More on the Likely Association Between Air Pollution and Increased Risk of Dementia? (BMJ Open / NHS Choices / BBC News / PHE)

Summary

Further evidence has emerged, from London, on the possible link between long-term exposure to air pollution and the likelihood of developing dementia.

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Reference

Air pollution linked to dementia risk. London: NHS Choices; Behind the Headlines, September 19th 2018.

This relates to:

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Reference

Carey, IM. Anderson, HR. Atkinson, RW. [et al] (2018). Are noise and air pollution related to the incidence of dementia? A cohort study in London, England. BMJ Open. September 11th 2018; 8(9): e022404.

See also:

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Air pollution linked to dementia, London study suggests. London: BBC News, September 19th 2018.

PHE Awareness and Surveillance Tool

Public Health England are aware of this potential risk factor:

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Reference

Chapter 7: Current and emerging health protection issues. [Online]: Public Health England (PHE), September 11th 2018. PHE Publication Gateway Reference No. 2018340.

Possibly also of interest:

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Estimation of costs to the NHS and social care due to the health impacts of air pollution. London: Public Health England (PHE), May 2018. PHE Publication Gateway Reference No. 2017858.

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Evidence Gaps in the Implementation of eHealth Interventions for Informal Caregivers of People with Dementia (Internet Interventions)

Summary

There is reported to be no shortage of evidence that eHealth interventions for informal carers of people living with dementia can be effective on numerous fronts, including:

 “ … improving a range of psychological outcomes in caregivers, such as the reduction of caregiver depression, anxiety, stress and burden, as well as increasing positive aspects of caregiving, caregiver self-efficacy, and confidence”.  (p.52)

A recent literature review concerning the actual implementation of such eHealth interventions for informal caregivers of people with dementia, however, found little to go on, with a notable mismatch between research intentions and practical implementation.

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Reference

Christie, HL. Bartels, SL. [and] Boots, LMM. [et al] (2018). A systematic review on the implementation of eHealth interventions for informal caregivers of people with dementia. Internet Interventions. July 7th 2018; 13: 51-59.

Posted in Commissioning, Community Care, Depression, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Systematic Reviews, Telecare, Telehealth, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Health Profile for England: a Contribution Towards the NHS Ten Year Plan (BBC News / PHE)

Summary

Public Health England (PHE) have published their second “Health Profile for England” report. This attempts to give a comprehensive and up-to-date summary of the population’s health in England, with projections for the future. Evidence in this annual report is intended to inform the NHS long term (10 year) plan. The main section headings comprise:

  1. Population change and life expectancy.
  2. Trends in mortality.
  3. Trends in morbidity and risk factors.
  4. Health of children in the early years.
  5. Inequality in health.
  6. Wider determinants of health.
  7. Current and emerging health protection issues.

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Reference

Roberts, M. (2018). England facing ‘changing health needs’. London: BBC Health News, September 11th 2018.

See also:

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Current and future state of nation’s health revealed. [Online]: Public Health England (PHE), September 11th 2018.

This relates to:

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Health profile for England: 2018. London: Public Health England, September 11th 2018.

“ …average life expectancy has reached 79.6 years for men and 83.2 for women. In 2017, there were 1.35 million people aged 85 and over in England – nearly three times more than in 1971. …people can expect to live about 63 years in good health; that means men face about 16 years of ill health – a fifth of their life – and women more than 19 years – nearly a quarter of their life – in poor health”.

The individual chapters are:

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Reference

Chapter 1: Population change and trends in life expectancy. [Online]: Public Health England (PHE), September 11th 2018. PHE Publication Gateway Reference No. 2018340.

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Chapter 2: Trends in mortality. [Online]: Public Health England (PHE), September 11th 2018. PHE Publication Gateway Reference No. 2018340.

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Chapter 3: Trends in morbidity and risk factors. [Online]: Public Health England (PHE), September 11th 2018. PHE Publication Gateway Reference No. 2018340.

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Chapter 4: Health of children in the early years. [Online]: Public Health England (PHE), September 11th 2018. PHE Publication Gateway Reference No. 2018340.

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Chapter 5: Inequalities in health. [Online]: Public Health England (PHE), September 11th 2018. PHE Publication Gateway Reference No. 2018340.

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Chapter 6: Wider determinants of health. [Online]: Public Health England (PHE), September 11th 2018. PHE Publication Gateway Reference No. 2018340.

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Chapter 7: Current and emerging health protection issues. [Online]: Public Health England (PHE), September 11th 2018. PHE Publication Gateway Reference No. 2018340.

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Methods, data and definitions issues. [Online]: Public Health England (PHE), September 11th 2018. PHE Publication Gateway Reference No. 2018340.

Early News on the NHS Ten Year Plan (Under Development)

There are, apparently, nineteen workstreams devoted to different policy areas. There is an NHS England consultation inviting opinions. Early BBC News commentary:

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Reference

Pym, H. (2018). What will the NHS 10-year plan look like? London: BBC Health News, September 13th 2018.

Health Profile for England: 2017 First Edition (PHE)

The earlier 2017 report may still be of interest:

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Reference

Health profile for England: 2017. London: Public Health England, July 13th 2018.

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Mental Health, National, NHS, NHS England, Public Health England, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Cochrane Review of Music Therapy for Emotional Wellbeing, BPSD Reduction and/ or Quality of Life (Cochrane Database / BBC News / Frontiers in Psychology)

Summary

An updated Cochrane Review concludes that music therapy might be of benefit for some persons living with dementia under certain circumstances, some of the time, probably…

“Providing people with dementia who are in institutional care with at least five sessions of a music-based therapeutic intervention probably reduces depressive symptoms and improves overall behavioural problems at the end of treatment. It may also improve emotional well-being and quality of life and reduce anxiety, but may have little or no effect on agitation or aggression or on cognition. We are uncertain about effects on social behaviour and about long-term effects”.

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Reference

van der Steen, JT. Smaling, HJ. van der Wouden, JC. [et al] (2018). Music-based therapeutic interventions for people with dementia. Cochrane Database of Systematic Reviews. July 23rd 2018; 7: CD003477.

There is also an Executive Summary.

There are, nonetheless, plenty of anecdotal reports in favour of singing / community singing, endorsed by respectable academics.

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Reference

Dementia patients ‘come alive’ in singing classes. London / Kent: BBC Health News / BBC Kent News, September 9th 2018.

See also:

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Dementia patients’ singing therapy. London / Nottingham: BBC Health News / BBC Nottingham News, September 18th 2016.

Earlier, this time more concerning mental health rehabilitation:

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Roxby, P. (2017). Community singing ‘improves mental health and helps recovery’. London: BBC Health News, December 21st 2017.

A recent singing and dementia review of possible interest:

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Reference

Clark, IN. Tamplin, JD. [and] Baker, FA. (2018). Community-dwelling people living with dementia and their family caregivers experience enhanced relationships and feelings of well-being following therapeutic group singing: a qualitative thematic analysis. Frontiers in Psychology. July 30th 2018; 9: 1332.

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

WHO’s Worldwide Trends in Insufficient Physical Activity (BBC News / Lancet Global Health)

Summary

It appears that the WHO 2025 global physical activity target (of a 10% relative reduction in insufficient physical activity) is unlikely to be achieved.

“A WHO report estimates that more than a quarter of people worldwide – 1.4 billion – are not doing enough physical exercise”.

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Reference

Therrien, A. (2018). Lack of exercise puts one in four people at risk, WHO says. London: BBC Health News, September 5th 2018.

“Women were less active than men in all but East and South-East Asia, with the biggest differences being in South Asia, Central Asia, the Middle East, north Africa and high-income Western countries”.

This relates to:

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Reference

Guthold, R. Stevens, GA. [and] Riley, LM. [et al] (2018). Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. Lancet Global Health. September 4th 2018. [Epub ahead of print].

Posted in BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Non-Pharmacological Treatments, Practical Advice, Quick Insights, Statistics, Systematic Reviews, Universal Interest, World Health Organization (WHO) | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

More on Integrated Care: Government Response to the House of Commons Health and Social Care Committee’s Report (House of Commons / DHSC)

Summary

In June 2018, the House of Commons Health and Social Care Committee published the “Integrated care: organisations, partnerships and systems” report, which included 42 conclusions and recommendations.

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Reference

Integrated care: organisations, partnerships and systems. Seventh Report of Session 2017–19. Report, together with formal minutes relating to the report. Ordered by the House of Commons to be printed 23 May 2018. London: House of Commons Health and Social Care Committee, June 11th 2018. HC 650.

The following joint response from the Department of Health and Social Care, NHS England, NHS Improvement, CQC and Health Education England explains how the government plans to tackle committee’s recommendations in the context of long-term plans for the NHS.

“Sustainability and Transformation Partnerships (STPs) – and, in their more mature form, Integrated Care Systems – are ways of promoting collaboration between NHS bodies and local government and local communities across whole systems. They are also vehicles for spreading the integrated care models developed and tested through the Vanguard programme”.

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Reference

Government response to the Health and Social Care Committee’s report on integrated care. [Online]: Department of Health and Social Care, September 5th 2018.

This relates to:

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Reference

Government response to the Health and Social Care Committee’s report on integrated care: organisations, partnerships and solutions. Seventh report of session 2017-19. Presented to Parliament by the Secretary of State for Health and Social Care by Command of Her Majesty, August 2018. Cm 9695. London: Department of Health and Social Care, August 2018.

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Intermediate Care Including Reablement: Quality Standard QS173 (NICE)

Summary

National Institute for Health and Care Excellence (NICE) has produced a quality standard on intermediate care, including reablement. This is intended to contribute to improvements across many fronts, including:

  • Integration of health and social care.
  • Patient and carer-related quality of life.
  • Independence, choice and control in daily life.
  • Reduced length of hospital stays.
  • Reduced delayed transfer of care from hospital.
  • Reduced hospital readmissions.
  • Reduced admissions to residential care.

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Reference

Intermediate care including reablement: NICE quality standard [including tools and resources] (QS173). London: National Institute for Health and Care Excellence (NICE), August 2018.

There is an accompanying NICE Care Pathway.

Posted in Commissioning, Integrated Care, Local Interest, National, NICE Guidelines, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment