Depression and Anxiety

April Bulletin

With thanks to our colleagues from Mersey Care NHS Foundation Trust please find the latest bulletin attached. Some articles are freely accessible, others require an Open Athens account. For support accessing any of the articles, please contact academic.library@lscft.nhs.uk

Suicide Prevention and Self Harm

April Bulletin

With thanks to our colleagues from Mersey Care NHS Foundation Trust please find the latest bulletin attached. Some articles are freely accessible, others require an Open Athens account. For support accessing any of the articles, please contact academic.library@lscft.nhs.uk

Introducing integrated care systems

Joining up local services to improve health outcomes

Source: The King’s Fund

This report examines the setup of integrated care systems (ICSs) by the Department of Health and Social Care, NHS England, and their partners and the risks they must manage. The report is not an assessment of whether the programme has secured good value for money to date because ICSs have only recently taken statutory form. Instead, it is an assessment of where they are starting from and the challenges and opportunities ahead. It makes recommendations intended to help manage those risks and realise those opportunities.

Chartered Society of Physiotherapy

Easing the pain: rehabilitation, recovery and reducing health inequity

This report from the Chartered Society of Physiotherapy raises awareness of health inequities in rehabilitation and recovery services across the UK. It finds that those people who experience systemic discrimination and marginalisation, and those who live in poor communities, are missing out on rehabilitation after experiencing illnesses such as strokes, cardiovascular disease or cancers. 

British Red Cross

Barriers and opportunities: improving access to mental health support for refugees and people seeking asylum

This report explores access to and experience of mental health support for refugees and people seeking asylum in England. It finds a need for a person-centred, trauma-informed approach where the specific needs of the individual are considered and the most appropriate mental health support is offered. It also details an opportunity to improve communication with refugees and people seeking asylum in the provision of mental health support, including longer appointment times to overcome language barriers, preference for face-to-face appointments, written and translated communication, and consistent access to professional interpreters.

Public Health

Current awareness updates

A Women’s Health Agenda: Redressing the Balance.
Public Policy Projects; 2022.
[This report highlights the importance of embracing a culture of change in the design and delivery of women’s health to achieve national systems and local services fit to meet the expectations and needs of the 21st century woman. It sets out recommendations, founded on common sense and rooted in the belief that women should be in control of their own bodies.]

Making self-harm everyone’s business: a consideration of the new national guideline.
Clough I. British Journal of Healthcare Management 2022;28(3):58-60.
[This article discusses the National Institute for Health and Care Excellence’s consultation and draft guideline on self-harm management, placing the recommendations in the context of ongoing pressures on NHS services and the UK’s growing mental health crisis.]

Guidelines for using online therapeutic interventions.
National Institute for Health Research (NIHR); 2022.
[A team of researchers at the University of Sussex have launched a set of guidelines to help practitioners provide better support to parents and children accessing mental health services online. The guidelines include: Advice on planning, ground rules and strategies for practitioners; Points on support, information governance & policy guidance; What clients need to consider when accessing online services; Guidance on working online with groups of people.]

Covid 19

Current awareness updates

Impact of Covid-19 on new parents: one year on: Government Response to the Committee’s First Report.
Petitions Committee; 2022.
[The government’s response points to the £500 million investment announced in the 2021 Autumn Spending Review for family and early years services. This report concludes that this goes some way to addressing the ‘baby blind spot’ in Covid-19 recovery spending identified in the Committee’s report but the response contains no new commitments in response to the concerns raised and recommendations made in the report.]

Volunteering and helping out in the COVID-19 outbreak.
Centre for Ageing Better; 2022.
[This report, based on research conducted by NatCen Social Research, aims to understand the patterns of formal volunteering and informal support that emerged in, and between, July 2020 and November 2020.]

Community connectedness in the COVID-19 outbreak.
Centre for Ageing Better; 2022.
[This report investigates how people across England related to their neighbourhoods as the COVID-19 pandemic challenged individuals and communities while reducing their access to traditional mechanisms of support.]

Covid 19

Current awareness updates

JCVI update on advice for COVID-19 vaccination of children aged 5 to 11.
Department of Health and Social Care (DHSC); 2022.
[JCVI advises a non-urgent offer of two 10 mcg doses of the Pfizer-BioNTech COVID-19 vaccine (Comirnaty®) to children aged 5 to 11 years of age who are not in a clinical risk group. The intention of this offer is to increase the immunity of vaccinated individuals against severe COVID-19 in advance of a potential future wave of COVID-19. Published 16 February 2022]

Growing problems, in depth: The impact of Covid-19 on health care for children and young people in England.
Quality Watch; 2022.
[“…The sharp increase in children and young people with mental health problems is a serious concern. Services are facing unprecedented levels of demand, and young people are waiting longer to receive mental health care. In particular, there has been a surge in eating disorder cases, and conditions are deteriorating to the extent that a greater number of children and young people are attending A&E departments…”]

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.]

Public Health

Current awareness updates

A retrospective investigation of the prodromal stages of eating disorders and use of health services in young patients the year prior to the diagnosis. [Abstract]
Gómez Del Barrio A. Early Intervention in Psychiatry 2022;16(2):162-167.
[CONCLUSIONS: The majority of reasons for consultation were related to symptoms that could be prodromal symptoms, but the patients were not diagnosed with an eating disorder. These findings highlight the importance of professionals understanding how to identify the warning signs of an eating disorder, so they can refer patients to a specialized unit to establish an early treatment.]

State of the nation 2021: children and young people’s wellbeing.
Department for Education (DfE); 2022.
[This report collates and presents new analysis of published evidence on the wellbeing of children and young people over the period of August 2020 to July 2021, including a wider set of indicators on their: mental and physical health; education and skills; relationships; activities and time use; views on the self, society, and future; an analysis of Covid-19 and the psychological health of young adults; and an analysis of individual predictors of school attendance in 2020 to 2021.]

Subnational indicators explorer.
Office for National Statistics (ONS); 2022.
[A core set of indicators which align with some of the metrics selected to measure the progress of levelling-up, where data is available. Indicators are grouped in three broad categories: boosting living standards, spreading opportunity and improving public services, and restoring local pride. Measures include healthy life expectancy, smokers, overweight, anxiety, happiness, internet capability. Searchable by UK local authority.]

Covid 19

Current awareness updates

Interim Clinical Commissioning Policy: Neutralising monoclonal antibodies and intravenous antivirals in the treatment of COVID-19 in hospitalised patients.
Department of Health and Social Care (DHSC); 2021.
[This rapid policy statement from 24th December outlines the eligibility criteria for the use of casirivimab with imdevimab or sotrovimab for patients hospitalised with COVID-19, and those with hospital onset COVID-19.]

The European clinical research response to optimise treatment of patients with COVID-19: lessons learned, future perspective, and recommendations.
Goossens H. The Lancet Infectious Diseases 2021;:doi.org/10.1016/S1473-3099(21)00705-2.
[We discuss how the clinical research community responded to the pandemic in Europe, what lessons were learned, and provide recommendations for future clinical research response during pandemics. We focused on two platform trials: RECOVERY and REMAP-CAP.]

Remote general practitioner consultations during COVID-19.
Green MA. The Lancet Digital Health 2022;4(1):E7.
[[Letter.] Advances in digital technology had already stimulated debate on consultation methods; despite offering convenience for some patients, there were concerns about widening inequalities for others. Given that the pandemic offered a natural experiment to assess the potential implications of remote consultations, we analysed data from NHS Digital to better understand these implications. Our analyses showed that any suggestion that GPs were not seeing patients in person was not true.]

Delivering outpatient virtual clinics during the COVID-19 pandemic: early evaluation of clinicians’ experiences.[Abstract]
Vas V. BMJ Open Quality 2022;11(1):doi: 10.1136/bmjoq-2020-001313.
[Conclusions: In response to the pandemic, outpatient services across the trust were rapidly redesigned and virtual clinics implemented. As a result, services have been able to sustain some level of service delivery. However, clinicians have identified challenges in delivering this model of care and highlighted enablers needed to sustaining the delivery of virtual clinics longer term, such as patient access to diagnostic tests and investigations closer to home.]

CG Report 6: Effects of COVID-19 In Care Homes: A Mixed Methods Review.
Collateral Global; 2021.
[The report, using national datasets for 25 countries on mortality, provides an up-to-date review of global effects of COVID-19 pandemic in care homes, assessing care home mortality by country, how the deaths compared with previous periods, and how excess deaths may be explained.]

Regulation and use of confidential patient information for genomic and medical research during and post Covid-19.
PHG Foundation; 2021.
[At the start of the Covid-19 pandemic the government in England introduced measures to enable the use of confidential patient information for Covid-19 purposes without consent or another form of approval that would normally be required. This report considers how these regulatory changes to the governance of confidential patient information have impacted genomic and medical research, and whether these changes should be integrated into the regulatory framework longer term.]

Frequently asked questions: Demonstrating Covid-19 and vaccination status.
House of Commons Library; 2021.
[This briefing sets out responses to FAQs about demonstrating Covid status (otherwise called Covid status certification or vaccine passports) and use of the NHS Covid Pass in England.]

Clearing the backlog caused by the pandemic: ninth report of Session 2021–22.
House of Commons Health and Social Care Committee; 2021.
[This report finds that elective recovery plans are threatened by pressure on emergency care with a record number of 999 calls and waiting times in emergency departments at record levels. It concludes that tackling the wider backlog caused by the pandemic is a major and ‘unquantifiable’ challenge. It calls for a broad national health and care recovery plan to include mental health, primary care, community care and social care as well as emergency care.]

Telephone survey two: PCNs and Covid-19.
PRUComm; 2021.
[The purpose of the telephone survey was to try to understand the role primary care networks (PCNs) had played in response to the Covid-19 pandemic, focusing on whether the pandemic had influenced and shaped the development and operation of PCNs and whether PCNs had worked collectively or as individual practices in their Covid-19 response. This short report comprises data collected between August and December 2020.]

Inequality and the Covid crisis in the United Kingdom.
Institute for Fiscal Studies (IFS); 2022.
[IFS Working Paper W22/01. This report reviews the effects on the Covid-19 pandemic on inequalities in education, the labour market, household living standards, mental health and wealth in the UK.]

Effects of COVID-19 lockdown on eating disorders and obesity: A systematic review and meta-analysis.[Abstract]
Sideli L. European Eating Disorders Review 2021;29(6):826-841.
[The majority of individuals with EDs and obesity reported symptomatic worsening during the lockdown. However, further longitudinal studies are needed to identify vulnerable groups, as well as the long-term consequences of COVID-19.]