[NICE Meditech innovation briefing] CADScor system for ruling out coronary artery disease in people with symptoms of stable coronary artery disease

NICE | March 2019 | CADScor system for ruling out coronary artery disease in people with symptoms of stable coronary artery disease

NICE has developed a medtech innovation briefing (MIB) on CADScor system for ruling out coronary artery disease in people with symptoms of stable coronary artery disease.

Full details from NICE 

Social prescribing: applying All Our Health

Public Health England | March 2019 | Social prescribing: applying All Our Health

Social prescribing: applying All Our Health is a guide designed to help front-line health and care staff use their trusted relationships with patients, families and communities to promote the benefits of social prescribing.


Image source: gov.uk

Public Health England also recommend important actions that managers and staff holding strategic roles can take.

Social prescribing: applying All Our Health

Paying to breathe: why unfair asthma prescription charges must be stopped

Asthma UK | February 2019 | Paying to breathe: why unfair asthma prescription charges must be stopped

A new report from Asthma UK- Paying to breathe: why unfair asthma prescription charges must be stopped outlines how people with asthma in England pay prescription charges Asthma medication is prescribed by the NHS, but, unlike
many other long-term conditions that rely on daily medication, asthma is not included on the prescription charges exemptions list. Asthma UK says it is unfair that people with asthma have to pay for their prescriptions to stay alive, especially as people with other long-term conditions such as diabetes and epilepsy, and those in Scotland, Wales and Northern Ireland get free prescriptions. 6000 people with asthma were involved in Asthma UK’s research. 

asthma UK
Image source: asthma.org.uk

The report’s key findings:

  • 3 in 4 people with asthma who have to pay for their prescriptions struggle to afford them
  • More than half (57 per cent) of people who pay for their prescriptions have at some point cut back on their medication due to cost
  • Cutting back on asthma medication is having a dramatic impact on people’s health
  • Regional variations in the impact of prescription charges are potentially driving health inequalities
  • Payment prescription Certificates are still an unfair burden on people with asthma and not everyone can afford them
  • People with asthma think prescription charges are unfair and should be stopped

Asthma UK [press release] ‘Unfair’ prescription charges putting more than a million people at risk of a life-threatening asthma attack

Paying to breathe: Why unfair asthma prescription charges must be stopped 

Implementing the NHS Long Term Plan

The NHS Long Term Plan included suggested legislative changes to help implement the Plan easier and faster.  NHS England Strategy & Innovation Directorate and NHS Improvement Strategy Directorate are now setting these out in further detail and invite views on the proposals.

The proposals outline eight groups of suggested legislative changes in the NHS Long-Term Plan, with feedback invited by April 25 2019. These include proposed changes to both the Competition and Markets Authority (CMA) and NHS Improvement’s roles in respect of competition. These proposals are based on feedback from patients, clinicians, NHS leaders and partner organisations, as well as national professional and representative bodies.

Full document: Implementing the NHS Long Term Plan: Proposals for possible changes to legislation

See also:

Race equality in the NHS workforce

This podcast explores big ideas in health and care, and features experts from The King’s Fund and beyond discussing the NHS, social care, and all things health policy and leadership.

What can be done about race inequality in the NHS workforce? How can we ensure representative leadership happens? Helen McKenna talks with Yvonne Coghill, Director at NHS England Workforce Race Equality Standard (WRES); Dionne Daniel, Project Lead, Nursing Workforce Remodelling Research Project; and Ben Morrin, Director of Workforce at University College London Hospitals.

KF pod.PNG


Air pollution: outdoor air quality and health

This updated NICE quality standard covers road-traffic-related air pollution and its impact on health. It describes high-quality actions in priority areas for improvement | National Institute for Health & Social Care


In a new Quality Standard, Nice has suggested councils should use their planning permission powers to make sure developers take steps to reduce pollution where people live. The publication recommends houses, flats, schools, nurseries and care homes be protected from pollution. Nice also add that councils should actively try to reduce the number of people on the roads, encouraging them to take public transport, cycle or walk, suggesting councils should plant trees and plants outside and on roofs, and create areas for people to walk and cycle in clean air.

Air pollution causes an estimated 40,000 premature deaths a year in the UK and is linked to health problems from childhood illnesses to heart disease and dementia.

Full document: Air pollution: outdoor air quality and health | Quality standard [QS181] NICE | February 2019

See also: Air pollution: outdoor air quality and health | NICE guideline [NG70] Published  June 2017

Changes in millennial adolescent mental health and health-related behaviours over 10 years: a population cohort comparison study

Patalay, P. & Gage, S. H.| 2019|  Changes in millennial adolescent mental health and health-related behaviours over 10 years: a population cohort comparison study| International Journal of Epidemiology|  dyz006|  https://doi.org/10.1093/ije/dyz006

Research that used data from the Millennium Cohort study to explore two cohorts of adolescents aged 14  from 2005 and 2015 has found that young people in the second cohort  are sleeping less and have more depressive symptoms than previous adolescents. The research team draw comparisons between the two cohorts, and include their finding  that adolescents in the  2015 group reported higher levels of depressive symptoms, self-harm and hyperactivity and peer problems compared to the earlier group. When compared to the 2005 cohort,  levels of substance use such as smoking cigarettes, drinking alcohol and cannabis were the same or lower in the 2015 cohort. Young people in the 2015 group were getting less sleep and had higher levels of obesity than those ten years previously. 



There is evidence that mental health problems are increasing and substance use behaviours are decreasing. This paper aimed to investigate recent trends in mental ill health and health-related behaviours in two cohorts of UK adolescents in 2005 and 2015.


Prevalences in mental health (depressive symptoms, self-harm, anti-social behaviours, parent-reported difficulties) and health-related behaviours (substance use, weight, weight perception, sleep, sexual intercourse) were examined at age 14 in two UK birth cohorts; Avon Longitudinal Study of Parents and Children (ALSPAC, N equal to 5627, born 1991–92) and Millennium Cohort Study (MCS, N equal to 11 318, born 2000–02). Prevalences and trend estimates are presented unadjusted and using propensity score matching and entropy balancing to account for differences between samples.


Depressive symptoms (9% to 14.8%) and self-harm (11.8% to 14.4%) were higher in 2015 compared with 2005. Parent-reported emotional difficulties, conduct problems, hyperactivity and peer problems were higher in 2015 compared with 2005 (5.7–8.9% to 9.7–17.7%). Conversely, substance use (tried smoking, 9.2% to 2.9%; tried alcohol, 52.1% to 43.5%, cannabis, 4.6% to 3.9%), sexual activity (2% to 0.9%) and anti-social behaviours (6.2–40.1% to 1.6–27.7%) were less common or no different. Adolescents in 2015 were spending less time sleeping (less than 8 h 5.7% to 11.5%), had higher body mass index (BMI) (obese, 3.8% to 7.3%) and a greater proportion perceived themselves as overweight (26.5% to 32.9%). The findings should be interpreted bearing in mind limitations in ability to adequately harmonize certain variables and account for differences in attrition rates and generalizability of the two cohorts.


Given health-related behaviours are often cited as risk factors for poor mental health, our findings suggest relationships between these factors might be more complex and dynamic in nature than currently understood. Substantial increases in mental health difficulties, BMI and poor sleep-related behaviours highlight an increasing public health challenge.

Rotherham NHS staff can request this journal article from the Library & Knowledge Service 

In the news:

BBC News Adolescent health: Teens ‘more depressed and sleeping less’

The Independent Generation Z teenagers have more mental health problems despite drops in smoking, drugs and antisocial behaviour