Centre for Mental Health publication: In ten years’ time

The Centre for Mental Health | June 2019 | In ten years’ time

The Centre for Mental Health are calling on the government to strengthen the law so that anyone being considered for a prison sentence must have a relevant up to date pre-sentence report before a court can imprison them.

Image source: centreformentalhealth.org.uk

A recent independent poll commissioned by Revolving Doors Agency shows that public expect much better from our criminal justice system:

  • 76% of people think that magistrates should know whether someone has a mental health condition before sentencing them
  • 68% of people think that magistrates should know whether someone has a learning disability before sentencing them.

Full details from The Centre for Mental Health

In ten years’ time PDF

Challenges in using data across government

National Audit Office | June 2019 | Challenges in using data across government

The National Audit Office has published Challenges in using data across government, this report sets out the National Audit Office’s experience of data across government, including initial efforts to start to address the issues. From their past work we have identified three areas where government needs to establish the pre-conditions for success: clear strategy and leadership; a coherent infrastructure for managing data; and broader enablers to safeguard and support the better use of data. In this report they consider:

  • the current data landscape across government;
  • how government needs a clear plan and leadership to improve its use of data;
  • the quality, standards and systems needed to use data effectively; and
  • wider conditions and enablers for success.

See also:

National Audit Office Challenges in using data across government [press release]

Full report Challenges in using data across government 

Summary- Challenges in using data across government 


Reducing avoidable emergency admissions

This healthcare insight report details an extensive analysis of avoidable emergency admissions over a five-year period, and in doing so highlights a number of actions that can be taken towards preventing them | Dr Foster

This report looks specifically at ambulatory care sensitive conditions (ACSCs), which can be managed or prevented through effective primary and community care. ACSCs can be chronic conditions where early intervention can help prevent exacerbation; acute conditions where early intervention can prevent progression; or conditions where immunisation can prevent disease.

The report paints a startling picture of avoidable emergency admissions, finding that the admission rate increased by nine per cent over the analysis period, even after adjusting for population growth.

The report reveals which conditions patients are most likely to be admitted for in an emergency, who those patients may be, and the impact of deprivation. It takes an in-depth look at the possible savings to be made across both sustainable transformation partnerships (STPs) and clinical commissioning groups (CCGs) in England, estimating combined potential savings of £125 million.

Full report: Reducing avoidable emergency admissions. Analysis of the impact of ambulatory care sensitive conditions in England.

Insights from the spread of the primary care home

The King’s Fund | June 2019 | Insights from the spread of the primary care home

The King’s Fund has published Insights from the spread of the primary care home, a report that looks at the factors that contributed to the spread of the ‘primary care home’,  a type of primary care network, from concept to more than 200 sites in a few years. The King’s Fund draw on a series of interviews with staff from the National Association of Primary Care (NAPC, who curated the primary care home concept for use in England in 2015), NHS England (who supported the work) and local sites (who delivered changes on the ground).

Image source: .kingsfund.org.uk


The report identifies factors that enabled the spread of primary care homes, as well as the factors that made the spread harder. It provides insights for the NAPC and others that can inform their health and care transformation efforts (Source: The King’s Fund).

Report available from The King’s Fund 

New roles in primary care networks

NHS England | June 2019 | New roles in primary care networks

NHS England has published a series of documents to support pharmacists in the primary care networks. 

New roles in primary care networks: the clinical pharmacist

Primary care networks: A briefing for pharmacy teams

Guidance for Local Pharmaceutical Committees (LPCs) – How to help contractors get involved with Primary Care Networks

Designing integrated care systems (ICSs) in England

This guide sets out the different levels of management that make up an integrated care system, describing their core functions, the rationale behind them and how they will work together | NHS England

integration-2489613_1920.jpgThe NHS Long-Term Plan set the ambition that every part of the country should be an integrated care system by 2021. It encourages all organisations in each health and care system to join forces, so they are better able to improve the health of their populations and offer well coordinated efficient services to those who need them.

This overview is for all the health and care leaders working to make that ambition a reality, whether in NHS acute or primary care, physical or mental health, local government or the voluntary sector.

It sets out the different levels of management that make up an integrated care
system, describing their core functions, the rationale behind them and how they
will work together.

Full document: Designing integrated care systems (ICSs) in England. An overview on the arrangements needed to build strong health and care systems across the country.

Adaptations Without Delay

Royal College of Occupational Therapists & Housing LIN | June 2019 | Adaptations Without Delay

Royal College of Occupational Therapists & Housing LIN have produced Adaptations Without Delay, a guide to planning and delivering home adaptations differently.  Thpurpose of this guide is to address delays in the delivery of all types of adaptations (minor and major) across all tenures that occur when people receive a disproportionate response to their need for an adaptation. The overall aim of the guide is to reduce delays in the delivery of adaptations by providing tools that support a proportionate response. The guidance also ensures the valued and specialist skills of occupational therapists can be used to work with the growing number of individuals whose circumstances are complex.

Image source: housinglin.org.uk

A more accessible home environment can improve independence, reduce risk and reduce reliance on assistance. As the body of evidence demonstrating the benefits of home adaptations grows, so does the recognition that the sooner they are installed, the greater will be the preventative benefits (Source: Royal College of Occupational Therapists)

Adaptations without delay


Spending time in natural environments can benefit health and well-being

White, M. P. et al. | Spending at least 120 minutes a week in nature is associated with
good health and wellbeing | Scientific Reports | published online 13 June 2019


Spending time in natural environments can benefit health and well-being, but exposure-response relationships are under-researched. We examined associations between recreational nature contact in the last seven days and self-reported health and well-being.

Participants (n = 19,806) were drawn from the Monitor of Engagement with the Natural Environment Survey (2014/15–2015/16); weighted to be nationally representative. Weekly contact was categorised using 60 min blocks. Analyses controlled for residential greenspace and other neighbourhood and individual factors.

Compared to no nature contact last week, the likelihood of reporting good health or high well-being became significantly greater with contact. Positive associations peaked between 200–300 mins per week with no further gain. The pattern was consistent across key groups including older adults and those with long-term health issues. It did not matter how 120 mins of contact a week was achieved (e.g. one long vs. several shorter visits/week).

Prospective longitudinal and intervention studies are a critical next step in developing possible weekly nature exposure guidelines comparable to those for physical activity.

Full report: Spending at least 120 minutes a week in nature is associated with good health and wellbeing