Public Health Updates

Keeping up to date with current awareness

Cycling to work lowers risk of illness and death compared to driving.
NIHR Evidence; 2020.
(People who cycle to work are at lower risk of cardiovascular disease, cancer and death than those who drive. This is seen across all occupational groups and suggests that cycling to work could benefit people from all economic backgrounds. If fewer people are able to travel by public transport due to social distancing, measures to make cycling easier and safer could improve the nation’s health.)

Lung health checks in supermarket car parks reach older smokers in deprived communities.
NIHR Evidence; 2020.
( Tests carried out on mobile units parked in supermarket car parks were a popular and effective way to check the lungs of at-risk current and former smokers in a study in Manchester.)

Statement from the UK Chief Medical Officers on schools and childcare reopening.
Department of Health and Social Care (DHSC); 2020.
(Statement from the Chief Medical Officers and Deputy Chief Medical Officers of England, Scotland, Northern Ireland and Wales on the evidence of risks and benefits to health from schools and childcare settings reopening. 23 August.)

Drinking in the dark: alcohol labelling is failing consumers.
Alcohol Change UK; 2020.
(In this study we reviewed a random sample of 424 alcohol containers on shop shelves in October 2019 to assess whether labels included the UK’s Chief Medical Officers (CMOs) low-risk drinking guidelines and other essential pieces of information that would allow consumers to make informed choices.)

Recovering from COVID-19: Post viral-fatigue and conserving energy.
Royal College of Occupational Therapists (RCOT); 2020.
(Rehabilitation is fast becoming the new priority in dealing with the impact of this pandemic and is crucial for people recovering from COVID-19 infection. We’ve published three guides to support people to manage post-viral fatigue and conserve their energy as they recover from COVID-19. These guides are endorsed by the Intensive Care Society.)

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Digital Transformation and Covid 19 – Online Event

Implementing quality standards and solutions

The Kings Fund are hosting a free online event next week, Tuesday 15th September 10-11am and will discuss the changes in service and delivery of healthcare over the past few months.

The event will include:

  • what an inclusive, person-centred digital revolution would look like for the NHS and social care
  • the standards from before the pandemic and what the gains from this rapid transformation should consolidate
  • what this transformation will mean for people and staff on the ground

To register your place click here.

Local restrictions in the North of England

What you can and can’t do

The department of Health and Social Care have released new guidelines for areas under local restrictions. It outlines; affected areas, business and venue closures, travel restrictions and childcare and social limitations.

If you live in an infected area you must NOT

  • host people you do not live with in your home or garden, unless they’re in your support bubble
  • meet people you do not live with in their home or garden, whether inside or outside of the affected areas unless they’re in your support bubble
  • socialise with people you do not live with in other indoor public venues – such as pubs, restaurants, cafes, shops, places of worship, community centres, leisure and entertainment venues, or visitor attractions.
  • visit friends or family in care homes, other than in exceptional circumstances.

You CAN:

  • attend venues (pubs, restaurants, shops, places of worship, places of leisure and entertainment) with people you live with (or are in a support bubble with), but should avoid interaction with individuals or groups from other households.
  • socalise in outdoor public spaces in groups of up to 6 people
  • travel outside your area or go on holiday with people from your household
  • go to work
  • move house
  • arrange and use childcare provision

For more information and to read the whole guidance click here.

Evidence Updates

Keeping up to date with current awareness

Update on COVID-19 pandemic.
BMJ Best Practice; 2020.

Cycling to work lowers risk of illness and death compared to driving.
NIHR Evidence; 2020.
[People who cycle to work are at lower risk of cardiovascular disease, cancer and death than those who drive. This is seen across all occupational groups and suggests that cycling to work could benefit people from all economic backgrounds. If fewer people are able to travel by public transport due to social distancing, measures to make cycling easier and safer could improve the nation’s health.]

Rehabilitation for adults with complex psychosis.
National Institute for Health and Care Excellence (NICE); 2020.
[This guideline covers mental health rehabilitation for adults with complex psychosis. It aims to ensure people can have rehabilitation when they need it and promotes a positive approach to long-term recovery. It includes recommendations on organising rehabilitation services, assessment and care planning, delivering programmes and interventions, and meeting people’s physical healthcare needs.]

Face-to-face or remote consultations: supporting you to make safe decisions about patient contact.
Chartered Society of Physiotherapy; 2020.
[Guidance and advice on implementation from the Chartered Society of Physiotherapists.This framework provides you with a pathway to interpret national guidance and adhere to the legal, regulatory and professional requirements that govern safe physiotherapy practice.]

Daily Insight: Inspectors or superspreaders?
Health Services Journal (HSJ); 2020.
[Latest stories and debate in health policy and leadership. The decision not to include CQC inspectors in regular asymptomatic covid testing could turn them into “super-spreaders,” unions have warned. The Infection and Prevention Society, however, has said inspectors are not likely to be put at significant risk.]

Remember to sign up to KnowledgeShare for research personalised to your field of work. Complete the registration form and send it to Academic.Library@lancashirecare.nhs.uk




Evidence updates

Recommendations for continued care and support of people who are clinically extremely vulnerable
Royal College of Physicians (RCP); 2020.
(Statement from the Royal College of Physicians, Royal College of Emergency Medicine, Royal College of General Practitioners, Royal College of Paediatrics and Child Health, National Voices and specialist societies highlighting the challenges faced by both doctors and patients in identifying and reducing the risks associated with COVID-19 for the most clinically vulnerable people.)

Expanding the primary care workforce in 2020/21 .
NHS England & NHS Improvement; 2020.
(Actions for CCGs, PCNs and STPs resulting from People Plan and Third phase of NHS response to covid-19.)

Reintroduction of NHS continuing healthcare.
Department of Health and Social Care (DHSC); 2020.
(Sets out how clinical commissioning groups (CCGs) will restart NHS continuing healthcare (CHC) assessment processes from 1 September 2020.Published 21 August 2020.)

Virtual training for midwives during a pandemic.
Abramson P. British Journal of Midwifery 2020;28(8):502–503.
(When a baby dies, it is a tragedy at any time but during the COVID-19 pandemic, bereaved families and the professionals supporting them have been faced with additional and often distressing challenges. Restrictions have made access to hospitals difficult for partners and other family members, while support services that would normally be provided for bereaved parents have been unavailable or severely limited.)

Ketamine as a mental health treatment: Are acute psychoactive effects associated with outcomes? A systematic review.
Grabski M. Behavioural Brain Research 2020;392:112629.
(The databases Medline, Embase and PsycInfo were searched. The studies reviewed displayed great variability in methodology and quality of reporting. The most commonly assessed effect was dissociation, measured by the CADSS. Our results suggest that the CADSS total is not consistently associated with antidepressant outcomes. Apart from this, the current literature is too limited to draw definite conclusions on an association between acute psychoactive effects and mental health outcomes.)


Face masks and dry eyes

The science and the solutions

With face masks becoming compulsory throughout the pandemic, most of us will be wearing face masks for extended periods of time. While they help to prevent the spread of Coronavirus, there has also been a rise of reports of dry, uncomfortable eyes, otherwise known as mask-associated dry eye (MADE).

MADE is caused by an ongoing imbalance in the tear film resulting in eyes feeling sore, dry and irritated, looking red, watering eyes or lead to dry eye disease. Face masks cause repeated evaporation, as the exhaled air will travel upwards to our eyes.

To prevent this from happening:

  • wear your mask appropriately
  • use lubricating drops
  • limit time in air conditioned rooms or windy conditions
  • take regular breaks from digital devices
  • DON’T rub your eyes if they become itchy

Masks will be here for the foreseeable future therefore we need to remain alert and promote good mask wear if we are to overcome this pandemic. To find out more or have your say click here.