Service specification: integrated substance misuse treatment service prisons in England – NHS England

This service specification describes a fully recovery orientated, integrated prison substance misuse treatment service, which covers traditional drugs of abuse, psychoactive substances, illicit abuse of prescribed and over the counter drugs and alcohol.

Service specification: integrated substance misuse treatment service prisons in England
0.7 MiB
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Less waste, more health: A health professional’s guide to reducing waste – Royal College of Physicians

This report report explains how health professionals can positively influence societal health and wellbeing by making simple changes to the procurement and disposal of medical supplies. It offers case studies and 12 recommendations setting out how everyone from individual to trust level can: positively influence the health of patients; aid financial savings; and shape the impact of the NHS on the environment.

Less waste, more health: A health professional’s guide to reducing waste
0.3 MiB
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Health in Private-Rented Housing: (Postnote Number 573) – Houses of Parliamentary Office of Science and Technology

This POSTnote looks at the quality of housing in the UK private rented sector and explains the effects that housing conditions can have on health. It also looks at interventions to improve housing quality in the private rented sector and at the challenges to implementing them. It finds:

  • The private-rented sector in the UK is growing and has worse housing conditions than any other sector.
  • Conditions such as excess cold and overcrowding can affect physical health and mental wellbeing throughout life.
  • Increasing energy-efficiency and removing damp and mould can improve health.
  • Tenants may not feel able to request repairs and landlords may not know the standards that are required. Local authorities may lack resources to enforce housing standards.
  • Incentivising landlords and encouraging joint-working across local authorities, and other providers of health and social care at local levels, may improve conditions.
Health in Private-Rented Housing: (Postnote Number 573)
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Cardiothoracic Surgery: GIRFT Programme National Specialty Report – GIRFT Programme

Report that finds that changes to the way cardiothoracic surgical services are organised and delivered in England will bring substantial benefits for patients suffering from conditions such as blocked arteries, lung cancer, and heart valve disease. It recommends:

  • more efficient bed management by ensuring surgery on day of admission is delivered routinely for cardiothoracic patients, helping reduce delays and time spent in hospital;
  • ring-fencing beds on intensive care units (ITU) and general wards for the care of cardiothoracic patients;
  • sub-specialisation for certain critical procedures;
  • the use of less invasive thoracic surgery known as VATS (video-assisted thoracoscopic surgery) for lung resection surgery. According to the report, VATS reduces complication rates and length of hospital stay.
Cardiothoracic Surgery: GIRFT Programme National Specialty Report
2.2 MiB
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Women and HIV Invisible No Longer: A national study of women’s experiences of HIV – Sophia Forum and Terence Higgins Trust

Sophia Forum and Terence Higgins Trust one-year study aiming to explore the needs and experiences of women affected by HIV.  It finds:

  • Over half of women (58%) living with HIV in the UK have experienced violence in their lives
  • Almost half (45%) are living below the poverty line.
  • Almost one third (29%) have experienced violence or abuse while accessing healthcare services because of their HIV status.
  • Almost half (42%) have had mental health diagnoses since an HIV diagnosis.
  • One third (33%) feel they have an undiagnosed mental health issue.
  • Almost half (46%) would like support with managing their mental health but are unable to access it.
  • Over half (54%) said their HIV has affected their sex lives.
  • Two in five (42%) said their HIV impacted whether to have children, despite vertical transmission in the UK now being almost non-existent.
  • Almost half (42%) felt as though they were diagnosed late.
  • One third (29%) had no one to turn to for support straight after diagnosis.
  • Despite this, half of women living with HIV (49%) would describe their quality of life as ‘good’ or ‘very good’, while a further 38 per cent would call it ‘acceptable’.
  • In fact, one third (30%) of women living with HIV said their lives have improved since diagnosis, compared to under one quarter (23%) who said it has become worse.
  • One fifth (18%) said sexual health services were difficult to access, for reasons including distance between home and clinic, opening hours or lack of appointments. One in ten respondents said they would feel worried about judgemental staff when asking to take an HIV test.
Women and HIV Invisible No Longer: A national study of women’s experiences of HIV
1.2 MiB
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Executive Summary

Women and HIV Invisible No Longer: A national study of women’s experiences of HIV: Executive Summary
1.8 MiB
2 Downloads
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New initiatives to support staff retention: Guy’s and St Thomas’ NHS Foundation Trust – NHS Employers

In 2017, Guy’s and St Thomas’ NHS Foundation Trust set up a corporate retention group comprising HR business partners and stakeholders from clinical staff groups, to develop a strategy to retain staff with key skills and experience. Case study describing how the group focused on the following key areas:

  1. Career navigation and coaching
  2. Stay discussions
  3. Flexible working
  4. Transfer process
  5. Early engagement post-offer
  6. Leavers’ discussions and keeping in touch
  7. Accommodation

Learning disabilities and behaviour that challenges: service design and delivery: NICE guideline [NG93] – NICE

This guideline covers services for children, young people and adults with a learning disability (or autism and a learning disability) and behaviour that challenges. It aims to promote a lifelong approach to supporting people and their families and carers, focusing on prevention and early intervention and minimising inpatient admissions.

Learning disabilities and behaviour that challenges: service design and delivery: NICE guideline [NG93]
Learning disabilities and behaviour that challenges: service design and delivery: NICE guideline [NG93]
learning-disabilities-and-behaviour-that-challenges-service-design-and-delivery-pdf-1837753480645.pdf
0.2 MiB
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A poor tax: Council tax in London: Time for reform – Institute for Public Policy Research

Report that demonstrates how council tax has become increasingly regressive with regard to property values – the cheaper the property, the more you are likely to pay as a proportion of the property value. Leaaving council tax unreformed is becoming ever more unsustainable. Local authorities across the country are increasingly cash strapped as a consequence of government cuts to their core grant funding and limits on their ability to raise funds through council tax and other sources. Moreover, the direction of public policy is towards greater devolution and allowing local politicians, accountable to their local electorates, to have a greater say – not just about what services should be prioritised, but how the funds for them should be raised.

A poor tax: Council tax in London: Time for reform
A poor tax: Council tax in London: Time for reform
a-poor-tax-council-tax-in-london.pdf
1.0 MiB
18 Downloads
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Service specification: Integrated mental health service for prisons in England – NHS England

This service specification describes a prison based integrated mental health service and replaces the earlier specification published in 2013.

Service specification: Integrated mental health service for prisons in England
Service specification: Integrated mental health service for prisons in England
service-specification-mental-health-for-prisons-in-england.pdf
0.9 MiB
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The Improving Access to Psychological Therapies (IAPT) Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms – NHS England

From April 2018 all CCGs are expected to expand IAPT by commissioning IAPT services integrated into physical healthcare pathways. This document supports this expansion by setting out the treatment pathway that underpins the access and waiting time standards, which all services should seek to measure themselves against. The guidance also provides evidence on what works, as well as local case studies of service-led examples that describe how to make IAPT-LTC services a reality.

The Improving Access to Psychological Therapies (IAPT) Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms
1.0 MiB
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The value of business to the Third Sector – Institute for Public Policy Research

Institute for Public Policy Research report exploring the nature of the relationship between the private sector and Third Sector Organisations (TSOs). It provides insights into the extent and depth of support received from business, as well as the value of support provided. In addition to data on the degree to which the sector relies upon money received from businesses, the paper considers other kinds of business support offered to TSOs.

The value of business to the Third Sector
The value of business to the Third Sector
value-of-business-to-the-third-sector-march18-1.pdf
0.4 MiB
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How much would it cost to reduce child poverty in Scotland? The financial scale of child poverty in Scotland – Institute for Public Policy Research

Report from the Institute for Public Policy Research that identifies a reduction and eradication of child poverty in Scotland requires a whole-Scotland approach involving a combination of increased earnings for the poorest households (through inclusive growth), and increases in social security payments, involving concerted action from employers, governments and wider civil society.

How much would it cost to reduce child poverty in Scotland? The financial scale of child poverty in Scotland
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Water Fluoridation: Health monitoring report for England 2018 – Public Health England

Report that compares data on the health of people living in areas of England with differing concentrations of fluoride in their drinking water supply.  It finds improved dental health in areas that are fluoridated and taken alongside the existing wider research, the results do not provide convincing evidence of higher rates of hip fracture, Down’s syndrome, kidney stones, bladder cancer, or osteosarcoma (a cancer of the bone) due to fluoridation schemes.

Water Fluoridation: Health monitoring report for England 2018
Water Fluoridation: Health monitoring report for England 2018
Water_Fluoridation_Health_monitoring_report_for_England_2018_final.pdf
1.6 MiB
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Learning from experiences of Universal Credit: Research conducted on behalf of the Joseph Rowntree Foundation – BritainThinks

BritainThinks report commissioned by the Joseph Rowntree Foundation looking at individuals living on full service Universal Credit to understand their experiences of the new benefit and their spontaneous and prompted priorities for change for the benefit. It finds for a small number of participants for whom Universal Credit was broadly working. These were individuals with some other source of incometo draw on (from either savings or a salary) and who could use Universal Credit as a
‘top-up’.  For others the process of applying for Universal Credit was identified as a cause of stress and humiliation. Participants who were already financially and socially vulnerable – those who were unemployed, younger people, those with no savings, those with little/no access to informal support networks such as friends and family and those with poor internet access, poor IT skills and low literacy – tended to report having experienced the most severe impacts due to Universal Credit.

Learning from experiences of Universal Credit: Research conducted on behalf of the Joseph Rowntree Foundation
Learning from experiences of Universal Credit: Research conducted on behalf of the Joseph Rowntree Foundation
Learning-from-experiences-of-Universal-Credit_Report-for-the-Joseph-Rowntree-Foundation-1.pdf
1.3 MiB
31 Downloads
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Maintaining momentum: driving improvements in mental health care – Parliamentary and Health Service Ombudsman

Parliamentary and Health Service Ombudsman report reviewing complaints that finds vulnerable patients with mental health conditions are being let down by the NHS, causing them and their families needless suffering and distress. It reports that NHS mental healthcare staff can lack the capacity, skills and training they need to do their job effectively, and do not always have the support they need to learn from mistakes. It also identifies that it expects improvements as a result of the ‘Five Year Forward View for Mental Health’.

Maintaining momentum: driving improvements in mental health care
Maintaining momentum: driving improvements in mental health care
Maintaining-momentum-driving-improvements-in-mental-health-care-Report-Final-Web-Accessible.pdf
0.2 MiB
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The public finances: a historical overview: (Briefing Number 8265) – House of Commons Library

Briefing paper looking at trends in public income, spending and debts during this time, and comments on how the money was raised, spent and scrutinised by Parliament over the last 300 years.

The public finances: a historical overview: (Briefing Number 8265)
1.8 MiB
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Low carbon heating of homes and businesses and the Renewable Heat Incentive – National Audit Office

The Renewable Heat Incentive (RHI) is a scheme to encourage a switch from fossil fuel heating systems to renewable and low-carbon alternatives in homes and business premises in Great Britain. It pays people and businesses money in the form of a tariff for each unit of heat produced from renewable sources. The scheme is funded directly by taxpayers, unlike subsidies for low carbon electricity, which are funded through higher energy bills.

Between November 2011 and August 2017, total payments under the RHI amounted to £1.4 billion. The scheme currently has a budget for new applicants until March 2021. Final payments to these applicants will run to at least 2040-41, by which time these payments are expected to have cost £23 billion. This report assesses the value for money of the RHI for Great Britain only. The Northern Ireland RHI does not fall within the scope of this report.

Low-carbon heating of homes and businesses and the Renewable Heat Incentive
Low-carbon heating of homes and businesses and the Renewable Heat Incentive
Low-carbon-heating-of-homes-and-businesses-and-the-Renewable-Heat-Incentive.pdf
0.9 MiB
29 Downloads
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Executive Summary

Low carbon heating of homes and businesses and the Renewable Heat Incentive: Summary
Low carbon heating of homes and businesses and the Renewable Heat Incentive: Summary
Low-carbon-heating-of-homes-and-businesses-and-the-Renewable-Heat-Incentive-Summary.pdf
0.3 MiB
20 Downloads
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Improving Health and Care through the home: A National Memorandum of Understanding – Public Health England

Renewed Memorandum of Understanding that brings together key organisations, decision-makers and implementers from across the public and voluntary sector, to maximise opportunities to embed the role of housing in joined up action on improving health and better health and social care services.

Improving Health and Care through the home: A National Memorandum of Understanding
1.1 MiB
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Understanding recovery from a family perspective: A survey of life in recovery for families: (Alcohol Insight 149) – Alcohol Research UK

Results of a survey looking at recovery from a family perspective. For family members, recovery is experienced in two senses. They observe the journey of the recovering drinker; however, they also embark on their own journey of change as a consequence of their experiences.

Understanding recovery from a family perspective: A survey of life in recovery for families: (Alcohol Insight 149)
0.3 MiB
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Public health transformation five years on – Local Government Association

Public health has been part of local government for five years now. We are well beyond the stage at which public health teams have ‘bedded in’ to local authorities and at which local authorities have learned what public health is all about. Born of the synergy between the two, we should now expect to see significant changes in the way local government carries on its business; and significant changes in the understanding of public health teams of the potential breadth and depth of their reach in tackling the social determinants of health. In this year’s annual report this has proved to be the case.

Public health transformation five years on
Public health transformation five years on
22.14-Public-health-5-years-on_Web.pdf
0.6 MiB
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