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Looking Outward: International lessons for health system reform
This report examines what policymakers in Britain can learn from abroad to help address various challenges and transform our NHS, drawing on insights from health systems in both high income, and low- and middle-income countries. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 9, 2023 Category: Consumer Health News Source Type: news

Septic shock: early rapid recognition and ongoing management
We describe best practice recommendations based on international guidelines, a review of primary literature, and a discussion of ongoing clinical trials and the nuances of therapeutic choices. Early diagnosis and aggressive intervention with timely antibiotics, fluid resuscitation and vasoactive medications are the most important interventions in to improve outcomes. The implementation of protocols, resource-adjusted sepsis bundles and advanced technologies will impact on reducing sepsis mortality. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 9, 2023 Category: Consumer Health News Source Type: news

Trying times: How people living in poor quality housing have fared during the cost of living crisis
This report, using data from a March 2023 YouGov survey, looks at the experience of the cost of living crisis by tenure, the incidence of poor-quality housing, and the impact of poor-quality housing on health and wellbeing. It finds that people from disadvantaged groups are more likely to live in poor-quality housing. Even when accounting for income and demographic differences, poor-quality housing is associated with poorer physical and mental health. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 9, 2023 Category: Consumer Health News Source Type: news

Who is returning to public transport for non-work trips after COVID-19? - Evidence from older citizens' smart cards in the UK's second largest city region
This study of older transport users in the West Midlands finds that, following the COVID-19 pandemic, minority ethnic and relatively younger passengers were more likely to quickly return to using public transport while those from White ethnic backgrounds or living in more affluent areas took longer to return. By 2022, 80% of passengers above retirement age had returned to public transport but used the system less frequently. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 9, 2023 Category: Consumer Health News Source Type: news

Clinical Significance of Procalcitonin, Lactic Acid, and Endotoxin Testing for Children With Severe Pneumonia and Sepsis
Context: Sepsis is a common complication of severe pediatric pneumonia, characterized by difficulty in treatment, a high treatment cost, high morbidity and mortality, and poor prognosis. The levels of three indicators, procalcitonin (PCT), lactic acid (Lac), and endotoxin (ET), can vary greatly in children with severe pneumonia complicated by sepsis. Objective: The study aimed to investigate the clinical significance of PCT, Lac, and ET levels in the serum of children with severe pneumonia complicated by sepsis. Design: The research team performed retrospective study. Setting: The study took place at Nantong First People '...
Source: Current Awareness Service for Health (CASH) - May 9, 2023 Category: Consumer Health News Source Type: news

Thiamine pharmaconutrition in sepsis: Monotherapy, combined therapy, or neither? Current evidence on safety and efficacy
Sepsis is a life-threatening condition characterized by multiorgan dysfunction due to an exaggerated host response to infection associated with a homeostatic failure. In sepsis, different interventions, aimed at improving clinical outcomes, have been tested over the past decades. Among these most recent strategies, intravenous high-dose micronutrients (vitamins and/or trace elements) have been investigated. According to current knowledge, sepsis is characterized by low thiamine levels, which are associated with illness severity, hyperlactatemia, and poor clinical outcomes. However, caution is needed about the clinical inte...
Source: Current Awareness Service for Health (CASH) - May 9, 2023 Category: Consumer Health News Source Type: news

Time to act: a roadmap to reform care and support in England
This roadmap proposes how care and support could be transformed in England, focusing on ten key areas for change: from improving housing options for those who are older or disabled, tackling social care staffing issues including pay and conditions, to supporting carers and making care more affordable. It suggests what needs to be done in the next two years, what changes are needed in two to five years and longer term over the next ten years to ensure that everyone who needs care and support can access it, whoever they are and wherever they live in England. It also includes examples already happening that are improving care...
Source: Current Awareness Service for Health (CASH) - May 5, 2023 Category: Consumer Health News Source Type: news

' It feels like being seen': how can local authorities know if their mental health services are working well?
This briefing describes research that focused on two core questions relating to the role of local authorities that commission and provide adult social services in assessing and meeting people ' s mental health needs: what does it look and feel like when support effectively considers people ' s social and psychological wellbeing as part of mainstream assessments and care planning?; and what does it look and feel like when there is good collaboration in the commissioning and planning of mental health services and support? (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 5, 2023 Category: Consumer Health News Source Type: news

Failure to prepare: what crucial lessons must be learnt from social care and Covid-19?, Nuffield Trust
The Covid-19 crisis shone a light on the underlying flaws within social care in England. Alongside our new report today looking at what affected the ability of the social care sector to respond to the first wave of the pandemic, Natasha Curry describes the four crucial lessons that must be learnt if this essential service is to better respond to the next crisis that it faces. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 5, 2023 Category: Consumer Health News Source Type: news

Unaddressed weaknesses of social care sector impacted the ability to respond to Covid, Nuffield Trust
Our new report, part of joint research with the London School of Economics, looks at what affected the response of the social care sector at the start of the Covid-19 crisis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 5, 2023 Category: Consumer Health News Source Type: news

How will a new pay settlement for NHS staff affect real-terms earnings?
In its ongoing chart analysis of staff pay, the Nuffield ' s Trust looks at what this settlement means for NHS staff pay packets in real terms compared to salaries in 2010, and where this leave discussions between government and the NHS workforce. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 5, 2023 Category: Consumer Health News Source Type: news

The national medical examiner system
In Apr 2023, the Government confirmed next steps towards statutory medical examiner system across England& Wales to provide independent scrutiny of deaths, and to give bereaved people a voice. That work will take place for full introduction of the statutory system from Apr 2024. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 5, 2023 Category: Consumer Health News Source Type: news

Prioritising new diagnostic capacity for cancer services
ICBs with ' Faster Diagnosis Standard ' performance (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 5, 2023 Category: Consumer Health News Source Type: news

Parents urged to check children's MMR vaccine records following rise in measles cases
Parents are being asked to check children are fully up to date with their measles, mumps, and rubella (MMR) vaccinations by checking their vaccine record in their red book. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 4, 2023 Category: Consumer Health News Source Type: news

Study launched to find out more about mpox immunity
A new study aims to better understand how the body reacts to the mpox virus and produces antibodies. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 4, 2023 Category: Consumer Health News Source Type: news