The Strategy Unit

Working together for a healthier post- Covid future

Source- King’s Fund

This analysis, commissioned by the Healthier Futures Academy in the Black Country and West Birmingham, illustrates the effects that a Covid-driven recession could have on population health. It frames a discussion about how the NHS, with other local organisations, can more effectively address the causes as well as the effects of ill health.

To read the summary click here.

Mental Health

Current Awareness Updates

Advancing mental health equalities strategy.
NHS England; 2020.
[This strategy summarises the core actions that we all need to take to bridge the gaps for communities fairing worse than others in mental health services. It is also an important element of the overall NHS plans to accelerate action to address health inequalities in the next stage of responding to COVID-19.]

Children and young people’s mental health review: findings from a questionnaire to health and wellbeing boards on local actions.
Care Quality Commission (CQC); 2020.
[Follow up of a 2018 review looking at the quality of, and access to, mental health services for children and young people. It sets out the findings of a 2019 independent follow-up self-assessment questionnaire, to find out the extent to which health and wellbeing board areas in England had progressed with implementing the local recommendations made.]

Mental health rehabilitation inpatient services: 2019 update.
Care Quality Commission (CQC); 2020.
[Updated findings from 114 mental health rehabilitation inpatient providers about patients that were occupying a mental health bed at the time of the information request. Questions included number of beds, current number of patients and their distance from home, funding and number of locked wards.]

Assessment of mental health services in acute trusts.
Care Quality Commission (CQC); 2020.
[Findings from over 100 acute hospital inspections, how well the mental health care needs of patients were met and where trusts, and the wider system, need to improve.]

MeeTwo mental health app: case study.
Chelsea and Westminster Hospital NHS Foundation Trust; 2020.
[The app provides safe, fully-moderated peer support to 40,000 young people aged 11 to 25 across the UK. The free app enables users to anonymously share their feelings and help each other in a safe, moderated digital environment. Peer support has been shown to improve quality of life, wellbeing, self-esteem and social functioning, as well as reductions in hospital admission rates and use of hospital emergency services.]

State of Care

CQC annual assessment of health and social care

State of Care 2019/20.
Care Quality Commission (CQC); 2020.
[CQC annual assessment of health care and social care in England. The report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve. It describes the impact of the coronavirus pandemic, including the unequal impact, DOLS and innovation.]

Covid 19

Updated guidance

Source- King’s Fund

COVID-19: guidance on shielding and protecting people defined on medical grounds as extremely vulnerable – GOV.UK

(Information for shielding and protecting people defined on medical grounds as extremely vulnerable from COVID-19.)

COVID-19: guidance for the public on mental health and wellbeing – GOV.UK

(Advice and information on how to look after your mental health and wellbeing during the coronavirus (COVID-19) outbreak.)

Coronavirus (COVID-19): admission and care of people in care homes – GOV.UK

(How to protect care home residents and staff during the coronavirus outbreak.)

Supported living services during coronavirus (COVID-19) – GOV.UK

(Guidance for providers of supported living settings.)

Department of health and social care

Report of the independent review of NHS hospital food

This review, advised by chef and restaurateur Prue Leith, highlights the main challenges for NHS catering and makes recommendations on how NHS trusts can prioritise food safety and provide more nutritious meals to both staff and patients. The review covers: workforce; nutrition and hydration; food safety; facilities; technology; sustainability; enforcing standards; and the way forward to improving hospital food for patients, staff and visitors.

To find out more click here.

Covid 19

Current awareness updates

Vital to cut COVID-19 transmission to avoid more loss of life NHS Confederation (The NHS Confederation has responded to reports that a new national lockdown could be imposed.)

NHS response to the Prime Minister’s announcement NHS England 31 October 2020

HSIB report illustrates challenges of COVID-19 spread in hospitals NHS Confederation

Investigation into COVID-19 transmission in hospitals Kings Fund (This report charts a four-month patient safety investigation that was launched following concern that patients were contracting COVID-19 after being admitted to hospital. It presents the voices of those working across the health service, from strategic national planners to hospital porters. It also captured experiences of patients and families, providing further insight into the challenges of managing the transmission of COVID-19.)

Coronavirus (COVID-19) Infection Survey: characteristics of people testing positive for COVID-19 in England, October 2020 – Office for National Statistics Office for National Statistics

(Data about the characteristics of people testing positive for COVID-19 from the COVID-19 Infection Survey. This survey is being delivered in partnership with University of Oxford, University of Manchester, Public Health England and Wellcome Trust.)

How coronavirus has affected equality and human rights.
Equality and Human Rights Commission; 2020.

(This report summarises evidence that helps in understanding the effects of the coronavirus (Covid-19) pandemic on different groups in society. It highlights potential long-term risks to equality and human rights covering key issues in the areas of: work; poverty; education; social care; and justice and personal security. It makes targeted recommendations for the UK, Scottish and Welsh governments.)

Generation COVID: Emerging work and education inequalities.
London School of Economics and Political Science (LSE); 2020.

(The study found, since the start of the coronavirus pandemic, young workers to be twice as likely to have lost their jobs compared to older employees and that employment and earnings losses are more pronounced for women, the self-employed and those who grew up in a poor family. The survey provides further evidence that young people are suffering substantial and sustained losses, not only to their employment, but also their education.)

Country reports: COVID-19 and Long-Term Care.
London School of Economics and Political Science (LSE); 2020.

(These reports aim to document the impact of COVID-19 on people who use and provide Long-Term Care and the measures adopted by different countries to contain and mitigate the impact of the virus. They are updated regularly as new information becomes available.)

Access to new medicines in the English NHS

A briefing to describe the process

Source – The King’s Fund

All health systems must find ways to ration limited resources. The question is whether they do so with their eyes closed or with their eyes open. In 2018/19, the English NHS spent almost £19 billion on drugs, almost 15 per cent of total public spending on health. Should the NHS increase drugs spending to pay for the latest drugs for hepatitis or cancer, drugs that might prolong life for some patients but cost tens or even hundreds of thousands of pounds per course of treatment? Or should it spend the money in other areas, for example, ensuring that people can see a GP when they need one, ensuring that vulnerable people get basic treatment for long term-conditions or tackling health inequalities? How health systems make these decisions determines, in large part, their effectiveness. The choices determine the quality of people’s lives and, in some cases, who lives or dies.

To find out more and understand the process click here.

Healthwatch

590 people’s stories of hospital during Covid-19

In partnership with British Red Cross, this report reviews the experiences of 590 people after being discharged from hospital. The research shows significant numbers of people are not receiving follow-up support under the new policy to switch to a ‘discharge to assess’ model introduced in March 2020 to cope with demand at the peak of the Covid-19 pandemic), leading to unmet needs. It calls on the NHS to address these issues coming into the busy winter period amid growing pressures of a second Covid-19 wave.

To find out more click here.

Library Competition

Celebrating International Stress Awareness Week

Next week (2nd to 6th November) is International Stress Awareness Week. The Library Team wanted to focus on the positives, especially during these difficult times .

We are running a photograph competition throughout the week, asking people to send photographs of how you ‘de-stress’ after a hectic day. All you have to do to enter is tag us on Twitter @LscftL to be in with the chance of winning a goody bag of prizes.

The competition is open to all Trust staff and patients, along with friends and families. We’d love for as many people to get involved as possible and hope that it may bring some hope and joy throughout the week.

The winner will be announced on Monday 9th November. Happy snapping!

Mental Health

Current Awareness

Children and young people’s mental health review: findings from a questionnaire to health and wellbeing boards on local actions QCQ – October 2020

(This report contains an update on work carried out in 2018 looking at the quality of mental health services for children and young people, as well as the access to these services. It sets out the findings of a 2019 independent follow-up self-assessment questionnaire, to find out the extent to which health and wellbeing board areas in England had progressed with implementing the local recommendations made.)

NHS strengthens mental health support for staff NHS England -October 2020

(NHS staff will get rapid access to expanded mental health services that are being rolled out across the country as part of efforts to deal with the second wave of coronavirus. NHS England and NHS Improvement will invest an extra £15 million to strengthen mental health support for nurses, paramedics, therapists, pharmacists, and support staff.)

NHS encourages children and young people to seek help as new data shows rise in mental health problems NHS England – October 2020

(England’s top children and young people’s mental health doctor is encouraging youngsters to seek help if they need it, as NHS Digital’s new survey shows there has been a rise in mental health problems in children and young people during the pandemic.)

The impact of Covid-19 to date on older people’s mental and physical health Age UK- October 2020

(This research finds that some older people are coping with the pandemic, but a sizeable minority are finding life incredibly tough. Those who are not very well and have long term health conditions were particularly likely to report that this is an extremely challenging time for them.The research was made up of a survey of older people, their friends, families, and loved ones (promoted across the Age UK social media channels for two weeks in August 2020 and completed by 569 people) and representative online polling of 1,364 people over the age of 60, conducted by Kantar Polling in September 2020.)

Pushed from pillar to post: improving the availability and quality of support after self-harm in England.
Samaritans; 2020.

[This report finds that there is no consistently effective support available to people who self-harm. The research identified four key support needs for people who self-harm, which are seen as essential to providing effective care: distraction from immediate self-harm urges; emotional relief in times of stress; developing alternative coping strategies; and addressing the underlying reasons for self-harm.]

Commission for Equality in Mental Health: Briefing 3: Inequalities of experience and outcomes.
Centre for Mental Health; 2020.

[This third briefing from the Commission for Equality in Mental Health explores why communities with higher rates of mental ill health often get the least effective support. This is most dramatically evident for people from Black communities in the UK, who experience higher levels of coercion and poorer long-term outcomes. This briefing explores why these inequalities persist, and looks at what can be done to bring about more equal outcomes and experiences from mental health support.]

Mental health rehabilitation inpatient services – 2019 update.
Care Quality Commission (CQC); 2020.

[Based on the results of a request to providers to review progress, the CQC has made recommendations to improve care for people in mental health rehabilitation inpatient services, in line with the recent NICE guidance for the rehabilitation of adults with complex psychosis.]

Advancing mental health equalities strategy NHS England – September 2020

(This strategy summarises the core actions all mental health services need to take to better address inequalities in access, experience and outcomes across the sector. It is also an important element of the overall NHS plans to accelerate action to address health inequalities in the next stage of responding to Covid-19.)