid escalating living costs. More than two in five respondents (40 per cent) said they found it difficult to book an NHS dental appointment, while one in five (20 per cent) couldn’t access all the treatments they needed. Healthwatch England has warned decision-makers that NHS dentistry is in desperate need of reform.)

Smoking and social housing: Supporting residents, addressing inequalities.
Housing Learning and Improvement Network (HLIN); 2022.

(This report is a collaboration between Action on Smoking and Health (ASH) and the Housing Learning and Improvement Network (LIN). It outlines the case for reducing rates of smoking in the social housing sector as part of social landlords’ health and wellbeing activities and the action needed to achieve this.)

A picture of health? Bridging the gap between physical and mental healthcare in adult mental health inpatient settings.
National Confidential Enquiry into Patient Outcome and Death (NCEPOD); 2022.

(This report suggests that a physical health care plan should be developed when patients are admitted to a mental health inpatient setting. Other key messages aimed at improving care include calls to: formalise clinical networks/pathways between mental health and physical health care; involve patients and their carers in their physical health care, and include mental health and physical health conditions on electronic patient records.)

The Impact of Dementia on Women.
Alzheimer’s Research UK; 2022.

(This report calls for action to tackle dementia’s disproportionate impact on women and to ensure women can make a full contribution to research, both as participants and as researchers.)

Public Health

Current Awareness Updates

WHO European regional obesity report 2022

(Overweight and obesity affect almost 60 per cent of adults and nearly one in three children in the WHO European Region. Recent estimates suggest that overweight and obesity is the fourth most common risk factor for noncommunicable diseases in the Region, after high blood pressure, dietary risks and tobacco. This report examines the growing challenge and impact of obesity in the Region and focuses on managing obesity throughout the life course and tackling obesogenic environments. It also considers more recent challenges, including problematic digital marketing to children and the impact of the Covid-19 pandemic on obesity prevalence.)

Doctor’s orders: Why adherence is critical to improving health outcomes across the life course

(Nearly half of all adults and approximately 8% of children worldwide have a chronic condition. Yet, studies have shown that adherence to medication is poor. This is expensive for governments, requiring three extra medical visits per year. This article from the ILC suggests some key recommendations to support adherence.)

Thousands of people with diabetes set to benefit from real time information after updated NICE recommendations

(More than 250,000 people living with type 1 diabetes are set to be offered new technology to help them manage their condition and at the same time reduce the need for finger prick testing by up to 50%, following new advice from NICE.)

Link workers for population health: it’s time to get with the (social prescribing) programme

(Embedding a population health approach into health care at the local, regional and national level in England will require slow, incremental cultural shifts over the space of years, as suggested in their report; A vision for population health.)

Public Health

Current Awareness Updates

Young Changemakers tackling mental health inequalities in racialised communities.
Centre for Mental Health; 2022.
https://www.centreformentalhealth.org.uk/publications/voice-change
[It is well documented that people from racialised communities face inequalities in mental health. Young Changemakers is a programme created by UK Youth, The Diana Award and Centre for Mental Health to equip young people with the tools to produce youth-led social action projects aimed at tackling these mental health inequalities. This is a three-year programme funded by the People’s Postcode Lottery and Comic Relief to support mental health in young people from racialised communities.]

Evaluating a community programme to promote young Black men’s mental health.
Centre for Mental Health; 2022.
https://www.centreformentalhealth.org.uk/publications/shifting-dial
[Young Black men are overrepresented in restrictive mental health settings, but are less likely to get early community-based mental health support. Shifting the Dial shares learning from a three-year project to promote the mental health and wellbeing of young Black men in Birmingham. The project built upon the findings from an earlier pilot, Up My Street. Shifting the Dial has worked with over 500 young Black men, offering peer support, mentoring, skills development and community events.]

The People and Nature Survey.
Natural England; 2022.
https://www.gov.uk/government/collections/people-and-nature-survey-for-england#full-publication-update-history
[The People and Nature Survey for England gathers evidence and trend data through an online survey relating to people’s enjoyment, access, understanding of and attitudes to the natural environment, and its contributions to wellbeing. 13 April 2022: New data for February 2022 added to monthly interim indicators data section. Also new data for year 2 quarter 2 (1st April 2020 – 30th September 2021) added to Adult Survey section.]

Daily Insight: Infection control calls heeded.
HSJ: Health Service Journal (Daily Insight) 2022;:7032315.
[NHS England has relaxed the isolation period for inpatients with covid-19 after the UK Health Security Agency changed its recommendations. Also: Although describing integrated care system ratings as a “bit of a distraction” in an interview with HSJ the CQC chief executive Ian Trenholm set out what systems could soon expect to see over the coming months. 20 April.]

The public’s experience of monitoring their blood pressure at home.
Healthwatch; 2022.
https://www.healthwatch.co.uk/report/2022-04-26/publics-experience-monitoring-their-blood-pressure-home
[People with high blood pressure are increasingly being asked to monitor their condition at home. The NHS programme ‘Blood Pressure @Home’ (BP@Home) enables people with high blood pressure to measure and share their blood pressure readings with their GP from home. This report evaluates that programme to see how it is working for patients and how GPs use their readings, and suggests steps the NHS can take to improve support and outcomes for people who monitor their blood pressure from home.]

Adult tier 2 weight management services provisional data for quarters 1 to 3, 2021 to 2022 (experimental statistics).
Office for Health Improvement & Disparities (OHID); 2022.
https://www.gov.uk/government/statistics/adult-tier-2-weight-management-services-provisional-data-for-quarters-1-to-3-2021-to-2022-experimental-statistics
[Provisional data from the adult tier 2 behavioural weight management services data collection from quarter 1 and 3 of the 2021 to 2022 financial year.]

Public Health

Current Awareness Updates

Smaller hospitals are urged to increase collaborative working to meet the needs of an ageing population.
NIHR Evidence; 2022.

[Collaborative working among staff is likely to be the best way to improve performance in smaller hospitals, a new study concluded. It explored the approaches smaller hospitals take to organising emergency care for people admitted to hospital. There were huge variations, but no single way of working (‘model of care’) was more effective than others.]

Eating Disorders.
Scottish Intercollegiate Guidelines Network (SIGN); 2022.
https://www.sign.ac.uk/our-guidelines/eating-disorders/
[This guideline provides recommendations based on current evidence for best practice in the management of people with eating disorders of all ages and gender groups, in any health or social care setting. Eating disorders covered are anorexia nervosa, bulimia nervosa, binge eating disorder and eating-disordered psychopathology occurring in the context of type 1 diabetes mellitus.]

HPV vaccination brings the WHO European Region closer to a cervical cancer-free future.
World Health Organization (WHO); 2022.
https://www.euro.who.int/en/health-topics/disease-prevention/pages/news/news/2022/4/hpv-vaccination-brings-the-who-european-region-closer-to-a-cervical-cancer-free-future
[New data from one of the first countries in the Region to introduce HPV vaccination reveal just how well the vaccines work to prevent invasive cervical cancer. In England researchers found that the HPV immunization programme has almost eliminated cervical cancer in women born since 1 September 1995 (who were vaccinated at age 12−13). Incidence among these women of late-stage (grade 3) CIN that could later develop into cancer has also been significantly reduced.]

Community Network: ‘Hidden waits: The lasting impact of the pandemic on children’s services in the community’.
NHS Providers; 2022.

[The Community Network, which is hosted by the NHS Confederation and NHS Providers, has today published a new briefing which brings together new evidence about backlogs and increasing demand for children and young people’s services. It also demonstrates what community providers are currently doing to meet demand, including how they are innovating, and makes a series of recommendations on the national support needed, both now and in the longer term.]

Public Health

Current Awareness Updates

Reducing the spread of respiratory infections, including COVID-19, in the workplace UK Health Security Agency; April 14 2022

(Public health principles for reducing the spread of respiratory infections, including COVID-19, in the workplace.)

Out of Area Placements in Mental Health Services, January 2022 NHS Digital; April 14 2022

(Publication of adult acute mental health patients being treated outside their provider of usual treatment in January 2022. Statistics are presented nationally and at regional, sustainability and transformation partnership (STP) footprint, clinical commissioning group (CCG) and provider level.)

Mental Health Services Monthly Statistics , Performance January, Provisional February 2022 NHS Digital; April 14 2022

(This publication provides the most timely statistics available relating to NHS funded secondary mental health, learning disabilities and autism services in England. This information will be of use to people needing access to information quickly for operational decision making and other purposes. These statistics are derived from submissions made using version 4.1 of the Mental Health Services Dataset (MHSDS))

Thunderstorm asthma and public health – looking back to move forward UK Health Security Agency; March 18 2022

(In June 2021, the UK Health Security Agency detected a potential episode of
thunderstorm asthma; an increase in people reporting asthma symptoms linked to thunderstorm activity. In this blog post they look at the interplay between the weather and our health and how they can use their scientific surveillance systems to inform future public health responses.)

Integrated health and care services for people experiencing homelessness NICE Talks

(In this episode of NICE Talks they discuss NICE’s recently published guideline on integrated health and social care services for people experiencing homelessness.

The guideline was developed in partnership with the Centre for Homelessness Impact and the Office for Health Improvement and Disparities. The guideline outlines how people experiencing homelessness can access services tailored for their needs. It highlights that more effort and targeted approaches are often needed to ensure that people experiencing homelessness have access to the same standard of health and social care as the general population.)

Public Health

Current awareness updates

Restricting promotions of products high in fat, sugar or salt by location and by volume price.
Department of Health and Social Care (DHSC); 2022.

[Outlines the provisions of the Food (Promotion and Placement) (England) Regulations 2021, and provides assistance in understanding and applying them.]

United against health inequalities: a commitment to lasting change NHS Providers, April 2022

(This survey of trust leaders shows high board-level commitment and strategic emphasis on tackling health inequalities and commitment to making action on health inequalities ‘core business’. However, they describe several barriers to progress with nearly two in three (65 per cent) saying that wider pressures on the system and operational challenges hinder their ability to progress work on reducing health inequalities. Nearly half of trust leaders expressed concerns about the lack of access to data about health inequalities within trusts (49 per cent) and across the health system (48 per cent).)

Coronavirus Act 2020 two years on.
House of Commons Public Administration and Constitutional Affairs Committee; 2022.
[This report sets out concerns about parliament’s lack of ability to scrutinise and amend emergency provisions in the Coronavirus Act over the past two years and draws out the lessons that can be learnt in legislating for future emergencies.]

Covid-19: The public inquiries.
House of Commons Library; 2022.
[The Covid-19 pandemic was a severe test of the state’s preparedness, resilience and co-ordination. The response from the UK Government and devolved administrations has raised broader questions about how effectively the challenges have been met. There have been longstanding calls for a public inquiry to be held into the UK’s pandemic response. Two public inquiries have been set up: one by the UK Government and one by the Scottish Government.]

Shifting the Dial: evaluating a community programme to promote young Black men’s mental health.
Centre for Mental Health (CMH); 2022.
https://www.centreformentalhealth.org.uk/publications/shifting-dial
[Young Black men are overrepresented in restrictive mental health settings, but are less likely to get early community-based mental health support. This report shares learning from a three-year project to promote the mental health and wellbeing of young Black men in Birmingham. The project built upon the findings from CMH’s evaluation of an earlier pilot, Up My Street. Shifting the Dial has worked with more than 500 young Black men.]

Can fermented foods boost mental health? Medscape: March 22, 2022

(Commentary by Dr Drew Ramsey)

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.]