Parity of Esteem Delivering Physical Health Equality for those with Serious Mental Health Needs
This report gives an overview of the work the RCN is doing to address the mortality gap between people with serious mental illness and the rest of the population, as well as their work towards establishing parity of esteem between mental and physical health. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2019 Category: Consumer Health News Source Type: news

Improving children and young people's mental health and emotional wellbeing
The LGA's Children and Young People's Mental Health and Emotional Wellbeing Peer Learning Programme looked at how to prioritise early help and free up acute care for the most vulnerable in order to achieve change; and helped councils and their local partners to learn from each other and from other councils across the country. Eight councils and their partners took part in two learning days and a visit to another council, gaining further knowledge and understanding on how to tackle their local issue. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2019 Category: Consumer Health News Source Type: news

The prevalence and persistence of ethnic and racial harassment and its impact on health: a longitudinal analysis
Around one in ten people from ethnic minorities in England have reported experiencing ethnic and racial harassment in a public place, and almost double that number have reported feeling unsafe or avoiding public places – both of which are associated with poorer mental health, according to this report. It highlights the need to consider harassment and discrimination in the provision of mental health services. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2019 Category: Consumer Health News Source Type: news

Primary care networks explained
A key part of the NHS long-term plan, primary care networks will bring general practices together to work at scale. But how will they be formed, funded and held accountable? And what difference will they make? (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2019 Category: Consumer Health News Source Type: news

National health servers: delivering digital health for all
This research considers how technology could be adopted more quickly and more widely by the NHS to improve the care that patients receive and to drive better health outcomes. The report tracks the patient journey, from prevention and diagnosis in the community, into primary and secondary care, through into the management of long-term conditions. It sets out proposals for the future development of technology in the NHS, which impact across the patient journey. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2019 Category: Consumer Health News Source Type: news

Far less than they deserve: Children with learning disabilities or autism living in mental health hospitals
This report shows how too many children are being admitted to secure hospitals unnecessarily. It warns that the current system of support for those with learning disabilities or autism is letting down some of the most vulnerable children in the country. The report also finds evidence of poor and restrictive practices and sedation. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2019 Category: Consumer Health News Source Type: news

Investing in quality: the contribution of large charities to shaping future health and care
This report explores how the work of the National Garden Scheme and its beneficiaries fits within the context of the future of policy development in health and care. It contains case studies which provide an insight into areas of practice and care that are developing but have far wider relevance. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2019 Category: Consumer Health News Source Type: news

Children and young people
This update looks at trends in the quality of care for children and young people. It highlights the increase in childhood obesity, the stalling in rates of infant mortality, and an increase in hospital admissions as a result of self-harm. However, there have been some promising improvements including a reduction in smoking among young people and a decrease in teenage pregnancy. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2019 Category: Consumer Health News Source Type: news

Body image: how we think and feel about our bodies
This report presents data on the extent of body image concerns, how body image impacts on mental health and sets out individual actions people can take to improve how they feel about their bodies as well as national priorities for regulation, policy and practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2019 Category: Consumer Health News Source Type: news

Interventions for preventing delirium in older people in institutional longterm care
Review identified 3 trials (n=3851) and noted a software ‐based intervention to identify medications that could contribute to delirium risk and trigger a pharmacist‐led medication review, probably reduces incidence of delirium in this population, based on one large RCT in US. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 20, 2019 Category: Consumer Health News Source Type: news

Adult health screening
This report argues that national health bodies are not doing enough to make sure that everyone who is eligible to take part in screening is doing so. It adds that it is not known if everyone who should be invited for screening has been. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 16, 2019 Category: Consumer Health News Source Type: news

Active Ageing
This report highlights the costs of physical inactivity in older people and estimates that by 2030, it could be £ 1.3bn. It outlines the human cost of inactivity. It not only contributes to poorer physical health, but also to cognitive decline and loneliness. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 16, 2019 Category: Consumer Health News Source Type: news

Willingness of patients to use unused medication returned to the pharmacy by another patient: a cross-sectional survey
Dutch cross-sectional survey (46 pharmacies) found that, when quality is guaranteed, 61.2% of patients were willing to use medication returned unused to the pharmacy by another patient. Men, and those with a high educational level were more willing to use returned medication. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 16, 2019 Category: Consumer Health News Source Type: news

Working Well Together
A resource commissioned by NHS England to support delivery of the Five Year Forward View for Mental Health and the NHS Long Term Plan (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 16, 2019 Category: Consumer Health News Source Type: news

The NHS workforce in numbers: Facts on staffing and staff shortages in England
This report lays out the facts on size and structure of the current NHS workforce and highlights the extent of current shortages and their effect. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 16, 2019 Category: Consumer Health News Source Type: news

Untapped potential: investing in health and care data analytics
Making better use of data to improve care and benefit patients (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 16, 2019 Category: Consumer Health News Source Type: news

Hospital nurse-staffing models and patient and staff related outcomes
A review to explore the effect of hospital nurse-staffing models on patient and staff related outcomes in the hospital setting (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 16, 2019 Category: Consumer Health News Source Type: news

Advisory Committee on Antimicrobial Prescribing, Resistance and Healthcare Associated Infection (APRHAI) annual report, 2017 to 2018
This report describes the Committee's work which has mainly focused on supporting the implementation of the ambitions of the UK 5-year antimicrobial resistance strategy 2013 to 2018. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 16, 2019 Category: Consumer Health News Source Type: news

Curos for preventing infections when using needleless connectors: Medical technologies guidance [MTG44]
The Curos disinfecting cap shows promise for preventing infections when using needleless connectors, but there is currently insufficient evidence to support the case for routine adoption in the NHS. The cap is a single-use device which is placed over the needleless connector of vascular access lines. It contains a foam that is impregnated with 70% isopropyl alcohol, which acts as an antiseptic. It can stay in place for up to 7 days, but must be replaced with a new cap if it is removed. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 16, 2019 Category: Consumer Health News Source Type: news

World Health Organization (WHO) issues guideline on prevention of dementia
The WHO has published its first guideline on the prevention and management of dementia, recommending the adoption of specific lifestyle interventions such as encouraging physical activity and smoking cessation for reducing the risk of cognitive decline and dementia. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

Time for a strategy for the rural economy
This report, published by the House of Lords Select Committee on the Rural Economy, urges the Government take action to improve pharmaceutical services in rural areas. This might include reopening the Essential Small Pharmacies and Local Pharmaceutical Services (ESPLPS) scheme. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

Study advocates using hand rub with three steps for 15 seconds
Applying hand rub with three steps for 15 seconds is as effective at reducing bacteria as the six steps for 30 seconds recommended by the World Health Organization, according to Swiss researchers. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

UK 20-year vision for antimicrobial resistance
This policy lays out how the UK will contribute to containing and controlling antimicrobial resistance (AMR) by 2040. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

Clostridium difficile infection objectives
These resources set out the objectives for acute trusts and clinical commissioning groups to make continuous improvement in Clostridium difficile infection (CDI) care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

Antimicrobial resistance: how you can make a difference
This article looks at the magnitude of the problem of antimicrobial resistance in Great Britain and elaborates on the important role of nurses in antimicrobial stewardship. Topics mentioned include the ways that nurses can do to reduce the use of antibiotics including the promotion of healthy diets among patients, the importance of public health campaigns on antibiotics prescription, and the use of vaccination for infection prevention. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

Longterm antibiotics for preventing recurrent urinary tract infection in children
Review of 16 RCTs (n=1977) reports long ‐term antibiotics may reduce the risk of repeat symptomatic UTI in children who have had one or more previous UTIs but the benefit may be small and must be considered together with the increased risk of microbial resistance. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

Probiotics for the prevention of paediatric antibioticassociated diarrhoea
Review (33 RCTs; n= 6352) concluded that the overall evidence suggests a moderate protective effect of probiotics for preventing antibiotic ‐associated diarrhoea (NNTB 9, 95% CI 7 to 13). The likelihood of serious adverse events is very rare. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

The Restrictive IV Fluid Trial in Severe Sepsis and Septic Shock (RIFTS): A Randomized Pilot Study
RCT (n=109) demonstrates a restrictive resuscitation strategy can successfully reduce the amount of IV fluid administered to patients with severe sepsis and septic shock compared with usual care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

National Lung Cancer Audit Annual Report 2018
This report represents the culmination of nearly two years of patient care and follow up, data collection, data analysis and interpretation. Its purpose is to understand the current quality of care and outcomes for patients with lung cancer, to celebrate good practice and to highlight variability, to ensure that all patients have access to the best care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

National Audit of Breast Cancer in Older Patients: 2019 Annual Report
This third annual report describes the process and outcomes of care for 147,162 patients, diagnosed with breast cancer between 1st January 2014 and 31st December 2017 in England and Wales. The patterns of care received by people aged 70+ years are compared with the care received by people diagnosed with breast cancer aged 50 –69 years. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 15, 2019 Category: Consumer Health News Source Type: news

Making substance misuse and mental health support more inclusive
PHE has published a case study describing how a service for young people in North Yorkshire works with other agencies to focus on all emotional wellbeing, substance misuse and mental health needs, leading to better outcomes for these patients. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 13, 2019 Category: Consumer Health News Source Type: news

Alcohol-related harm to others in England: a cross-sectional analysis of national survey data
This study, using data collected through the Alcohol Toolkit Survey, shows alcohol related harm to others affects 20.1% of England's population. Even apparently minor harms, e.g. being kept awake, can have a negative impact on health. Aggressive harms are clearly of concern. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 13, 2019 Category: Consumer Health News Source Type: news

The NHS workforce in numbers: facts on staffing and staff shortages in England
The data used in this report shows that there has recently been a sustained fall in the number of GPs relative to the size of the population across the UK nations. There has not been such a sustained fall since the 1960s. For the overall number of GPs to have kept pace with the number of people in the UK since 2014 some 3,400 more GPs would have been needed. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 13, 2019 Category: Consumer Health News Source Type: news

Raising the equality flag: health inequalities among older LGBT people in the UK
This report highlights new findings from a recent project exploring the discrepancies in health outcomes experienced by older LGBT people. The research reveals that a lifetime of prejudice and stigma is leading to worse physical and mental health, poorer access to health and social care, as well as greater levels of social isolation and loneliness among older LGBT people (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 13, 2019 Category: Consumer Health News Source Type: news

Adult Health Screening
This report summarises evidence on the management of four screening programmes in England: bowel cancer, breast cancer, cervical cancer and abdominal aortic aneurysm. The report finds that the Department of Health and Social Care, NHS England and Public Health England are not doing enough to make sure that everyone who is eligible to take part in screening is doing so, and do not know if everyone who should be invited for screening has been (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 13, 2019 Category: Consumer Health News Source Type: news

Untapped potential: investing in health and care data analytics.
This report highlights nine key reasons why there should be more investment in analytical capability; it explores some of the ways in which good data analytics can support decision makers which could result in an NHS that can make faster progress on improving outcomes for patients. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 13, 2019 Category: Consumer Health News Source Type: news

2018 Workforce Race Equality Standard (WRES) data analysis report for eight national healthcare organisations
This report presents two years of workforce race equality data and enables organisations to compare their performance with others providing similar services, with the aim of encouraging improvement by learning and sharing good practice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 10, 2019 Category: Consumer Health News Source Type: news

Peezy Midstream for urine collection: Medtech innovation briefing [MIB183]
This Medtech innovation briefing was published in May 2019, and advises on the use of Peezy Midstream. It is used for collecting a midstream urine (MSU) sample.The innovative aspect is that Peezy Midstream captures only MSU, without needing the patient to interrupt the flow of urine.The intended place in therapy would be as an alternative to standard urine collection containers for MSU samples in people needing a urine test.The resource impact would be a small increase in cost which may be offset against a reduction in contamination rates of MSU collection and subsequent retesting. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 10, 2019 Category: Consumer Health News Source Type: news

The improvement journey: why organisation-wide improvement in health care matters, and how to get started
This report is a practical guide to developing an organisation-wide approach to improvement. It summarises the benefits of such an approach and outlines the key elements and steps that NHS trust leaders should adopt when pursuing this agenda. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 8, 2019 Category: Consumer Health News Source Type: news

The value of community services: comparison with acute settings
How services delivered in the community add value to both the patient and the wider health and care economy (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 8, 2019 Category: Consumer Health News Source Type: news

The Improvement Journey
Developing an organisation-wide approach to improvement in healthcare - six key steps (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 8, 2019 Category: Consumer Health News Source Type: news

Paying the price - Cancer Research UK
New evidence and the link between price promotions, purchasing of less healthy food and drink, and overweight and obesity in Great Britain (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 8, 2019 Category: Consumer Health News Source Type: news

Association of Increased Colony-Count Threshold for Urinary Pathogens in Hospitalized Patients With Antimicrobial Treatment
Threshold for identifying potential uropathogens from urine cultures was increased from ≥104 to ≥105 CFU/mL at acute care hospital in Canada which averted ~ 1/3 of asymptomatic bacteriuria and candiduria treatment. There were no significant changes in clinical outcomes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 7, 2019 Category: Consumer Health News Source Type: news

UNICEF reports over 20 million children worldwide missed out on measles vaccine annually in past 8 years creating a pathway to current global outbreaks
It is estimated 169m children missed out on 1st dose between 2010 and 2017. US tops list of high-income countries with most children not receiving 1st dose, at>2.5m followed by France and UK with over 600,000 and 500,000 unvaccinated infants, respectively, during same period. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 7, 2019 Category: Consumer Health News Source Type: news

The UK's pandemic influenza research portfolio: a model for future research on emerging infections
In this Personal View, the authors describe the projects that were set up, the challenges of putting these projects into a maintenance-only state, and ongoing activities to maintain readiness for activation, and discuss how to plan research for a range of major incidents. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 7, 2019 Category: Consumer Health News Source Type: news

Antimicrobial use in UK long-term care facilities: results of a point prevalence survey
Analysis of data on 17,909 residents in UK from point prevalence survey conducted by community pharmacists (CPHs) noted high prophylactic use of antibiotics [ABs; 25.3%). Pharmacists intervened for 9.5% of AB prescription events; 53.4% of interventions were for clinical reasons. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 7, 2019 Category: Consumer Health News Source Type: news

Duration and life-stage of antibiotic use and risk of cardiovascular events in women
Analysis of 36,429 women initially free of CVD and cancer from Nurses'Health Study found long-term use of antibiotics ( ≥2 months) in late adulthood was linked to significantly increased CVD risk (HR 1.32, 95% CI 1.03–1.70) vs. women who did not use antibiotics in this life-stage. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 7, 2019 Category: Consumer Health News Source Type: news

Treating asymptomatic MRSA on discharge from hospital reduces risk of later infection
This study suggests that patients who test positive for MRSA in hospital should be treated after discharge, even if they show no symptoms, in order to reduce the risk of later MRSA infection. Decolonisation treatment is most effective when patients follow the regimen exactly. However, the intensive programme of daily products, and the length of the treatment, may make it difficult for patients to stick to when in their own homes, without medical supervision. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 7, 2019 Category: Consumer Health News Source Type: news

No time to wait: securing the future from drug-resistant infections
This report demands immediate, co-ordinated and ambitious action to avert a potentially disastrous drug-resistance crisis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 7, 2019 Category: Consumer Health News Source Type: news

4 in 5 parents concerned about children's exposure to pornography
This report explores the use of technology in the home to manage concerns around online safety and interactions around digital technology use. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 7, 2019 Category: Consumer Health News Source Type: news