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

Increasing COVID-19 vaccination rates amongst vulnerable groups: summary advice for GPs.
Royal College of General Practitioners (RCGP); 2021.
[GPs will be aware of the disparity in uptake of the COVID-19 vaccine between different population groups; often, the groups most at risk from infection and serious illness are those least represented at vaccination centres. We continue to collect examples, case studies or evidence on what works in addressing this issue.]

Vaccination of people working or deployed in care homes: operational guidance.
Department of Health and Social Care (DHSC); 2021.
[From 11 November 2021, anyone working or volunteering in a care home will need to be fully vaccinated against coronavirus (COVID-19), unless exempt.]

JCVI statement, August 2021: COVID-19 vaccination of children and young people aged 12 to 17 years.
Department of Health and Social Care (DHSC); 2021.
[This statement sets out JCVI’s latest considerations and advice regarding the potential extension of the COVID-19 vaccination programme to children and young people.]

JCVI issues updated advice on COVID-19 vaccination of young people aged 16 to 17.
Public Health England (PHE); 2021.
[The Joint Committee on Vaccination and Immunisation (JCVI) is today advising that all 16 and 17 year olds receive their first dose of the Pfizer-BioNTech vaccine.]

COVID-19 vaccination: resources for children and young people.
Public Health England (PHE); 2021.
[Information for eligible children and young people on COVID-19 vaccination.]

PHE women’s reproductive health programme 2020 to 2021.
Public Health England (PHE); 2021.
[Progress update on the PHE reproductive health programme, including a new return on investment tool and the next steps for 2021 to 2022. ‘Extending PHE’s contraception return on investment tool: maternity and primary care settings’ outlines a new return on investment (ROI) model for contraception in maternity and the provision of long-acting reversible contraceptives (LARC) in primary care, building on the existing contraception ROI tool published in 2018.]

BHIVA guidance for virtual consultations for people with HIV: May 2021.
British HIV Association (BHIVA); 2021.
[This guidance was released in May 2021 in response to the increased proportion of consultations carried out remotely due to COVID-19. The guidance highlights issues important for safe and effective consultation, including awareness of the limitations of remote consultation.]

Expanding access to naloxone.
Department of Health and Social Care (DHSC); 2021.
[Naloxone is a drug that reverses the effects of an opioid overdose and can help to prevent overdose deaths. We are seeking responses to this consultation to assess the viability of proposals to widen access to naloxone by expanding the list of services and individuals that can give it out without a prescription or other written instruction.]

Quality indicators in lung cancer: a review and analysis. [Abstract]
Chiew KL. BMJ Open Quality 2021;10(3):DOI: 10.1136/bmjoq-2020-001268.
[Conclusions: We found a large number of published QIs in lung cancer but they focused on relatively few areas not reflective of patterns of contemporary practice. We identified gaps in lung cancer QIs especially for systemic therapies, radiotherapy, palliative care and patient-reported outcomes. In order to comprehensively assess the care of patients with lung cancer, future efforts should focus on developing readily measurable QIs in these areas…]

Now or never: A systemic investment review of mental health care in England.
Centre for Mental Health; 2021.
[This report, commissioned by the NHS Confederation’s Mental Health Network, sets out ten key areas where strategic investment could solve systemic issues in the mental health system, with significant benefits to the lives of people with mental health difficulties and their experiences of support.]

The role of epigenetics in psychological resilience. [Abstract]
Smeeth D. The Lancet Psychiatry 2021;8(7):620-629.
[In this Review, we propose a new conceptual model for the different functions of epigenetic mechanisms in psychological resilience. After reviewing empirical evidence for the various components of the model, we identify research that should be prioritised and discuss practical implications of the proposed model for epigenetic research on resilience.]

Effect of telehealth interventions on quality of life in cancer survivors: A systematic review and meta-analysis of randomized controlled trials.
Li J. International Journal of Nursing Studies 2021;122:103970 .
[Telehealth interventions are effective and alternative methods for improving quality of life among cancer survivors. The most effective approach was application-based intervention, the most common approach was website-based intervention, and in terms of intervention durations, the short-term telehealth intervention was the most effective. Most telehealth interventions included breast cancer survivors.]

Public Health

Current Awareness Updates

Impacts of outlets selling alcohol on drinking levels or alcohol related harm.
Carried out by Frankie Marcelline from Brighton and Sussex on 2/12/2020
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_download&RequestID=26501
(This evidence report is a very brief evidence search on the effect of reducing or increasing density of outlets selling alcohol on impacts of drinking levels or alcohol related harm. Most of the results are set in the UK.)

Mass asymptomatic testing: schools and colleges.
Department of Health and Social Care (DHSC); 2020.
(Find out how to administer testing which will begin in January 2021.)

Vitamin D for vulnerable groups.
Department of Health and Social Care (DHSC); 2020.
(This guidance accompanies the Department of Health and Social Care’s initiative to offer a free 4-month supply of vitamin D supplements to support general health, and in particular bone and muscle health. The guidance is for anyone who is clinically extremely vulnerable and has been offered a free supply of vitamin D supplements in England from January 2021.)

The safety of COVID-19 vaccines when given in pregnancy.
Public Health England (PHE); 2020.
https://www.gov.uk/government/publications/safety-of-covid-19-vaccines-when-given-in-pregnancy/the-safety-of-covid-19-vaccines-when-given-in-pregnancy

National lockdown: Stay at Home.
Cabinet Office; 2021.
(Coronavirus cases are rising rapidly across the country. Find out what you can and cannot do.)

A qualitative exploration of 14 to 17-year old adolescents’ views of early and preventative mental health support in schools.
Journal of Public Health; 2020.
(Preventative interventions may be effective in reducing and preventing symptoms of mental ill health in children and young people. However, there is a paucity of research in this area that explores the views of young people. This paper reports on a qualitative study to inform the future development of attractive and appropriate early and preventative school-based mental health interventions.)