Tag: NHS England

NHE Virtual Festival

NHS Net Zero: How are you contributing to help reach a net-zero NHS?

NHS England and the NHS Improvement Public Board, have reaffirmed their support for delivering the world’s first net zero national health service.

With a number of cost-effective solutions focused on anaesthetic gases, virtual appointments, and energy efficiency measures, the NHS has already made significant progress in decreasing emissions.

Join in on the 25th August as this event brings together health sector professionals for a day of innovation, education and collaboration around achieving a net-zero NHS.

If you haven’t already registered for this virtual event you can sign up here.

Covid 19


Current awareness updates

The impact of COVID-19 restrictions in the United Kingdom on the positive behavioural support of people with an intellectual disability
Murray G. British Journal of Learning Disabilities 2021;49(2):138-144.
[It has been suggested that COVID-19 and the associated restrictions are likely to have a negative impact on the provision of positive behavioural support (PBS) to people with an intellectual disability. Participants reported a neutral or somewhat positive impact on all the areas measured and the learning from their PBS programme as helping them cope with COVID-19. Many staff developed creative solutions that allowed them to provide PBS despite COVID-19 restrictions.]

VacciNation: Exploring vaccine confidence.
Healthwatch England; 2021.
[Our new research explores vaccine confidence amongst people from African, Bangladeshi, Caribbean, and Pakistani backgrounds. We want to understand these barriers to ensure key lessons are taken forward for future public health campaigns.]

Lateral flow device performance data.
Department of Health and Social Care (DHSC); 2021.
[Analysis confirms lateral flow devices (LFDs) are successful at identifying infectious cases of coronavirus (COVID-19) and real-world data shows Innova LFDs are capable of detecting the Delta variant.]

COVID-19 surveillance and immunity studies.
Department of Health and Social Care (DHSC); 2021.
[Updated 01 July 21: Added link to Schools Infection Survey research findings – round 5.]

JCVI issues interim advice on COVID-19 booster vaccination.
Public Health England (PHE); 2021.
[The Joint Committee on Vaccination and Immunisation (JCVI) has been asked to consider the options for a potential coronavirus (COVID-19) booster programme.]

COVID-19 and adult congenital heart disease services: impact on support and advice from nurse specialists.
Anthony J. British Journal of Nursing 2021;30(12):730-732.
[Although the focus on service provision in response to the COVID-19 pandemic has mainly been on acute and particularly intensive care, it is important to consider other services that are still needed. This is especially the case for vulnerable patients with long-term conditions, such as those under the care of an adult congenital heart disease (ACHD) service.]

Use of Telehealth in Mental Health (MH) Services During and After COVID-19.
Molfenter T. Community Mental Health Journal 2021;:Online ahead of print.
[COVID-19 social distancing guidelines caused a rapid transition to telephone and video technologies for the delivery of mental health (MH) services. The study examined: (a) adoption of these technologies across the MH service continuum; (b) acceptance of these technologies; and (c) intention of providers to use these technologies following the pandemic based on a sample of 327 MH organizations from 22 states during May-August 2020.]

Persistent symptoms following SARS-CoV-2 infection in a random community sample of 508,707 people.
Imperial College London; 2021.
[Random samples of the population between September 2020 and February 2021 found that nearly 27,000 (around 6%) reported experiencing at least one of 29 symptoms linked with COVID-19 for 12 weeks or more.]

Potential Coronavirus (COVID-19) symptoms reported through NHS Pathways and 111 online (18 Mar 2020-30 Jun 2021).
NHS Digital; 2021.
[Data published on potential COVID-19 symptoms reported through NHS Pathways and 111 online Dashboard shows the total number of NHS Pathways triages through 111 and 999, and online assessments in 111 online which have received a potential COVID-19 final disposition. This data is based on potential COVID-19 symptoms reported by members of the public to NHS Pathways through NHS 111 or 999 and 111 online, and is not based on the outcomes of tests for coronavirus. This is not a count of people.]


Coronavirus Shielded Patient List Summary Totals, England – as at 01 July 2021.
NHS Digital; 2021.
[Snapshot on 22 Jun 2021 – England only.]

Primary Care Workforce in Alternative Settings – General Practitioners in the Covid Clinical Assessment Service.
NHS Digital; 2021.
[28 Mar 2020 to 31 Mar 2021.The COVID-19 Clinical Assessment Service was operative from 28 March 2020 to May 2021 and there were fluctuations in the demand for patient appointments during this period according to the COVID-19 infection rates. Recruitment to the service ceased in January 2021 and all GPs were onboarded by March this year.]

Remote home monitoring (virtual wards) for confirmed or suspected COVID-19 patients: a rapid systematic review.
Vindrola-Padros C. EClinicalMedicine 2021;37:Vindrola-Padros.
[A rapid systematic review on models led by primary and secondary care across seven countries (US, Australia, Canada, The Netherlands, Ireland, China, UK) identified 27 articles. Monitoring was carried out via online platforms, paper-based systems with telephone calls or (less frequently) through wearable sensors. No substantive conclusions regarding patient safety and the identification of early deterioration due to lack of standardized reporting and missing data.]

Bridging the uptake gap – COVID-19 vaccination toolkit for Black African and Black African Caribbean communities.
NHS England; 2021.
[Evidence-based good practice for increasing vaccination confidence and uptake among Black African and Black African Caribbean populations.]


NHS England and NHS Improvement

Long Covid: the NHS plan for 2021/22

A five-point plan including advice for clinicians and information for patients, post-Covid assessment clinics, and specialist online rehabilitation support was published in October 2020. This plan outlines 10 key next steps to be taken to support those suffering from long Covid.

Read the plan here.

Covid 19

Current Awareness Updates

Specific COVID-19 messaging targeting ethnic minority communities.
EClinical Medicine, The Lancet; 2021.

(The proportion of ethnic minority groups accepting vaccines remains low. A culturally appropriate COVID-19 information and messaging platform is urgently required (Fig. 1). The messaging should be clear in style and content, conveying simple, easy to understand, visual, consistent, and generic to all communities, ethnic groups, cultures, and faiths. Trust between healthcare staff and communities is essential for the success of any COVID-19 intervention.)

Mental health policy in England.
House of Commons Library; 2021.

(This briefing examines the Coronavirus Act 2020 and the potential impact on human rights. It also looks at the impact of the pandemic on population mental health, including for specific groups such as BAME communities. It briefly sets out resources to support population mental health and wellbeing during the pandemic, including specific mental health support for the health and social care workforce.)

COVID-19 vaccination: accelerating second doses for priority cohorts 1-9
NHS England & NHS Improvement; 2021.

(Letter from Emily Lawson (SRO Vaccine Deployment, NHS England and NHS Improvement), Dr Nikki Kanani (Medical Director for Primary Care) and Eleanor Kelly (LA CEO advisor). In response to advice from the independent JCVI, the Government sets out further action aimed at tackling rising cases of the COVID-19 B1.617.2 variant.)

Communicating with patients about COVID-19 vaccination: evidence-based guidance for effective conversations to promote COVID-19 vaccine uptake (2021).
World Health Organization (WHO); 2021.

(This training module is designed to equip health workers (HWs) with knowledge, skills, confidence and resources to help them in their role to recommend the COVID-19 vaccine. It is tailored to specific patient positions on vaccination and provides a structured approach to assist HWs with interpersonal communication during COVID-19 vaccination consultations.)

Pandemic Pressures: How Greater Manchester equalities organisations have responded to the needs of older people during the Covid-19 crisis.
Ambition for Ageing; 2021.

(This report highlights a number of recommendations for service commissioners, funders and contractors to contribute to future emergency planning and responses. It recognises the expertise of equalities organisations in understanding and meeting the needs of the communities they represent, and to involve them in coproducing emergency planning and responses.)

Characteristics and predictors of acute and chronic post-COVID syndrome: A systematic review and meta-analysis.
EClinical Medicine, The Lancet; 2021.

(A significant proportion of individuals experience lingering and debilitating symptoms following acute COVID-19 infection. NICE have coined the persistent cluster of symptoms as post-COVID syndrome. The aim of this review was to detail the prevalence of clinical features and identify potential predictors for acute and chronic post-COVID syndrome.)

Public Health

Current Awareness Updates

Asthma: diagnosis, monitoring and chronic asthma management.
National Institute for Health and Care Excellence (NICE); 2021.

(This guideline covers diagnosing, monitoring and managing asthma in adults, young people and children. It aims to improve the accuracy of diagnosis, help people to control their asthma and reduce the risk of asthma attacks. It does not cover managing severe asthma or acute asthma attacks. In March 2021, we highlighted the importance of including advice in the personalised action plan on minimising indoor air pollution and reducing exposure to outdoor air pollution.)

Support for people with a learning disability.
House of Commons Library; 2021.

(A description of recent changes to policy and services for people with a learning disability in England. Briefing paper.)

The coronavirus (COVID-19) pandemic: a year like no other.
Office for National Statistics (ONS); 2021.

(Analysis of data from a variety of sources on the way life, society and the economy changed during the coronavirus (COVID-19) pandemic and how the period compares with other years.)

Coronavirus and the different effects on men and women in the UK: March 2020 to February 2021.
Office for National Statistics (ONS); 2021.

(Brings together different sources to examine how men and women have been affected differently throughout the coronavirus (COVID-19) pandemic. Includes information on physical health, mental health, paid work, unpaid work, home-schooling, and loneliness.)

Every action counts.
NHS England; 2021.

(Persuading everyone – staff, patients and visitors – to follow good practice in COVID-19 infection prevention and control is key to keeping healthcare settings as safe as possible. Every Action Counts draws on behavioural expertise to support local NHS organisations with resources on awareness, leadership, morale and wellbeing, training, and operational interventions.)

Global report on Ageism World Health Organisation (WHO); 18th March 2021

(The Global report on ageism outlines a framework for action to reduce ageism including specific recommendations for different actors (e.g. government, UN agencies, civil society organizations, private sector). It brings together the best available evidence on the nature and magnitude of ageism, its determinants and its impact. It outlines what strategies work to prevent and counter ageism, identifies gaps and proposes future lines of research to improve our understanding of ageism.)

Inclusive and sustainable economies: leaving no-one behind Public Health England (PHE); 25th March 2021

(A report and data catalogue from PHE supporting place-based action to reduce health inequalities and build back better. It addresses the social, economic and environmental determinants of health and wellbeing to help achieve healthy people, thriving communities and increased prosperity.)

NHS performance summary: December 2020-January 2021

Monthly round-up of the latest NHS performance data.

Source: KnowledgeShare

NHS England and NHS Digital have published the latest data on key activity and performance measures for December of last year and January of this year. Urgent and Emergency Care Daily Situation Reports were also published for the first week of February, giving a more up-to-date analysis of how the NHS is coping this winter. They show some of these statistics and how they compare with previous trends.

Read the summary here.

Covid 19

Current awareness updates

COVID-19: guidance on shielding and protecting people defined on medical grounds as extremely vulnerable.
Department of Health and Social Care (DHSC); 2020.
(Information for shielding and protecting people defined on medical grounds as extremely vulnerable from COVID-19. Updated 31 December: Added new shielding advice for the clinically extremely vulnerable in Tier 4.)

COVID-19 vaccination programme 2020/21: COVID-19 Enhanced Service Vaccination Collaboration Agreement.
NHS England; 2020.
(The purpose of this COVID-19 ES Vaccination Collaboration Agreements to support the delivery of the individual and collective responsibilities of the Collaborating Practices as part of the COVID-19 vaccination programme as set out in COVID-19 vaccination programme 2020/21 Enhanced Service Specification.)

New SARS-CoV-2 variant.
Public Health England (PHE); 2020.
(Information on the new variant of the SARS-CoV-2 virus.)

Rapid evaluation confirms lateral flow devices effective in detecting new COVID-19 variant.
Public Health England (PHE); 2020.
(Public Health England (PHE) has confirmed that lateral flow devices (LFDs) used in mass testing can detect the new COVID-19 variant.)

Confirmed cases of COVID-19 variant from South Africa identified in UK.
Public Health England (PHE); 2020.
(Two cases of a new SARS-CoV-2 variant, which originated in South Africa, have been identified in the UK.)

Persistent symptoms after Covid-19: qualitative study of 114 “long Covid” patients and draft quality principles for services.[Abstract]
Ladds E. BMC Health Services Research 2020;20(1):1144.
Full-text availability
(Suggested quality principles for a long Covid service include ensuring access to care, reducing burden of illness, taking clinical responsibility and providing continuity of care, multi-disciplinary rehabilitation, evidence-based investigation and management, and further development of the knowledge base and clinical services.)

Covid-19 Insight: issue 6.
Care Quality Commission (CQC); 2020.
(In this month’s report, we share regional data on the designated settings that allow people with a COVID-positive test result to be discharged safely from hospital, and also the latest data on registered care home provision. We also look at how providers have collaborated to provide urgent and emergency care during the pandemic.)

Coronavirus data dashboard
UK Government; 2020.
(The official UK Government website for data and insights on Coronavirus (COVID-19))

Mental Health

Current Awareness Updates

Advancing mental health equalities strategy.
NHS England; 2020.
[This strategy summarises the core actions that we all need to take to bridge the gaps for communities fairing worse than others in mental health services. It is also an important element of the overall NHS plans to accelerate action to address health inequalities in the next stage of responding to COVID-19.]

Children and young people’s mental health review: findings from a questionnaire to health and wellbeing boards on local actions.
Care Quality Commission (CQC); 2020.
[Follow up of a 2018 review looking at the quality of, and access to, mental health services for children and young people. It sets out the findings of a 2019 independent follow-up self-assessment questionnaire, to find out the extent to which health and wellbeing board areas in England had progressed with implementing the local recommendations made.]

Mental health rehabilitation inpatient services: 2019 update.
Care Quality Commission (CQC); 2020.
[Updated findings from 114 mental health rehabilitation inpatient providers about patients that were occupying a mental health bed at the time of the information request. Questions included number of beds, current number of patients and their distance from home, funding and number of locked wards.]

Assessment of mental health services in acute trusts.
Care Quality Commission (CQC); 2020.
[Findings from over 100 acute hospital inspections, how well the mental health care needs of patients were met and where trusts, and the wider system, need to improve.]

MeeTwo mental health app: case study.
Chelsea and Westminster Hospital NHS Foundation Trust; 2020.
[The app provides safe, fully-moderated peer support to 40,000 young people aged 11 to 25 across the UK. The free app enables users to anonymously share their feelings and help each other in a safe, moderated digital environment. Peer support has been shown to improve quality of life, wellbeing, self-esteem and social functioning, as well as reductions in hospital admission rates and use of hospital emergency services.]

NHS England

Delivering a ‘net zero’ NHS

This report provides an account of the NHS’s modelling and analytics underpinning the latest NHS carbon footprint, trajectories to net zero, and the interventions required to achieve that ambition. It lays out the direction, scale and pace of change. It describes an iterative and adaptive approach, which will periodically review progress and aims to increase the level of ambition over time. A greener NHS is on the way.

Greenhouse Gas Protocol scope for the NHS (NHS England)

To find out more click here.