Infographics Summarise the Many Relationships Between Health and Work / Unemployment (PHE / Work Foundation)

Summary

Public Health England (PHE) and The Work Foundation have jointly produced thirteen infographics on the relationships between health and work:

  1. Spotlight on mental health.
  2. Cost of ill-health.
  3. Health of the working age population.
  4. Health of UK employees.
  5. Spotlight on musculoskeletal conditions (MSK).
  6. Managing health at work for employers.
  7. Spotlight on small medium enterprises (SME).
  8. Unemployment and economic inactivity.
  9. Welfare.
  10. The local picture.
  11. Supporting older workers with health problems.
  12. Young people and health at work.
  13. Spotlight on alcohol, drugs and tobacco.

“Evidence shows that a good working environment is good for health, and that a bad working environment (characterised by low levels of job control and organisational fairness, and a high effort-reward imbalance) may contribute to poor health”.

Full Text Link

Reference

Health and work: infographics. [Online]: Public Health England’s Health and Work Team, June 2017. PHE Publications Gateway No. 2017099.

Further information on the evidence base, with references, is available for people who wish to explore these determinants of ill-health / wellbeing in greater detail:

Full Text Link

Reference

Ramos, M. (2017). Health and work infographics: a snapshot of the health, work and worklessness landscape. (September 2016). London: Public Health England’s Health and Work Team, June 2017. PHE Publications Gateway No. 2017099.

 

Posted in Commissioning, Community Care, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Mental Health, National, Non-Pharmacological Treatments, Person-Centred Care, Public Health England, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Oral Health in Care Homes: QS151 (NICE)

Summary

The National Institute for Health and Care Excellence (NICE) has produced a quality standard with the aim of improving the quality of life for care home residents.

Full Text Link

Reference

Oral health in care homes: NICE Quality Standard 151. London: National Institute for Health and Care Excellence (NICE), June 2017.

There is an accompanying NICE Care Pathway:

Full Text Link

Reference

Oral health for adults in care homes. NICE Pathways. [Online]: National Institute for Health and Care Excellence, June 2017.

Posted in Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NICE Guidelines, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Huntington’s Disease: a Blood Test “Speedometer”? (BBC News / Lancet Neurology)

Summary

Early research shows promise that a protein biomarker in the blood, called neurofilament light chain (NFL), which is released from damaged brain cells in Huntington’s Disease, may be the basis for a blood test able to predict whether people are at risk of developing Huntington’s disease and tracking how quickly the disease is progressing.

“We have been trying to identify blood biomarkers to help track the progression of Huntington’s Disease for well over a decade and this is the best candidate we have seen so far”. Dr Edward Wild (UCL).

Full Text Link

Reference

Mundasad, S. (2017). Huntington’s disease trial test is ‘major advance’.  London: BBC Health News, June 8th 2017.

This relates to:

Full Text Link

Reference

Byrne, LM. Rodrigues, FB. [and] Blennow, K. [et al] (2017). Neurofilament light protein in blood as a potential biomarker of neurodegeneration in Huntington’s disease: a retrospective cohort analysis. Lancet Neurology. June 7th 2017. [Epub ahead of print].

Posted in BBC News, Diagnosis, For Researchers (mostly), In the News, International, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Innovation for Efficiency, Productivity and Affordability in Healthcare (ILC-UK / EY)

Summary

A report from the International Longevity Centre covers seven examples of UK-based and international schemes involving innovation. These examples are:

  1. Memory First: an integrated dementia service run by a consortium of 162 GPs across 41 practices in Staffordshire.
  2. Urban E-Health Pilot: using technology to improve access to primary care in an urban community (Task Force on E-Health in Rio de Janeiro).
  3. Protocol 3 (P3): offering wide-ranging care services to older people in Belgium who need care 24/7, coordinated by a case manager.
  4. Home Dialysis: a scheme from the Manchester Royal Infirmary.
  5. EASYCare Project: an international scheme aimed at helping the over 75s.

It is suggested that wider implementation of such programmes could save the NHS £18.5 billion, and the social care sector £6.3 billion, between 2015–2030. Different scenarios are offered.

Contents headings in the main report comprise:

  • Chapter 1: The Challenge.
  • Chapter 2: Understanding and containing healthcare costs: The economic evidence.
  • Chapter 3: Where innovations could make the greatest impact.
  • Chapter 4: The potential application of high-impact innovations in the UK.
  • Chapter 5: How to create the ‘perfect climate’ for healthcare innovation in the UK.
  • Chapter 6: Future paths for health productivity and the affordability of Government finances.
  • Chapter 7: Conclusions and Recommendations.

Improving Productivity

Monitor’s “Closing the NHS Funding Gap” (2013) report proposed four broad solutions to productivity challenges in the NHS:

  1. Improving productivity within existing services.
  2. Delivering the right care in the right setting.
  3. Developing new ways of delivering care.
  4. Allocating spending more rationally.

Potential Innovation Themes

NHS England’s “The NHS belongs to the people: a call to action” (2013) report suggested important innovation-related themes:

  1. Giving Patients greater control over their health.
  2. Harnessing transformational technologies.
  3. Exploiting the potential of transparent data.
  4. Moving away from a “one-size fits all” model of care.
  5. Unlocking healthcare as a key source of future growth, i.e. actually contributing to the UK economy.

“SOS 2020 was established by ILC-UK with the aim to raise awareness of the need to adapt our economy and society to the big strategic challenges posed by an ageing population”.

Full Text Link

Reference

Bamford, SM. Franklin, B. [and] Hochlaf, D. [et al] (2017). Towards affordable healthcare: why effective innovation is key. London: International Longevity Centre (ILC-UK) supported by EY, June 2017.

Posted in Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, National, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Dementia Assessment and Referral to GPs: DeAR-GP (NICE / HIN)

Summary

It was already known that between 75% – 89% of care home residents have dementia, but many of these persons do not receive a diagnosis. The Health Innovation Network (HIN) worked with five care homes to design the Dementia Assessment Referral to GP (DeAR-GP) tool.

DeAR-GP is a case finding tool which assists care workers in care homes to identify and support residents showing signs of dementia or confusion. The aim is to achieve better referrals to GPs or other healthcare professionals for prompt review and post-diagnostic support.

Full Text Link

Reference

Dementia Assessment Referral to GP (DeAR-GP). [Online]: National Institute for Health and Care Excellence (NICE) and Health Innovation Network (HIN), June 2017.

Related comment:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

de Waal, H. [and] Jackson, A. (2016). DeAR-GP aids referrals. Nursing Older People. May 27th 2016; 28(5): 11.

and:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Trueland, J. (2016). Spotting signs of dementia. Nursing Standard. March 9th 2016; 30(28): 20-1.

Further details and instructions are available:

Full Text Link (Note: Access to this collection of documents requires free registration with HIN).

Reference

DeAR-GP (Dementia Assessment Referral to GP): User Guide. [Online]: Health Innovation Network (HIN) South London, June 2017.

Background interest:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Michalowsky, B. Eichler, T. [and] Thyrian, JR. [et al] (2016). Healthcare resource utilization and cost in dementia: are there differences between patients screened positive for dementia with and those without a formal diagnosis of dementia in primary care in Germany?  International Psychogeriatrics. 2016 Mar;28(3):359-69.

Posted in Commissioning, Community Care, Diagnosis, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, National, NICE Guidelines, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | 1 Comment

Specialist Geriatric Wards for Older Patients With Dementia: in Ireland / N. Ireland (International Journal of Geriatric Psychiatry)

Summary

Data on 900 patients, taken from the Irish and Northern Irish audits of dementia care, was analysed to determine whether admission to a specialist geriatric medicine ward yielded improvements to acute care for patients with dementia.

It was found that these specialist wards tend to have a more streamlined discharge planning and better documentation of decisions regarding resuscitation, but they appear to perform less well in other aspects of care, including poorer compliance with multidisciplinary assessment and antipsychotic prescribing.

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Briggs, R. O’Shea, E. [and] de Siún, A. [et al] (2017). Does admission to a specialist geriatric medicine ward lead to improvements in aspects of acute medical care for older patients with dementia? International Journal of Geriatric Psychiatry. June 2017; 32(6): 624-632.

Posted in Acute Hospitals, Antipsychotics, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Northern Ireland, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

The UK’s Ageing Population: Issues Beyond This Election (BBC News)

Summary

Topics relating to an ageing population, which have been barely touched upon by the main 2017 Election Party Manifestos, are said to include:

  1. Future projections for the mounting scale of the ageing population.
  2. An estimated £3 to 3.5 billion worth of benefits unclaimed by older persons eligible to receive them.
  3. The continuing divide and disparities between social care versus health care provision and funding.
  4. The likelihood that none of the parties are prepared to spend enough on the NHS to keep pace with rising costs and demand (according to a recent Nuffield Trust analysis).
  5. An alleged plague of loneliness and social isolation, affecting the elderly disproportionately.
  6. The societal costs of rising life expectancy.
  7. Delays in tackling pension fraud / “pension cold calling” scams in the financial services sector.
  8. Persistent aspects of pensioner poverty.
  9. Lower levels of computer literacy and access to the benefits offered by the internet

“ …one in six of the population is over the age of 65. Within three decades that will rise to one in four”.

Full Text Link

Reference

Peachey, K. [and] Triggle, N. (2017). Election 2017: Older age – the white-hot issues not even being discussed. London: BBC Election 2017 News / BBC Health News, June 1st 2017.

Challenging times ahead?

Full Text Link

Reference

Pym, H. (2017). Is NHS rationing a possibility? London: BBC Health News, June 7th 2017.

Posted in BBC News, Charitable Bodies, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, National, Nuffield Trust, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment