The IFS Deaton Review of Inequalities

A new year’s message

Source: The King’s Fund Health and Wellbeing Bulletin

This report examines the impact of the pandemic on educational, economic, social and health inequalities in the UK. It outlines data and evidence on the groups that have been most heavily impacted by widening inequalities and Covid-19.

Key findings include:

  • The COVID crisis has exacerbated inequalities between the high- and low-paid and between graduates and non-graduates.
  • The crisis has hit the self-employed and others in insecure and non-traditional forms of employment especially hard.
  • Educational inequalities will almost certainly have been exacerbated by the crisis
  • Between March and July, mortality rates from COVID-19 were twice as high in the most deprived areas as in the least deprived.
  • The crisis has had very different impacts on different ethnic groups.
  • Through 2020, pensioners have on average reported becoming financially better off, whilst the young have borne the brunt of job and income loss. (The IFS Deaton Review of Inequalities)

To find out more click here.

Covid 19

Current Awareness updates

Evidence base for PCR and lateral flow testing.
Carried out by Frankie Marcelline from Brighton and Sussex on 7/1/2021
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_download&RequestID=26921
(This is a rapid review for evidence on PCR and lateral flow testing. It focuses on the most recent articles including evaluations on their use in the community.)

Clinical practice guide for improving the management of adult COVID-19 patients in secondary care: Shared learning from high performing trusts during COVID-19 pandemic
Getting it Right First Time (GIRFT); 2021.
(Summarises challenges faced and responses used by high performing trusts visited as part of the GIRFT cross-specialty COVID-19 deep dives, as well as identifying successful innovations they implemented.
Covers infection prevention and control, emergency medicine, critical care and anaesthesia, acute and general medicine, respiratory medicine, geriatric medicine and community care and diabetes. Cross cutting themes: Trust leadership and management, research and clinical coding).

Ensuring provision of Sexual and Reproductive Healthcare (SRH) services during the second COVID-19 wave and beyond in the UK.
Faculty of Sexual and Reproductive Healthcare (FSRH); 2020.
(This latest FSRH guidance is aimed at healthcare professionals and commissioners across the UK. It outlines essential services that must remain available to women during and past the pandemic as well as recommendations on delivering services and prioritising patients.)

COVID-19 vaccination: easy-read resources.
Public Health England (PHE); 2021.
(Easy-read guides providing information on coronavirus (COVID-19) and vaccination.)

UK COVID-19 vaccines delivery plan.
Department of Health and Social Care (DHSC); 2021.
(How the UK government was able to build up a supply of vaccines and how it is planning to deploy them. 11 January.)

Prioritising the first COVID-19 vaccine dose: JCVI statement.
Department of Health and Social Care (DHSC); 2021.
(Statement from the Joint Committee on Vaccination and Immunisation (JCVI) about increasing the short-term impact of the COVID-19 vaccination programme. 6 January.)

2020 reviewed

The Health Policy Year in 12 Charts

Source: King’s Fund Health Management and Policy Alert

The wheels of health policy turn quickly. So, as 2021 begins Siva Anandaciva looks back at the key health policy moments of 2020 to consider the challenges and opportunities the year brought. The blog sums up the year of changes and influences of Covid 19 throughout the year.

To read the review click here.

Public Health

Current Awareness Updates

Impacts of outlets selling alcohol on drinking levels or alcohol related harm.
Carried out by Frankie Marcelline from Brighton and Sussex on 2/12/2020
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_download&RequestID=26501
(This evidence report is a very brief evidence search on the effect of reducing or increasing density of outlets selling alcohol on impacts of drinking levels or alcohol related harm. Most of the results are set in the UK.)

Mass asymptomatic testing: schools and colleges.
Department of Health and Social Care (DHSC); 2020.
(Find out how to administer testing which will begin in January 2021.)

Vitamin D for vulnerable groups.
Department of Health and Social Care (DHSC); 2020.
(This guidance accompanies the Department of Health and Social Care’s initiative to offer a free 4-month supply of vitamin D supplements to support general health, and in particular bone and muscle health. The guidance is for anyone who is clinically extremely vulnerable and has been offered a free supply of vitamin D supplements in England from January 2021.)

The safety of COVID-19 vaccines when given in pregnancy.
Public Health England (PHE); 2020.
https://www.gov.uk/government/publications/safety-of-covid-19-vaccines-when-given-in-pregnancy/the-safety-of-covid-19-vaccines-when-given-in-pregnancy

National lockdown: Stay at Home.
Cabinet Office; 2021.
(Coronavirus cases are rising rapidly across the country. Find out what you can and cannot do.)

A qualitative exploration of 14 to 17-year old adolescents’ views of early and preventative mental health support in schools.
Journal of Public Health; 2020.
(Preventative interventions may be effective in reducing and preventing symptoms of mental ill health in children and young people. However, there is a paucity of research in this area that explores the views of young people. This paper reports on a qualitative study to inform the future development of attractive and appropriate early and preventative school-based mental health interventions.)

Covid 19

Updates on the Covid 19 Pandemic

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

(Epidemiology: updated data on children and pregnant women; updated risk factors (solid organ transplant). Aetiology: updated data on viral shedding in immunocompromised people. Emerging: WHO Solidarity trial results published; NIH recommends against casirivimab/imdevimab as standard of care for patients with mild to moderate disease; UK trial starts investigating use of colchicine. Prevention: first vaccine authorised for use in the UK; WHO updates guidance on mask use in community settings.)

Mask use in the context of COVID-19.
World Health Organization (WHO); 2020.

(This document provides updated guidance on mask use in health care and community settings, and during home care for COVID-19 cases. It is intended for policy makers, public health and infection prevention and control professionals, health care managers and health workers. Updated 1 December 2020.)

COVID-19: vaccination programme guidance for healthcare practitioners.
Public Health England (PHE); 2020.

(Guidance for healthcare practitioners about the coronavirus (COVID-19) vaccination programme. 4 December 2020: Update report: details on page 3.)

COVID-19 vaccination: women of childbearing age, currently pregnant, planning a pregnancy or breastfeeding.
Public Health England (PHE); 2020.

(Information for all women of childbearing age, those currently pregnant, planning a pregnancy or breastfeeding on coronavirus (COVID-19) vaccination.)

Covid-19 Insight: issue 5.
Care Quality Commission (CQC); 2020.

(In this month’s report, we build on the learning about good practice in infection prevention and control that we discussed in the last issue by focusing on care homes. We also present the key findings from a survey to understand the experience of inpatients who were discharged from hospital from April to May 2020, when the first wave of the pandemic was at its height.)

Joint Committee on Vaccination and Immunisation

Advice on priority groups for Covid-19 vaccination

Source: Gov.uk

This advice is provided to facilitate the development of policy on Covid-19 vaccination in the UK.

JCVI advises that the first priorities for any COVID-19 vaccination programme should be the prevention of COVID-19 mortality and the protection of health and social care staff and systems. Secondary priorities could include vaccination of those at increased risk of hospitalisation and at increased risk of exposure, and to maintain resilience in essential public services. This document sets out a framework for refining future advice on a national COVID-19 vaccination strategy.

To read the report click here.