Laboratory reports of hepatitis C in England and Wales, April to June 2019: (Health Protection Report Volume 13 Number 41) – Public Health England

Quarterly reports of laboratory-confirmed cases of hepatitis C in England and Wales in 2019.

Laboratory reports of hepatitis C in England and Wales, April to June 2019: (Health Protection Report Volume 13 Number 41)
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Criminal Justice Project: Drug Interventions Programme – St Helens Drug Testing Profile (2013/14 to 2015/16) – Liverpool John Moores University Public Health Institute

The Drug Interventions Programme (DIP) process begins with the police arresting and drug testing potential drug using offenders. If offenders test positive for Class A drugs they are served with a Required Assessment (RA) by the police. This a compulsory legal sanction for the individual to attend up to two appointments (initial/follow-up RA) with a drugs worker. During these assessments the drugs worker will assess the individual’s drug and offending behaviour and, if necessary, encourage them to engage with drug treatment services.

This Drug Testing Profile for St Helens presents drug testing data between April 2013 and March 2016, with an emphasis on the most recent financial year (2015/16). This profile will contextualise Merseyside Police drug testing data by providing numbers and trends of drug using offenders identified through this route into the DIP system and a demographic overview of the individuals. This profile also provides recommendations for local government, commissioners and service providers in terms of the efficient use of resources and effective services locally and across Merseyside.

Criminal Justice Project: Drug Interventions Programme – St Helens Drug Testing Profile (2013/14 to 2015/16)
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Physical Inactivity and Sedentary Behaviour Report 2017 – British Heart Foundation

The British Heart Foundation (BHF) has compiled this report using the latest health statistics to provide a comprehensive overview of levels of physical inactivity and sedentary behaviour in adults across the UK. The data in this report suggests that large numbers of people in the UK are still failing to meet recommendations for physical activity, putting them at greater risk of heart and circulatory disease.

Physical Inactivity and Sedentary Behaviour Report 2017
Physical Inactivity and Sedentary Behaviour Report 2017
physical-inactivity-report-mymarathon-final.pdf
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Building healthier communities: the role of the NHS as an anchor institution – The Health Foundation

Anchor institutions are large, public sector organisations that are unlikely to relocate and have a significant stake in a geographical area. The size, scale and reach of the NHS means it influences the health and wellbeing of communities simply by being there. This report identifies five ways in which NHS organisations act as anchor institutions and it sets out actions and opportunities for the NHS to harness its considerable influence to have an even greater impact on the health and wellbeing of communities.

Building healthier communities: The role of the NHS as an anchor institution
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Connect 5 in The North: Delivery and Evaluation Report – Health Education England and Royal Society for Public Health

Connect 5 is a training programme that aims to build the capacity and capability of non-specialist frontline workforce to have more proactive and evidence-based conversations about mental health. These conversations are intended to contribute toward promoting mental wellbeing, preventing mental health deterioration and when necessary, identifying and taking appropriate action to address mental distress. Key findings are:

  • Connect 5 workforce training participants reported a significant increase in knowledge and understanding of mental health and wellbeing, as well as an increase in confidence to have
    conversations about mental health and wellbeing.
  • Train the Trainer participants reported that the programme met their expectations, and it prepared them well to deliver Connect 5 workforce training to their peers. The quality and relevance of Connect 5 training resources were also highly rated.
  • 18 Connect 5 trainers have cascaded training to an estimated 669 individuals at the time of writing this report.
  • 49 out of 59 trainers have reported the intention to deliver training in the near future.
  • Trainers who submitted case studies reported being able to secure support for Connect 5 cascade training from their Local Authorities, Clinical Commissioning Groups (CCGs) and networks, which facilitated the promotion of the training and ensured steady take up.
  • Trainers have reported that the experiences of qualifying as Connect 5 trainers and cascading the training have been largely positive.
Connect 5 in The North: Delivery and Evaluation Report
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Government response to the recommendations of the Public Administration and Constitutional Affairs Committee’s Seventeenth Report of Session 2017-19: Ignoring the Alarms follow-up: Too many avoidable deaths from eating disorders – Department of Health and Social Care

In June 2019, the House of Commons Public Administration and Constitutional Affairs Committee published its report into avoidable deaths from eating disorders. It contained recommendations across six areas to improve eating disorder services and this report outlines the government’s response to the recommendations.

Government response to the recommendations of the Public Administration and Constitutional Affairs Committee's Seventeenth Report of Session 2017-19: Ignoring the Alarms follow-up: Too many avoidable deaths from eating disorders
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How doctors in leadership roles establish and maintain a positive patient-centred culture – General Medical Council

General Medical Council (GMC) report finding that positively-engaged leaders, from diverse backgrounds, are key to transforming organisational cultures. However, they are often unprepared and unsupported for the challenges of leadership during the early stages of their management careers. It makes the case for support for senior healthcare leaders to help them overcome challenges that can impact on patient care.

How doctors in leadership roles establish and maintain a positive patient-centred culture
How doctors in leadership roles establish and maintain a positive patient-centred culture
How-doctors-in-senior-leadership-roles-establish-and-maintain-a-positive-patient-centred-cu-79633866.pdf
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Spotlight on sexually transmitted infections in London: 2018 data – Public Health England

Report presenting data for sexually transmitted infections (STIs) in London in 2018.

Spotlight on sexually transmitted infections in London: 2018 data
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Adolescent vaccine coverage collection (HPV and MenACWY and Td/IPV) 2018 to 2019: Local Authority annual survey: Reference guide for NHS England local teams submitting annual vaccine coverage data on ImmForm – Public Health England

Guidance for data providers on submitting HPV, MenACWY and Td/IPV vaccine coverage data. The user guide provides NHS England Local Teams and Screening and Immunisation Teams (SITs) with detailed guidance on how to submit data for the Adolescent Vaccine Coverage Collection (which includes HPV, MenACWY and Td/IPV vaccines) for the 2017 to 2018 Local Authority Annual Survey, via the ImmForm web-based system provided by PHE.

Adolescent vaccine coverage collection (HPV and MenACWY and Td/IPV) 2018 to 2019: Local Authority annual survey: Reference guide for NHS England local teams submitting annual vaccine coverage data on ImmForm
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Ask and take action: Why public services must ask about domestic abuse – Agenda

Agenda report that finds that mental health services across England are failing women by not asking about experiences of domestic abuse. The findings, based on results from Freedom of Information requests, show that more than a third (15) of NHS mental health trusts that responded (42 of 58) have no policy on ‘routine enquiry’ about domestic violence and abuse – in spite of National Institute for Health and Care Excellence (NICE) domestic violence and abuse guidelines. Agenda is calling for the government to amend the Domestic Abuse Bill to put a duty on all public authorities to ensure staff across the public sector are making trained enquiries into domestic abuse.

Ask and take action: Why public services must ask about domestic abuse
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Mrs A Kmita v Royal Devon and Exeter NHS Foundation Trust: 1403369/2019 – HM Courts & Tribunals Service

From United Kingdom Employment Tribunal. The proceedings are dismissed following a withdrawal of the claim by the claimant.
Mrs A Kmita v Royal Devon and Exeter NHS Foundation Trust: 1403369/2019
Mrs A Kmita v Royal Devon and Exeter NHS Foundation Trust: 1403369/2019
Mrs_A_Kmita_v_Royal_Devon___Exeter_Nhs_Foundation_Trust__1403369.2019.pdf
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Stopping the staff we need? Migration choices in the 2019 general election – Nuffield Trust

Nuffield Trust briefing that looks back at how migrants and migration policy have shaped the care workforce across the UK in recent decades, drawing on new figures obtained from the Office for National Statistics. It assesses the risks different parties’ policies pose and how these could be addressed to ensure that we do not stop the staff we need.  Key issues:

  • NHS and social care services have depended heavily on migration over the last 20 years. Our analysis of new figures shows workers born outside the UK have accounted for 50% of the increase in care staff over the last decade. Their numbers have risen by 221,000 out of a total increase of 446,000.
  • Reliance on migration is greatest in hospitals. Here the proportion of workers born outside the UK has now reached one in four.
  • There is a risk that policies by the main parties to end the current system of free movement from the European Economic Area after Brexit will cause a slowdown in migration, with no alternative way remaining to recruit these much-needed staff. If the effect was similar to the crackdown in immigration from outside the EEA around 2010, health and care could have 6,000 fewer extra staff each year.
  • Any slowdown in migration could not come at a worse time. Health and social care already face major workforce shortages, yet will actually be called on to do more in the coming years as our population ages and political leaders inherit pledges to expand social care coverage. We have estimated that at least 5,000 nurses a year must be recruited from abroad.
  • While both Labour and the Conservatives have discussed exemptions for NHS workers, it is very unclear who these would cover and whether a new system would still be more restrictive overall.
  • Social care is the most exposed sector of all. Neither party has discussed exemptions for it, yet low-paid care workers are especially likely to be blocked off by a selective system.
Supporting medical productivity data collection: guide to the 2018/19 data collection process and to improving ESR data quality
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Opportunities to embed sexual and reproductive healthcare services into new models of care: A practical guide for commissioners and service providers – Faculty of Sexual and Reproductive Healthcare

An audit conducted by the Faculty of Sexual and Reproductive Healthcare (FSRH) of emerging new models of care has found that only a quarter of these new models mentions contraceptive services and/or community gynaecology in their plans.

  • The audit reveals big untapped potential to include sexual and reproductive healthcare in Integrated Care Systems (ICSs) and Primary Care Networks (PCNs) in England.
  • The audit results were unveiled in a new report by FSRH, featuring four best practice examples of areas promoting innovation on design and delivery of sexual and reproductive healthcare services.

More than 50 strategies and operational plans were reviewed for the audit, with results showing that few areas have explicitly recognised the opportunity to embed sexual and reproductive healthcare services in their plans.

Opportunities to embed sexual and reproductive healthcare services into new models of care: A practical guide for commissioners and service providers
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P. aeruginosa bacteraemia: monthly data by location of onset and NHS organisation, October 2018 to October 2019 – Public Health England

Spreadsheet of monthly counts of Pseudomonas aeruginosa (P. aeruginosa) bacteraemia by organisation and location of onset (from April 2019).

P. aeruginosa bacteraemia: monthly data by location of onset and NHS organisation, October 2018 to October 2019
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Klebsiella spp. bacteraemia: monthly data by location of onset and NHS organisation, October 2018 to October 2019 – Public Health England

Spreadsheet of monthly counts of Klebsiella species (Klebsiella spp.) bacteraemia by organisation and location of onset (from April 2019).

Klebsiella spp. bacteraemia: monthly data by location of onset and NHS organisation, October 2018 to October 2019
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MRSA bacteraemia: monthly data by location of onset and NHS organisation, from October 2018 to October 2019 data – Public Health England

Spreadsheet of monthly counts of methicillin resistant Staphylococcus aureus (MRSA) bacteraemia by organisation and location of onset (from April 2019).

MRSA bacteraemia: monthly data by location of onset and NHS organisation, from October 2018 to October 2019 data
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C. difficile infection: monthly data by prior trust exposure and NHS organisation, from October 2018 to October 2019 – Public Health England

Spreadsheet detailing monthly count of total reported, hospital-onset, hospital-onset healthcare associated (HOHA), community-onset healthcare associated (COHA), community-onset intermediate (COIA) associated and community-onset community associated (COCA) C. difficile infections by NHS organisations.

C. difficile infection: monthly data by prior trust exposure and NHS organisation, from October 2018 to October 2019
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Spotlight on the 10 High Impact Actions – Royal College of General Practitioners

Royal College of General Practitioners research on the effectiveness of NHS England’s Time for Care Programme, specifically its 10 High Impact Actions: a range of initiatives that were introduced with the aim of increasing capacity in general practice and reducing GP workload which were introduced two years ago.

  • Expresses concern about the upfront investment in pursuing actions, with concerns about increased workload stemming from a lack of capacity to implement these properly at the start. Even actions that might be viewed as positively impactful can still be unattractive to practices dealing with immediate workload pressures.
  • Good implementation is key. Adapting the implementation of the action tomeet GPs concerns, or ensuring that a different action is implemented first.
  • The evidence base for these actions is of varying quality. Where strong evidence is lacking, GPs surveyed by the RCGP often expressed higher scepticism, which emphasises the importance of communicating evidenced impact and sharing case studies.

Of all of the 10 High Impact Actions GPs found that the recommendation to utilise social prescribing – the practice of referring patients to non-medical care – to be one of the most effective and beneficial for both GP teams and patients. As a result the College calls for every practice to be equipped with access to a dedicated social prescriber to help patients find the right care.

Spotlight on the 10 High Impact Actions
Spotlight on the 10 High Impact Actions
RCGP-spotlight-on-the-10-high-impact-actions-may-2018_2.pdf
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The UTOPIA project: Using Telecare for Older People In Adult social care: The findings of a 2016-17 national survey of local authority telecare provision for older people in England – King’s College London Social Care Workforce Research Unit

Report  based on an online survey of local authority telecare managers carried out between November 2016 and January 2017. It aimed to find out how telecare is being used by local authority adult social care departments to support older people; the largest single group of social care users. It identifies barriers and facilitators to use and the terms and conditions under which use is made.

The UTOPIA project: Using Telecare for Older People In Adult social care: The findings of a 2016-17 national survey of local authority telecare provision for older people in England
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Taking Revalidation Forward Action Plan – General Medical Council

This plan sets out how the GMC will respond and implement the recommendations outlined in Sir Keith Pearson’s review of clinical revalidation. The report details work the GMC and others will do to improve medical revalidation, making it a more positive and meaningful experience for doctors, responsible officers, patients and everyone involved.

Taking Revalidation Forward Action Plan
Taking Revalidation Forward Action Plan
RT-Taking-revalidation-forward-action-plan-DC10267_pdf-71185817.pdf
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