Obesity figures released by NHS Digital

NHS Digital  | April 2018  | Hospital admissions where obesity is a factor increased by 18 per cent

New figures unveiled by NHS Digital show that obesity in England has doubled in the last four years. In 2016/17 the number of hospital admissions due to obesity have risen by almost a fifth (18 %).  While 525,000 were reported in 2015/16 , this rose to 617,000 admissions to NHS hospitals one year later, where obesity was recorded as either a primary or secondary diagnosis. Of these 10,705 admissions had obesity recorded as the main case, an increase on 9,929 admissions in 2015/16.   analytics-1919925_1280
The full statistical release is available from NHS Digital 

The full report Statistics on Obesity, Physical Activity and Diet; England, 2018 can be read here

In the media:

The Guardian Obesity putting strain on NHS as weight-related admissions rise

Nuffield Trust: the gender pay gap in the NHS

The Nuffield Trust | April 2018  | The gender pay gap in the NHS: the story so far

Businesses with that employ more than 250 employees across Great Britain have  recently reported details of the gender pay gap in their organisation, in line with the requirements of The Equality Act 2010 (Gender Pay Gap Information) regulations. Now John Appleby,  Director of Research and Chief Economist at the Nuffield Trust has written a blog post about the gender pay gap in the NHS.  As it is the largest single employer in Britain – three times the size of the largest private sector employer, Tesco. Most of its organisations (principally trusts) employ over 250 staff.  Appleby questions: what does the data tell us about the gender pay gap in the NHS? (Nuffield Trust)

The full post can be read here 

Every 10 minutes a child in England has a tooth extracted due to decay 

Public Health England  | April 2018  | Every 10 minutes a child in England has a rotten tooth removed

New data published by Public Health England (PHE) today, 6 April 2018 highlights the prevalence of tooth decay among children. It has been released to coincide with the government’s launch of the Soft Drinks Industry Levy, which comes into force today.  141 children a day are having a tooth removed in hospital,  in children aged between 5 to 9 tooth extraction  is the leading reason for their admission to hospital.

As consuming too much sugar is one of the leading causes of tooth decay and childhood obesity PHE is reminding parents that  sugary drinks, including juice drinks, energy drinks, cola and other fizzy drinks, are one of the main sources of sugar in children’s diets.

change 4 life sugar
Image source: nhs.uk

PHE’s Change4Life campaign is encouraging parents to:

  1. Swap sugary drinks for lower or no sugar alternatives, including water and lower fat milks. The Change4Life website has plenty of easy drink swaps and helpful tips for families.
  2. Limit fruit juice and smoothies to a total of 150ml per day and only consume with meals – they count as a maximum of one portion of our 5 A Day.
  3. Ensure children brush twice a day with fluoride toothpaste (once before bedtime and once during the day) and remind them to ‘spit not rinse’, as rinsing washes away the protective fluoride. Brushing should start as soon as the first tooth appears and children should be supervised up to the age of 7. (PHE)

Further details of the news story are available from PHE 

Related: The Change4Life website  has helpful swaps and tips it can be accessed here

A new app  details the amount of sugar, fat, salt and calories in popular foods and drinks. It is available for iOS and Android devices.

‘Price match’ scheme created by Sheffield doctors helps to save £2 million

NHS England  | April 2018  | Pioneering price match scheme frees up millions for frontline care

A collaboration between doctors at hospitals in South Yorkshire which enabled them to purchase larger quantity of product has led to savings of  £2 million.  Among the savings  was a £400,000 in buying only one type of examination glove.


The clinician-led scheme in Sheffield  involved seven hospitals and required them to agree on the best product and commit to bulk buy jointly to save money. They used a scoring system on all products to ensure they met the high standards necessary for use by the NHS, with the products which met all of these criteria and provided the best value for money selected.  This led to an innovative ‘price match’ scheme that drove down the cost of simple items such as anti-embolism stockings and surgical gloves. 

Full story from NHS England 


Valued care in mental health: Improving for excellence

NHS Improvement  | April 2018  | Valued care in mental health: Improving for excellence 

NHS Improvement committed to supporting the development of a national model
to guide the continuous improvement of mental health services, drawing on the experience and skill within the mental health sector in 2017. Alongside strategic partner,  Northumberland, Tyne and Wear NHS Foundation Trust which was selected on the basis of its outstanding record of care delivery in mental health, a further 8  mental health trusts were invited to work with the two strategic partners on the basis of their distinctive experience of innovation and improvement.   The partnership intends to develop a sustainable model that reflects the challenges and the lessons learned from setbacks, as well as from successful innovations and improvements.

valued care in mental health
Image source: improvement.nhs.uk

The trusts involved are:

  • Northumberland, Tyne and Wear NHS Foundation Trust
  • Cheshire and Wirral Partnership NHS Foundation Trust
  • Hertfordshire Partnership NHS Foundation Trust
  • Mersey Care NHS Foundation Trust
  • Birmingham and Solihull NHS Mental Health Foundation Trust
  • Devon Partnership NHS Trust
  • East London Foundation Trust
  • Lancashire Care NHS Foundation Trust
  • Tees, Esk and Wear Valleys NHS Foundation Trust

The model reflects the challenges the different trusts have faced, and the lessons they have learned from setbacks and from successful innovations and improvements. It  aims to benefit other mental health service providers making improvements
of their own.The model is not prescriptive. Instead, it reflects the group’s experience that continuous improvement results from the interaction of a number of
different ingredients. This document describes the ingredients that have been most important to their improvement so far. Other trusts may decide to use and add to these ingredients in different ways (NHS Improvement).

Autism strategy updated

Department of Health and Social Care  | April 2018  | Think Autism strategy: governance refresh 2018

England’s first Adult Autism Strategy, Fulfilling and Rewarding Lives, (2010)  affirmed a  commitment from Ministers across government to transform the support for and
experience of autistic people. In April 2014, the Strategy was updated in
Think Autism, supported by revised Statutory Guidance in March 2015.

autism refresh
Image source: gov.uk

Think Autism strategy: governance refresh 2018 is a response to an agreement in 2017  that the arrangements for overseeing implementation of the Strategy should be refreshed.  Although the Strategy itself has not changed, the implementation activities required to deliver its intended outcomes, and who will do what, have been clarified. This has returned the focus to delivering what is required by the Autism Act and Statutory Guidance, in a realistic and measurable way.

An updated governance model to oversee implementation of the Strategy has been established, this focuses  on 19 overarching strategic objectives, these are grouped under the headings:

  • Measuring, understanding and reporting needs of autistic people
  • Workforce development
  • Health, care and wellbeing
  • Specific support
  • Participation in local community

    The full policy paper can be downloaded from Department of Health and Social Care

What comes into force in April 2018?

NHS Confederation  | April 2018  | What comes into force in April 2018?

NHS Confederation has produced a resource which provides an overview of changes during April. It summarises key changes around

  • Charges
  • Data collection
  • Data security
  • Devolution
  • Innovation
  • Public health
  • Regulation
  • Transformation
  • Workforce

It also signposts where further information and guidance can be found.  Full details at NHS Confederation