Mental health rehabilitation

In sight and in mind: making good on the promise of mental health rehabilitation | Rethink Mental Illness | The Royal College of Psychiatrists

This report summarises responses to Freedom of Information requests and discussions with clinicians, patients and carers regarding the current provision of mental health rehabilitation services across England and the use of out-of-area care for people who require these services.  The report identifies gaps in the system and outlines priorities for change and how to achieve them.

Full document: In sight and in mind: making good on the promise of mental health rehabilitation


Evaluating personalised care

Evaluating personalised care | The Social Care Institute for Excellence

This guide aims to help practitioners measure and evaluate the impact of personalised care programmes, initiatives or new ways of working. It is for anyone who is involved in delivering a personalised care intervention or initiative at a local level.  It is accompanied by a number of assets including a directory of activity and outcome measures.

Full detail: Evaluating personalised care

Cross-government approach promised to tackle drug misuse following independent review

This report presents the findings of phase one of the independent review of drugs undertaken by Professor Dame Carol Black. It provides a detailed analysis of the challenges posed by drug supply and demand, including the ways in which drugs fuel serious violence.

This review provides detailed analysis on the challenges around drug supply and demand, and notes that drug deaths are at an all-time high, the market has become much more violent, and drugs are costing society billions of pounds every year.

Among the findings are that:

  • the illicit drugs market is a big business, worth an estimated £9.4 billion a year
  • around three million people took drugs in England and Wales last year, with around 300,000 in England taking the most harmful drugs – opiates and/or crack cocaine
  • drug deaths have reached an all-time high and the market has become much more violent – the total costs of drugs to society are estimated to be over £19 billion, which is more than twice the value of the market itself
  • most illegal drugs consumed in the UK are produced abroad – the supply of drugs has been shaped mostly by international forces, the activities of organised crime groups and advances in technology
  • the heroin and crack cocaine retail market has been overtaken by the county lines model, which is driving increased violence in the drugs market and the exploitation of young people and vulnerable drug users

Full detail: Review of drugs: phase one report

See also: Cross-government approach promised to tackle drug misuse following independent review


Nurse numbers increase by 8,570 in the past year

The number of nurses has gone up as the government works to increase nursing numbers in the NHS by 50,000 in the next 5 years | Department of Health & Social Care

Since 2010, there have been increases of more than:

  • 20,000 more doctors
  • 18,500 more nurses, midwives and health visitors
  • 4,900 more paramedics

The government has said there will be 50,000 more nurses and 6,000 more doctors in general practice by 2025. This will be supported by £33.9 billion of funding a year for the NHS by 2024 to 2025, which is being made law.

The latest UCAS statistics show the number of nursing applicants to English universities has risen for the second year running. There have been 35,960 applicants to nursing and midwifery courses at English universities in 2020 – a 6% rise compared to 2019.

Full story at Department of Health & Social Care

Smoking and mental health

This edition of Health Matters focuses on smoking among people living with a broad range of mental health conditions | Public Health England

This resource focuses on smoking among people living with a broad range of mental health conditions, ranging from low mood and common conditions such as depression and anxiety, to more severe conditions such as schizophrenia and bipolar disorder.

Full detail: Smoking and mental health

NHS productivity

Productivity of the English National Health Service: 2017/18 update | The Centre for Health Economics

This report updates the Centre for Health Economics’ time-series of NHS productivity growth for the period 2016/17 to 2017/18. Overall NHS productivity has increased by 17.99% since 2004/15, with year-on-year growth averaging 1.29%. Since 2009/10, NHS productivity growth has also been positive and has improved substantially faster than the overall economy, measured in terms of gross value added per hour worked.

Full Report: CHE Research Paper

Fair Society Healthy Lives (Marmot review)

Institute of Health Equity & The Health Foundation| February 2020 | Fair Society Healthy Lives (The Marmot Review)

“People with higher socioeconomic position in society have a greater array of life chances and more opportunities to lead a flourishing life. They also have better health. The two are linked: the more favoured people are, socially and economically, the better their health”, writes Michael Marmot in the executive summary of the Marmot Review.

The review Health Equity in England: The Marmot Review 10 Years On’,  examines the  progress in addressing health inequalities in England, in the decade since the Marmot Reveiw was published in 2010; it also proposes recommendations for future action.

Fair Society, Healthy Lives

Health Organisation: Health Equity in England: The Marmot review 10 years on

Click to access Health%20Equity%20in%20England_The%20Marmot%20Review%2010%20Years%20On_full%20report.pdf

BMJ Health equity in England: the Marmot review 10 years on

In the news:

BBC News Poorest women’s life expectancy declines, finds report 

The Guardian Austerity blamed for life expectancy stalling for first time in century

What matters to people using A&E

Healthwatch | February 2020 | What matters to people using A&E

Healthwatch’s latest briefing illustrates the chain of factors which impact on people’s experiences in A&E. 

To inform NHS England’s Clinical Review of Standards, Healthwatch have been helping to understand the impact of potential new targets by finding out what matters most to patients and the public when it comes to A&E.

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The purpose of our research is not to argue for or against replacing the current four-hour target, but to inform the ongoing debate.

Their research adds to previous work by providing analysis of 330 patient interviews carried out by local Healthwatch in six of the 14 hospitals testing proposed A&E targets. We also look at 6,000 free text comments gathered through the Friends and Family Test, analysed by Healthwatch Suffolk, to contextualise our findings.

The headline message:
Time alone doesn’t dictate how people feel about their experience of A&E. Overall patient experience is also shaped by:

  • The quality of clinical care they receive
  • The quality and frequency of the communication
  • The attitude of staff and whether they have time to offer empathetic care
  • Whether the A&E is working well with other services, such as NHS 111 and GPs
  • The quality of the A&E facilities themselves, including things that can make the experience of long waits easier on people, such as access to food and drink (Source: Healthwatch)

What matters to people using A&E briefing