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Found 1,225 results
  1. Content Article
    Two years into the COVID-19 pandemic, it is clear that gender differences exist, and that women, men, and gender minorities are differentially impacted by the pandemic.
  2. Content Article
    An estimated 1.3 billion people—16% of the global population—experience a significant disability today. People with disabilities have the right to the highest standard of health, however, this report by the World Health Organization (WHO) demonstrates that while some progress has been made in recent years, many people with disabilities continue to die earlier and have poorer health than others. The report demonstrates how these poor health outcomes are due to unfair conditions faced by people with disabilities in all areas of life, including in the health system itself.
  3. Content Article
    In 2020, all NHS organisations were instructed to name a single executive board member as their senior responsible person for tackling health inequalities. Across the NHS, there should now be over 450 dedicated health equality named leads in healthcare organisations. This report published by the independent NHS Race & Health Observatory in collaboration with The King’s Fund sets out recommendations to help ensure senior NHS officials responsible for improving health inequalities are able to make a difference.
  4. Content Article
    This blog describes No Wrong Door (NWD), an adult community mental health transformation programme being rolled out across Hampshire, Southampton, Isle of Wight and Portsmouth. The NWD model takes a partnership approach and recognises that mental health is affected by quality of housing, employment, family and personal contacts, leisure and cultural activities, technological solutions and other community resources such as green spaces. Mental health services will work together with the community to ensure that care can be provided locally, and that support can be received in several settings for multiple aspects of a person’s life.
  5. Content Article
    Many people will experience mental health problems in their lives. Around one in six adults in England have a common mental health disorder, and around half of mental health problems start by the age of 14.  This report from the National Audit Office focuses on the implementation of NHS commitments as set out in the Five Year Forward View for Mental Health, Stepping forward to 2020/21: The mental health workforce plan for England and the the NHS Long Term Plan. It examines whether the government has achieved value for money in its efforts to date to expand and improve NHS-funded mental health services by evaluating whether DHSC, NHSE and other national bodies: have a clear understanding of how much their work to date has reduced the gap between mental and physical health services met ambitions to increase access, capacity, workforce and funding for mental health services are well placed to overcome the risks and challenges, including the impact from COVID-19, to achieving future ambitions.
  6. Content Article
    Poor mental health is an important and increasingly prevalent issue facing farmers and the farming industry. This article in the journal Sociologia Ruralis seeks to understand the factors that influence the adaptability of support systems for farmers facing mental health issues, especially at a time of crisis. The authors undertook a literature review as well as conducting interviews with 22 mental health support providers and an online survey of people working within support systems and farmers themselves. The study found that support-giving organisations adapted during the pandemic using a range of interventions, but that implementation was affected by organisational and operational challenges such as limited digital training, funding shortfalls, staff trauma, lack of capacity, the rural digital divide, tension between providers and stigma. The authors discuss how landscapes of support for farming mental health can be made more sustainable to deal with future shocks.
  7. Content Article
    This report by NHS Digital presents findings from the third in a series of follow up reports to the 2017 Mental Health of Children and Young People (MHCYP) survey, conducted in 2022. The sample includes 2,866 of the children and young people who took part in the MHCYP 2017 survey. It looks at the mental health of children and young people aged 7 to 24 years living in England in 2022, as well as examining their household circumstances, and their experiences of education, employment and services and of life in their families and communities.
  8. Content Article
    People with poor mental health tend to experience poorer physical health and are more likely to die younger. This perspective article by consultant psychiatrist Peter Byrne aims to apply public health principles to improving the physical health of selected groups with mental health issues. It presents evidence of the lifetime effects of adverse childhood experiences and inequalities: the ‘causes of the causes’, outlines seven drivers of physical disorders that cause preventable deaths, and describes how psychiatrists must work with mental health teams to reverse rising mortality.
  9. Content Article
    In this podcast, host Thea Joshi is joined by Emma Bailey and Hannah Moore from the Equally Well campaign, which the Centre for Mental Health runs in partnership with Rethink Mental Illness. They share how Equally Well UK is working to improve the physical health of people with severe mental illness, with the critical aim of reducing the unacceptable mortality gap that affects people with severe mental illness. Emma and Hannah discuss how physical health is often neglected in mental health inpatient services, and give examples of good work that is being done to change this.
  10. Content Article
    This report, from the The Mental Health Policy Group, considers the steps that must be taken if the ambition of ‘parity of esteem’ for mental health is to be achieved in England. Its starting point is the belief that improving the nation’s mental health cannot be achieved through a focus on health services alone, vital though these are. A much more ambitious, cross-government approach to mental health is also required.
  11. Content Article
    In this blog, Debbie Ivanova, Deputy Chief Inspector — People with a learning disability and autistic people, and Jemima Burnage, Deputy Chief Inspector and Mental Health Lead, update on progress since the Care Quality Commission’s (CQC) 'Out of Sight' report published in October 2020. Their blog discusses the findings of the authors' 'Restraint, segregation and seclusion review: Progress report' published in December 2021.
  12. Content Article
    In this report, the Care Quality Commission (CQC) comments on progress following publication of its 'Out of sight – who cares?' report in October 2020, and highlights the main areas where further work is still needed.
  13. Content Article
    The stark and enduring inequality in mental health outcomes between black and white people is being addressed by two psychiatrists who want to tackle decades of unfounded assumptions. Keith Cooper reports
  14. Content Article
    The NHS has declared climate change a health emergency, but are trust leaders and healthcare staff talking and acting on this? Angela Hayes, Clinical Lead Sustainability at the Christie Foundation Trust, discusses climate change and the impact it has on all of our lives and health. She believes healthcare professionals have a moral duty to act, to protect and improve public health, and should demand stronger action in tackling climate change.
  15. Content Article
    In this blog, Soojin Jun, Cofounder of Patients for Patient Safety US, argues that it makes sense for healthcare organisations to be at the forefront of conservation efforts, as they exist to promote people's wellbeing. She points to a 2020 study that demonstrated how the global healthcare supply chain contributes to environmental damage, counteracting what healthcare exists to promote. Going forward, people will want to know how much waste healthcare systems generate, and how efficiently they use resources, and the article looks at how organisations and patients can be proactive in promoting sustainability.
  16. Content Article
    Is it possible to tackle climate change without further widening health inequalities? Jo Vigor speaks to Dr Dominique Allwood, Chief Medical Officer at UCL Partners and Director of Population Health at Imperial College Healthcare NHS Trust, about her leadership journey, why clarity of mission is so important and the challenge of creating a sustainable and equitable health and care system. 
  17. Content Article
    What a subway killing reveals about New York City’s revolving-door approach to mental illness and homelessness.
  18. Content Article
    Mandy Anderton is a Clinical Nurse specialising in learning disability and a hub Topic Leader. In this new blog, Mandy explains how they are using shared decision making and reasonable adjustments to implement a new care pathway, where patients with a learning disability needing to undergo a medical investigation can receive deep sedation within their own home.  Working with patients, carers, relatives, anaesthetists and others, the aim is to improve access to important medical investigations with minimal distress, where other avenues have been exhausted. 
  19. Content Article
    The Accessible Information Standard gives disabled people and people with sensory loss the right to get healthcare information they can understand and communications support if needed. A survey conducted by HealthWatch between February and May 2022 aimed to investigate whether the standard is being delivered by health services, and whether it offers enough support to patients. While the survey participants were self-selected, their views are likely to reflect those of a significant group of people who need communications support. HealthWatch hopes that the survey's findings will help NHS and social care decision-makers hear what is working and what could be better from the public's perspective.
  20. Content Article
    This report by the Care Quality Commission (CQC) looks what people with a learning disability and autistic people experience when they need physical health care and treatment in hospital. People with a learning disability face huge inequalities when accessing and receiving health care, and initiatives to try and improve people’s experiences have not brought about improvement at the speed or scale needed. The consequences of this are serious, as when people do not get care and support that meets their individual needs, it can lead to avoidable harm and premature death. Equity for people with a learning disability and autistic people is therefore a critical patient safety issue.
  21. Content Article
    People with a learning disability are more than twice as likely to die from avoidable causes than the rest of the population. Actor Tommy Jessop and BBC Panorama investigated some of the stories of families who say they were let down by their medical care.
  22. Content Article
    People with developmental disability have higher healthcare needs and lower life expectancy compared with the general population. Poor quality of care resulting from interpersonal and systemic discrimination may further entrench existing inequalities.
  23. Content Article
    Mandy Anderton is a Clinical Nurse specialising in learning disability and a hub Topic Leader. Last month we asked her how GP practices can help improve health outcomes for people with learning disabilities. In this new blog, Mandy talks in depth about the cross-system programme they launched in Salford to improve the health of people with learning disabilities and reduce inequalities across primary care. Mandy shares their award-winning poster (attached), summarising the programme’s activities and outcomes, and gives her top tips for delivering a successful patient safety improvement project.
  24. Content Article
    Developed by David Havard, this poster shows a number of ways in which reasonable adjustments can easily be made for patients with a learning disability.
  25. Content Article
    Sinead Heneghan is a GP based in the North West of England with a passion for reducing health inequalities. In this interview for Patient Safety Learning, Sinead tells us how she made sure COVID-19 vaccinations were prioritised for people with learning disabilities, when national guidance advised otherwise. She also explains how they took the opportunity locally to combine these face-to-face immunisation appointments with annual health checks, identifying unmet health needs that needed addressing.
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