Public Health

Current awareness updates

A Women’s Health Agenda: Redressing the Balance.
Public Policy Projects; 2022.
[This report highlights the importance of embracing a culture of change in the design and delivery of women’s health to achieve national systems and local services fit to meet the expectations and needs of the 21st century woman. It sets out recommendations, founded on common sense and rooted in the belief that women should be in control of their own bodies.]

Making self-harm everyone’s business: a consideration of the new national guideline.
Clough I. British Journal of Healthcare Management 2022;28(3):58-60.
[This article discusses the National Institute for Health and Care Excellence’s consultation and draft guideline on self-harm management, placing the recommendations in the context of ongoing pressures on NHS services and the UK’s growing mental health crisis.]

Guidelines for using online therapeutic interventions.
National Institute for Health Research (NIHR); 2022.
[A team of researchers at the University of Sussex have launched a set of guidelines to help practitioners provide better support to parents and children accessing mental health services online. The guidelines include: Advice on planning, ground rules and strategies for practitioners; Points on support, information governance & policy guidance; What clients need to consider when accessing online services; Guidance on working online with groups of people.]

Covid 19

Current awareness updates

COVID-19 rapid guideline: managing COVID-19.
National Institute for Health and Care Excellence (NICE); 2022.
[This guideline covers the management of COVID-19 for children, young people and adults in all care settings. In February 2022, NICE added recommendations on molnupiravir and remdesivir for people with COVID-19 who do not need supplemental oxygen.]

A systematic scoping review of research on COVID-19 impacts on eating disorders: A critical appraisal of the evidence and recommendations for the field.[Abstract]
Linardon J. International Journal of Eating Disorders 2022;55(1):3-38.
[Symptom escalation and mental health worsening during-and due to-the pandemic were commonly reported, and those most susceptible included confirmed eating disorder cases, at-risk populations, and individuals highly anxious or fearful of COVID-19. Evidence emerged for increased demand for specialist eating disorder services during the pandemic. The forced transition to online treatment was challenging for many, yet telehealth alternatives seemed feasible and effective.]

Growing problems: What has been the impact of Covid-19 on health care for children and young people in England?
Quality Watch; 2022.
[This analysis from QualityWatch (a Nuffield Trust and Health Foundation programme) shows that the pandemic has led to an unprecedented increase in demand for mental health services for children and young people. Despite children and young people being 10 times less likely to be hospitalised with Covid, the period has had a heavy toll on them. The briefing explains the findings and discusses the potential implications for the younger generation.]

Beyond recovery: the case for transforming UK clinical cancer research.
Cancer Research UK (CRUK); 2022.
[This position paper finds that Covid-19 has worsened pre-existing barriers to clinical cancer research, and recovering to a pre-pandemic ‘normal’ for research won’t be enough to deliver world-class cancer outcomes. Instead, the UK government must choose to go beyond recovery by expanding clinical research capacity, transforming how research is delivered, and supporting innovative cancer research.]

Living with Covid-19.
House of Commons Library; 2022.
[This page provides an overview of the Government’s strategy on Living with Covid-19 and a summary of the relevant policy changes.]

Social care reform: an independent review by Baroness Cavendish.
Department of Health and Social Care (DHSC); 2022.
[A report looking at how the government can lock in the lessons of the COVID-19 pandemic to build a more robust, sustainable and joined-up system of social care.]

The rollout of the COVID-19 vaccination programme in England.
National Audit Office (NAO); 2022.
[According to this report, the Covid-19 vaccination programme met stretching and unprecedented targets, helping to save lives and reduce serious illness and hospitalisation. However, it concludes that there are risks to be managed as the programme continues to evolve in response to the Covid-19 pandemic and to new clinical advice and evidence about vaccines. The report concludes that the programme has provided value for money to date.]

Coronavirus (COVID-19) vaccination uptake in school pupils, England: up to 9 January 2022.
Office for National Statistics (ONS); 2022.
[Figures on vaccine uptake in school pupils aged 12 to 17 attending state funded schools, broken down by demographic and geographic characteristics, using a linked schools and vaccinations dataset, up to 9 January 2022 (experimental statistics).]

The response of the scientific community to a global crisis: a systematic review of COVID-19 research in 2020.
Srivastava PR. British Journal of Healthcare Management 2022;28(2):1-7.
[This article provides a bibliometric analysis of the direction of research relating to COVID-19 during the first year after the virus was first identified as a potential threat to public health.]

Covid 19

Current awareness updates

COVID-19: infection prevention and control (IPC).
UK Health Security Agency (UKHSA); 2021.
[November 2021 Updates: 1) Guidance broadened to include seasonal respiratory infections; 3 COVID-19 specific pathways removed; section on the hierarchy of controls added; physical distancing advice updated. 2) Updated to clarify text on aerosol generating procedures. 3) Dental appendix broadened to include seasonal respiratory infections; 3 COVID-19 specific pathways removed and replaced with respiratory and non-respiratory pathways.]

COVID-19 rapid guideline: managing COVID-19
National Institute for Health and Care Excellence (NICE); 2021.
[In November, NICE added a new recommendation on ivermectin.]

Daily Insight: Another test for NHS staff.
HSJ: Health Service Journal (Daily Insight) 2021;:7031436.
[A letter sent by Chris Whitty, Ruth May and Susan Hopkins has strengthened expectations on NHS staff who have just returned from abroad. NHS workers returning from any non red-list country must have a negative PCR test before returning to work. Also: New guidance has recommended that trusts relax the segregation of patients according to covid-19 risk. There is likely to be a developing picture on infection control guidance over the next few weeks in light of the Omicron variant. 30 November.]

Frequently asked questions: Demonstrating Covid-19 and vaccination status.
House of Commons Library; 2021.
[This briefing paper provides answers to frequently asked questions about demonstrating Covid-19 status (otherwise called Covid-19 status certification) and use of the NHS Covid Pass in England.]

Covid-19 status certification.
House of Commons Library; 2021.
[Covid-19 status certification (also referred to as a “vaccine passport”) has been proposed as a means of reducing the risk of transmitting the Covid-19 virus in a number of settings. This briefing explores the Government’s policy on certification. It also provides discussion on the scientific evidence and other issues associated with the use of certification.]

Responding to violence against women and children during COVID-19: impact on service provision, strategies and actions in the WHO European Region (2021).
World Health Organization (WHO); 2021.
[A new report published by WHO/Europe shows that helplines providing support to women and children experiencing violence saw a spike in calls during the first 9 months of the COVID-19 pandemic. The data in the new report was collected between January and September 2020, a time in which millions of people in the WHO European Region were confined to their homes because of lockdowns or other restrictive measures.]

UK vaccine response to the Omicron variant: JCVI advice.
Department of Health and Social Care (DHSC); 2021.
[Advice from the Joint Committee on Vaccination and Immunisation (JCVI) in response to the emergence of the Omicron variant. This statement sets out the JCVI’s advice on extending the UK COVID-19 vaccination programme to offer booster doses to adults aged 18 to 39 years, and second doses to children and young people aged 12 to 15 years.]

Covid 19

Current awareness updates

COVID-19: letter to patients on end of shielding programme.
UK Health Security Agency (UKHSA); 2021.
[Reference-only version of letter from the government to patients on the end of the shielding programme.]

COVID-19 rapid guideline: managing the long-term effects of COVID-19.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers identifying, assessing and managing the long-term effects of COVID-19, often described as ‘long COVID’. On 11 November, NICE made new recommendations and updated existing recommendations on identification; planning care; multidisciplinary rehabilitation; follow up, monitoring and discharge; and service organisation. NICE also updated the list of common symptoms, emphasising that these may be different for children.]

COVID-19 booster vaccine programme for winter 2021 to 2022: JCVI statement, November 2021.
Department of Health and Social Care (DHSC); 2021.
[This statement sets out further advice from JCVI on extension of the booster programme to revaccinate adults aged 40 to 49 years against COVID-19. The main aim of this booster vaccination programme is to reduce deaths, serious disease and hospitalisations from COVID-19 over the 2021 to 2022 winter period and through 2022.]

Why we think you should say yes to the COVID-19 vaccine.
Leeds Clinical Commissioning Group; 2021.
[An information leaflet about the COVID-19 vaccine where clinicians and faith leaders highlight the importance of having the vaccine. The leaflet has been translated into the following languages: Amharic, Arabic, Bengali, Czech, Farsi, Kurdish Sorani, Polish, Punjabi, Romanian, Slovak, Tigrinya and Urdu. Audio versions of the leaflet are available for each of those languages.]

No one wants to see my baby: challenges to building back better for babies.
Parent-Infant Foundation; 2021.
[This report explores the continued impact of Covid-19 on babies. It consists of a survey of professionals, in-depth studies with 11 families and a review of the literature, conducted with partner organisations Home-Start and Best Beginnings. The report shows that many services across the UK are not operating as they were before the pandemic, and babies and their families are missing out as a result.]

Essential and Invisible: Filipino irregular migrants in the UK’s ongoing COVID-19 crisis.
Kanlungan Filipino Consortium; 2021.
[For many in the United Kingdom, it might feel as if the “crisis” of the COVID-19 pandemic is coming to an end. Yet for irregular migrants, the pandemic has become a protracted struggle to survive. This report is based on interviews with Filipino irregular migrants based in the UK conducted in Spring 2021, compared to the same interviewees’ responses in Spring 2020.]

Coronavirus: support for landlords and tenants.
House of Commons Library; 2021.
[This briefing explains measures during the coronavirus outbreak to help renting households retain their homes. It covers calls for more assistance to prevent evictions and homelessness.]

Public Health

Current awareness updates

Drug users urged to be extra careful following a high number of likely heroin overdoses.
Public Health England (PHE); 2021.
[Public Health England (PHE) has issued a warning of a sharp rise in the number of overdoses linked to people using drugs in several areas across England. To date, there have been at least 46 poisonings resulting in 16 deaths but investigations are still ongoing. The areas affected include South London, the South East, South West and East of England.]

Mental Health Crisis Care Profile.
PHE Fingertips; 2021.
[The Crisis Care Profile collates and analyses a wide range of publicly available data on associated prevalence of mental health crisis. Risk factors include access to care, treatment, and outcomes. Includes risk factors around age, deprivation, illness and disabilities, crime and social isolation. Other topics – urgent and emergency care, quality of treatment, access to support. Data available by local authorities.]

Dental health: migrant health guide.
Public Health England (PHE); 2021.
[Advice and guidance on the health needs of migrant patients for healthcare practitioners. 17 August 2021: New model of care to support refugees and asylum seekers to access NHS dental services.]

Cervical screening: support for people who find it hard to attend.
Public Health England (PHE); 2021.
[Guidance on support for people who find it hard to attend cervical screening due to having a mental health condition, or having experienced trauma or abuse. 16 August 2021: Clarification that this guidance is based on research conducted with users of mental health services and addition of signposting to guidance to support other underserved groups.]

Oral healthcare: model for asylum seekers and refugees.
Public Health England (PHE); 2021.
[This model of care provides professionals with guidance to support access to NHS dentists. Asylum seekers and refugees can face barriers when accessing NHS dentists. This model of care details the processes, rights and entitlements to care and includes supporting information and links to forms and guidance. It is designed for local authorities, support services and health professionals who work with asylum seekers and refugees.]

Antenatal care.
National Institute for Health and Care Excellence (NICE); 2021.
[This quality standard covers care for healthy women and their babies during pregnancy (up to 42 weeks). It covers routine antenatal care in primary, community and hospital settings. It describes high-quality care in priority areas for improvement. In August 2021, changes were made to align this quality standard with the updated NICE guideline on antenatal care.]


Service specification: Cystinosis diagnosis and co-ordination of management (all ages).
NHS England; 2021.
[This service specification covers the provision of services for patients with Cystinosis, all ages.]

Continuous positive airway pressure for the treatment of obstructive sleep apnoea/hypopnoea syndrome.
National Institute for Health and Care Excellence (NICE); 2021.
[Evidence-based recommendations on continuous positive airway pressure for treating obstructive sleep apnoea/hypopnoea syndrome in adults. August 2021: The recommendation on continuous positive airway pressure (CPAP) for mild obstructive sleep apnoea/hypopnoea syndrome (OSAHS) has been updated and replaced by recommendation 1.5.2 on CPAP for mild OSAHS in the NICE guideline on obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s.]

Obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers the diagnosis and management of obstructive sleep apnoea/hypopnoea syndrome (OSAHS), obesity hypoventilation syndrome (OHS) and chronic obstructive pulmonary disease with OSAHS (COPD–OSAHS overlap syndrome) in people over 16. It aims to improve recognition, investigation and treatment of these related conditions.]

Ethnic differences in SARS-CoV-2 vaccine hesitancy in United Kingdom healthcare workers: Results from the UK-REACH prospective nationwide cohort study.
Woolf K. The Lancet Regional Health – Europe 2021;8(-):100180.
[Using a nationwide prospective cohort study and qualitative study in a multi-ethnic cohort of clinical and non-clinical UK healthcare workers (HCWs) researchers analysed ethnic differences in SARS-CoV-2 vaccine hesitancy. Of the 11,584 HCWs included in the cohort analysis, 23% (2704) reported vaccine hesitancy. Ethnicity was a significant predictor of hesitancy.]

Association of the COVID-19 lockdown with smoking, drinking and attempts to quit in England: an analysis of 2019–20 data.
Addiction; 2021.
[Following the March 2020 COVID-19 lockdown, smokers and high-risk drinkers in England were more likely than before lockdown to report trying to quit smoking or reduce alcohol consumption and rates of smoking cessation and use of remote cessation support were higher. However, high-risk drinking prevalence increased post-lockdown and use of evidence-based support for alcohol reduction by high-risk drinkers decreased with no compensatory increase in use of remote support.

Everybody active, every day: 5 years on.
Public Health England (PHE); 2021.
[Summary of the 5 year review to the national physical activity framework, ‘Everybody active, every day’ and the PHE response.]

Quality in Qual: a proposed framework to commission, judge and generate good qualitative evaluation in wellbeing impacts.
whatworkswellbeing; 2021.
[Based on interviews with ten leading organisations and individuals who have in-depth evaluation and methodological expertise this report sets out why work on qualitative evaluation is valuable and important, what resources already exist. The report identifies six prompts for potential uses of qualitative research in evaluations.]

Genomics nation: A benchmark of the size and strengths of the UK genomics sector.
UK Bioindustry Association; 2021.
[The NHS Long Term Plan promised greater focus on prevention to help people stay healthy and ease the burden on the health service. The early detection of disease, rather than merely the diagnosis and treatment of illness, will be critical to achieve this objective. The NHS Genomic Medicine Service (GMS), launched in 2018, provides a single, national coordinated approach to genomic testing and genomic research in the NHS.]

A joint thematic inspection of community-based drug treatment and recovery work with people on probation.
HM Inspectorate of Probation (HMIP); 2021.
[Probation services across England and Wales supervise nearly 156,000 people in the community. HM Inspectorate of Probation estimates that almost 75,000 of these individuals have a drugs problem, yet fewer than 3,000 people were referred by probation services to specialist drug misuse treatment in 2019/2020. HMIP partnered with the Care Quality Commission to examine how probation services supervise this cohort and found probation services are responding poorly to drugs misuse and addiction cases.]

Public Health

Current awareness updates

Tick bite risks and prevention of Lyme disease: resources.
Public Health England (PHE); 2021.
[Toolkit and resources for local authorities and other stakeholders to raise awareness of the potential risks created by ticks and tick-borne disease in England. You can choose to co-brand leaflets and posters with PHE by adding your logo to the Word files or simply download the PDFs.]

Holiday activities and food programme 2021.
Department for Education (DfE); 2021.
[This document provides information for local authorities delivering the holiday activities and food programme in 2021. In 2020 the government announced that the holiday activities and food programme, that covers the Easter, summer and Christmas holidays, will be expanded across the whole of England in 2021. There will be up to £220 million available to local authorities to coordinate free holiday provision, including healthy food and enriching activities.]

New cross-government unit to tackle drug misuse following major independent review.
Department of Health and Social Care (DHSC), Home Office, and Public Health England (PHE); 2021.
[The new unit aims to end illegal drug-related illness and deaths. The rise in drug misuse poisoning deaths has been driven by increases in heroin deaths which have doubled in this time and other substances such as cocaine have seen notable recent increases. The proportion of 11 to 15-year-olds who use drugs has increased in recent years with one in three 15-year-olds saying they took drugs in the last year.]

Tackling obesity: the role of the NHS in a whole-system approach.
The King’s Fund; 2021.
[Rates of obesity in England are high and rising, with a strong systemic relationship between obesity and deprivation. Rates are also higher in women than in men, and in some ethnic minority groups compared to the white British group. This briefing explores the role of the NHS in tackling obesity, focusing on how the NHS can work with local partners and engage with communities to deliver targeted interventions to treat and prevent obesity.]

Effectiveness of complementary therapies in cancer patients: a systematic review.
Guerra-Martin MD. International Journal of Environmental Research & Public Health 2021;18(3):1017.
[The findings reveal some effective complementary therapies: auriculotherapy and acupuncture, laser moxibustion, hypnosis, Ayurveda, electroacupuncture, progressive muscle relaxation and guided imagery, yoga, phytotherapy, music therapy and traditional Chinese medicine. On the other hand, electroacupuncture, laser moxibustion and traditional Chinese medicine presented adverse effects, and kinesiology did not show effectiveness.]

Wellbeing toolkit for Alcohol Related Brain Damage (ARBD).
Penumbra; 2021.
[As well as providing important medical information about ARBD and alcohol use, the toolkit covers key practical and holistic information on recovery – including information on reducing stress, improving memory, coping with challenging emotions without using alcohol, nutrition and exercise, connecting with others and the community, along with guidance on improving digital skills, budgeting and knowing your rights. It includes a podcast of relaxation exercises.]

What support do young people with sickle cell disease need when moving into adult services?.
NIHR Evidence; 2021.
[This research suggests that non-specialist healthcare services are failing young people with sickle cell disorder. This is a critical period in their development when they are learning to live as adults. It is difficult to manage conflicting demands, such as wanting to work hard at school but needing to rest to avoid pain. Researchers suggest healthcare professionals shouuld work with schools to create supportive services that can help young people to achieve their life goals.]

Loneliness is strongly linked to depression in older adults in a large, long-term study.
NIHR Evidence; 2021.
[Depression is a major public health problem that is growing worldwide. The causes are complex and vary from person to person. However, new research estimates that up to one in five cases of depression among older adults could be prevented by reducing loneliness. The study therefore has important public health implications, highlighting the need for comprehensive action across society to combat loneliness.]

HIV infection and AIDS.
Clinical Knowledge Summary (CKS); 2021.
[This CKS topic has been updated.]

Could a decision support tool help to guide mental health treatment in primary care?
The Mental Elf; 2021.
[Linda Gask reviews a recent randomised controlled trial on the clinical efficacy of a Decision Support Tool (Link-me) to “guide the intensity of mental health care in primary practice”.]

Improving the care of patients discharged following a pulmonary embolism, in line with NICE Guidelines (NG158).
[Shared learning from Nottingham Universities Hospitals Trust. Project started out as audit looking into how to improve discharge process for patients following a PE, however upon understanding limitations of care provided on discharge, practice was changed in line with NICE guidelines to ensure safest possible discharge for these patients.]

Risk factors for LGBTQ+ youth self-harm and suicide.
The Mental Elf; 2021.
[In her debut blog, Hazel Marzetti reviews a recent systematic review and meta-analysis on victimisation and mental illness prevalence among LGBTQ+ young people with experiences of self-harm and suicide.]

European Surveillance of Antimicrobial Consumption Network (ESAC-Net).
World Health Organization (WHO); 2021.
[The report found some differences in the use of antibiotics between two sets of countries, the ECDC’s European Surveillance of Antimicrobial Consumption Network (ESAC-Net) and WHO/Europe’s Antimicrobial Medicines Consumption (AMC) Network. Findings show a significant decrease in the consumption of antibacterials in eight ESAC-Net countries including the United Kingdom. However, figures for the AMC Network were less clear, reflecting the more complicated nature of data collection.]

Transition to adulthood and transfer to adult care of adolescents with congenital heart disease: a global consensus statement.
Moons P. European Heart Journal 2021;:ehab388.
[This consensus document describes issues and practices of transition and transfer of adolescents with CHD. Transitional care ought to be provided to all adolescents with CHD, taking into consideration the available resources. When reaching adulthood, patients ought to be transferred to adult care facilities capable of managing their needs, and systems have to be in place to ensure continuity of high-quality care.]

Children and young people’s mental health – policy, CAMHS services, funding and education.
House of Commons Library; 2021.
[Research briefing on children and young people’s mental health policy, June 2021.]

Community mental health and wellbeing : what does gold standard look like?
Digital Health & Care Innovation Centre, Scotland; 2021.
[Following interviews and meetings with key stakeholders a range of tools were developed to support collaborative discussion around gold standard community mental health and wellbeing, key relationships and challenges to implementation. This report presents findings of the resulting workshop.]

Emerging lessons from the commissioning and delivery of a gambling treatment service.
Woodall J. Public Health 2021;196:69-73.
[This article offers a unique contribution to understanding more about the provision of gambling treatment services. This is crucial, given that a greater number of people face challenges as a consequence of gambling harms, and such services should be seen part of forming a coherent public health response.]

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. Use these documents and tools to understand how this programme integrates with the upcoming women’s and sexual and reproductive health strategies. Links to new tools, publications and examples of best practice can also be used as a reference point for colleagues across the healthcare system, to inform prioritisation and planning.]

National flu immunisation programme plan.
Department of Health and Social Care (DHSC); 2021.
[The annual flu letter for 2021 to 2022 describes the national flu immunisation programme and outlines which groups are eligible for flu vaccination.]

Life Sciences Vision.
Department for Business, Energy & Industrial Strategy; 2021.
[This document outlines the government’s and the life science sector’s ambitions for the sector over the next decade. It sets out the government’s plans to stimulate a thriving UK life sciences sector. It also focuses on how the sector can address some of the UK’s most significant health care challenges, including cancer, dementia and obesity.]

Alcohol consumption and harm during the COVID-19 pandemic.
Public Health England (PHE); 2021.
[A report collating data on alcohol consumption and alcohol-related harm in England during the COVID-19 pandemic and comparing it to data from previous years. The report improves our understanding of how alcohol consumption and harm changed in England while physical and social restrictions to prevent and control coronavirus were in place. The findings help to understand whether pandemic-related changes have affected rates of alcohol hospital admissions and deaths as well as health inequalities.]

Early evaluation of the Children and Young People’s Mental Health Trailblazer programme.
University of Birmingham; 2021.
[The programme was launched in December 2018 to improve the prevention of mental health problems and early intervention for children and young people with mild to moderate mental health problems. The early evaluation is following the experiences of the initial group of mental health support teams, which are based in 25 areas across England (called Trailblazers) and work with more than 1,000 schools and colleges.]