Category: NHS

The Patients Association

Shared decision making from the perspective of clinicians and healthcare professionals

Source: The King’s Fund

This report finds health care professionals are positive about shared decision-making – a way of working with patients to decide treatment options. But the report also finds professionals’ ability to practice shared decision-making regularly is limited by the current crisis in the NHS. The report makes a number of recommendations and The Patients Association will now look to partner with NHS England, the Personalised Care Institute and other organisations to support professionals’ call for more support to practice shared decision-making.

Public Health

Current Awareness Updates

Online support for family carers of people with dementia: what works for their mental health?
The Mental Elf; 2022.
https://www.nationalelfservice.net/populations-and-settings/family-carers/online-support-family-carers-dementia/
(Clarissa Giebel reflects on a recent systematic review which investigates online support for family carers of people with dementia.)

The Khan review: making smoking obsolete.
Office for Health Improvement & Disparities (OHID); 2022.
https://www.gov.uk/government/publications/the-khan-review-making-smoking-obsolete
(Independent review by Dr Javed Khan into the government’s ambition to make England smokefree by 2030. The review makes 15 recommendations for government to achieve a smokefree society.)

Safer by Design: How can collaboration help design safer gambling?
Demos; 2022.
https://demos.co.uk/project/safer-by-design-how-can-collaboration-help-design-safer-gambling/ (Demos and Playtech hosted two roundtables that brought together those in the industry with gambling experts from academia, charities and policy. The first looked at the role policy and regulation can play, and sought ideas and input on how the gambling sector could learn from other areas. The second looked at gambling as a health issue, and how stakeholders might draw on progress made in other areas such as digital resilience and wellbeing.)

State of the Nation: A comprehensive, retrospective view of NHS data.
Wilmington Healthcare; 2022.
https://wilmingtonhealthcare.com/state-of-the-nation/
(This report looks at key data trends over the course of the pandemic, establishing how new trends in health care activity, patient numbers, disease burden, NHS operational practice, prescribing and regional variation have emerged. The report groups the data into six key areas: hospital episode statistics; demographic segmentation; therapy area analysis; referral to treatment; prescribing insights; and regional insights.)

Mental health and loneliness: the relationship across life stages.
Department for Digital, Culture, Media and Sport; 2022.
https://www.gov.uk/government/publications/mental-health-and-loneliness-the-relationship-across-life-stages
(This report presents the findings from a qualitative study exploring the experiences of loneliness among those who had experienced a mental health condition. Previous research has shown there is a link between experiences of loneliness and poor mental health. The DCMS commissioned the National Centre for Social Research (NatCen) to explore this issue across four key life stages as part of developing the evidence base for work on tackling loneliness.)


Shattered hopes

Black and minority ethnic leaders’ experiences of breaking the glass ceiling in the NHS

Source: NHS Confederation

This survey, carried out by the NHS Confederation’s BME Leadership Network, found that many senior leaders from BME backgrounds had experienced verbal abuse and behaviour targeting their racial, national or cultural heritage at least once in the past three years. In addition, only one in ten respondents were confident that the NHS is delivering its commitment to combat institutional racism.

Department of Health and Social Care 2020–21

Annual report and accounts

Source: House of Commons Committee of Public Accounts

This report finds that the Department for Health and Social Care lost 75 per cent of the £12 billion it spent on personal protective equipment (PPE) in the first year of the pandemic to inflated prices and kit that did not meet requirements – including £4 billion of PPE that will not be used in the NHS and needs to be disposed of. The report also voices concerns about the risk of further payouts as NHS commissioning is restructured under upcoming reforms.

Public Health

Current Awareness

Bringing baby home: UK fathers in the first year after the birth Father Institute, June 2022

(This review of empirical evidence about UK fathers and fatherhood in the first postnatal year, explores who fathersare; what they do as caregivers, and what influences this; what impact they have (on children and mothers); and how services engage with them. The review finds that NHS systems are not set up to engage with, assess and support new fathers, despite clear evidence that there is a strong case for routine engagement with them in the perinatal period.)

Public attitudes towards institutions involved in tackling the Covid-19 pandemic King’s College London

(According to this international study of six countries three in four (74 per cent) people in the UK think the government is motivated by building or protecting its own reputation when it comes to Covid-19, while six in ten (61 per cent) believe it is motivated by making lots of money in relation to the pandemic. However, majorities in other nations share the same perceptions. These perceptions also extend, although to a lesser extent, to scientists involved in tackling coronavirus.)

Investigating factors associated with loneliness in adults in England National Centre for Social Research (NatCen)

(The DCMS commissioned the National Centre for Social Research (NatCen) to explore factors associated with loneliness in adults in England. The research investigated: the characteristics of those at risk of loneliness; whether the risk factors for loneliness have changed over time; whether any factors predict the alleviation of loneliness over the short term; and the relationship between loneliness and mental wellbeing.)

Make Every Contact Count (MECC) for Menopause training session The Royal Society for Public Health

(MECC for Menopause is aimed at front line health, social, wellbeing, care staff and volunteers, who have direct contact with women accessing services. It aims to raise awareness within the workplace as women often find it difficult to discuss menopause related health problems. This session is delivered by Health Education England and Royal Society for Public Health on Wednesday 13th July 2022.)

Royal College of Psychiatrist

Eliminating inappropriate out of area placements in mental health

Source: Royal College of Psychiatrist

The government’s deadline to eliminate inappropriate out of area placements for adult acute patients by the end of March 2021 has now been missed by a full year. Sometimes hundreds of miles away from home, patients are unable to access their usual support networks while at their most vulnerable, often finding their care seriously disrupted, with long-term implications for their recovery. The NHS spent £102 million on inappropriate out of area placements in the 12 months up to and including March 2022 – the equivalent to the cost of the annual salary of more than 900 consultant psychiatrists. This briefing sets out the urgent action the NHS should take to ensure all patients get the care they need from properly staffed, specialist services in their local area.  

Data saves lives

Reshaping health and social care with data

Source: The King’s Fund

This strategy sets out the Secretary of State for Health and Social Care’s vision for how data will be used to improve the health and care of the population in a safe, trusted and transparent way. It provides an overarching narrative and action plan to address the current cultural, behavioural and structural barriers in the system, with the ultimate goal of having a health and care system that is underpinned by high-quality and readily available data. The strategy also marks the next steps of the discussion about how we can best utilise data for the benefit of patients, service users, and the health and care system.

Nursing under unsustainable pressures

Staffing for safe and effective care in the UK

Source: The King’s Fund

In March 2022, the RCN invited nursing and midwifery staff from across the UK to give their experiences of the last time they were at work. There were 20,325 responses to the survey. Eight in ten (83 per cent) said there weren’t enough nursing staff to meet all patient needs safely and effectively on their last shift. Just a quarter (25 per cent) of shifts had the planned number of registered nurses. Less than one in five (18 per cent) said they had enough time to provide the level of care they’d like. Read the report here.

How does the NHS work and how is it changing?

The King’s Fund Animation

Watch The King’s Fund new animation to discover the key organisations that make up the NHS and how they can collaborate with partners in the health and care system to deliver joined-up care.

Watch here: How does the NHS in England work and how is it changing? | The King’s Fund (kingsfund.org.uk)

Beds in the NHS

Royal College of Emergency Medicine Acute Insight Series

This report shows that an additional 13,000 staffed beds are required in the NHS across the UK to drive meaningful change and improvement. Meaningful change and improvement would constitute a significant improvement in A&E waiting times, ambulance response times, ambulance handover delays, and a return to safe bed occupancy levels.