COVID-19: number of outbreaks in care homes - management information, PHE (updated 24th July 2020)
Weekly number and percentage of care homes reporting a suspected or confirmed outbreak of COVID-19 to PHE. Latest updates: 24th July 2020 - added explanation of future reporting. 23rd July 2020 - added weekly data and infographic. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

Resuming health services during the Covid-19 pandemic: What can the NHS learn from other countries?, Nuffield Trust
This briefing uses data and resources from the WHO, the European Commission, the European Observatory on Health Systems and Policies, and the OECD to understand how other countries are handling their backlog of health issues and what the implications might be for the NHS. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

Coronavirus: A ban on evictions and help for rough sleepers, House of Commons Library (updated 24th July 2020)
This briefing paper explains measures the Government put in place during the coronavirus outbreak to assist households to retain their homes and enable local authorities to tackle the specific challenges faced by rough sleepers. The paper covers subsequent measures taken in light of the courts starting to consider possession claims again from 23rd August and to prevent rough sleepers from returning to the streets. The paper is being updated regularly to take account of new developments. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

Flu vaccination 2020 to 2021: Programme briefing for schools, PHE (updated)
This guidance, updated for the 2020 to 2021 flu season, has been produced to assist all school staff and headteachers with any questions about the nasal spray flu vaccination being offered to children in primary schools during the autumn term 2020. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

Vaccine update: issue 310, July 2020, PHE
This issue discusses maintaining vaccine uptake during a pandemic, Covid-19 and vaccine wastage, healthcare staff flu campaign, the importance of pertussis vaccine in pregnancy, reminder of PCV schedule, the updated routine immunisation schedule, and other items. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

COVID-19: background information, PHE (updated 24th July 2020)
Update in this version (published 24th July) - updated global case numbers. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

Preparing for a challenging winter 2020/21, The Academy of Medical Sciences
This report warns that in the reasonable worst-case scenario, there will be a peak in hospital admissions and deaths in Jan/Feb 2021 of a similar magnitude to that seen in spring 2020, with an estimated 119,900 hospital deaths between September 2020 and June 2021. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

Coronavirus outbreak FAQs: what you can and can't do, Cabinet Office (updated 25th July 2020)
Latest updates: 25th July 2020: Page updated to reflect latest government guidance. 22nd July 2020: Updated with the latest transport advice. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

Staying alert and safe (social distancing), Cabinet Office (updated 25th July 2020)
Recent updates: 25th July 2020 - Guidance updated to reflect the latest government guidance on staying alert and safe. 17th July 2020 - Staying alert guidance updated in line with announcements. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

Excess weight and COVID-19: insights from new evidence, PHE
This report brings together findings from UK and international studies published during the coronavirus (COVID-19) pandemic. It offers information about excess weight and its association with COVID-19 for the following outcomes: laboratory confirmation hospitalisation admission to intensive or critical care and treatment risk of mortality. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

Coronavirus: the lockdown laws, House of Commons Library (updated 24th July 2020)
This Commons Library briefing paper describes the law enforcing the UK's coronavirus lockdown. This is a fast-moving area and the paper should be read as correct at the time of publication (24th July 2020). (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

Coronavirus cases in the UK: daily updated statistics, DHSC/PHE (updated 26th July 2020)
As of 9am on 26th July, 299,426 people have tested positive for coronavirus in the UK. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2020 Category: Consumer Health News Source Type: news

DHSC testing and tracing statistics: information for users, DHSC
A summary of explanatory information to support users of DHSC coronavirus (COVID-19) testing and tracing statistics. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

The ethics of COVID-19 treatment studies: too many are open, too few are double-masked, CEBM
The importance of masking has been highlighted in a 2 External 0 0 0review false https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-018-0491-0 true false%> that showed that studies that did not mask both participants and investigators gave treatment effect size estimates that were, on average, 19% higher (95% CI = 6-32%) than masked studies gave. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Scientific evidence supporting the government response to coronavirus (COVID-19), SAGE (updated 24th July 2020)
Evidence considered by the Scientific Advisory Group for Emergencies (SAGE). 24 July 2020 We have added 7 new papers under the July SAGE meetings. 17 July 2020 We have added 10 new papers under the June and July SAGE meetings. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

COVID-19: background information, PHE (updated 24th July 2020)
Updates 24 July 2020 Updated global case numbers. 22 July 2020 Updated global case numbers. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Wider impacts of COVID-19 on health monitoring tool, PHE (updated 23rd July 2020)
The wider impacts of COVID-19 on health monitoring tool (WICH) looks at the indirect effects of the COVID-19 pandemic on the population's health and wellbeing. Public Health England (PHE) health intelligence teams are scoping metrics that will enable the monitoring of the indirect health impacts of COVID-19. This resource is a central repository for the metrics as they become available. This resource was updated on 23/07/2020. Metrics added to the tool: change in alcohol consumption change in access to care rate of people claiming benefits measures of employment and income (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Coronavirus cases in the UK: daily updated statistics, PHE/DHSC (updated 24th July 2020)
Updates 24 July 2020 Replaced time series of testing statistics document for 23 July with correct version. 23 July 2020 Updated daily figures. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

National COVID-19 surveillance reports, PHE (updated 23rd July 2020)
These reports summarise the surveillance activity of COVID-19 nationally. The summary report contains findings from systems within community, primary, secondary and mortality surveillance. It also includes an international update. Latest updates 23 July 2020 Added week 30 report, infographic and data table. 17 July 2020 Added week 29 report, infographic and data table. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

COVID-19: infection prevention and control (IPC), PHE (updated 23rd July 2020)
Latest updates 23 July 2020 Added recommendations for the use of face masks in primary care. 18 June 2020 Clarification of aerosol generating procedures in the complete guidance PDF and in the COVID-19 personal protective equipment (PPE) page. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Draft options for regional or local coronavirus interventions, DHSC
Draft legislation options to show how government could respond to a local or regional coronavirus (COVID-19) outbreak without returning to a national lockdown. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Loneliness in people with dementia is linked to social isolation and depression
One-third of people with mild-to-moderate dementia experience loneliness. 30% are moderately lonely and 5% are severely lonely, reports one of the first major studies to look at the issue. These figures are comparable to the general population of older people. People with dementia who live alone, and who experience social isolation, depression and lower quality of life are more likely to feel lonely. But researchers found no association between loneliness and dementia-specific factors. Interventions that help people tackle depression and build more supportive relationships may help reduce loneliness. (Source: Current Awar...
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Our plan to rebuild: The UK Government's COVID-19 recovery strategy, The Cabinet office
The Government's roadmap for how and when the UK will adjust its response to the COVID-19 crisis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Real-world effect of antidepressants for depressive disorder in primary care: protocol of a population-based cohort study
Introduction: Clinical guidelines recommend antidepressants as the first line of treatment for adults with moderate-to-severe depression. Randomised trials provide the best evidence on the comparative effectiveness of antidepressants for depression, but are limited by a short follow-up and a highly selected population. We aim to conduct a cohort study on a large database to assess acceptability, efficacy, safety and tolerability of antidepressant monotherapy in people with depressive disorder in primary care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Forensic Psychiatry: Offspring outcomes when a parent experiences one or more major psychiatric disorder(s): a clinical review
We sought evidence on quantifiable offspring outcomes, including problems, needs and strengths, associated with their experience of major parental psychiatric disorder(s), focusing on schizophrenia, affective illnesses and personality disorder(s). We were motivated by the absence of any systematic exploration of the needs of offspring of parents in secure hospitals. Seven electronic databases were searched to identify systematic reviews of studies quantifying offspring outcomes when a parent, or parent surrogate, has major psychiatric disorder(s). Our search (updated in February 2018) identified seven high-quality reviews,...
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Digital mental health: Longitudinal trends in the quality, effectiveness and attributes of highly rated smartphone health apps
This study aims to offer a longitudinal perspective on the nature of high visibility apps for common mental health and physical health conditions. Methods: In July 2019, we selected the 10 top search-returned apps in the Apple App Store and Android Google Play Store using six keyword terms: depression, anxiety, schizophrenia, addiction, high blood pressure and diabetes. Each app was downloaded by two authors and reviewed by a clinician, and the app was coded for features, functionality, claims, app store properties, and other properties. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Forensic psychiatry: Psychological distress in women and men living with HIV in Spain: a cross-sectional telephone survey
Background Psychological distress includes a broader range of experiences, varying from less severe symptoms of depression and anxiety to severe psychiatric disease. Global estimates for depression and anxiety in 2017 were 3.4% and 3.8%, respectively. While for people living with HIV, global estimates were 16% and 33%, respectively. Objective We aimed to determine the prevalence of psychological distress by gender and associated characteristics in patients living with HIV. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Child and adolescent mental health: Explanatory style in youth self-harm: an Indian qualitative study to inform intervention design
Background There are very few studies that have examined the effectiveness of psychological interventions (PIs) that have been developed and tested in high-income countries to reduce self-harm in low and middle-income countries. Objective To evaluate the perspectives and explanatory styles of youth with self-harm and their caregivers to inform the design of an evidence based PI in a non-Western cultural setting. An additional objective was to suggest ways of integrating local practices and traditions to enhance its acceptability. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

COVID-19, mental health and ethnic minorities, Evidence Based Mental Health
COVID-19 has evolved rapidly into a pandemic with global impacts. However, as the pandemic has developed, it has become increasingly evident that the risks of COVID-19, both in terms of infection rates and particularly of severe complications, are not equal across all members of society. While general risk factors for hospital admission with COVID-19 infection include age, male sex and specific comorbidities (eg, cardiovascular disease, hypertension and diabetes), there is increasing evidence that people identifying with Black, Asian and Minority Ethnic (BAME) groupsi have disproportionately higher risks of being adversely...
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Mental Health: Characteristics and conflicts of interests of public speakers at the Psychopharmacologic Drug and Advisory Committee meetings regarding psychiatric drugs
The Psychopharmacologic Drug Advisory Committee (PDAC) is one of 33 advisory committees of the Food and Drug Administration (FDA). During committee meetings, an open public hearing takes place where speakers provide testimonies about the drug in question and are asked, not required, to disclose any conflicts of interests (COIs) before speaking. These speakers may present with COIs which include, but are not limited to, reimbursement for travel and lodging by the pharmaceutical company to attend the meeting; previous or current payments for consulting from the pharmaceutical company and compensation as a paid investigator i...
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Treating schizophrenia: the quality of evidence behind treatment recommendations and how it can improve
Objective To assess the methodological and reporting quality of systematic reviews that comprise the American Psychiatric Association (APA) Practice Guideline for the Treatment of Patients with Schizophrenia and to determine the extent to which results from Cochrane systematic reviews published after guideline development would alter or confirm current recommendations. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Mental Health: Should antidepressants be used for major depressive disorder?
Major depressive disorder is estimated by the WHO to affect more than 300 million people globally, making the disorder the leading cause of disability worldwide.1 The lifetime prevalence of major depressive disorder is between 10% and 20%.2 3 Antidepressants are commonly used to treat depression. We provide a narrative review on the evidence on the effects of antidepressants compared with placebo in patients with a primary diagnosis of major depressive disorder. We do not consider the effects of antidepressants in patients with a primary somatic disorder or the effects of antidepressants for other disorders than major depr...
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Mental health and primary care networks
This report explores the opportunities these new networks create for improving the mental health support provided to people in primary care, and describes why such improvement is badly needed. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 24, 2020 Category: Consumer Health News Source Type: news

Coronavirus and shielding of clinically extremely vulnerable people in England: 24 June to 30 June 2020, ONS
Analysis of clinically extremely vulnerable people (the shielding population) in England during the coronavirus (COVID-19) pandemic, including their behaviours and mental and physical well-being. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

The impact of Covid-19 on the health and care voluntary sector, National Voices
The health and care voluntary sector continues to provide invaluable information and support to millions of people with long term conditions as statutory health and care services refocus their efforts on COVID-19. By providing a listening ear when people need it most, signposting and advocating for the right support, delivering accurate and trusted information and advice about the virus itself or connecting to people who are experiencing similar challenges, our members are on the frontline of combatting COVID-19. The Arthritis and Musculoskeletal Alliance (ARMA), Neurological Alliance and National Voices asked it's members...
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

Visiting care homes during coronavirus, DHSC
Guidance for making arrangements for limited visits for care homes with the support of their director of public health. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

Direct and indirect impacts of COVID-19 on health and wellbeing: rapid evidence review, Version 2, Champs Public Health Collaborative
This rapid evidence review provides a summary of what the evidence tells us about the direct and indirect impacts of COVID-19 on health and wellbeing. It was conducted on behalf of the Health& Equity in Recovery Plans Working Group under the remit of the Champs Intelligence& Evidence Service provided by the Public Health Institute at Liverpool John Moores University (LJMU), which is commissioned by the Champs Public Health Collaborative Intelligence Network. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

Collecting rapid COVID-19 intelligence to improve primary care response, NIHR
Project aims To identify the changing demands on GP practices across Bristol, North Somerset and South Gloucestershire during the COVID-19 pandemic and investigate common challenges and innovative solutions that practices have devised to cope with this. Anticipated impacts The project will help us understand how GP practices respond to the pandemic in the way they manage demand and implement alternatives to face-to-face consultations. This information will be rapidly fed back to various practices, commissioners and policy makers to help them to support GP practices in safely delivering care to patients during the curren...
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

Tracking Healthcare Activity and Outcomes for Shielded Patients, England, NHS Digital (updated 21st July 2020)
This publication considers data relating to emergency admissions, mortality and positive COVID-19 tests for a subset of patients on the English shielded patient list vs an age-matched sample of the general population. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

Number of people waiting over a year for treatment has rocketed in months since onset of pandemic, Nuffield Trust
This chart highlights the dramatic rise in the number of people waiting for treatment and suggests that the health service's ambitions to reduce waiting times are unlikely to be achieved any time soon. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

The safer management of controlled drugs, CQC (updated 22nd July 2020)
This update report makes three recommendations; reviewing patients clinical needs before prescribing, putting in place local arrangements for rapid mobilisation of medicines for end of life care, and considering the needs of patients and carers on an individual basis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population, The Lancet Psychiatry
Web survey study (n=42,330), found that the population prevalence of clinically significant levels of mental distress rose from 18 · 9% in 2018 –19 to 27 · 3% in April, 2020, one month into UK lockdown, highlighting a deterioration in mental health in the UK vs pre-COVID-19 trends. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

The safety of delayed versus immediate antibiotic prescribing for upper respiratory tract infections
Cohort study (1.82 million patients with an upper respiratory tract infection and antibiotic prescription) found that delayed antibiotic prescribing was associated with an increased risk of infection-related hospital admissions (HR 1.52, 95%CI 1.43-1.62) vs antibiotic at diagnosis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

Coronavirus (COVID-19): support for wellbeing in the healthcare workforce, Cochrane Library
This Special Collection brings together Cochrane evidence on interventions that may help support the wellbeing of the healthcare workforce and reducing occupational stress. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

COVID-19 Florence Nightingale Diagram's of UK Deaths, CEBM (updated 23rd July 2020)
Updated figures as of 23rd July 2020. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

COVID-19: Death Data in England Update 23rd July, CEBM
COVID-19 death data in England as of 23rd July 2020. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

More and better mental health support needed in GP surgeries following pandemic, The King's Fund and Centre for Mental Health
More and better mental health support is needed in GP surgeries in the wake of Covid-19, according to a report published today by The King's Fund and Centre for Mental Health. Mental Health and Primary Care Networks finds that current provision of mental health support in general practice is variable and often inadequate. As practices join up into over 1,000 Primary Care Networks in England, the report calls on them to seize the opportunity to strengthen mental health provision in primary care. This could help to fill the gap at a time of increased need for mental health care in the aftermath of the pandemic. (Source: Curr...
Source: Current Awareness Service for Health (CASH) - July 23, 2020 Category: Consumer Health News Source Type: news

Best interests decisions: A COVID-19 quick guide, SCIE
The Mental Capacity Act is at the heart of good, empowering practice in health and social care. This quick guide aims to help people across social care and health settings to apply its provisions about making best interests decisions for or on behalf of people who lack the relevant capacity in the context of the COVID-19 pandemic. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 22, 2020 Category: Consumer Health News Source Type: news

Coronavirus cases in the UK: daily updated statistics, DHSC/PHE (updated 22nd July 2020)
On 17th July, the Secretary of State asked Public Health England to urgently review the way daily death statistics are currently reported: publication of this daily figure has been paused while the review takes place. Positive cases: As of 9am on 22nd July, 296,377 people have tested positive for coronavirus in the UK. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 22, 2020 Category: Consumer Health News Source Type: news

Our plan to rebuild: The UK Government's COVID-19 recovery strategy, Cabinet Office (updated 17th July 2020)
Update in this version (published 17th July) - new chapter added: The next chapter in our plan to rebuild: The UK Government's COVID-19 recovery strategy. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 22, 2020 Category: Consumer Health News Source Type: news