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

Physical activity as an intervention in severe mental illness.
Kandola AA. BJPsych Advances 2022;28(2):112-121.
[After reading this article you will be able to: understand why physical activity is clinically important for people with severe mental illness; recognise the possible barriers to and facilitators of engagement in physical activity by people with severe mental illness; consider the next steps for commissioners, researchers and practitioners in this area.]

85% of adolescent girls don’t do enough physical activity: new WHO study calls for action.
World Health Organization (WHO); 2022.
[Adolescent girls are not getting enough physical activity and this problem is growing worldwide and can have serious effects on health and well-being. A new study into the ‘Barriers and Facilitators of Physical Activity Participation in Adolescent Girls’ brings good news – there are some clear steps to change this picture.]

Social prescribing and musculoskeletal conditions: a guide for link workers and social prescribing services.
Arthritis and Musculoskeletal Alliance (ARMA); 2022.
[Social prescribing has the potential to support people with MSK conditions and to reduce the chances of future MSK problems. This guide is aimed at social prescribers without a specific MSK service or background in MSK conditions to help them use social prescribing to make a difference to people’s lives and become a champion for the importance of good MSK health.]

Online food and drink marketing to young people.
Nesta; 2022.
[Young people are exposed to a range of marketing for unhealthy food and drink online, from adverts for fast food on social media to price offers and limited edition deals encouraging them to buy food via email and apps. This report shares findings from a project that sought to better understand the impact of this type of marketing on young people.]

Better Health Start for Life weaning campaign survey: March 2022.
Office for Health Improvement & Disparities (OHID); 2022.
[The survey was designed to provide attitudinal insights to support the launch of the Better Health Start for Life weaning campaign.]

Health first: how to talk about childhood obesity.
Impact on Urban Health; 2022.
[This toolkit aims to help organisations and individuals talk about children’s health, unequal access to nutritious food, and childhood obesity. The toolkit provides six key communications principles – from using metaphors that stick in people’s minds, to what key messages to leave in (and out) of communications to help them resonate.]

Public Health

Current awareness updates

Antimicrobial resistance surveillance in Europe 2022 – 2020 data (2022).
World Health Organization (WHO); 2022.
[The report presents a regional and European Union/European Economic Area (EU/EEA) overview, including traffic-light maps for priority drug–bug combinations of public health relevance, as well as 42 country and area profiles.]

Commentary: Climate change worry among adolescents-on the importance of going beyond the constructive-unconstructive dichotomy to explore coping efforts-a commentary on Sciberras and Fernando (2021). [Abstract]
Ojala M. Child and Adolescent Mental Health 2022;27(1):89-91.
[This opinion piece comments on Sciberras and Fernando’s (2021) article in which an 8-year longitudinal study is presented. The authors investigate trajectories of climate change worry through adolescence and associations with measures of depression and engagement with news and politics in late adolescence. Their objective is to explore whether climate change worry is a constructive or unconstructive psychological phenomenon.]

Commentary: Three tasks for eco-anxiety research – a commentary on Thompson et al. (2021). [Abstract]
Pihkala P. Child and Adolescent Mental Health 2022;27(1):92-93.

Commentary: Proactive practices to support youth coping with climate change – a commentary on Martin et al. (2021). [Abstract]
Flanagan C. Child and Adolescent Mental Health 2022;27(1):94-95.
[Based on the scoping review of literature on youths’ anxieties and worries associated with their understanding of climate change, I suggest three practices for supporting youth coping: emphasizing what they can do through environmental action; emphasizing group over individual efforts – working in peer teams and networking with adult organizations dedicated to environmental action; and focusing on human impact in the place where they reside and ways they can observe and monitor that impact.]

Limitations of the new ISO standard for health and wellness apps.
Neal D. The Lancet Digital Health 2022;4(2):e80-e82.
[Software apps for health and wellness are proliferating rapidly. Policy makers, health-care providers, and consumers can benefit from assessment and standardisation of these apps, to support decision making in a rapidly developing field. The International Organization for Standardization (ISO) published a standard in July, 2021. However, we fear that, in its current form, the standard could stigmatise some app users and worsen inequalities in access to digital health technologies.]

Young people’s engagement with climate change issues through digital media – a content analysis.[Abstract]
Parry S. Child and Adolescent Mental Health 2022;27(1):30-38.
[The reporting of climate change issues through social media can influence young people’s mental health and engagement. However, there has been little research undertaken directly with young people in relation to social and digital media’s reporting of climate change, and how this is experienced by young people. This study aimed to explore the interface between climate change and social media reporting for young people.]

Place-based civic science-collective environmental action and solidarity for eco-resilience.[Abstract]
Gallay E. Child and Adolescent Mental Health 2022;27(1):39-46.
[We explored how place-based civic science (PBCS) can provide opportunities to engage youth in environmental understanding through teamwork in which youth feel that they belong to a group larger than themselves and gain a sense of hope from working with others toward shared goals. We argue that combining PCBS pedagogies of collective action and collaborative learning spaces can help to buffer against distress as CYP grapple with global environmental crises.]

Case study: Digital media for sexual health promotion.
National Institute for Health Research (NIHR); 2022.
[This case study provides an overview of a research project carried out by a team of researchers at University College London. The scoping review found that interactive digital interventions (IDIs) are effective for sexual health promotion and HIV prevention. They could be rolled out much more widely to complement school sex and relationships education and sexual health services.]

Physical health checks for people living with severe mental illness: a partnership approach to improving health checks in primary care.
Equally Well UK; 2022.
[This resources provides a partnership approach to improving physical health checks for people living with severe mental illness. Through data and intelligence, a summary of key strategic drivers and policy commitments and accessible check lists, the resource aims to provide guidance on the prioritised action required to prevent premature mortality, morbidity and inequalities experienced by people with severe mental illness.]

Leading the change: social prescribing within the fitness and leisure sector.
UKActive; 2022.
[This report calls for public health initiatives to help raise awareness of social prescribing in gyms, pools and leisure centres in order to reduce the pressure on the NHS. The report, sponsored by Matrix, makes four key recommendations to develop and grow social prescribing within the fitness and leisure sector.]

Signs and symptoms of suicidal ideation in children and adolescents.
Carried out by Frankie Marcelline from Sussex Health on 26/1/2022
[This is a broad evidence search for a new training course for social workers working with children and adolescents with, or at risk of, suicidal ideation/ behaviours and their families. It includes results on signs and symptoms of suicidal ideation in those under18 years old.]


Public Health

Current awareness updates

The cost effectiveness of ecotherapy as a healthcare intervention, separating the wood from the trees.
Hinde S. International Journal of Environmental Research and Public Health (IJERPH) 2021;18(-):11599.
[This paper explores the capacity for ecotherapy to be cost-effective as a healthcare intervention. We show that there is the potential for ecotherapy for people with mild to moderate common mental health problems to be cost-effective but significant further research is required.]

Community support versus health care services: time to change our definition of impact.
Evidence & Policy Blog; 2021.
[Non-profit community anchor organisations in England typically provide a range of support to local people, including wellbeing support, advocacy, social activities, and training and employment advice. This array of services takes a wider perspective on the determinants of health than the approach taken within the NHS, which generally focuses on mental and physical ill health. Despite the different approaches, the funding for organisations is often dependent on the impact on health outcomes.]

National Pregnancy in Diabetes (NPID) Audit Report 2019.
Healthcare Quality Improvement Partnership (HQIP); 2021.
[The National Pregnancy in Diabetes (NPID) Audit measures the quality of antenatal care and pregnancy outcomes for women with pre-gestational diabetes. Overall, there were 4,525 pregnant women with diabetes in 2020 – 325 fewer pregnancies than 2019 – of which, 54% had type 2 diabetes (44% had type 1 diabetes and 2% were recorded as having ‘other diabetes’). The audit includes analysis by age, ethnicity, social deprivation and weight.]

Better together: a public health model for mentally healthier integrated care systems.
Centre for Mental Health; 2021.
[According to this briefing paper, England’s 42 integrated care systems have an opportunity to protect and promote mental health in the communities they serve. The briefing explores how integrated care systems can address the social and environmental factors that affect people’s health in their communities.]

Saving lives, improving mothers’ care: lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2017-19.
National Perinatal Epidemiology Unit (NPEU); 2021.
[This report finds that pregnancy remains safe in the UK, with the overall maternal death rate showing a slight decrease. Among 2,173,810 women who gave birth in 2017-2019, 191 died during or up to six weeks after pregnancy, and 495 during or up to one year after their pregnancy. However, the findings show a continued inequality in the mortality rates for women of different ethnic backgrounds, ages and socio-economic circumstances.]

Ethnic and socio-economic Inequalities in NHS maternity and perinatal care for women and their babies.
Healthcare Quality Improvement Partnership (HQIP); 2021.
[This report describes inequalities in maternity and perinatal care for women and their babies in England, Scotland and Wales during the period 1 April 2015 to 31 March 2018. Using routinely collected data, care and outcomes experienced by women and babies using NHS maternity services are measured and stratified by ethnicity and by Index of Multiple Deprivation (IMD), a proxy for socio-economic deprivation.]

Fulfilling the promise: how social prescribing can most effectively tackle loneliness.
British Red Cross; 2021.
[This report draws on practical experience of delivering social prescribing services to those experiencing or at risk of loneliness through Red Cross Community Connector schemes.]

What works when evaluating social prescribing? A realist review report.
Wales School for Social Prescribing Research; 2021.
[An analysis of approaches used to evaluate social prescribing.]

Newcastle GP Services Social Prescribing Navigator Service: an independent evaluation.
North of England Commissioning Support Network; 2021.
[The aims of this evaluation were to: • Understand the update and usage of the service across Newcastle with regards population, conditions, and sites. • Analyse trends in unplanned access to secondary care. • Understand the experience and impact from the patient as end user of this service and navigators as deliverers of the service • Recommend data collection and analysis for the ongoing service to have greater comprehension of the impact of the service.]

The role of data in unlocking the potential of social prescribing.
Open Data Institute; 2021.
[A report by Frontier Economics for the ODI concludes there are a number of barriers to social prescribing reaching its full potential, including the lack of available data, and solid data infrastructure, such as statistics, maps and real-time service-use data that could help social prescribers and the providers of services to make decisions, build services and gain insight.]


Creating community spaces for patient wellbeing

How could the NHS better use its facilities to support social prescribing, holistic care and community resilience?

Source: Kings Fund

The NHS long-term plan has pledged to refer at least 900,000 people to social prescribing by 2023/24 to help improve people’s wellbeing; the fitter, healthier and more socially connected people are, the less likely it is they’ll need to access local GP or other health professionals. This research, based on a survey conducted with more than 2,000 people in England, shows that there’s also a strong appetite from the public for these services.

To read the long term plan click here.

Institute for Research and Innovation in Social Services – Briefing

Evaluating Social Prescribing

This briefing provides a review of the research methods and approaches used to evaluate UK-based social prescribing interventions in recent years, to inform health care and social services professionals, as well as organisations delivering social prescribing interventions and those conducting evaluations of them. It aims to give an overview of how social prescribing has been evaluated, and what can be learned from this.

Report

Recreating parks: securing the future of our urban green spaces

In this briefing paper, the cross-party think-tank states that parks and green spaces should be seen as a tool of health care in the same way as medicines and therapies. Giving the NHS a role in supporting parks and green spaces would allow doctors to make more use of social prescribing techniques where patients are told to take exercise and spend time outdoors to boost physical and mental health.

Social return on investment analysis of the health and wellbeing impacts of Wildlife Trust programmes

The Wildlife Trust, October 2019

This report finds that prescribing contact with nature for people who have low levels of mental wellbeing is excellent value for money by improving people’s health and wellbeing. Researchers at Leeds Beckett University analysed the social value of Wildlife Trusts’ nature conservation projects which offer outdoor volunteering opportunities and programmes that support people experiencing problems such as anxiety, stress or mild depression. The report draws on the conclusions of three years research which found that people participating in both sorts of outdoor nature conservation activities felt significantly better, both emotionally and physically, as a result.

Click here to view the full report.