What to expect after vaccinations

Department of Health and Social Care | March 2019| What to expect after vaccinations

A leaflet from the Department of Health and Social Care informs parents and cares about the common side effects of vaccinations that might occur in babies and young children up to 5 years of age.

The leaflet is intended for nurses and other immunisation practitioners to give to parents and guardians when their children are being immunised.

The guidance is available from Department of Health and Social Care

 

Retailers urged to crack down on early Easter egg sales to tackle obesity

Royal Society of Public Health | March 2019 | Retailers urged to crack down on early Easter egg sales to tackle obesity

Research commissioned by the Royal Society of Public Health (RSPH) has revealed that even thought there is still three weeks to go until Easter, 50 % of the UK public have bought and consumed at least one Easter-related chocolate, treat or cake, while almost a quarter (23%) have already consumed 1 or more full-sized Easter egg this year. 

chocolate-buttons-69484_640.jpg

RSPH’s poll found that:

  • Over three-quarters (77%) of people think supermarkets start selling Easter eggs and other Easter related treats too early
  • Over half (57%) of parents agree that their child has been tempted by Easter themed treats displayed near checkouts
  • More than two-thirds (68%) of people agree that holidays or special occasions are used too much to advertise and sell unhealthy food

Latest figures suggest that around 1 in 4 UK adults (27%) are obese, the highest rates in Western Europe. Most concerning is the prevalence of childhood obesity – among year 6 pupils, over 20% are obese and as many as 4.2% are now ‘severely obese’ (the highest rate ever).  RSPH believes that more must be done to reverse these trends, and is urging retailers to do more to encourage healthy choices and to stop pushing unhealthy products (Source: RSPH).

RSPH Retailers urged to crack down on early Easter egg sales to tackle obesity

In the news:

BBC News Easter eggs ‘being pushed too early in shops’

More prescriptions issued in 2018

NHS Digital | March 2019 |Prescription Cost Analysis – England, 2018 [PAS]

Prescription Cost Analysis (PCA), analyis conducted by Office for National Statistics shows that in the calendar year 2018, the cost of prescriptions dispensed in the community was £8.8 billion an increase of 2.9 million prescription items dispensed in the community. This shows a decrease of 3.7% (£336.6 million) from £9.2 billion in 2017 (Source: NHS Digital). 

addiction-antibiotic-aspirin-860378.jpg

Responding to an increase in the numbers of antidepressants prescribed, Professor Helen Stokes-Lampard, Chair of the Royal College of GPs said:

“Antidepressants are no different, and it’s really important that increasing numbers of antidepressant prescriptions are not automatically seen as a bad thing, as research has shown they can be very effective drugs when used appropriately.

“It can be difficult to determine why prescribing rates fluctuate, these figures could indicate rising awareness of mental health conditions in society, and that more patients are feeling able to seek medical care for them – as well as demonstrating an improvement in the identification and diagnosis of mental health conditions (Source: RCGP).

NHS Digital Prescription Cost Analysis- England 2018, [PAS] 

Rising prescription numbers not ‘automatically a bad thing’, says RCGP

Prescription Cost Analysis 2018- Report

Prescription Cost Analysis 2018- Factsheet 

In the news:

BBC News Jump in antidepressant prescriptions in England

The Guardian Antidepressant prescriptions in England double in a decade

Good nurse leadership linked to safer outcomes

NIHR | March 2019 |Staffing on wards Making decisions about healthcare staffing,
improving effectiveness and supporting staff to care well

A major themed review from the NIHR- Staffing on wards Making decisions about healthcare staffing, improving effectiveness and supporting staff to care well– uses research from the NIHR to explore staffing on wards.  The review focuses  on staffing within 24-hour care inpatient facilities designed to provide health rather than social care. 

dc.nihr.ac.uk
Image source: dc.nihr.ac.uk

Staffing on wards Making decisions about healthcare staffing, improving effectiveness and supporting staff to care well identifies three challenges:

  1. Understanding ward staffing
  2. Shaping the team
  3. Managing the team and the ward

It presents recent evidence evidence from National Institute for Health Research
(NIHR)-funded research, including studies on the number of staff needed, the support workforce and the organisation of care on the wards.

Full details from NIHR 

Staffing on wards Making decisions about healthcare staffing, improving effectiveness and supporting staff to care well

In the news:

OnMedica  Good nurse leadership linked to safer outcomes

New model for paediatric Screening – a new play specialist approach to MRI

NHS England | March 2019 | Paediatric Screening – a new play specialist approach

A Play Specialist on the acute general paediatric ward at Northern Devon Healthcare NHS Trust led on the implementation of a pre-operative model for children requiring Magnetic Resonance Imaging (MRI). The new model means (unless there is a clinical reason) the team are able to support the child and family to have the MRI at the local hospital without a general anaesthetic (Source: NIHR).

mri-2813911_640.jpg

The case study explains how better outcomes for patients were achieved, with more children having MRI scans without general anaesthetics, positive feedback from the children and families; reducing bed days in a specialist unit generated cost savings saving in the region of £49,000.

Case study at NHS England

Poor team-working among surgeons must be challenged no matter how uncommon, says RCS

Royal College of Surgeons | March 2019 | Poor team-working among surgeons must be challenged no matter how uncommon, says RCS

The Royal College of Surgeons’ (RCS) analysis of one hundred surgical reviews over 10 years, has been published in the report-Learning from invited reviews 2019 full report has been published  this week.  The paper identifies poor teamwork as an issue leading to problems in surgical practice in over three quarters (76%) of the reviews. In more than two thirds (68%) of the RCS reviews, timely recognition and resolution of concerns was an issue.

 

invitedreviews.rcseng.ac.uk
Image source: invitedreviews.rcseng.ac.uk

Key findings:

• the timely recognition and resolution of concerns (68%)
• multidisciplinary team working (57%)
• individual surgical behaviours (54%)
• leadership and management (54%)
• outcomes data (53 %)
• facilities and resources (51%)

In over a quarter of analysed, there was a need for improvement in:

• audit (48%)
• relationships with surgeons in training (45%)
• morbidity and mortality meetings (43%)
• activity data (38%)
• managing change (35%)
• appraisal (35%)
• learning from patient experience (31%)
• patient consent and candour (30%)  (Source: RCS)

Press release Poor team-working among surgeons must be challenged no matter how uncommon, says RCS

Access the interactive web resource

Full report: Learning from invited reviews 2019 full report

How many cigarettes are there in a bottle of wine? A comparison of gender-linked population cancer risks between alcohol and tobacco

ydes, T.J., Burton, R., Inskip, H., Bellis, M.A., & Sheron, N. | 2019 |A comparison of gender-linked population cancer risks between alcohol and tobacco: how many cigarettes are there in a bottle of wine? | BMC Public Health | 19| 316 | https://doi.org/10.1186/s12889-019-6576-9

A study published in the BMC Public Health  calculated ‘cigarette-equivalent of population cancer harm’ for alcohol intake as the cancer risk associated with cigarettes is much better understood, than the cancer risk associated with alcohol consumption. 

The researchers found that consumption of one bottle of wine per week is associated with an increased absolute lifetime risk of alcohol-related cancers in women, driven by breast cancer, equivalent to the increased absolute cancer risk associated with ten cigarettes per week. For men this increased absolute cancer risk was equal to smoking five cigarettes a week.

phe smoke
Image source: @phe_uk

Abstract

Background

In contrast to our knowledge about the number of cancers attributed to smoking, the number of cancers attributed to alcohol is poorly understood by the public. We estimate the increase in absolute risk of cancer (number of cases per 1000) attributed to moderate levels of alcohol, and compare these to the absolute risk of cancer attributed to low levels of smoking, creating a ‘cigarette-equivalent of population cancer harm’.

 

Methods

Alcohol and tobacco attributable fractions were subtracted from lifetime general population risks of developing alcohol- and smoking-related cancers, to estimate the lifetime cancer risk in alcohol-abstaining non-smokers. This was multiplied by the relative risk of drinking ten units of alcohol or smoking ten cigarettes per week, and increasing levels of consumption.

 

Results

One bottle of wine per week is associated with an increased absolute lifetime cancer risk for non-smokers of 1.0% (men) and 1.4% (women). The overall absolute increase in cancer risk for one bottle of wine per week equals that of five (men) or ten cigarettes per week (women). Gender differences result from levels of moderate drinking leading to a 0.8% absolute risk of breast cancer in female non-smokers.

 

Conclusions

One bottle of wine per week is associated with an increased absolute lifetime risk of alcohol-related cancers in women, driven by breast cancer, equivalent to the increased absolute cancer risk associated with ten cigarettes per week. These findings can help communicate that moderate levels of drinking are an important public health risk for women. The risks for men, equivalent to five cigarettes per week, are also of note (Source:  BMC).

 

The full paper is available at Public Health BMC

Related: PHE Health Matters: tobacco and alcohol CQUIN

In the news: BBC News How many cigarettes in a bottle of wine?

BBC News Is it time to raise the smoking age to 21