New report shows there are stark differences in how long people in different parts of England can expect to live a healthy life. | ONS | via Cancer Research UK
A report from the Office of National Statistics (ONS) shows that people in areas with the highest healthy life expectancy will live longer without health problems than people in areas with the lowest expectancy.
Life expectancy in England has been increasing consistently since 1951, but varies by location. Men living in the least deprived areas live on average 9.2 years longer than men living in the most deprived areas. For women this gap is 7.1 years. There is an even greater difference in the quality of those years lived. Healthy life expectancy (HLE), or the number of years one could expect to live in good health, in England is 64.1 years for women and 63.4 for men.
Men living in the most deprived areas of England can expect to lead a healthy life for nearly 19 years less than men living in the least deprived. The difference for women is 19.6 years. Heath inequalities between the north and south of England were also highlighted, as 6 of the top 7 areas with the highest healthy life expectancy were in the south, and all of the top 6 areas with the lowest expectancy were in the north.
The report looked at information on health-related lifestyle factors such as smoking, obesity, physical activity and diet.
This infographic is part of a new series of infographics and accompanying blogs and commentaries to describe and explain the social determinants of health in an accessible and engaging way. This infographic shows the extent to which health is primarily shaped by factors outside the direct influence of healthcare and invites people to look at this bigger picture.
A major new programme to drive better staff retention in trusts across England has been launched by NHS Improvement (NHSI).
With recruitment and retention adding to the huge amount of pressure already facing trusts in England, the regulator hopes the project will reduce the rates of people leaving the NHS workforce by 2020.
Led by NHSI, the programme will support trust leads and staff by providing a series of masterclasses for directors of nursing and HR to discuss ways to reduce staff leaving trusts. The organisation will also work alongside NHS Employers and look into how the current national retention programme can be built on and improved.
Specific, targeted support will also be made available for mental health providers to improve retention rates of staff groups, and a tool designed to help trusts understand why staff leave will be rolled out. A series of guidance through webinars will also be implemented to improve retention rates.
Councils should do more to enforce no vehicle idling outside schools, hospitals, and care homes, to protect the vulnerable from the harmful effects of air pollution and improve air quality across England. | NICE | Public Health England | via OnMedica
Joint guidance issued today from NICE and Public Health England (PHE) suggests bylaws to enforce engine switch-off while cars are stationary could help protect the vulnerable from the harmful effects of air pollution.
Air pollution is harmful to everyone, but some people are more at risk than others, it says: children and young teens and older people are more susceptible, as are those with respiratory conditions or heart problems. PHE estimate long-term exposure to particulate air pollution has ‘an effect equivalent to’ around 25,000 deaths a year in England, making air pollution the largest environmental risk linked to deaths every year. The health impact of air pollution caused by human activities in the UK is thought to cost between £8.5 and £18.6 billion a year.
The Department of Health has produced a series of infographics as part of it’s ‘Start active, stay active’ series explaining the physical activity required to achieve general health benefits for different age ranges.
The following infographics relate to the report by the UK’s 4 Chief Medical Officers for the NHS, local authorities and a range of other organisations designing services to promote physical activity.
Guidance for local commissioners, providers and schools on running the national child measurement programme (NCMP) as part of the government’s commitment to tackling the public health challenge of excess weight.
The publication of the Childhood Obesity Plan: A Plan for Action, in August 2016 shows that tackling child obesity is a priority for the Government. The plan aims to significantly reduce England’s rate of childhood obesity within the next ten years. Most local authorities have also identified addressing childhood obesity as a key issue in their health and wellbeing strategies, and reducing obesity is prioritised in many Sustainability and Transformation Plans.
The NCMP is key to monitoring the progress of the Government’s Childhood Obesity Plan. It provides the data for the Public Health Outcomes Framework indicators on “excess weight in children aged four to five years and ten to 11 years.” Because the data is valid at local level, it can also be used to inform the development and monitoring of local childhood obesity strategies.
A report from London Southbank University argues that in order to deliver a better future for the NHS, all 44 STPs would need to be given legislative powers and support necessary to achieve effective collaboration, plus some much-needed clarification on their role | NHS England
We commissioned this report as a reality check on the Sustainability and Transformation Plan process as a whole; to provide an opportunity for review; and to reconvene around the issues that need a sub-regional approach.
This report is a significant contribution to the myths and realities of the Sustainability and Transformation Plans and the process of their development. By starting from the actual situation in each STP footprint, this report grounds the plans in the reality of the local context, and provides a firm basis for any collective decision-making. Many of the STPs (the documents) are not clear about the full extent of the current situation (the baseline from which they are making their plans), which makes the collective STP leadership task extremely difficult.
For many, the idea that health policy should be informed by evidence is an obvious goal. And indeed, the global health community has widely called for increased use or uptake of research and evidence, in health policymaking | LSE Health and Social Care Blog
However, a vast majority of these calls have been made without explicit recognition of the decidedly political nature of policymaking, and without consideration of how this may affect the use of evidence to inform decisions.
Indeed, calls for ‘evidence-based’ policymaking have become ubiquitous in recent years, applied in social sectors such as health, education, crime prevention and many others. Many have seen these calls deriving from the successes of the ‘evidence based medicine’ movement – a movement that has helped to ensure that clinical practice is informed by rigorous assessments of evidence of effects of different treatment options.
The GRIP-Health research programme was funded by the European Research Council to bring an explicitly political lens to the study of evidence use for health policymaking in low, middle and high income countries. It draws particularly on policy studies theories to consider how the nature of the policy process, the politicised features of health decisions, and the existing institutional arrangements for policymaking in different countries all can work to shape which evidence is utilised, and how it is utilised to inform or shape health policy decisions.
Leaders of NHS trusts in England are deeply concerned about the NHS’s ability to respond to mounting pressures next winter, according to a new report published today by NHS Providers.
Winter Warning highlights the worries of many NHS trusts that extra funding for social care, partly allocated to ease winter pressure on the health service, is not consistently getting through to the NHS.
The report sets out in detail how the NHS responded earlier this year to what many consider to be the toughest winter on record. Despite extraordinary efforts from staff, the health and care systems struggled to cope under sustained pressure.
A key factor was the sharp rise in delayed transfers of care (DTOCs), for patients who were ready to be discharged, often because of difficulties in lining up suitable social care.
The government’s response in the spring budget was to use the £1 billion of extra social care funding for the current financial year to try to reduce social care-related NHS DTOCs, and so ease pressure on trusts.
The clear message in Winter Warning is that, in many places, this is not happening.
Nearly 23 million people in England – more than 40% of the population – could be affected by proposed cuts to A&E departments, doctors are warning | BBC News
The analysis of NHS plans by the British Medical Association also warned the changes were being rushed through without the evidence they will work. The proposals have been put forward by local managers seeking to make savings under the direction of NHS England. Bosses have argued services in the community will be boosted in return.
Under the so-called “sustainability and transformation programme” (STP), England has been divided into 44 areas and each asked to come up with its own proposals.
After analysing local plans, the BMA found:
18 of them, covering a population of 22.9 million, involved the closing or downgrading of an A&E department
14 of them, responsible for 17.6 million patients, propose closing or merging a hospital
13 of them, covering a population of 14.7 million, have put forward closing hospital beds