Caring For Doctors, Caring For Patients

This report identifies a need to address the wellbeing of doctors faced with higher workloads, whose own health impacts on patient care | General Medical Council

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The focus of this report is on identifying causes, consequences and solutions.
The review aimed to take account of the experience of all doctors and medical
students working and learning within the UK’s healthcare systems, in both primary
and secondary care.

Recommendations include compassionate leadership models giving doctors more say over the culture of their workplaces, adopting minimum standards of food and rest facilities, and standardising rota designs which take account of workload and available staff.

Other recommendations for health service leaders include improvements to team-working, culture and leadership, and workloads. The General Medical Council has accepted the recommendations made and pledged to work with other leaders to help introduce them.

Diabetes UK strategy 2020-2025

Diabetes UK has launched a new strategy called ‘A generation to end the harm: Diabetes UK Strategy 2020-2025’ coinciding with World Diabetes Day 2019 

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There are an estimated 2.85 million people diagnosed with type 2 diabetes in England, and more than 850,000 living with the condition who do not know they have it because they have not yet been diagnosed − bringing the total up to 3.7 million.

The new strategy from Diabetes UK focuses on achieving five key outcomes by 2025:

  • more people with type 1, type 2 and all other forms of diabetes will benefit from new treatments that cure or prevent the condition
  • more people will be in remission from type 2 diabetes
  • more people will get the quality of care they need to manage their diabetes well
  • fewer people will get type 2 and gestational diabetes
  • more people will live better and more confident lives with diabetes, free from discrimination.

The charity said that more than half of all cases of type 2 diabetes could be prevented or delayed, and in turn, the risk of developing the related complications, by tackling overweight and obesity.

Full document: A generation to end the harm: Diabetes UK Strategy 2020-2025

See also: Obesity rate doubles over past 20 years | OnMedica

NHS Performance Statistics

Latest figures show record numbers of patients waiting for NHS treatment in England 

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This monthly release aims to provide users with an overview of NHS performance
statistics in the following key areas.

  • Urgent and emergency care – Accident and Emergency, NHS 111, Ambulances, Delayed Transfers of Care
  • Planned care – Referral to Treatment, Diagnostics, Mixed Sex
    Accommodation, NHS Continuing Healthcare and NHS-funded Nursing Care,
    Patient Reported Outcome Measures
  • Cancer – Cancer Waiting Times, Cancer Registrations, Cancer Emergency
    Presentations, Cancer Survival Estimates
  • Mental Health – Early Intervention in Psychosis, Out of Area Placements,
    Children and Young People with an Eating Disorder, Contacts and Referrals,
    Improving Access to Psychological Therapies, Physical Health Checks for
    people with Severe Mental Illness

Full detail at NHS England

See also:

Doing good does you good

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Evidence shows that helping others is actually beneficial for your own mental health and wellbeing. It can help reduce stress, improve your emotional wellbeing and even benefit your physical health.

This guide from The Mental Health Foundation illustrates the positive impact that helping others can have on your own mental health.

It includes tips and suggestions for how you can get started with helping others. Full detail at Mental Health Foundation

The economic benefits of a physically active population

The aim of this study was to explore the main economic costs of physical inactivity and to identify the key benefits to improving activity rates | RAND

This report looked at the following questions:

  1. What are the potential global economic benefits associated with getting people to be more physically active and how do the economic effects vary by country?
  2. What is the contribution of premature mortality associated with insufficient physical activity?
  3. What is the contribution of insufficient physical activity associated with workplace productivity?
  4. What level of healthcare expenditure could be saved?
  5. What can public policy and private stakeholders do in order to improve physical activity levels at the population level?


The findings of the study suggest that making people physically more active is associated with economic benefits. The report proposed the following recommendations:

  • Change population behaviours and attitudes to promote the increase of physical activity, supporting and encouraging individuals to shift their beliefs and motivations.
  • Using both community and workplace settings, provide an environment that encourages physical activity and that supports the access to facilities.
  • Encourage the participation in programmes and interventions.
  • Encourage more physical activity across society by interlinking systems-wide programmes and interventions.

Full publication: The economic benefits of a more physically active population
An international analysis | RAND Corporation

Health and wellbeing boards and integrated care systems

This long read examines the part Health and Wellbeing Boards, and local government more broadly, have played in the emergence of Integrated Care Systems so far and options for their future.


Health and wellbeing boards (HWBs) were established under the Health and Social Care Act 2012 to act as a forum in which key leaders from the local health and care system could work together to improve the health and wellbeing of their local population.

In this article, The Kings Fund explores questions in three main areas:

  • What has been the overall role and contribution of local government to ICSs so far? How involved have councils been? How far has this influenced the development of ICSs and how they work? How helpful or otherwise has this contribution been?
  • To what extent does the HWB feature in the overall governance arrangements for ICSs, both now and in the future? How does this work in practice, for example, where there is more than one HWB in the ICS footprint?
  • What part has the HWB played in the development of ICSs so far and how far might this change in the future, taking account of proposed national changes in NHS legislation? What is the future of HWBs in a world of ICSs?

Full article: Health and wellbeing boards and integrated care systems

Mortality and life expectancy trends in the UK

New report outlines that more work is urgently needed to track and analyse mortality trends, to tackle widening inequalities and protect life expectancy for future generations | The Health Foundation

Throughout the 20th century, the UK saw significant increases in life expectancy, influenced by better incomes and living conditions, changing habits and medical advances. While mortality rates continued to improve in during the 2000s, since 2011 they have stalled, and for certain groups of the population, gone into reverse.

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New analysis from The Health Foundation looks at the reasons behind stalling life expectancy improvements, uncovering worrying trends affecting groups of the population, including a rising number of avoidable deaths among the under 50s.

The report explains that there is no single cause of the slowdown, and no single solution: instead actions must be taken on the wider factors that shape the conditions in which people are born, grow, live, work and age.

Full report: Mortality and life expectancy trends in the UK: Stalling progress

Disability in the workplace- making reasonable adjustments

NHS Employers | November  2019 | Making reasonable adjustments to support disability in the workplace

Following the introduction of the NHS Workforce Disability Equality Standard (WDES) earlier this year, NHS Employers have published some new guidance on reasonable adjustments to help NHS organisations support disabled staff in the workplace.

The new reasonable adjustments in the workplace web pages provide information on legal responsibilities for employers, links to examples of reasonable adjustments, policies and other useful resources to support good practice.

You can also access a suite of resources to assist with the implementation of the NHS Workforce Disability Equality Standard  (Source: NHS Employers).