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Found 172 results
  1. Content Article
    This poster highlights some key issues associated with by antimicrobial resistance (AMR), which is caused by inappropriate use of antibiotics. It outlines the objectives and results of the AMR Patient Group, a coalition of patient groups across Europe working to address the serious public health threat posed by AMR. It also outlines the AMR Patient Group's policy recommendations to European and national health authorities.
  2. Content Article
    In January 2019, not long before the COVID-19 pandemic began, Laurent-Henri Vignaud and Françoise Salvadori published what would turn out to be a very timely book, Antivax: Resistance to Vaccines from the 18th Century to the Present Day. In a recent presentation at the French College of General Medicine's 15th Congress of General Medicine, Vignaud, a historian of science, gave examples from the past to show that opposition to vaccines, which has come to light during the COVID-19 pandemic, is neither a recent phenomenon nor specific to France.
  3. Content Article
    GPOnline Editor, Emma, speaks with Dr Carey Lunan, a GP in Edinburgh and chair of the Deep End GP Group in Scotland, and Dr David Blane a GP in Glasgow and clinical research fellow in General Practice, University of Glasgow, who is the academic lead of the Deep End GP Group. The Deep End Group covers the 100 most deprived practices in Scotland and the discussion highlights what the group is doing to tackle health inequalities, the impact of COVID-19 and what other practices can learn from their work.
  4. Content Article
    This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Angela talks to us about how her role enables her to promote collaboration for patient safety between different layers of the healthcare system. She also tells us about how Northern Ireland is using World Patient Safety Day 2022 to help the public and healthcare staff understand how they can contribute to medication safety.
  5. News Article
    A senior NHS leader has warned of a “life-threatening” situation in which clinically vulnerable people are being admitted to hospital after having their energy supplies disconnected. Sam Allen, chief executive of North East and North Cumbria Integrated Care Board (ICB), has written to Ofgem today to raise “serious concerns” that vulnerable people have seen their electricity or gas services disconnected as a result of non-payment. In the letter, which the ICB has published on its website, Ms Allen said the impact of energy supplies being cut off “will be life threatening for some people” and place additional demand on already stretched health and social care services. She wrote: “It has come to light that we are starting to see examples where clinically vulnerable people have been disconnected from their home energy supply which has then led to a hospital admission. “This is impacting on people who live independently at home, with the support from our community health services team and are reliant on using electric devices for survival. “An example of this is oxygen; and there will be many other examples. There is also a similar concern for clinically vulnerable people with mental health needs who may find themselves without energy supply. “Put simply, the impact of having their energy supply terminated will be life threatening for some people as well as placing additional demands on already stretched health and social care services.” Read full story (paywalled) Source: HSJ, 5 September 2022
  6. News Article
    Responding to the Ofgem announcement on the energy price cap, Jo Bibby, Director of Health at the Health Foundation said: 'Today’s announcement confirms the mounting financial pressures facing people this winter. 'Cold, damp homes make people ill. When people are having to make a choice between heating and eating, their health is going to suffer. Many will face the stress of managing debt and, in the long run, the price will be paid in poorer health, more pressure on the NHS, and fewer people in work. 'The cost-of-living crisis should be a spur for action for the new government – bringing forward the Health Disparities White Paper. In particular, it must deliver significant emergency support in the autumn, targeted at lower-income families who are most at risk of poorer health. Without the speed and scale of action we saw through the pandemic, there is a risk the cost-of-living crisis becomes another health crisis.' Read full story Source: The Health Foundation, 26 August 2022
  7. News Article
    Cold homes will damage children’s lungs and brain development and lead to deaths as part of a “significant humanitarian crisis” this winter, health experts have warned. Unless the next prime minister curbs soaring fuel bills, children face a wave of respiratory illness with long-term consequences, according to a review by Sir Michael Marmot, the director of University College London’s Institute of Health Equity, and Prof Ian Sinha, a respiratory consultant at Liverpool’s Alder Hey children’s hospital. Sinha said he had “no doubt” that cold homes would cost children’s lives this winter, although they could not predict how many, with damage done to young lungs leading to chronic obstructive pulmonary disease (COPD), emphysema and bronchitis for others in adulthood. Huge numbers of cash-strapped households are preparing to turn heating systems down or off when the energy price cap increases to £3,549 from 1 October, and the president of the British Paediatric Respiratory Society, also told the Guardian that child deaths were likely. “There will be excess deaths among some children where families are forced into not being able to heat their homes,” said Dr Simon Langton-Hewer. “It will be dangerous, I’m afraid.” Read full story Source: The Guardian, 1 September 2022
  8. News Article
    Rising numbers of people will fall sick and see their health worsen unless the government takes further action to limit energy price rises, the NHS says. The NHS Confederation said the UK was facing a "humanitarian crisis". The group, which represents health bosses, said many people would face the awful choice between skipping meals to heat their homes or having to live in cold and damp conditions. But ministers said action was already being taken and the NHS supported. This includes £400 payments to every household this autumn to help pay energy bills. However, in a letter to ministers, NHS leaders said that rapidly rising energy prices, along with other cost-of-living pressures, will still leave individuals and families facing impossible choices. They warn that if people are forced to live in cold homes and cannot afford nutritious food, then their health will quickly deteriorate and the NHS will be left to pick up the pieces. Cold conditions can lead to a rise in respiratory conditions, and in older people can also increase the risk of heart attacks, strokes and falls. Cold homes are already linked to 10,000 deaths a year, the NHS Confederation said. The group warned the risk of ill-health linked to the energy crisis would come on top of what many expect to be one of the toughest winters on record because of the combination of flu, norovirus and Covid outbreaks. As well as leading to more sickness and illness, the NHS Confederation said it would also have a major impact on mental health and well-being. Read full story Source: BBC News, 20 August 2022
  9. News Article
    A 60-year-old woman in England’s poorest areas typically has the same level of illness as a woman 16 years older in the richest areas, a study into health inequalities has found. The Health Foundation found a similarly stark, though less wide, gap in men’s health. At 60 a man living in the most deprived 10% of the country typically has the burden of ill-health experienced by a counterpart in the wealthiest 10% at the age of 70. The thinktank’s analysis of NHS data also shows that women in England’s poorest places are diagnosed with a long-term illness at the age of 40 on average, whereas that does not happen to those in the most prosperous places until 48. The findings underline Britain’s wide and entrenched socio-economic inequalities in health, which the Covid-19 pandemic highlighted. Ministers have promised to make tackling them a priority as part of the commitment to levelling up, but a promised white paper on that has been delayed. Researchers led by Toby Watt said their findings were likely to be the most accurate published so far because they were based on data detailing patients’ interactions with primary care and hospital services, and unlike previous studies did not rely on people’s self-reported health. “In human terms, these stark disparities show that at the age of 40, the average woman living in the poorest areas in England is already being treated for her first long-term illness. This condition means discomfort, a worse quality of life and additional visits to the GP, medication or hospital, depending on what it is. At the other end of the spectrum, the average 40-year-old woman will live a further eight years – about 10% of her life – without diminished quality of life through illness,” Watt said. Read full story Source: The Guardian, 17 August 2022
  10. Content Article
    Non-communicable illness is responsible for 88% of the burden of disease in England, with the majority falling most heavily on the poorest in society. The COVID-19 pandemic has highlighted pervasive socioeconomic, ethnic and geographical health inequalities in our society. But quantifying health inequalities can be difficult due to the complexities of comparing people with multiple different long-term conditions (multimorbidity) and assessing the implications for their health care needs. In this analysis from the The Health Foundation, a novel tool known as the Cambridge Multimorbidity Score was used to assess the relative impact of different patterns of diagnosed illness on people and their use of the health care system. 
  11. Content Article
    Health inequalities are not inevitable and are unfair. Many people from different backgrounds across our society suffer health inequalities which can negatively impact the whole community, not just those directly affected. Birmingham and Lewisham African Caribbean Health Inequalities Review (BLACHIR) set out to urgently reveal and explore the background to health inequalities experienced by the Black African and Black Caribbean communities. Birmingham is home to 8% of the Black African and Black Caribbean populations in England and 23% of Lewisham’s population is Black African or Black Caribbean (ONS 2011). The main aim of the Review is to improve the health of Black African and Black Caribbean people in the communities by listening to them, recognising their priorities, discussing, and reflecting on the findings and coproducing recommended solutions for the Health and Wellbeing Board and NHS Integrated Care Systems to consider and respond to.
  12. Content Article
    In spring 2021, YouTube asked the National Academy of Medicine to bring together experts to develop principles for elevating credible health information online. In this interview with The Commonwealth Fund, Garth Graham, YouTube’s director and global head of health care and public health partnerships talks about how YouTube—which reaches two billion people each month—has been working with health systems in the US to create high-quality, engaging health content.
  13. News Article
    More than 100,000 doses of the monkeypox vaccine have been acquired in order to combat the spread of the virus, the government has said. Last month the NHS stepped up its monkeypox vaccination programme in England as infections rose. Vaccines minister Maggie Throup said the majority of vaccines were being made available in London, with about 75% of confirmed cases in the capital. But she urged people to wait to be invited to receive their jabs. While anyone can get monkeypox, the majority of those with the virus are gay, bisexual and other men who have sex with men. The latest figures show that nationally there have been 2,436 confirmed cases, with 1,778 of those in London. Read full story Source: BBC News, 3 August 2022
  14. Content Article
    This opinion piece in The BMJ looks at the impact of the government's decision to make the wearing of masks in healthcare settings the decision of local providers, dependent on local risk assessment and prevalence. It highlights reports of patients wearing high-filtration FFP2 or FFP3 respirator—many of who are immunocompromised—being asked to remove and replace them with less effective single-use masks in order to gain entry to NHS facilities for treatment. The authors highlight that Covid-19 is an airborne pathogen and that the likelihood of contracting the virus increases with length of time spent in contaminated air. They argue that downgrading mask use in healthcare settings puts everyone at risk, but that it is a particular issue for patients who are clinically extremely vulnerable due to underlying health conditions or because they are undergoing treatment for cancer. They call on the government to upgrade masks to FFP2 or FFP3 respirators in order to protect staff and patients and reverse the worrying trend of clinically extremely vulnerable patients avoiding attending healthcare services.
  15. Content Article
    This report examines the approaches and key decisions taken by UK governments during the pandemic and the public health measures they introduced. It assesses whether these choices were timely, appropriate, and proportionate to deal with the threat and impact of COVID-19.
  16. News Article
    Startling numbers from around the world give grim statistical support for the argument that healthcare quality has not only stalled, but is in worrying retreat. Nearly 15 million deaths have been attributed to Covid-19 worldwide. All countries have seen waiting times increase and deaths from cardiac conditions and cancer rise. Mental health problems have been exacerbated, while the frailty of some elderly care services has left families unsupported. The global workforce crisis has been exposed, health inequalities amplified, and life expectancy arrested. Government debt has soared, and livelihoods have been lost. In a new report, health systems leaders from across the world – including the UK, Australia, India, Singapore, Canada, the USA and Europe – raise the alarm. There has been a decline in the focus on quality by the leadership of health systems all over the world with an opportunity cost in terms of patient outcomes, safety issues and people’s experience of healthcare. How do we shift from firefighting to a focus on quality of care? Dr Mark Britnell, chair of the Beamtree Global Impact Committee report, makes a simple argument: the only way to reverse the retreat from quality is to march steadfastly towards it. Read full story (paywalled) Source: The Telegraph, 26 July 2022
  17. 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.
  18. Content Article
    COVID-19 is more likely to lead to Long COVID among persons of working age. In this paper, Darja Reuschke  and Donald Houston outline the first estimates of the impact of Long Covid on employment in the UK. Using estimates of cumulative prevalence of Long Covid, activity-limiting Long COVID in the working-age population and of economic inactivity and job loss resulting from Long COVID, they provide evidence of the profound impact of Long COVID on national labour supply. Since the start of the pandemic, cumulatively 2.9 million people of working age (7% of the total) in the UK have had, or still have, Long ovid. This figure will continue to rise due to very high infection rates in the Omicron wave. Since the beginning of the pandemic, economic inactivity due to long-term sickness has risen by 120,900 among the working-age population, fuelling the UK’s current labour shortage. An estimated 80,000 people have left employment due to Long COVID. The authors argue that governments need to tackle the twin challenges to public health and labour supply and provide employment protection and financial support for individuals and firms affected by Long COVID.
  19. Content Article
    In this briefing paper for the Social Market Foundation, Lord Norman Warner sets out a radical change programme that could reverse the decline in NHS services. It examines long-term issues that have been exacerbated by the impact of Brexit and the Covid-19 pandemic—the care backlog, workforce issues and loss of public confidence.
  20. Content Article
    This document outlines the final terms of reference for the Public Inquiry into the government's response to the Covid-19 pandemic, chaired by Baroness Heather Hallett. The Inquiry will examine, consider and report on preparations and the response to the pandemic in England, Wales, Scotland and Northern Ireland. Baroness Hallett has also recorded a video statement to the public about the Inquiry, which includes a British Sign Language translation.
  21. Content Article
    As a clinician, Abraar Karan rarely sees a patient die from Covid-19 anymore. Those who end up in the hospital these days have benefited from the immense advances in clinical science that have brought us vaccines, monoclonal antibodies, and antivirals, and taught us how best to use these and other existing medications, such as steroids, to save patients’ lives. Collectively, this is an enormous accomplishment. It’s not, however, the end of the pandemic. The end of covid-19 will not be a clinical feat, but a public health one. We need public health innovation from our governments, writes Abraar in this BMJ opinion article.
  22. News Article
    Surgery waiting lists will triple by 2030, triggering a “population health crisis”, unless there is a huge increase in NHS capacity, according to new research. Experts from Birmingham University have said efforts to reduce hospital backlogs are not enough and that it is “impossible” for the existing frontline workers to tackle increasing waiting lists. The most in-depth analysis of the challenge facing hospital waiting lists in England has revealed 4.3 million people need invasive surgery or procedures such as endoscopy, the largest number since 2007. Of these, an estimated 3.3 million are on a “hidden waiting list”, likely to need treatment but yet to be identified by the NHS due to the impact of the pandemic. More than 2.3 million people, 53% of the waiting list, are of working age, meaning their delayed diagnoses and treatments could have an impact on the economy. Without a substantial increase in NHS capacity, the team behind the work say the total figure for those waiting for surgery in England could rise to 14.6 million by 2030. Read full story (paywalled) Source: The Times, 26 June 2022
  23. News Article
    A drive to ‘transform’ access to urgent, emergency and planned care will be added to the goals of the NHS long-term plan, a document leaked to HSJ has revealed The long-term plan for the NHS was originally published in January 2019. Last September, NHS England said it was reviewing the commitments made within the plan, with senior officials warning that many of them could not be met after the damage of the pandemic. HSJ has seen a document prepared for the most recent meeting of the NHS Assembly which sets out NHSE’s approach to the refresh. Strategic developments expected include better joined-up community based and preventive care, transform access to urgent, emergency and planned care, improve care quality and operations, and tackle health inequalities, improve population health and develop a sustainable health service through greater collaboration. Read full story (paywalled) Source: HSJ, 24 June 2022
  24. News Article
    Public health officials have declared a national incident after routine surveillance of wastewater in north and east London found evidence of community transmission of poliovirus for the first time. The UK Health Security Agency (UKHSA) said waste from the Beckton sewage treatment works in Newham tested positive for vaccine-derived poliovirus in February and that further positive samples had been detected since. No cases of the disease or related paralysis have been reported, and the risk to the general public is considered low, but public health officials urged people to make sure that they and their families were up to date with polio vaccinations to reduce the risk of harm. “Vaccine-derived poliovirus has the potential to spread, particularly in communities where vaccine uptake is lower,” said Dr Vanessa Saliba, consultant epidemiologist at the UKHSA. “On rare occasions it can cause paralysis in people who are not fully vaccinated, so if you or your child are not up to date with your polio vaccinations it’s important you contact your GP to catch up or if unsure check your red book.” “Most of the UK population will be protected from vaccination in childhood, but in some communities with low vaccine coverage, individuals may remain at risk,” she added. Read full story Source: The Guardian, 22 June 2022
  25. Content Article
    In this podcast for The Guardian, Madeleine Finlay speaks to Michael Marmot, Professor of Epidemiology and Director of the Institute of Health Equity at University College London, about the impact of the cost of living crisis on people's health. They talk about the ways that poverty makes people sicker and why falling income is so bad for the country’s health.
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