by Public Health England (2020)
National monitoring tool that brings together metrics to assess the wider impacts of coronavirus (COVID-19) on health.
by Public Health England (2020)
National monitoring tool that brings together metrics to assess the wider impacts of coronavirus (COVID-19) on health.
The Lancet Public Health Volume 5, ISSUE 7, e395-e403, July 01, 2020
Click here to read the full article
Background
Retirement ages are rising in many countries to offset the challenges of population ageing, but people’s capacity to work for more years in their later working life (>50 years) is unclear. We aimed to estimate healthy working life expectancy in England.
Methods
This analysis included adults aged 50 years and older from six waves (2002–13) of the English Longitudinal Study of Ageing (ELSA), with linked mortality data. Healthy working life expectancy was defined as the average number of years expected to be spent healthy (no limiting long-standing illness) and in paid work (employment or self-employment) from age 50 years. Healthy working life expectancy was estimated for England overall and stratified by sex, educational attainment, deprivation level, occupation type, and region by use of interpolated Markov chain multi-state modelling.
Findings
There were 15 284 respondents (7025 men and 8259 women) with survey and mortality data for the study period. Healthy working life expectancy at age 50 years was on average 9·42 years (10·94 years [95% CI 10·65–11·23] for men and 8·25 years [7·92–8·58] for women) and life expectancy was 31·76 years (30·05 years for men and 33·49 years for women). The number of years expected to be spent unhealthy and in work from age 50 years was 1·84 years (95% CI 1·74–1·94) in England overall. Population subgroups with the longest healthy working life expectancy were the self-employed (11·76 years [95% CI 10·76–12·76]) or those with non-manual occupations (10·32 years [9·95–10·69]), those with a tertiary education (11·27 years [10·74–11·80]), those living in southern England (10·73 years [10·16–11·30] in the South East and 10·51 years [9·80–11·22] in the South West), and those living in the least deprived areas (10·53 years [10·06–10·99]).
Interpretation
Healthy working life expectancy at age 50 years in England is below the remaining years to State Pension age. Older workers of lower socioeconomic status and in particular regions in England might benefit from proactive approaches to improve health, workplace environments, and job opportunities to improve their healthy working life expectancy. Continued monitoring of healthy working life expectancy would provide further examination of the success of such approaches and that of policies to extend working lives.
By Institute of Health Equity (Feb 2020)
This report, Health equity in England: The Marmot Review 10 years on, was commissioned by the Health Foundation, to explore what has happened to health inequalities and social determinants of health in the decade since the Marmot Review. We provide in-depth analysis of health inequalities in England and assess what has happened in key social determinants of health, positively and negatively, in the last 10 years. Critically, we set out an agenda for the Government and local authorities to take action to reduce health inequalities in England. This agenda is based on evidence and practical action evidence from the Marmot Review, and enhanced by new evidence from the succeeding decade, including evidence and learning from practical experience of implementing approaches to health inequalities in England and internationally.
By Royal College of Psychiatrists (2019)
This guidance is to help local areas plan and deliver specialist services, led by old age psychiatrists, to meet the needs of older people. It brings together views from older people, service users, carers and a wide range of health and social care professionals.
By The Association of Directors of Public Health (2019)
The Association of Directors of Public Health (ADPH) and Public Health England (PHE) have co-produced a series of ‘What Good Looks Like’ (WGLL) publications that set out the guiding principles of ‘what good quality looks like’ for population health programmes in local systems.
The WGLL publications are based on the evidence of ‘what works and how it works’ including effectiveness, efficiency, equity, examples of best practices, opinions and viewpoints and, where available a return on investment.
By Local Government Association (2019)
This report states that since taking over responsibility for public health in 2013, councils have maintained or improved 80 per cent of public health outcomes in England. At the same time, councils nationally have had their funding cut by 49 per cent in real terms, between 2010/11 and 2017/18. It calls for the government to reverse these budget declines in the forthcoming Spending Review to ensure that public health services continue to flourish and alleviate cost pressures on the NHS.
By Centre for Ageing Better (2019)
Despite common misconceptions, falls are not an inevitable part of ageing and can be prevented. Although there are some NHS rehabilitation services that provide strength and balance programmes, these are often of limited length, making it essential that there are effective community-based strength and balance programmes in their local areas to move on to. This report, co-authored with the University of Manchester’s Healthy Ageing Research Group, shows a need for sustained, targeted funding for community-based programmes, with affordable, accessible and proven options available for everyone.
The NHS Long Term Plan will make sure the NHS is fit for the future.
Find out through our case studies and films about how the NHS is already making significant changes and developing to better meet the needs of patients and their families through every stage of life.
View case studies by topic:
Cancer
Cardiovascular
Diabetes
Digital
Integrated care
Learning disabilities
Maternity
Mental health
Personalised care
Primary care
Stroke
Urgent and emergency care
View case studies by life stage:
Starting well
Better care for major health conditions
Ageing well
I thought I would include this response from NICE and HEE as it is an important message. Click the link below to access the letter or read it below.
https://www.bmj.com/content/363/bmj.k4940
Further to Hamilton’s recommendation that general practitioners consult Google Scholar and ask their colleagues if they are unsure about prescribing cannabis,1 we write to remind readers in England that they have 24/7 access to reliable sources of evidence to inform clinical decisions.
The National Institute for Health and Care Excellence’s evidence search (https://www.evidence.nhs.uk) provides access to authoritative evidence on health, social care, and public health. It focuses on synthesised secondary evidence, including content from over 800 sources, including the British National Formulary, Clinical Knowledge Summaries, SIGN, the Cochrane Library, the royal colleges, Public Health England, and GOV.UK. Information and knowledge specialists at NICE add further good quality systematic reviews. This service is openly available to everyone in the UK; here you will find reviews on the use of cannabis in treatment of epilepsy, neuropathic pain, fibromyalgia, HIV/AIDS, and asthma.
Healthcare staff in England can access a vital, core collection of healthcare databases and full text journals for no charge at https://hdas.nice.org.uk. Purchased by Health Education England on behalf of the NHS in England, these are provided online in partnership with NICE. You simply need an NHS OpenAthens account. Register at https://www.nice.org.uk/about/what-we-do/evidence-services/journals-and-databases/OpenAthens.
NHS funded librarians and knowledge specialists are skilled in helping colleagues find information and search for evidence. They can offer summarised evidence searches and help teams keep up-to-date.
Health is a knowledge industry. We encourage practices to contact their local healthcare library. Check http://hlisd.org for details. Health Education England is committed to work with NHS organisations to ensure that all staff can access knowledge for healthcare23 and benefit from the expertise of healthcare librarians. We know that only a third of Clinical Commissioning Groups currently have such arrangements in place for their staff and member practices. For advice on improving your organisation’s access to knowledge services please contact your regional Health Education England library lead.3
Steel, et al. Lancet 2018; 392: 1647–61
Click here to view this systematic review