Tag: guideline

Public Health

Current awareness updates

Avian influenza: guidance for managing human cases.
UK Health Security Agency (UKHSA); 2021.
[Information to assist with the management of possible and confirmed human cases of avian influenza.]

Heart valve disease presenting in adults: investigation and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers investigation and management of heart valve disease presenting in adults. It aims to improve quality of life and survival for people with heart valve disease through timely diagnosis and appropriate intervention.]

Acute heart failure: diagnosis and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers diagnosing and managing acute heart failure or possible acute heart failure in people aged 18 and over. Heart failure may indicate acute myocardial injury in patients with COVID-19. See the recommendations in NICE COVID-19 rapid guideline on managing COVID-19. In November 2021, NICE withdrew the recommendations on valvular surgery and percutaneous intervention because they have been replaced by the NICE guideline on heart valve disease.]

Public health commissioning in the NHS: 2021 to 2022.
Department of Health and Social Care (DHSC); 2021.
[Information about NHS England’s objectives and funding arrangements as it commissions public health services in the ongoing context of coronavirus (COVID-19).]

Cause for concern: Australian youth engaged with alcohol and other drug services are falling behind our community progress in reducing tobacco use.[Abstract]
Hallam KT. Early Intervention in Psychiatry 2021;15(6):1789-1792.
[Tobacco use is decreasing in the general youth population yet little evidence is tracking changes in young people who are engaged with youth alcohol and other drug (AOD) services that are often disengaged from school and work settings. Conclusion: The results highlight a need for the adoption of evidence-based tobacco early intervention programs in youth AOD services to address this significant health risk.]

Quality improvement project to decrease unnecessary investigations in infants with bronchiolitis in Cork University Hospital.[Abstract]
Jansen L. BMJ Open Quality 2021;10(4):DOI: 10.1136/bmjoq-2021-001428.
[Conclusion: An evidence-based protocol improved physicians’ ability in diagnosing and managing infants with bronchiolitis. This led to a reduction in unnecessary and potential harmful investigations, thereby improving patient quality of care. This improvement will contribute to decreased healthcare cost and appropriate use of resources during the high-pressured winter period.]

Public Health

Current awareness updates

Alcohol is one of the biggest risk factors for breast cancer.
World Health Organization (WHO); 2021.
[Alcohol is classified as a Group 1 human carcinogen by IARC. It is causally linked to 7 types of cancer. Besides female breast cancer, it increases the risk of developing oral cavity (mouth), pharynx (throat), oesophagus (gullet), liver, larynx (voice box) and colorectum (large intestine and rectum) cancers. There is no safe level of alcohol consumption. The risk of breast cancer increases with each unit of alcohol consumed per day.]

Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers diagnosing and managing myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome (ME/CFS) in children, young people and adults. It aims to improve awareness and understanding about ME/CFS and when to suspect it, so that people are diagnosed earlier. It includes recommendations on diagnosis, assessment and care planning, safeguarding, access to care and managing ME/CFS and its symptoms.]

Eligible for a free flu vaccine this winter? Don’t wait, book it.
UK Health Security Agency (UKHSA); 2021.
[With flu and COVID-19 expected to be in wide circulation together this winter, UK Health Security Agency is urging more people than ever to get their free flu vaccine, if they are eligible. In this blog the UK Health Security Agency answers some common questions about this year’s flu season.]

The use of wearables and health apps and the willingness to share self-collected data among older adults.
Seifert A. Aging and Health Research 2021;1(3):100032.
[The aim of this study was to examine the extent to which older adults utilize mobile health tracking tools in everyday life and their willingness to share the collected health-related data with doctors, health insurance companies, or research institutions. 75.0% of the participants used at least one mobile device; 22.9% used health-related apps. Participants were more often willing to share their data with doctors than with health insurance companies or researchers.]

Changes in childhood experimentation with, and exposure to, tobacco and e-cigarettes and perceived smoking norms: a repeated cross-sectional study of 10–11 year olds’ in Wales.
BMC Public Health; 2021.
[Children’s experimentation with and exposure to tobacco, and their perceptions of smoking as a normative behaviour, have continued to decline alongside growth in exposure to e-cigarettes. Although a large majority of pupils reported they minded people smoking around them, there was some evidence of diminishing disapproval of secondhand smoke since 2007.]

Understanding Sexual Aggression in UK Male University Students: An Empirical Assessment of Prevalence and Psychological Risk Factors.
Sexual Abuse; 2021.
[University-based sexual aggression is an international public health issue; however, to date, there have been no formal assessments of the prevalence or psychological indicators associated with the proabuse behaviors of the most common perpetrators at UK universities: heterosexual male students.]

Patients as team members: Factors affecting involvement in treatment decisions from the perspective of patients with a chronic condition.
Health Expectations; 2021.
[From the patients’ perspective, this study shows that there is no one-size-fits-all approach to involving patients more actively in their healthcare journey. Strategies aiming to enhance active patient involvement among patients with a chronic condition should consider this diversity in perspectives among these patients.]

Lead exposure in children: surveillance reports (from 2021).
UK Health Security Agency (UKHSA); 2021.
[Results of laboratory-based surveillance of elevated blood lead concentrations in children in England.]

Seasonal flu vaccine uptake in children of school age: monthly data, 2021 to 2022.
UK Health Security Agency (UKHSA); 2021.
[Cumulative vaccine uptake data for the childhood seasonal flu programme in England.]

Review: Physical activity interventions for the mental health and well-being of adolescents – a systematic review. [Abstract]
Hale GE. Child and Adolescent Mental Health 2021;26(4):357-368.
[Rates of physical activity decline throughout adolescence, and evidence indicates that this has an adverse impact on psychological health. This paper aims to synthesise available evidence for physical activity interventions on the mental health and well-being of young people (11-19 years) from the general population.]

Telehealth interventions: remote monitoring and consultations for people with chronic obstructive pulmonary disease (COPD). [Abstract]
Janjua S. Cochrane Database of Systematic Reviews 2021;7:CD013196.
[BACKGROUND: Face-to-face visits with health professionals can be hindered by severity of COPD or frailty, and by people living at a distance from their healthcare provider and having limited access to services. Telehealth technologies aimed at providing health care remotely through monitoring and consultations could help to improve health outcomes of people with COPD.]

Strategies to improve smoking cessation rates in primary care. [Abstract]
Lindson N. Cochrane Database of Systematic Reviews 2021;9:CD011556.
[OBJECTIVES: To assess the effectiveness of strategies intended to increase the success of smoking cessation interventions in primary care settings. To assess whether any effect that these interventions have on smoking cessation may be due to increased implementation by healthcare providers.]

Living with dementia: my life, my goals.
Alzheimer’s Society; 2021.
[A new self-help guide for people living with dementia. The guide helps people with dementia achieve their goals step-by step. It was created by researchers from the GREAT trial in collaboration with people living with dementia.]

Covid 19

Current awareness updates

Preventing and controlling outbreaks of COVID-19 in prisons and places of detention.
Public Health England (PHE); 2021.
[Information for prisons and other prescribed places of detention on coronavirus (COVID-19).]

COVID-19 rapid guideline: managing COVID-19.
National Institute for Health and Care Excellence (NICE); 2021.
[In September 2021, NICE added new recommendations on non-invasive respiratory support and doxycycline, and updated existing recommendations on heparins.]

COVID-19 shared learning from NHS trusts.
NHS Employers; 2021.
[Despite the relentless pressures of COVID-19 on NHS trusts, we have seen innovation, transformational change, and real improvements to enhance the experience of staff across the service. This page presents seven examples of good practice from trusts that have adapted and innovated during the pandemic.]

Debate: Is there a true global children and young people’s mental health crisis, fact or fiction?[Abstract]
Ford T. Child and Adolescent Mental Health 2021;26(3):272-273.
[Following COVID-19, there has been increasing concern about the well-being of children and young people across the United Kingdom; however, our major problem is the lack of robust data. We discuss emerging research capturing the impact of restrictions and experiences of COVID-19 on children and young people.]

Debate: The toll of the COVID-19 pandemic on children’s risk for suicidal thoughts and behaviors.[Abstract]
Melhem NM. Child and Adolescent Mental Health 2021;26(3):274-275.
[The consequences of the COVID-19 pandemic on risk for suicidal thoughts and behaviors (STBs) in children are still not fully known. However, COVID-19 and the mitigation strategies to limit its transmission have affected children and adolescents through increased parental morbidity and mortality, increased poverty and financial strain, social isolation, and lost connectedness to school, peers, and afterschool activities.

Experiences of maternity care during the COVID-19 pandemic in the North of England.
Stacey T. British Journal of Midwifery 2021;29(9):516–523.
[During 2020, UK maternity services made changes to service delivery in response to the COVID-19 pandemic. This study aimed to explore service users’ and their partners’ experiences of maternity services in the North of England during the COVID-19 pandemic. Respondents (n=606) completed a co-produced survey during August 2020. Data were analysed using descriptive statistics and content analysis.]

Public Health

Current awareness updates

Alcohol and self-harm: A qualitative study.
Alcohol Change UK; 2021.
[This study explores how and why alcohol and self-harm are related, and how alcohol, self-harm, and related services, are experienced and understood. Eleven people who had experience with self-harm and alcohol use were recruited through mental health support organisations across England and Wales. Interviews invited participants to ‘tell their stories’ about self-harm, alcohol use, the relationship between the two practices and their experiences with services in relation to these.]

Chronic kidney disease: assessment and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers care and treatment for people with, or at risk of, chronic kidney disease (CKD). It aims to prevent or delay the progression, and reduce the risk of complications and cardiovascular disease. It also covers managing anaemia and hyperphosphataemia associated with chronic kidney disease.]

Bonded By Blood: A Mothers Story.
ACLT; 2021.
[A new nationwide blood donation campaign, created by a group of Black health charities and community organisations with support from NHS Blood and Transplant, the campaign will focus on amplifying the need for more blood donors of Black heritage to donate. It is launched in memory of sickle cell patient Richard Okorogheye. The campaign will share the stories of mothers with children who receive regular blood transfusions.]

Good Childhood Report 2021.
The Children’s Society; 2021.
[Our Good Childhood Report 2021 shows that modern life continues to erode the happiness of young people. Dissatisfied with school, friendships and how they look, children deserve drastic change. Our tenth annual report finds that 7% of 10 to 15 year-olds (an estimated 306,000 children) in the UK are not happy with their lives.]

The health impacts of Sure Start.
Institute for Fiscal Studies (IFS); 2021.
[This briefing note from the Institute for Fiscal Studies extends the evidence from its previous 2019 report to show how Sure Start has influenced children’s health. Specifically it assesses the programme’s impact on hospitalisations of very young children, who are still eligible to use its services (ages 1-4), and of adolescents (ages 12-15), who may still enjoy medium-term benefits from Sure Start exposure.]

Building Connections Fund evaluation final reports.
Department for Digital, Culture, Media and Sport; 2021.
[The £11.5 million Building Connections Fund (BCF) was the first ever government fund dedicated to tackling loneliness in England. There are two separate reports for this evaluation: part one, the evaluation report, which covers findings before the Covid-19 pandemic; and part two, focusing on the evaluation activity following the Covid-19 pandemic.]

Covid 19

Current awareness updates

COVID-19 rapid guideline: managing COVID-19.
National Institute for Health and Care Excellence (NICE); 2021.
[On 10 August 2021, NICE corrected an error in the practical info section of the recommendations on corticosteroids. The dose of prednisolone for children with a greater than 44-week corrected gestational age is 1 mg/kg.]

Impact of Covid-19 on physical activity in children in the UK.
Carried out by Frankie Marcelline from Brighton and Sussex on 9/8/2021
[This evidence search consists of short reports on the impact of Covid-19 on physical activity in children in the UK. Most of the results are summaries from Sport England which works to encourage all age groups in the uptake of sports and physical activities in England.]

The impact of Covid-19 to date on older people’s mental and physical health: one year on.
Age UK; 2021.
[This report finds that the impact of the pandemic on the health and wellbeing of some older people in early 2021 is so demonstrably severe that it raises big questions over whether they will be able to ‘bounce back’. The adverse effect may prove long lasting in many cases, or even irreversible, with big implications for the NHS and social care in the months and years to come.]


Rehabilitation

Occupational therapy and rehabilitation

RCOT Chief Executive, Julia Scott explain why she feels occupational therapists are fundamental in rehabilitation.

The RCOT provides resources and guidelines to plan and structure appropriate therapy, particularly with people recovering from COVID 19. To access their resources and find out more click here.