The Health Benefits of Fibre (BBC News / Lancet)

Summary

A systematic review and meta-analysis of previous studies indicates that consumption of dietary fibre (roughage) confers many health benefits. Comparison of health outcomes between the highest consumers of dietary fibre (versus the lowest) suggests that there is between 15-30% reduction in all-cause and cardiovascular-related mortality, the incidence of coronary heart disease (CHD), stroke, diabetes, and colorectal cancer associated with fibre consumption.​

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Reference

Gallagher, J. (2019). The lifesaving food 90% aren’t eating enough of. London: BBC Health News, January 11th 2019.

This relates to:

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Reference

Reynolds, A. Mann, J. [and] Cummings, J. [et al] (2019). Carbohydrate quality and human health: a series of systematic reviews and meta-analyses. Lancet. January 10th 2019, pii: S0140-6736(18)31809-9. [Epub ahead of print].

Possibly also of interest:

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Live longer – with added fibre. London: BBC Health News, January 11th 2019.

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Antidepressants Not Recommended for Depression in People With Dementia (NIHR Signal / Cochrane Database)

Summary

A National Institute for Health Research “Signal” expert commentary refers to a systematic review which indicates that antidepressants are unsuitable / unhelpful for the treatment of depression in persons living with dementia.

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Antidepressants do not help treat depression in people living with dementia. London: National Institute for Health Research Signal, January 8th 2019.

This relates to:

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Reference

Dudas, R. Malouf, R. [and] McCleery, J. [et al] (2018). Antidepressants for treating depression in dementia. Cochrane Database of Systematic Reviews. August 31st 2018; 8: CD003944.

There is also an Executive Summary.

Posted in Acute Hospitals, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Mental Health, Models of Dementia Care, NIHR, Person-Centred Care, Pharmacological Treatments, Quick Insights, Systematic Reviews, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

More on the NHS Long Term Plan (DHSC / NHS England / BBC News)

Summary

The NHS Long Term Plan was released earlier this week. The plan is backed by the commitment of an extra £20.5 billion funding for the NHS per year.

“The 10-year plan includes measures to prevent 150,000 heart attacks, strokes and dementia cases, and better access to mental health services for adults and children”.

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NHS Long Term Plan to tackle major killer conditions and save up to half a million lives. [Online]: NHS England, January 7th 2019.

This relates to:

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The NHS Long Term Plan. London: NHS England, January 7th 2019.

The NHS Long Term Plan website has links to various case studies.

See also:

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NHS Long Term Plan launched. London: Department of Health and Social Care, January 7th 2019.

Comment and analysis from BBC News:

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Reference

Pym, H. (2019). Will NHS long-term plan deliver the goods? London: BBC Health News, January 7th 2019.

and:

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Triggle, N. (2019). NHS long-term plan: Focus on prevention ‘could save 500,000 lives’. London: BBC Health News, January 7th 2019.

Earlier:

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NHS 10-year plan: Labour attacks Theresa May over proposals. London: BBC Health News, January 6th 2019.

Further:

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Triggle, N. (2019). NHS plan: What it means for you. London: BBC Health News, January 7th 2019.

Collaboration vital:

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Triggle, N. (2019). Are Andrew Lansley’s NHS reforms being binned? London: BBC Health News, January 11th 2019.

Funding for Local Clinical Commissioning Groups: Tackling Health Inequalities

Local health services have been allocated £570 billion (with “increase of at least 17% over the next five years, including a minimum rise of 4.4% next year”), based on a new funding formula which prioritises regions with the highest rates of premature mortality and unmet health needs.

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Local NHS allocated £570 billion to fund the NHS Long Term Plan. [Online]: NHS England, January 10th 2019.

Integration of Care

The Homefirst Scheme, in the Somerset STP, is an example of integrated working with a view to earlier discharge from hospital and treatment back in the community.

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Patients avoid 7,500 nights in hospital with ‘tailored’ home help scheme. [Online]: NHS England, January 10th 2019.

Reflections on Evolving NHS Terminological Usage?

A philosophical, if less than serious, take on emerging trends in NHS terminology:

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Reference

Patterson, J. (2019). All you need to know about long-term planning. London [Online]: NHSNetworks, January 11th 2019.

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

French Research Into the Needs of Carers for People With Neurocognitive Disorders (BMC Health Services Research)

Summary

This review investigated aspects of the additional burdens for carers typically arising from caring for persons with neurocognitive disorders, with a view to developing a consensus on the priorities of caregivers. An expert panel was consulted, comprising 68 informal carers of people with cognitive decline or neurocognitive disorders living at home.

Information for carers about the disease and treatment, and psycho-educational interventions, particularly concerning strategies for coping with behavioural disorders, were considered important:

“Caregivers assigned a very high importance to the dimension ‘information needs about their relative’s disease’, i.e. information on the disease, the treatment and the research; and to ‘coping skills’, i.e. skills related to emotional support, communication, relationship evolution with the relative and skills to cope with behavioural crisis, behavioural and cognitive disorders”. (p.1).

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Reference

Novais, T. Mouchoux, C. [and] Kossovsky, M. [et al] (2018). Neurocognitive disorders: what are the prioritized caregiver needs? A consensus obtained by the Delphi method. BMC Health Services Research. December 29th 2018; 18(1): 1016.

Posted in Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), International, Management of Condition, Non-Pharmacological Treatments, Person-Centred Care, Pharmacological Treatments, Quick Insights, Systematic Reviews, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Prevention: Central to the NHS Long Term Plan (BBC News / NHS Egland)

Summary

Early announcements concerning the NHS Long Term Plan, previously billed as the “NHS Ten Year Plan”, indicate an even greater emphasis on the prevention agenda. This will involve, among other related schemes, the provision for problem drinkers and smokers who have been admitted to hospitals in England with help from dedicated services to quit or cut-down their consumption. In addition to reducing ill-health, it is anticipated that such interventions will reduce future levels of demand on the NHS.

“Alcohol Care Teams will be rolled out in hospitals with the highest number of alcohol-related admissions and will support patients and their families who have issues with alcohol misuse. This will be delivered in the 25% worst affected parts of the country and could prevent 50,000 admissions and almost 250,000 bed days over five years”.

The Long Term Plan’s commitment to offer help to quit for every smoker admitted to hospital was recommended earlier by the Royal College of Physicians’ Hiding in Plain Sight report.

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Hospital patients who smoke or drink to be helped to quit. London: BBC Health News, January 5th 2019.

This relates to:

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NHS Long Term Plan will help problem drinkers and smokers. [Online]: NHS England, January 5th 2019.

Prime Minister Theresa May has outlined the main components of the broad plan in her pre-announcement:

  • Better mental health care, with 24-hour advice from NHS 111 by 2023, and tailored services for young adults with better transitions to adult mental health services.
  • Provision of world-class maternity care, improving safety and with better mental health support for new parents.
  • Greater control and choice in old age; expanding the use of personal budgets to allow people to decide which care they want. Better community-based support should prevent unnecessary hospital admissions.
  • Improved prevention and detection of disease. Improvements to early detection of cancer should help improve cancer survival rates.
  • Increases in the NHS workforce – where one post in eleven remains vacant.
  • The NHS embracing the digital age; with further progress to include online GP booking, prescriptions management and health records.

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Reference

Triggle, N. (2019). NHS 10-year plan: May hails historic announcement. London: BBC Health News, January 5th 2019.

See also, the RCP report mentioned above, for background interest:

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Hiding in plain sight: treating tobacco dependency in the NHS. London: Royal College of Physicians (RCP), June 26th 2018.

Further musings on related background issues, some of which may be beyond everyone’s control or imagination:

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Triggle, N. (2018). Six things to look out for in health in 2019. London: BBC Health News, December 31st 2018.

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Patient Information, Person-Centred Care, Personalisation, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Qualitative Research Into the Acute Hospital Care Weekend Effect (BMC Health Services Research)

Summary

While much recent research has cast doubt upon the validity of the “Weekend Effect” construct, the authors of this qualitative research focus instead on the perceptions of patients and hospital workers regarding the quality and safety of care at weekends. Thematic analysis of input from patients and staff at three UK hospital Trusts identified four broad threats to quality and safety as being of likely greater importance at weekends: (i) rescue and stabilisation of sick patients, (ii) monitoring and responding to deterioration, (iii) timely and accurate management of the therapeutic pathway, and (iv) errors of omission and commission.

Given slow progress towards seven day working in NHS acute care trusts, it is thought that concentrating on care processes and systems resilience might help compensate for the “known” sub-optimal staffing numbers, skills mix and reduced access to certain hospital resources at weekends

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Reference

Sutton, E. Bion, J. [and] Aldridge, C. [et al] (2018). Quality and safety of in-hospital care for acute medical patients at weekends: a qualitative study. BMC Health Services Research. December 29th 2018; 18(1): 1015.

Posted in Acute Hospitals, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | 1 Comment

Lower Than Expected Take-Up of NHS Health Check (BBC News / NHS England)

Summary

Persons aged between 40 and 74 are eligible for a free NHS Health Check, with a view to early identification and / or prevention of hypertension, type 2 diabetes, chronic kidney disease etc. In practice, statistics show that roughly 7.15 million people have had the free health check in England since 2013, despite 15 million people being eligible. The reduction of risk factors for heart disease, stroke, kidney disease, dementia and type 2 diabetes is clearly advisable for improving individual and public health.

Patients receiving the NHS Health Check may get personalised advice on reducing lifestyle-related risks by improving diet, exercising more, weight loss , reducing alcohol consumption and stopping smoking.

“Attending a free NHS health check is a great opportunity to discuss existing health conditions, and to work out how to reduce the risk of developing dementia and other illness in the future”. Alistair Burns: National Clinical Director for Dementia and older People’s Mental Health at NHS England.

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Minority take up ‘life-saving’ free health check. London: BBC Health News, December 31st 2018.

This relates to:

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Spotting heart problems early could prevent dementia in tens of thousands. [Online]: NHS England, December 31st 2018.

A broad estimate of potential benefit:

“For every 2% reduction in the number of people experiencing stroke or other heart problems there are around 10,000 fewer dementia cases later in life.” (Unattributed).

Posted in BBC News, Community Care, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment