Public Health

Current Awareness

Source: KnowledgeShare

The role that alcohol or drug use can play in increasing the risk of suicide.
Carried out by Frankie Marcelline from Sussex Health on 27/9/2024
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_downloader&RequestID=52844
[This evidence search report aims to support a conference on suicide. This search focusses on the role that dependent or problematic patterns of alcohol and drug use, can play in increasing the risk of suicide. Results include a good number of very recent high-level studies on the risks of alcohol and drug use on suicide.]

Teens, screens and mental health.
World Health Organization (WHO); 2024.
https://www.who.int/europe/news/item/25-09-2024-teens–screens-and-mental-health
[New data from the WHO Regional Office for Europe reveals a sharp rise in problematic social media use among adolescents, with rates increasing from 7% in 2018 to 11% in 2022. This, coupled with findings that 12% of adolescents are at risk of problematic gaming, raises urgent concerns about the impact of digital technology on the mental health and well-being of young people.]

Digital health and equitable access to care.
Shaw J. PLOS Digital Health 2024;:10.1371/journal.pdig.0000573.
[This research uses a framework by Levesque et al on patient-centered access to care and the World Health Organization’s framework on digitally enabled health systems to generate insights into the ways that digital solutions can support access to needed health care for structurally marginalized communities.]

Keeping children and young people with mental health needs safe: the design of the paediatric ward.
Health Services Safety Investigations Body; 2024.
https://www.hssib.org.uk/patient-safety-investigations/keeping-children-and-young-people-with-mental-health-needs-safe-the-design-of-the-paediatric-ward/investigation-report/
[This investigation looks at the care of children and young people with mental health issues who are admitted to a paediatric ward in an acute hospital – that is, a ward for children and young people in a hospital that typically treats physical health conditions. Specifically, it focuses on the risk factors associated with the design of paediatric wards in acute hospitals caring for children and young people with mental health needs.]

Public Health

Current Awareness

Source: KnowledgeShare

Bowel Cancer Screening: Annual Report 2021 to 2022.
Office for Health Improvement and Disparities (OHID); 2024.

(Data report for the Bowel Screening Programme (BCSP) screening which focuses on programme performance in England during the screening year 2021 to 2022 (1 April 2021 to 31 March 2022) compared to the national bowel cancer screening programme standards. It also includes trend data from previous years where this is available.)

Supporting Families – a foundation for family help: Annual report of the Supporting Families programme 2023-2024.
Department for Education, Department for Levelling Up, Housing & Communities; 2024.

(This eighth annual report of the Supporting Families programme provides an update on progress made during 2023 to 2024. Since the publication of our last Annual Report, 77,203 families have been supported to achieve a successful family outcome.)
Freely available online

Autism Statistics, January to December 2023.
NHS Digital; 2024.

(These statistics present a group of measures on waiting times for autism spectrum disorder diagnostic pathways, based on the time between a referral for suspected autism and the first care contact associated with that referral.)
Freely available online

Drug and alcohol treatment for victims and suspects of homicide.
Office for Health Improvement and Disparities (OHID); 2024.

(A Better Outcomes through Linked Data (BOLD) report looking at the use of substance misuse treatment services by victims and suspects of homicide in England. The report includes information and findings on treatment characteristics of victims and suspects, such as their sociodemographic, accommodation and employment status; and characteristics of the homicide and the relationships between victims and suspects and whether the homicide was drug-related.)

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Public Health

Current Awareness Updates

Source: KnowledgeShare

We’ve only just begun: Action to improve young people’s mental health, education and employment.
Resolution Foundation; 2024.

(This report is the culmination of a three-year research programme exploring the relationship between the mental health and work outcomes of young people. The research was funded by the Health Foundation and is part of their broader Young people’s future health inquiry. It finds that more than 1 in 3 (34%) of young people aged 18–24 reported symptoms that indicated they were experiencing a common mental health disorder like depression, anxiety or bipolar disorder.)

Cold at home: How winter cost of living pressures continue to impact older people and what more needs to happen to support them.
Age UK; 2024.

(This report highlights concerns about the ongoing impact of the cost-of-living crisis on older people who are not receiving support from the benefits system. Many of these people are likely to be eligible for support but will still be missing out for a variety of reasons. Government figures show that an estimated 800,000 pensioners are eligible for Pension Credit but are missing out on this much-needed support.)

Reducing the harm from illegal drugs.
House of Commons Committee of Public Accounts; 2024.

(In response to Dame Carol Black’s review in December 2021, the From Harm to Hope strategy was launched. Two years on from when this strategy’s implementation began, overall progress has been mixed. This report outlines progress made and gives recommendations on next steps for the cross-departmental Joint Combating Drugs Unit in implementing this strategy.)

What patients want: a vision for the NHS in 2030.
Healthwatch England; 2024.

(Using experiences of care from more than 10 million people collected over the past 10 years, Healthwatch sets out where they think the NHS should be in six years and how it can get there.)

Smoking profile: March 2024 update.
Office for Health Improvement and Disparities (OHID); 2024.

(An overview of the extent of smoking, smoking-related harm and the measures being taken to reduce this harm at a local level in England.)

Health hubs: A community-centred prevention initiative to address health inequalities.
NHS Providers; 2024.

(Prevention is a crucial part of the NHS’s approach to improving population health and tackling health inequalities. One community-centred prevention initiative to address health inequalities is the creation of health hubs. This long read explores what health hubs are, how they can improve access for groups facing health inequalities, their broader social and economic benefits, and the role of trust leaders in their development.)

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Public Health

Current awareness updates

Family hubs and start for life programme: local authority guide.
Department of Health and Social Care (DHSC); 2022.

(Guidance and sign up form for local authorities pre-selected to take part in the family hubs and start for life programme.)

Commissioning quality standard: alcohol and drug services.
Office for Health Improvement & Disparities (OHID); 2022.
(Guidance for local authorities to support them in commissioning effective alcohol and drug treatment and recovery services in their areas.)

Direct and indirect health impacts of Covid-19 in England: emerging Omicron impacts

Department of Health and Social Care (DHSC); 2022 This paper (produced together with the Office for National Statistics) gives an overview of the direct health impacts of Covid-19 in terms of morbidity and mortality and the indirect impacts arising through behavioural changes and health system pressures.

Public Health Outcomes Framework: August 2022 data update

Office for Health Improvement & Disparities (OHID); 2022.

The Public Health Outcomes Framework (PHOF) examines indicators that help health and care professionals and the public to understand trends in public health. The data is presented in an interactive tool that allows users to view it in a user-friendly format. The data tool also provides links to further supporting information, to aid understanding of public health in a local population.

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

Weight management tier 2 interventions and their effectiveness.
Carried out by Frankie Marcelline from Sussex Health on 2/12/2021
[This evidence search report looks for recent evaluations and reports on the effectiveness of weight management tier 2 interventions for families, adults and children. A starting point might be Public Health England’s 2020 summary: Weight management services during COVID-19: phase 1 insights. Another source is Heggie’s: Tackling reporting issues and variation in behavioural weight management interventions.]

Brain tumours (primary) and brain metastases in adults.
National Institute for Health and Care Excellence (NICE); 2021.
[This quality standard covers diagnosing, monitoring and managing any type of primary brain tumour or brain metastases in adults (aged 16 or over). It describes high-quality care in priority areas for improvement.]

Urinary incontinence in women.
National Institute for Health and Care Excellence (NICE); 2021.
[This quality standard covers managing urinary incontinence in women (aged 18 and over). It covers assessment, care and treatment options. It describes high-quality care in priority areas for improvement.
It does not cover urinary incontinence in women with neurological disease. In December 2021, changes were made to align this quality standard with the new NICE guideline on pelvic floor dysfunction.]

Pelvic floor dysfunction: prevention and non-surgical management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers the prevention, assessment and non-surgical management of pelvic floor dysfunction in women aged 12 and over. It aims to raise awareness and help women to reduce their risk of pelvic floor dysfunction. For women who have pelvic floor dysfunction, the guideline recommends interventions based on their specific symptoms]

Management of acute respiratory illness in prisons and places of detention.
UK Health Security Agency (UKHSA); 2021.
[This guidance will assist in the management of outbreaks of acute respiratory illness in prisons and places of detention. The guidance covers risk assessment, testing recommendations, antiviral therapies and when an outbreak can be declared over. An associated flow chart gives information for management depending on whether COVID-19 and/or influenza have been detected.]

BCG vaccination and SCID screening: patient pathway.
UK Health Security Agency (UKHSA); 2021.
[Flowchart showing the Bacillus Calmette–Guérin (BCG) vaccination and SCID screening patient pathway (updated 09 December 2021)]

Optimising chronic wound care: a human and financial necessity.
Penfold J. British Journal of Healthcare Management 2021;27(11):269-271.
[Comment highlights the importance of evidence-based practice in wound care to reduce the burden on patients and healthcare services.]

Active Lives Children and Young People Survey: Academic year 2020-21.
Sport England; 2021.
[This report contains a full year of coronavirus (Covid-19) restrictions, including comparisons back to summer term 2020, when school sites were closed to most pupils for much of the period. The proportion of children and young people in England who are active remains unchanged compared to 12 months ago. However, inequalities have increased and for some groups of children and young people, in particular teenage girls and Black children are the least likely to be physically active.]

What science has shown can help young people with anxiety and depression.
Wellcome; 2021.
[This report summarises what we’ve learned about the evidence for ‘active ingredients’ of effective interventions for youth anxiety and depression – these are the aspects of interventions that make a difference in preventing or managing anxiety and depression.]

Project ADDER.
Department of Health and Social Care (DHSC); 2021.
[Information on Project ADDER (Addiction, Diversion, Disruption, Enforcement and Recovery), the government’s pathfinder programme combatting drugs misuse.]

Global Drug Survey (GDS) 2021 Global Report.
Global Drug Survey (GDS); 2021.
[The focus is on how COVID-19 changed people’s drug using behaviours especially with regard to alcohol, cannabis and cocaine, how people balance reducing harm and maximizing pleasure when using drugs, and whether microdosing has moved beyond those seeking to improve creativity and work performance to self-treatment for mental health issues.]

Alcohol-specific deaths in the UK: registered in 2020.
Office for National Statistics (ONS); 2021.
[Deaths caused by diseases known to be a direct consequence of alcohol misuse by sex, age, region and deprivation.]

From harm to hope: A 10-year drugs plan to cut crime and save lives.
Home Office, Department of Health and Social Care, Ministry of Justice, Department for Work and Pensions, Department for Education, and Department for Levelling Up, Housing and Communities; 2021.
[This policy paper sets out the government’s 10-year plan to cut crime and save lives by reducing the supply and demand for drugs and delivering a high-quality treatment and recovery system. Commitments are made across the government to break drug supply chains while simultaneously reducing the demand for drugs by getting people suffering from addiction into treatment, and deterring recreational drug use.]

Child of the North: building a fairer future after Covid-19.
NIHR Northern Health Science Alliance; 2021.
[This report paints a stark picture of inequality for children growing up in the north of England post-pandemic compared with those in the rest of the country. It looks at a wide range of factors, from child poverty to children in care, to build up a picture of ‘The Child of the North’. It sets out 18 clear recommendations that can be put in place to tackle the widening gap between the north and the rest of England.]

Children and young people’s mental health: Eighth Report of Session 2021–22.
House of Commons Health and Social Care Committee; 2021.
[Report highlights that the problems identified can only be addressed by government departments, local government and the health system acting together to promote good mental health and prevent new crises emerging. It recommends setting up a Cabinet sub-committee.]

Public Health

Current awareness updates

Avian influenza: guidance for managing human cases.
UK Health Security Agency (UKHSA); 2021.
[Information to assist with the management of possible and confirmed human cases of avian influenza.]

Heart valve disease presenting in adults: investigation and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers investigation and management of heart valve disease presenting in adults. It aims to improve quality of life and survival for people with heart valve disease through timely diagnosis and appropriate intervention.]

Acute heart failure: diagnosis and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers diagnosing and managing acute heart failure or possible acute heart failure in people aged 18 and over. Heart failure may indicate acute myocardial injury in patients with COVID-19. See the recommendations in NICE COVID-19 rapid guideline on managing COVID-19. In November 2021, NICE withdrew the recommendations on valvular surgery and percutaneous intervention because they have been replaced by the NICE guideline on heart valve disease.]

Public health commissioning in the NHS: 2021 to 2022.
Department of Health and Social Care (DHSC); 2021.
[Information about NHS England’s objectives and funding arrangements as it commissions public health services in the ongoing context of coronavirus (COVID-19).]

Cause for concern: Australian youth engaged with alcohol and other drug services are falling behind our community progress in reducing tobacco use.[Abstract]
Hallam KT. Early Intervention in Psychiatry 2021;15(6):1789-1792.
[Tobacco use is decreasing in the general youth population yet little evidence is tracking changes in young people who are engaged with youth alcohol and other drug (AOD) services that are often disengaged from school and work settings. Conclusion: The results highlight a need for the adoption of evidence-based tobacco early intervention programs in youth AOD services to address this significant health risk.]

Quality improvement project to decrease unnecessary investigations in infants with bronchiolitis in Cork University Hospital.[Abstract]
Jansen L. BMJ Open Quality 2021;10(4):DOI: 10.1136/bmjoq-2021-001428.
[Conclusion: An evidence-based protocol improved physicians’ ability in diagnosing and managing infants with bronchiolitis. This led to a reduction in unnecessary and potential harmful investigations, thereby improving patient quality of care. This improvement will contribute to decreased healthcare cost and appropriate use of resources during the high-pressured winter period.]

Adfam Research

Overlooked: why we should be doing more to support families and friends affected by someone else’s drinking, drug use or gambling

This report examines Adfam’s latest research with YouGov on the prevalence of people currently negatively affected by the drinking, drug use or gambling of a family member or friend in 2021, and the different challenges and impacts these families currently face. The report’s findings highlight the need for more recognition of the impacts on families and friends and it includes recommendations on how to better support this overlooked group.