November 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.  | | 100 years of public health marketing campaigns exhibition PHE has arranged a specially curated exhibition to celebrate a century of public health marketing campaigns. The exhibition also marks 100 years since the Department of Information was created by the Government to communicate to the people of Britain during the First World War. It highlights key public health campaign moments, showing how they have changed and evolved, and looks to the future. The exhibition highlights the importance of partnerships as we develop campaigns to help protect and improve the health of the next generation. The exhibition was launched by Duncan Selbie with key stakeholders and partners. It can be viewed here. |
 | | HIV Testing and HIV Elimination reports published PHE has published its HIV Testing in England: 2017 report and the Towards elimination of HIV transmission, AIDS and HIV-related deaths in the UK: 2017 report. The findings mark a turning point in the UK's effort to combat HIV as this year there are three firsts in the 30 year history of the UK HIV epidemic. Firstly, in London, all the global UNAIDS 90:90:90 targets have been met with 90% of people living with HIV infection diagnosed, 97% of people diagnosed receiving treatment and 97% of those receiving treatment virally suppressed. Secondly, HIV transmission among gay and bisexual men has fallen, and thirdly the death rate among people with HIV who are diagnosed promptly and on treatment is now comparable to the rest of the population. By continuing to invest in effective preventative measures including condom use, expanded HIV testing, prompt treatment and the use of PrEP, the elimination of HIV transmission, AIDS and HIV-related deaths could become a reality in the UK. |
Engagement on sugar reduction programme continues PHE is continuing its engagement with key stakeholders under the sugar reduction programme. This includes holding category-specific meetings on milk-based drinks and fruit and vegetable juices - these are the categories omitted from the Treasury's Soft Drinks Industry Levy. PHE expects to complete the engagement and technical work, and publish specific guidance for juices and milk based drinks, in the first part of 2018. We will also publish the progress made by the food industry towards the 5% reduction in the first year of the programme in March 2018. Stakeholders from across all sectors of industry as well as non-government organisations and other government departments were invited to these meetings. Example menus and guidance for use in early years setting published Public Health England, the Department for Education and the Department of Health have published downloadable example menus and guidance. These will support early years settings in England to provide meals and snacks in line with current government dietary recommendations for infants and children aged six months to four years. Early years settings may make use of these to inform and help them prepare healthy, balanced and nutritious meals, as set out in the Early Years Foundation Stage framework. This guidance also forms a core strand of the government's Childhood Obesity Plan. The example menus and accompanying guidance are available from GOV.UK and accompanying infographics are available from Action for Children.  | | Adults classified as overweight or obese – update to Public Health Outcomes Framework and supporting data New data is available for prevalence of excess weight in adults aged 18 and over, at local authority level. The 'Percentage of adults (aged 18+) classified as overweight or obese - current method' in the Public Health Outcomes Framework (PHOF) was updated on 7 November 2017. In addition, the PHE Obesity Risk Factors Intelligence team have produced supporting data. Breakdowns of local authority prevalence data by BMI category are presented in an Excel spreadsheet: underweight, healthy weight, overweight, obesity and excess weight (overweight including obesity). The new figures for 2015-16 can be downloaded here. Previous years' supporting indicators based on the historical method of calculating this indicator can be downloaded here: Adult excess weight 2013-15 and Adult excess weight 2012-14. Note these are not comparable with the new figures.
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 | | Battle against obesity and Type 2 diabetes goes digital Public Health England, NHS England and Diabetes UK have teamed up with leading companies from the technology sector to develop a pilot digital project to help the battle against obesity and Type 2 diabetes. More than 5,000 people are expected to benefit from the pilot, which starts this month. It will allow users to test drive a range of apps, gadgets, wristbands and other innovative digital products to monitor their activity levels and receive motivational messages and prompts. This online method of receiving support, available on the NHS for the first time, has the potential to have a similar impact to face-to-face interventions - helping bring down high blood sugar levels and in turn prevent or delay onset of Type 2 diabetes. Patients will be recruited over a six month period and given access to the digital products for up to 12 months.
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Local Alcohol Profiles for England (LAPE): alcohol consumption and sales data On Tuesday 7 November an update was published to the LAPE which included new data on alcohol-related mortality, chronic liver disease, alcohol-specific mortality and years of life lost due to alcohol consumption. The evidence showed that there were almost 24,000 alcohol-related deaths in England, an increase of 1.3% since 2015. Deaths from alcohol-specific conditions increased by 2.1% to 16,196 in 2014 to 2016 compared to the previous 3 year period. The rate of alcohol-specific deaths increased by 1% in the latest 3 year time period to 10.4 per 100,000 in the population. Full data available from the link above. Alcohol and drug treatment statistics: 2016-17 PHE has published our annual alcohol and drug treatment statistics for 2016-17. In 2016, nearly 280,000 people received treatment for alcohol and drugs, a decrease of 3% and the largest drop seen over the last six years. This decrease over the last 12 months is largely due to the reduction in people starting treatment for alcohol problems only (down 5%, from 85,035 to 80,454). The numbers of people getting treatment for alcohol has fallen by 12% from a peak of 91,651 in 2013-14. A full report can be found at the link above. Shooting Up: Infections among people who inject drugs in the UK, 2016 The 'Shooting Up: Infections among people who inject drugs in the UK, 2016' report has just been published, which focuses on infections among people who inject psychoactive drugs. People who inject drugs (PWID) are vulnerable to a wide range of viral and bacterial infections, which can result in high levels of illness and death. Sharing needles and syringes is a highly effective transmission mechanism for HIV, hepatitis B and hepatitis C. Bacterial infections such as Staphylococcus aureus and Group A streptococci are often related to unsterile injection practices. The report shows that hepatitis C prevalence remains high and half of those infected are undiagnosed. Levels of HIV remain relatively low among people who inject drugs. Bacterial infections continue to be a problem in this group. Provision of effective interventions need to be maintained and optimised, including needle and syringe programmes, opioid substitution treatment and other treatments for drug misuse and dependence. Vaccinations and diagnostic tests for infections need to be routinely and regularly offered to people who inject or have previously injected drugs. Care pathways and treatments should be optimised for those testing positive.  | | Local Tobacco Profiles for England (LTCP) An update has been published to the LTCP which includes new data on smoking at time of delivery, smoking prevalence in young people, smoking related mortality, smoking quitters, impact of smoking and inequalities in smoking prevalence. The evidence showed that the proportion of women smoking at time of delivery was 10.7% and that 29 local authorities have reached the government target of 6% or lower set out in the Tobacco Control Plan. Smoking attributable mortality was 272 per 100,000 in England for 2014-16. Of this, 26.5 per 100,000 deaths were related to heart disease and 8.8 per 100,000 to stroke. Full data available from the link above. |
Publication of updated tobacco control CLeaR resources PHE's updated suite of CLeaR resources on tobacco control provides localities with improvement tools to help them self-assess their current activity across a range of tobacco control issues against established best practice guidance. The CLeaR model has been updated to reflect the recently published national tobacco control plan and updated NICE guidance. In addition to the updated generic improvement tool and user handbook, PHE has launched a series of new CLeaR "deep dive" self-assessments around specific topics such as smoking in pregnancy and smoking in acute and mental health settings.
 | | NHS Health Checks – Quarter 2 data PHE has published the NHS Health Check offers and uptake data update for July to September 2017. This update contains data from 152 local authorities for July to September 2017 (quarter 2 for 2017 to 2018) and cumulative data from 1 April 2013 to 30 September 2017. The cumulative data also includes amended statistics for 16 local authorities for April to June 2017 (quarter 1 of 2017 to 2018). The NHS Health Check is one of the components of the single data list (ref 254-00) which is a list of all the datasets that local government must submit to central government. Please contact nhshealthcheck.mailbox@phe.gov.uk with any queries regarding the NHS Health Check.
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 | | Health Matters: Preventing infections and reducing AMR The latest edition of PHE's Health Matters, a resource for local authorities and health professionals, focuses on preventing infections and reducing antimicrobial resistance (AMR). Every infection prevented reduces the need for and use of antimicrobials, which in turn lessens the potential for development of resistance. Antibiotics are by far the most widely prescribed antimicrobial agent. Unlike many other drugs used in medicine, the more we use antibiotics the less effective they become against their target organisms. With antibiotics, overuse or inappropriate use allows bacteria to develop resistance which can lead to infections that are increasingly difficult to treat. |
 | | Eliminate Hepatitis B and C - resources To support our campaign to eliminate viral hepatitis as a major public health threat, PHE has developed a testing quiz, posters, videos and social media banners in multiple languages that have been co-branded by the World Hepatitis Alliance, The British Liver Trust and The Hepatitis C Trust. We also have a headline article in Vaccine Update and on the PHE blog. We hope to encourage region wide distribution of these videos/social media banners and posters throughout the year via all relevant channels to health professionals and the public.
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Partnership working to identify undiagnosed patients with TB On the topic of good partnership work, we wanted to highlight some brilliant interventions on dealing with a cluster of TB cases, performed by Luton Borough Council, PHE East of England, NHS England and other local and national partners, including the voluntary sector. They set up an initiative to 'find and treat' people among hard to reach groups for TB and optimised the contact with people to assess and offer support for other health conditions. Using a Mobile Health Unit, people in the local area were offered screening for TB, and opportunities to screen for blood borne viruses, fibro scans to check for liver damage due to alcohol and drug misuse, flu vaccination and NHS Health Checks. Not only were cases of TB successfully identified, other significant conditions such as hepatitis, cancers and liver disease were picked up. This is proving to be a highly cost effective intervention and will now continue, targeting disadvantaged groups, over the next three years in Luton.  | | Mental Health Dementia and Neurology Intelligence Network New tool on depression in older people: We are developing our intelligence tools on depression in older people and want to hear about your needs for data and information. Depression in people 65 and over is very common, yet it is not a normal part of ageing. It can affect one in 5 older people in the community and 2 in 5 in care homes. It is often under-detected and under-treated. Please complete our short survey. Your views and those of your colleagues will be used to make sure products meet your needs. JSNA Toolkit refresh: The knowledge guide within our JSNA toolkit has now been refreshed to improve linking across the tools and make the products easier to use. The guide brings together mental health data, policy and knowledge to help planners understand needs within the local population and assess local services. If you have any ideas about how this resource can be developed further please get in touch at mhdnin@phe.gov.uk. Monthly updates: Subscribe to our bulletin on the PHE Subscriber Preferences Page to hear our latest news and keep informed about new products and profile developments. |
Mental health in pregnancy, the postnatal period and babies and toddlers: needs assessment reports now integrated with Fingertips The reports for each local authority and clinical commissioning group bring together information on risk factors and estimates of prevalence for mental health conditions for women during pregnancy and the postnatal period, as well as for babies and toddlers. They are designed to inform the development of local planning and needs assessment reports. The reports, which were originally developed in 2015, have now been integrated with PHE's Fingertips tool. Annual Breast feeding at 6-8 weeks after birth: 2016-2017 Annual breastfeeding at 6-8 weeks after birth have been published for 2016/17. Annual Health Visitor Service Delivery Metrics: 2016-2017
Annual Health Visitor Service Delivery Metrics have been published for 2016/17. The metrics currently cover the antenatal check, new birth visit, the 6-8 week review, the 12 month assessment and the 2- 2½ year assessment (including coverage of ASQ-3). Information is presented at a local authority, PHE and England level. Our role in helping disabled people get back into work Health Matters - Your questions on preventing infections and reducing AMR Influencing healthy eating habits through early years settings Taking action against health inequalities in London Our Day - Celebrating all that local government does for the public's health European hepatitis testing week: paving the way towards elimination HIV Prevention Innovation Fund: A fresh approach to tackling HIV Infection Health Matters: Resources to keep antibiotics working A look at how our warming planet could impact on deaths An update on sugar reduction Supporting the case for investment in health and work interventions Positive Faith - a HIV resource with a difference Alcohol and drug treatment in England: the picture from the 2016-17 data Mouth Cancer Action Month – Reducing the risk The November PHOF update – what have we learned? PHE's legacy public health work in Sierra Leone How alcohol and drug treatment helps to reduce crime  | | Food Matters Live Food Matters Live, the event that brings together the food and drink industry from across retail, food service and manufacturing to explore new sector trends and showcase how it is responding to these, was held in London this month. Addressing delegates at the event Duncan Selbie demonstrated just how far the sugar reduction programme has come since speaking at the event last year. He commended the industry on its willingness to meeting the challenge to support healthier product development but warned that the proof will quite literally be in the pudding as we publish data on industry's progress to meeting the 5% first year target of the sugar reduction programme early next year. Dr Alison Tedstone, chief nutritionist, also spoke at the event on what the eating out of home sector can do to tackle obesity and encourage health eating. |
Mentor Launches Quality Mark for Alcohol and Drugs Education Mentor has launched its Quality Mark for Alcohol and Drugs Education, a set of developmental Quality Standards for schools and practitioners which aim to improve the quality of alcohol and drug education and prevention in England. PHE supports the Quality Mark and shares Mentor's ambition to see improved drugs and alcohol education provision in schools. PHE and the Home Office already fund Mentor-ADEPIS to support the implementation of quality and evidence-based alcohol and drug education and prevention. The website gives access to two different self-assessment frameworks: one for schools and a second for practitioners. Smoking, Drinking and Drug Use in Young People (SDDU) The ONS published the results of the 2016 SSDU survey earlier this month. The evidence showed that the prevalence of regular smoking among 15 year-olds has fallen to 7% from 8% in 2014, 24% of pupils reported they had ever taken drugs (compared to 15% in 2014) and 44% of pupils had ever drunk alcohol. A full report is available here. Upcoming: Teleconference invitation to Health Matters on 'Productive healthy ageing and musculoskeletal health' The next edition of Health Matters, 'Productive healthy ageing and musculoskeletal health', will be launched via teleconference (TC) on Wednesday 6 December 2017, 3.15pm – 4.00pm. Duncan Selbie, Chief Executive, PHE will be joined by Professor Dame Carol Black, Principal of Newnham College, Cambridge and a special adviser to the Department of Health and PHE on work and health, and Professor Karen Walker-Bone, Director of the Arthritis Research UK MRC Centre for Musculoskeletal Health and Work, for the launch. 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 9412, National free phone – UK: 0800 279 7204 and Conference code: 3029378. Why you should attend: The TC will be relevant to NHS services, health and wellbeing boards, CCGs, local authorities, public health policymakers and the voluntary sector. RSVP: Please register for the TC here. You will then receive supporting materials on 6 December, prior to the call. |
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