Needle Exchange Services in Knowsley: An investigation into the needs and experiences of staff and service users – Liverpool John Moores University Centre for Public Health

This report contains findings from a needs assessment carried out on before of Knowsley Council examining the provision of needle exchange surveys within the local authority. The research considered the views and experiences of injecting drug users in the area and staff from drug services and pharmacies who provide needle exchange services. Findings around perceptions about the extent to which needle exchanges are meeting the needs of the injecting drug user population in Knowsley are considered in the context of recently updated NICE guidelines on the provision of needle and syringe programmes in England.

Needle Exchange Services in Knowsley: An investigation into the needs and experiences of staff and service users
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The extent and nature of addiction to medicines in Cheshire and Merseyside – Liverpool John Moores University Centre for Public Health

There is growing concern over the extent of addiction to prescription medications and medications purchased over the counter in the UK. The aim of this research was to investigate health professionals’ experiences of patient addictions to medications, and their understanding of approaches to identify and address these addictions. Commissioned by the Cheshire and Merseyside Directors of Public Health through the Cheshire and Merseyside Public Health Intelligence Network (Champs), the project was carried out through an online survey with 76 health professionals based within General Practices and pharmacies representing eight local authorities in the region.

The extent and nature of addiction to medicines in Cheshire and Merseyside
The extent and nature of addiction to medicines in Cheshire and Merseyside
The-extent-and-nature-of-addiction-to-medicines-in-Cheshire-Merseyside.pdf
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Late diagnosis of HIV in the United Kingdom: An evidence review – Liverpool John Moores University Centre for Public Health

Late diagnosis of HIV remains an important public health issue in the UK, with 40% of newly diagnosed individuals in 2014 diagnosed late. This report presents a rapid review on the published evidence on late diagnosis in the UK including the characteristics of those diagnosed late, individual and professional barriers to prompt diagnosis and interventions to reduce late diagnosis of HIV.

Late diagnosis of HIV in the United Kingdom: An evidence review
Late diagnosis of HIV in the United Kingdom: An evidence review
Late-HIV-diagnosis-rapid-evidence-review_final_covers.pdf
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HIV and AIDS in Cumbria and Lancashire 2014 – Liverpool John Moores University Centre for Public Health

This report presents information on HIV treatment and care of Cumbria and Lancashire residents living with HIV. The year 2014 saw a total of 1,156 HIV positive Cumbria and Lancashire residents accessing treatment and care from statutory treatment centres in Cumbria, Lancashire, Greater Manchester and Liverpool. This represents a 5% increase on the number reported in 2013 (1,098 individuals). There were 116 new cases reported in 2014 a 36% increase from 2013 (85 new cases).

HIV and AIDS in Cumbria and Lancashire 2014
HIV and AIDS in Cumbria and Lancashire 2014
Full-report_CL_final_cover.pdf
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The Public Health contribution to capacity planning and demand management in Cheshire and Merseyside, Phase 3: Managing heart failure: (Observatory Report Series Number 57): Supplement – Liverpool University Public Health Observatory

Following a search of the literature of public health interventions that can be provided by the NHS to reduce hospital admissions (see Report No. 53), this report attempts to quantify the impact on hospital activity in Cheshire and Merseyside by providing nurse-led services for managing heart failure.  The supplement highlights the service provided in Halton as a model of good practice as this is an example of a community based heart failure service which is dedicated solely to managing patients with heart failure and so increasingly being seen by many as being one model of good practice.

The Public Health contribution to capacity planning and demand management in Cheshire and Merseyside, Phase 3: Managing heart failure: (Observatory Report Series Number 57)
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The Public Health contribution to capacity planning and demand management in Cheshire and Merseyside, Phase 3: Managing heart failure: (Observatory Report Series Number 57): Supplement
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The Public Health contribution to capacity planning and demand management in Cheshire and Merseyside,Phase 3: Pulmonary rehabilitation: (Observatory Report Series Number 56) – Liverpool University Public Health Observatory

Following a search of the literature of public health interventions that can be provided by the NHS to reduce hospital admissions (see Report No. 53), this report attempts to quantify the impact on hospital activity in Cheshire and Merseyside by providing pulmonary rehabilitation.

The Public Health contribution to capacity planning and demand management in Cheshire and Merseyside,Phase 3: Pulmonary rehabilitation: (Observatory Report Series Number 56)
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The Public Health contribution to capacity planning and demand management in Cheshire and Merseyside, Phase 3: Preventing falls in older people: (Observatory Report Series Number 55) – Liverpool University Public Health Observatory

Following a search of the literature of public health interventions that can be provided by the NHS to reduce hospital admissions (see Report No. 53), this report attempts to quantify the impact on hospital activity in Cheshire and Merseyside by preventing falls in older people.

The Public Health contribution to capacity planning and demand management in Cheshire and Merseyside, Phase 3: Preventing falls in older people: (Observatory Report Series Number 55)
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Rapid Health Impact Assessment for Royal Liverpool and Broadgreen University Hospitals Trust – ‘A New Health Service for Liverpool, World Class Hospitals, World Class Services’: (Observatory report series No.66) – Liverpool University Public Health Observatory

The overall aim of this HIA was to maximise the health benefits which could result from implementation of the proposals by the Royal Liverpool and Broadgreen Hospitals to redesign its services, develop a new hospital to replace the Royal Liverpool University Hospital (RLUH) on its exisiting site, and make further investment at Broadgreen Hospital. In order to do this, the following objectives had to be achieved;

  • Identify and profile the population groups who will be affected by the proposal.
  • Identify the potential positive and negative health impacts of the proposal and set out clearly who will be affected by these impacts.
  • Make recommendations for the elimination or mitigation of negative impacts (or compensation for those affected).
  • Make recommendations for the maximisation of positive impacts.
Rapid Health Impact Assessment for Royal Liverpool and Broadgreen University Hospitals Trust - ‘A New Health Service for Liverpool, World Class Hospitals, World Class Services’: (Observatory report series No.66)
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Top tips for Healthier Workplaces: Full report: (Observatory Report Series No.67) – Liverpool University Public Health Observatory

The aim of this report is to enable local workplaces within Cheshire and Merseyside to focus on the actions they can take to promote the health of their existing and prospective employees. Top tips is closely tied to the Choosing Health priority areas, and draws together evidence, national policy, and targets as well as examples of good practice (within the full report), for the Choosing Health priority areas.

Top tips for Healthier Workplaces: Full report: (Observatory Report Series No.67)
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Executive Summary

Top tips for Healthier Workplaces: Executive Summary: (Observatory Report Series No.67)
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Rapid Health and Equality Impact Assessment (HEqIA)of Mersey Care NHS Trust’s Outline Business Case for Mental Health and Learning Disability Services: (Observatory report series No 68) – Liverpool University Public Health Observatory

The overall aim of this HEqIA was to maximise the health benefits which could result from implementation of the Mersey Care NHS Trust’s Outline Business Case, for mental health and learning disability services. In order to do this, the following
objectives had to be achieved;

  • Identify and profile the population groups who will be affected by the proposal.
  • Identify the potential positive and negative health and equality impacts of the proposal and set out clearly who will be affected by these impacts.
  • Make recommendations for the elimination or mitigation of negative impacts (or compensation for those affected).
  • Make recommendations for the maximisation of positive impacts.
Rapid Health and Equality Impact Assessment (HEqIA)of Mersey Care NHS Trust’s Outline Business Case for Mental Health and Learning Disability Services: (Observatory report series No 68)
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Mental Health Equity Profile for the Mersey Care NHS Trust catchment area: Final Report: (Report series No.69) – Liverpool UniversityPublic Health Observatory

Liverpool Public Health Observatory was commissioned by Sefton, Liverpool and Knowsley PCTs to undertake a rapid mental health equity profile to support the local health commissioning process, and to support the Mersey Care NHS Trust TIME (To Improve Mental Health Environments) project. Results will inform the commissioning of services to support adult mental health and well-being for each of the three PCTs.

Mental Health Equity Profile for the Mersey Care NHS Trust catchment area: Final Report: (Report series No.69)
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Executive Summary

Mental Health Equity Profile for the Mersey Care NHS Trust catchment area: Executive Summary: (Report series No.69)
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Evaluation of the Phase 2 Snack Right Social Marketing Project – base-line data: A preliminary report: (Observatory Report Series No. 70) – University of Liverpool Public Health Observatory

This research is the final report on the evaluation of Phase 2 Snack Right social marketing project that aimed to improve the nutritional quality of snacks given to pre-school children in deprived areas of Cheshire and Merseyside and to gain experience and build capacity in social marketing throughout Cheshire and Merseyside; to put marketing theory into practice on a Cheshire and Merseyside footprint; and to disseminate the learning in social marketing.

Evaluation of the Phase 2 Snack Right Social Marketing Project  – base-line data: A preliminary report: (Observatory Report Series No. 70)
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Evaluation of the Phase 2 Snack Right Social Marketing Project – Final Report: (Observatory Report Series No. 71) – University of Liverpool Public Health Observatory

This research is the final report on the evaluation of Phase 2 Snack Right social marketing project that aimed to improve the nutritional quality of snacks given to pre-school children in deprived areas of Cheshire and Merseyside and to gain experience and build capacity in social marketing throughout Cheshire and Merseyside; to put marketing theory into practice on a Cheshire and Merseyside footprint; and to disseminate the learning in social marketing.

Evaluation of the Phase 2 Snack Right Social Marketing Project – Final Report: (Observatory Report Series No. 71)
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Top Tips for sexual health promotion: Full Report: (Observatory Report Series No. 72) – Liverpool University Public Health Observatory

The promotion of sexual health involves encouraging healthy patterns of behaviour which avoid the damaging effects of poor sexual health. With that in mind, Top tips for sexual health promotion focuses on positive influences for sexual health in the community and how they can be promoted. The tips reflect a lifelong approach from childhood through adolescence into adulthood and on to old age. The promotion of positive sexual health is also considered in various settings and among different population groups.

Top Tips for sexual health promotion: Full Report: (Observatory Report Series No. 72)
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Top Tips for a Healthy Planned Environment Final Report: (Observatory Report Series No. 73) – Liverpool University Public Health Observatory

Top Tips for a healthy planned environment is the fifth document in the Top Tips series that aims to promote public health. The key topic areas covered are: history, policy, transport, physical activity, environmental sustainability, wellbeing, crime prevention, alcohol, fast food, sunbeds and tobacco, which feature examples of best practice and “top tips”. This report will support the integration of the health and planning agendas.

Top Tips for a Healthy Planned Environment Final Report: (Observatory Report Series No. 73
Top Tips for a Healthy Planned Environment Final Report: (Observatory Report Series No. 73
73Top_Tips_for_healthy_planned_environment_Final_Report_16_sept_10.pdf
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Ageing: Future planning Horizon scanning for those aged 65+: (Observatory Report Series No. 74) – Liverpool University Public Health Observatory

Summarises two pieces of work: a review of the literature on ageing and its implications for health and healthcare in the future; and, the outcomes of a regional conference, Ageing: Future Planning, held on 6 October 2009.

Ageing: Future planning Horizon scanning for those aged 65+: (Observatory Report Series No. 74)
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Healthcare needs assessment: Specialist intervention in safeguarding children across Merseyside: Full Report: (Observatory report series number 75) – University of Liverpool Public Health Observatory

The safeguarding needs assessment was undertaken by Liverpool Public Health Observatory on behalf of the Merseyside Safeguarding Commissioning Collaborative. The needs assessment aims to show patterns of use of/referral to services across Merseyside (Sefton, Liverpool, Knowsley, St.Helens and Wirral). It will enable an estimation of the needs for and provision of specialist health services input to child safeguarding practice.

Healthcare needs assessment: Specialist intervention in safeguarding children across Merseyside: Full Report: (Observatory report series number 75)
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Wellness Services – Evidence based review and examples of good practice: (Observatory Report Series No. 76) – Liverpool University Public Health Observatory

This report reviews the regional and National evidence base regarding any programmes that commission on a “whole person” centred approach and potential benefits that might be achieved in terms of the economics and overall patient/ public experience and quality issues. Examples of good practice have been included along with guidance for wellbeing and lifestyle services and suggested standards for wellness services.

Wellness Services – Evidence based review and examples of good practice: (Observatory Report Series No. 76)
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Reducing emergency alcohol‐related hospital admissions: (Observatory Report Series number 77) – Liverpool University Public Health Observatory

Recommends the following effective policy interventions;

  • Taxation is the most effective policy intervention
  • Address availability of alcohol, e.g. limits on hours or days of sale, and density of outlets, and address marketing of alcohol.
  • Examine pricing policies, particularly price promotions such as two for one offers and happy hours, and heavily discounted alcohol in supermarkets.
  • Tackle illegally and informally produced alcohol use.

Effective community interventions;

  • Look at measures that have been used to tackle night-time economy violence, such as rewarding good practice and replacing glass drinking utensils with plastic.
  • Improve late night transport options, such as providing additional public transport, improving walking routes and employment of security staff at taxi ranks, is effective. Implement measures to reduce drink driving, e.g. stricter enforcement.

Effective health service interventions;

  • Implement screening, and delivery of brief interventions, both in primary care and A & E. Brief interventions include information about the effects of alcohol, goal setting, and arrangements for follow-up monitoring. Self-help materials are also effective.
  • Appoint Alcohol Health Workers or Alcohol Liaison Nurses, improve specialist treatment and amplify social marketing initiatives.
  • Make the full range of interventions for alcohol problems available to all hospital staff.
Reducing emergency alcohol‐related hospital admissions : (Observatory Report Series number 77)
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Interventions to reduce emergency admissions for heart failure: (Observatory Report Series number 79) – Liverpool University Public Health Observatory

Report that recommends that commissioners:

  • Help enable the population to reduce the risk factors for heart failure, such as  delivery of brief interventions to reduce smoking rates and monitoring of those with diabetes.
  • Refer for genetic testing where appropriate.
  • Develop primary angioplasty services, if appropriate for local need.
  • Develop cardiac networks to deliver integrated care across primary, secondary and tertiary organisation
Interventions to reduce emergency admissions for heart failure: (Observatory Report Series number 79)
Interventions to reduce emergency admissions for heart failure: (Observatory Report Series number 79)
79_Interventions_to_reduce_admissions_for_Coronary_Heart_Disease.pdf
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