[NICE Guideline] Fever in under 5s: assessment and initial management

NICE |  November  2019 | Fever in under 5s: assessment and initial management

This guideline covers the assessment and early management of fever with no obvious cause in children aged under 5. It aims to improve clinical assessment and help healthcare professionals diagnose serious illness among young children who present with fever in primary and secondary care.

Full details from NICE

Cold weather alert

Public Health England | November  2019 |Cold weather alert

Public Health England (PHE) has issued a cold weather alert following the arrival of colder weather in some parts of England.


Dr Emer OConnell, Consultant in Public Health at Public Health England, said:

“Older people and those with heart and lung problems are at risk of getting sick in cold weather.

Keep an eye out for those who may need help staying warm, ensure they wear lots of thin layers and have everything they need.

Below 18 degrees, changes to the body mean that the risk of strokes, heart attacks and chest infections increase so heating homes to this temperature is particularly important to stay well.”

Full details from PHE


Caring For Doctors, Caring For Patients

This report identifies a need to address the wellbeing of doctors faced with higher workloads, whose own health impacts on patient care | General Medical Council

caring for
Image source: https://www.gmc-uk.org/

The focus of this report is on identifying causes, consequences and solutions.
The review aimed to take account of the experience of all doctors and medical
students working and learning within the UK’s healthcare systems, in both primary
and secondary care.

Recommendations include compassionate leadership models giving doctors more say over the culture of their workplaces, adopting minimum standards of food and rest facilities, and standardising rota designs which take account of workload and available staff.

Other recommendations for health service leaders include improvements to team-working, culture and leadership, and workloads. The General Medical Council has accepted the recommendations made and pledged to work with other leaders to help introduce them.

Diabetes UK strategy 2020-2025

Diabetes UK has launched a new strategy called ‘A generation to end the harm: Diabetes UK Strategy 2020-2025’ coinciding with World Diabetes Day 2019 

Image source: https://www.diabetes.org.uk/

There are an estimated 2.85 million people diagnosed with type 2 diabetes in England, and more than 850,000 living with the condition who do not know they have it because they have not yet been diagnosed − bringing the total up to 3.7 million.

The new strategy from Diabetes UK focuses on achieving five key outcomes by 2025:

  • more people with type 1, type 2 and all other forms of diabetes will benefit from new treatments that cure or prevent the condition
  • more people will be in remission from type 2 diabetes
  • more people will get the quality of care they need to manage their diabetes well
  • fewer people will get type 2 and gestational diabetes
  • more people will live better and more confident lives with diabetes, free from discrimination.

The charity said that more than half of all cases of type 2 diabetes could be prevented or delayed, and in turn, the risk of developing the related complications, by tackling overweight and obesity.

Full document: A generation to end the harm: Diabetes UK Strategy 2020-2025

See also: Obesity rate doubles over past 20 years | OnMedica

NHS Performance Statistics

Latest figures show record numbers of patients waiting for NHS treatment in England 

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This monthly release aims to provide users with an overview of NHS performance
statistics in the following key areas.

  • Urgent and emergency care – Accident and Emergency, NHS 111, Ambulances, Delayed Transfers of Care
  • Planned care – Referral to Treatment, Diagnostics, Mixed Sex
    Accommodation, NHS Continuing Healthcare and NHS-funded Nursing Care,
    Patient Reported Outcome Measures
  • Cancer – Cancer Waiting Times, Cancer Registrations, Cancer Emergency
    Presentations, Cancer Survival Estimates
  • Mental Health – Early Intervention in Psychosis, Out of Area Placements,
    Children and Young People with an Eating Disorder, Contacts and Referrals,
    Improving Access to Psychological Therapies, Physical Health Checks for
    people with Severe Mental Illness

Full detail at NHS England

See also:

Doing good does you good

Image source: https://www.mentalhealth.org.uk/

Evidence shows that helping others is actually beneficial for your own mental health and wellbeing. It can help reduce stress, improve your emotional wellbeing and even benefit your physical health.

This guide from The Mental Health Foundation illustrates the positive impact that helping others can have on your own mental health.

It includes tips and suggestions for how you can get started with helping others. Full detail at Mental Health Foundation

The economic benefits of a physically active population

The aim of this study was to explore the main economic costs of physical inactivity and to identify the key benefits to improving activity rates | RAND

This report looked at the following questions:

  1. What are the potential global economic benefits associated with getting people to be more physically active and how do the economic effects vary by country?
  2. What is the contribution of premature mortality associated with insufficient physical activity?
  3. What is the contribution of insufficient physical activity associated with workplace productivity?
  4. What level of healthcare expenditure could be saved?
  5. What can public policy and private stakeholders do in order to improve physical activity levels at the population level?


The findings of the study suggest that making people physically more active is associated with economic benefits. The report proposed the following recommendations:

  • Change population behaviours and attitudes to promote the increase of physical activity, supporting and encouraging individuals to shift their beliefs and motivations.
  • Using both community and workplace settings, provide an environment that encourages physical activity and that supports the access to facilities.
  • Encourage the participation in programmes and interventions.
  • Encourage more physical activity across society by interlinking systems-wide programmes and interventions.

Full publication: The economic benefits of a more physically active population
An international analysis | RAND Corporation