Department of Health and Social Care

A plan for digital health and social care

Source: The King’s Fund

This plan for digital health and social care sets out a vision for a digitally enabled health and social care system and how it can be achieved. It collates existing digital strategies, plans and guidance into one single action plan. It is aimed at health and social care leaders across the system, and industry partners to help them plan for the future. The document aims to outline clear priorities for digital transformation, and begins to set out the support that will be available to local systems to enable the changes that are needed.

Using Health Data

Better, broader, safer: using health data for research and analysis

Department of Health and Social Care; April 7 2022

Professor Ben Goldacre was commissioned by the government in February 2021 to review how to improve safety and security in the use of health data for research and analysis. The report makes 185 recommendations that would benefit patients and the health care sector. It is aimed at policy-makers in the NHS and government, research funders and those who use the data for service planning, public health management and medical research.

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

JCVI update on advice for COVID-19 vaccination of children aged 5 to 11.
Department of Health and Social Care (DHSC); 2022.
[JCVI advises a non-urgent offer of two 10 mcg doses of the Pfizer-BioNTech COVID-19 vaccine (Comirnaty®) to children aged 5 to 11 years of age who are not in a clinical risk group. The intention of this offer is to increase the immunity of vaccinated individuals against severe COVID-19 in advance of a potential future wave of COVID-19. Published 16 February 2022]

Growing problems, in depth: The impact of Covid-19 on health care for children and young people in England.
Quality Watch; 2022.
[“…The sharp increase in children and young people with mental health problems is a serious concern. Services are facing unprecedented levels of demand, and young people are waiting longer to receive mental health care. In particular, there has been a surge in eating disorder cases, and conditions are deteriorating to the extent that a greater number of children and young people are attending A&E departments…”]

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.]

Public Health

Current awareness updates

Physical activity in disabled children and disabled young people: evidence review.
Department of Health and Social Care (DHSC); 2022.
[Findings of a rapid evidence review into the health benefits and potential risks of physical activity for children and young people who have disabilities.]

d-Nav insulin management app for type 2 diabetes.
National Institute for Health and Care Excellence (NICE); 2022.
[d‑Nav is an app used for guiding insulin dosing for adults with type 2 diabetes. The innovative aspects are the insulin dose can be calculated and adjusted based on a person’s current and historic blood glucose levels on a weekly basis and without healthcare professional approval. The intended place in therapy would be to help optimise insulin dosage in people with type 2 diabetes.]

Is there an effective dose of aerobic exercise associated with better executive function in youth with attention deficit hyperactivity disorder?
Khodaverdi Z. Child Neuropsychology 2021;:doi.org/10.1080/09297049.2021.1992378.
[Conclusion: Different dosage of aerobic exercise might differently influence aspects of executive function; however, this finding rests on preliminary evidence at this stage and thus should be treated with caution.It is necessary to establish suitable interventions with regard to the dosage of aerobic exercise types to improve executive function in young people with ADHD.]

Public Health

Current awareness updates

10-Year Cancer Plan: Call for Evidence.
Department of Health and Social Care (DHSC); 2022.
[The NHS Long Term Plan, published in 2019, set an ambition to save thousands more lives each year by dramatically improving how we diagnose and treat cancer. The DHSC is seeking the views of individuals, professionals and organisations to understand how we can do more to make progress against this ambition, and to build on lessons learned from the pandemic. You can respond as an individual, or on behalf of an organisation by completing the online survey (Closes 23:45, 01 April 2022)]

Improving annual albuminuria testing for individuals with diabetes. [Abstract]
Kam S. BMJ Open Quality 2022;11(1):doi: 10.1136/bmjoq-2021-001591.
[Conclusions: This project demonstrates that a series of simple interventions can significantly impact annual albuminuria testing. This project’s success likely hinged on using an existing workflow to systematically determine if a patient was due for testing and prompting the provider to sign a pended order for an albuminuria test. Other diabetes/endocrinology and primary care clinics can likely implement a similar process and so improve testing rates in other settings…]

Atrial fibrillation detection using a automated electrocardiographic monitoring in a transient ischaemic attack service. [Abstract]
D’Anna L. BMJ Open Quality 2022;11(1):doi: 10.1136/bmjoq-2021-001433.
[Conclusions: In conclusion, the present study suggests early initiation of automated continuous ECG monitoring (ACEM) in a rapid outpatient transient ischaemic attacks (TIA) clinic improves atrial fibrillation (AF) detection and is associated with a reduced risk of recurrent TIA/stroke. Further studies are required to confirm the enhanced rate of AF detected using ACEM]

Autism – overview of policy and services.
House of Commons Library; 2022.
[This briefing provides an overview of policies and services for people with autism spectrum disorder in England.]

Measuring the economic value of community nursing: scoping the challenge.
Healthcare Financial Management Association (HFMA); 2022.
[NHS community services are an essential part of national ambitions to support people to manage their conditions, prevent ill health and deliver care closer to home. Community nurses are central to the care delivered for many people, across a broad range of conditions and needs. This briefing considers the challenge of understanding the economic value of community nursing, building on a roundtable discussion in March 2021 and drawing in other sources of evidence.]

Covid 19

Current awareness updates

Designated settings for people discharged to a care home.
Department of Health and Social Care (DHSC); 2022.
[Guidance on the designated settings scheme for people discharged from hospital to a care home with a positive coronavirus (COVID-19) test (UPDATED: 07 February 2022 The ‘designated settings’ guidance has been updated throughout in line with the latest clinical advice from UKHSA. This update reflects the change in isolation period in care settings from 14 to 10 days for cases of COVID-19. It also provides information on how individuals can end their isolation before day 10)]

Patient experience before the omicron wave: the storm before the storm.
Patients Association; 2022.
[This report, based on a survey of more than 1,000 UK patients conducted over a month just before Christmas 2021, finds the disruption to health and care services caused by the pandemic is profound and long-term.]

COVID-19 Schools Infection Survey, England: attitudes to vaccines and preventative measures, November to December 2021.
Office for National Statistics (ONS); 2022.
[Initial insights from the first round of questionnaire data collected as part of the Schools Infection Survey. Questionnaires are completed by parents of participating children, secondary school aged children and headteachers. Topics cover vaccine sentiment, ventilation in schools and preventative measures implemented in schools.]