October 2017 PHE Bulletin, Public Health England's regular update, provides news and information for all those concerned with protecting and improving the public's health. Visit our website for more information. New local authority first public health dashboard As part of a wider government commitment to support greater transparency across the public sector, PHE has published a new local authority public health dashboard. The dashboard will support local councillors and senior council officers in making decisions on how they prioritise resources across a range of public health service areas. An initial version has been published now and suggestions will be sought on how to improve it so that we can launch it in full in the summer of 2018. It uses existing published data and therefore complements the range of tools PHE provides to support local government in their role as the local leaders for the public's health. We hope that this dashboard will be helpful in raising the profile of public health services locally and ultimately having a positive impact on health outcomes. Keep Antibiotics Working campaign and ESPAUR annual report PHE's Keep Antibiotics Working campaign has been launched to inform the public that antibiotics don't work for everything and to always trust your doctors' advice. The campaign includes national television advertising and promotional materials including posters, leaflets and video presentations for GP surgeries and waiting areas as well as special prescription pads to help GPs manage conversations with patients. The fourth annual ESPAUR report (English Surveillance Programme for Antimicrobial Utilisation and Resistance) was also launched this week. It showed that while the number of antibiotic prescriptions dispensed in General Practice decreased by 13% between 2012 and 2016, four in 10 patients with an E.coli bloodstream infection in England cannot be treated with the commonest antibiotic (co-amoxiclav) used in hospitals. In addition, almost one in five of these bacteria were resistant to at least one of five other key antibiotics. Keep Antibiotics Working runs for eight weeks and is part of a wider cross-Government strategy to help preserve antibiotics. It also dovetails with the Antibiotic Guardian campaign and supports the NHS Stay Well this Winter campaign.
New £15 million programme to help train one million in mental health first aid A new £15 million programme will see up to 1 million people trained in basic mental health "first aid" skills. The programme aims to improve personal resilience and help people recognise and respond effectively to signs of mental illness in others. The campaign, designed and delivered by PHE, will help people assess their own mental wellbeing and learn techniques to reduce stress. There will be an online learning module designed to improve the public's knowledge, skills and confidence on mental health. PHE will invest £15 million in the campaign. It will launch next year and run for 3 years. PHE will work closely with Mental Health First Aid (MHFA) England and other mental health organisations to ensure the campaign builds on the knowledge and experience of the sector. First stage of the Stay Well This Winter campaign launched The Stay Well This Winter campaign is aimed at easing seasonal pressure on NHS services. It is designed to reduce the number of people who become so ill that they require admission to hospital. The overall campaign runs to 27 December and focuses on people who are most at-risk of preventable emergency admission to hospital to take actions to help them stay well. This includes getting a flu jab and visiting a pharmacy at the first sign of a winter illness. The campaign was first commissioned last year jointly by NHS England, Public Health England and the Department of Health, with additional support from local NHS trusts, local authorities, charities and commercial sector partners. Action Plan for cardiovascular prevention: 2017 to 2018 PHE has published its cardiovascular disease prevention action plan. With CVD causing 26% of all deaths and costing the UK healthcare system over £8 billion a year, more can be done to prevent many thousands of avoidable deaths and ill health. As well as highlighting some of PHE's programmes and resources, the plan includes a range of CVD initiatives planned for 2017/18. This includes important work looking at a new return on investment tool, air pollution, our sugar reduction and the NHS Health Check programmes. Publication of the 2017 Local Health update PHE's Local Health tool (www.localhealth.org.uk) has been updated this month. Local Health presents data for small areas (middle super output areas and electoral wards), with data also provided for clinical commissioning groups, local authorities, and England as a whole. The tool allows users to map data and provides spine charts and reports for small areas, as well as allowing users to define their own geographies and add their own data. New functionality within the tool allows data to be downloaded in bulk. In this new release, indicators have been updated in each of the four Local Health themes. Cold Weather Plan for England As we approach winter, the Cold Weather Plan for England has been relaunched. The plan aims to raise both professional and public awareness of the health impacts of cold temperatures and is a key component of emergency planning. It provides advice for professionals, organisations and individuals to enable them to plan for and respond to cold temperatures, including implications and recommendations for local authorities and other relevant organisations. The following documents are available online: - The Cold Weather Plan for England
- Making the Case: why long-term strategic planning for cold weather is essential for health and wellbeing
- Action cards based on the plan
- "Keep Warm Keep Well" booklet
The Met Office will issue Cold Weather Alerts from 1 Nov 2017 to 31 March 2018. The distribution list for the cold weather alerts is managed directly by the Met Office. New registrations and amendments to existing registrations need to contact the Met Office providing name, organisation and email address (.nhs or .gov or provide organisation type). Musculoskeletal conditions: new return on investment tool PHE commissioned York Health Economics Consortium to develop an economic tool to compare the return on investment of interventions for the prevention of musculoskeletal (MSK) conditions. The tool focuses on high volume MSK conditions in working age adults (osteoarthritis hip and knee, back pain and neck pain) and compares the cost effectiveness of a selected number of interventions. The easy-to-use, interactive tool is aimed to help various stakeholders including NHS clinical commissioning groups, local authorities and Sustainability & Transformation Partnerships (STPs), to assess the potential return on investment for investing in programmes aimed to prevent and treat individuals with MSK conditions. Upcoming - HIV Self Sampling Service To support National HIV Testing Week (18 November), PHE will fund all requests for HIV self-sampling kits made to the national service from 6 November 2017 until 8 January 2018. This is part of an agreed strategy between PHE and local authorities (LAs) to make the service open to all individuals at-risk of HIV for defined and limited periods in the year to support national testing campaigns. After 8 January 2018, the HIV self-sampling service will revert back to being funded by the more than 80 LAs that are signed up to the on-going framework agreement. LAs who are not currently signed up to the framework and wish to participate in this low-cost service should contact Louise Logan for further details and information on how to join. Further details of National HIV Testing Week can be found here and we hope to repeat and improve on the success of the service during National HIV Testing Week 2016 when nearly 6,000 kits were delivered. Outside the periods that PHE funds the service only residents of LAs that are signed up to the framework can access the service. If a resident from a non-signed up LA tries to access the service outside the national campaign periods they will be signposted to other local testing services. A Guide to Delivering and Commissioning Tier 2 Weight Management Services for Children and their Families PHE has published 'A Guide to Delivering and Commissioning Tier 2 Weight Management Services for Children and their Families'. The guide supports local commissioning and delivery of effective tier 2 weight management services for children and their families, and is most appropriate for services aimed at children aged 4-12 which support the whole family. There are supporting resources, including a step-by-step guide to conversations with families for health and care professionals and a capturing data resource. The guide is co-badged with the National Institute for Health and Care Excellence, the Association of Directors of Public Health, the Royal College of Physicians and the Royal College of Paediatrics and Child Health. Health Matters: Preventing ill health from alcohol and tobacco use The latest edition of PHE's Health Matters, a resource for local authorities and health professionals, focuses on preventing ill health caused by alcohol and tobacco use, and makes the case for why trusts should implement the national CQUIN scheme 2017 to 2019: No.9 preventing ill health by risky behaviours. This CQUIN (Commissioning for Quality and Innovation Framework) offers the chance to identify and support inpatients who are increasing or higher risk drinkers and to identify and support inpatients who smoke. It is intended to complement and reinforce existing activity to deliver interventions to smokers and those who use alcohol at increasing risk and higher risk levels. The CQUIN applies to community and mental health providers in 2017 to 2019 and extends to acute providers in 2018 to 2019. It covers adult inpatients only (patients aged 18 years and over who are admitted for at least one night), and excludes maternity admissions. Health Matters editions are for public health professionals, local authorities, service providers and patient groups. National Child Measurement Programme – England, 2016-17 NHS Digital has published the National Child Measurement Programme (NCMP) data for 2016/17. The NCMP takes annual weight measurements from over a million children in Reception (age 4-5 years) and Year 6 (age 10-11 years) in state maintained primary schools in England – the programme is overseen by PHE. The latest figures show the number of obese children in Reception Year has risen for the second consecutive year – to 9.6% in the 2016/17 school year, up from 9.3% in 2015/16. For Year 6 children, it has remained stable at 20%. The number of obese children in the most deprived areas is more than double than the least deprived.
Child Obesity Regional Slide Set Presentations PHE has produced regional child obesity patterns and trends slide set presentations for all the regions of England. These slide sets incorporate 2015/16 National Child Measurement Programme data. The slides present key data and information on the patterns and trends in child obesity for each of the nine regions and their constituent local authorities in clear, easy to understand charts and graphics. The slides can be downloaded and used freely with acknowledgement to PHE. They are a useful tool for practitioners and policy makers working to tackle obesity at local and regional level, for example to make the case for tackling obesity in presentations to health and wellbeing boards, other committees and to elected members as well as in regional conference and workshop presentations. Please send any feedback to: obesity-riskfactorsintelligence@phe.gov.uk. Tuberculosis in England 2017 report PHE has published its Tuberculosis in England 2017 report. In 2016, there were 5,664 TB cases notified, down from 5,727 in 2015. The incidence rate in 2016 was 10.2 per 100,000 and is the lowest incidence in England since the start of enhanced TB surveillance in 2000. Following annual declines of at least 10% in the number of cases between 2012 and 2015, the decline has slowed to 1% in 2016. The reasons for this are as yet unclear and likely to be multifactorial. To continue achieving year-on-year reductions in TB incidence, and return to the steep declines seen in previous years, it is important to maintain the effort to deliver all 10 key areas for action in the Collaborative TB Strategy for England 2015-2020.
Updated Malaria Prevention Guidelines The Advisory Committee on Malaria Prevention (ACMP) has updated the Malaria Prevention Guidelines for healthcare workers who advise UK travellers. The update contains substantially revised recommendations for some countries in the Amazon Basin, in Southeast Asia, and for Pakistan. The 2017 update reflects the changing landscape for malaria prevention, following a 37% reduction in malaria incidence between 2000 and 2015 - with 57 countries seeing a reduction of 75%, and a further 18 seeing a decrease of 50-75% (WHO, 2015).
New Discovery service for local authority public health teams Following the recent launch of a PHE funded bespoke Discovery service for local authority public health teams, PHE Knowledge & Library Services have added a summary of the most frequently asked questions (FAQs) about the journal licence extension and the Discovery service to the existing information available about the project for LA public health teams. The FAQs will be of particular interest to local authority public health teams and the health librarian community. Need to contact us? Email: libraries@phe.gov.uk. Suicide Prevention Planning Guidance – One Year On Health Matters: Your questions on the preventing ill health CQUIN Health Matters: Public perceptions of a smokefree NHS What healthcare workers need to know about the flu vaccine Introducing a new local authority public health dashboard The economic case for preventing and treating musculoskeletal conditions Using local health data to address health inequalities Health inequalities - an annual temperature check for the North Supporting children and young people with disabilities in London Health Matters: preventing ill health from alcohol and tobacco use Digitising public health: "I am a person not a number" Global Burden of Disease – twenty years of ground-breaking health data NHS leaders unveil action to boost flu vaccination and manage winter pressures
NHS England, Public Health England, the Department of Health and NHS Improvement have unveiled measures to boost the uptake of flu vaccinations along with a package of new contingency actions to respond to pressures on frontline services this winter. Intensified preparations include: Providing free flu vaccines for hundreds of thousands of care home staff; directing NHS trusts to ensure they make vaccines readily available to staff and record why those who choose to opt out of the programme do so; writing to doctors, nurses and other healthcare workers reminding them of their professional duty to protect patients by being vaccinated; setting up a new National Emergency Pressure Panel to provide independent clinical advice on system risk and an appropriate regional and national response and a big expansion in training for A&E consultants. Release of Active Lives survey Sport England has released the latest results from the Active Lives survey. The report and data tables present sport and physical activity results for key demographic groups, activities and geographical areas. The release also includes data on those participating in sport and physical activity at least twice in the last 28 days. The report presents the first set of results regarding how many people volunteer to support sport and physical activity and data on attendance at live sporting events. Data is available for local authorities, regions, and County Sport Partnerships. Upcoming: Teleconference invitation to Health Matters on 'Preventing infections and reducing antimicrobial resistance' The next edition of Health Matters, 'Preventing infections and reducing antimicrobial resistance', will be launched via teleconference on Monday 13 November 2017, 12.45pm – 1.30pm. Professor Paul Cosford, Director for Health Protection and Medical Director, PHE will be joined by Dr Ruth May, National Infection and Prevention lead, NHSI, for the launch of this latest edition of Health Matters. There will also be a question and answer session. Please dial in 5-10 minutes prior to the start time, using the following alternative numbers and the conference code: Local call rate: 0330 336 9411, National free phone – United Kingdom: 0800 279 7204 and Conference code: 9920776. Why you should attend: The session will be of particular value to public health professionals, microbiologists, healthcare professionals, CCGs, NHS trusts and local authorities. Please register for the teleconference here. |
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