Risk reduction of cognitive decline and dementia | The World Health Organisation
These WHO guidelines provide evidence-based recommendations on lifestyle behaviours and interventions to delay or prevent cognitive decline and dementia. Worldwide, around 50 million people have dementia and, with one new case every three seconds, the number of people with dementia is set to triple by 2050. The increasing numbers of people with dementia, its significant social and economic impact and lack of curative treatment, make it imperative for countries to focus on reducing modifiable risk factors for dementia.
These guidelines are intended as a tool for health care providers, governments, policy-makers and other
stakeholders to strengthen their response to the dementia challenge.
World Health Organization | April 2019 | To grow up healthy, children need to sit less and play more
New guidelines on physical activity for children have been developed by experts at the World Health Organization (WHO), the guidelines are the results of assessment of young children of inadequate sleep, and time spent sitting watching screens or restrained in chairs and prams. WHO also reviewed evidence around the benefits of increased activity levels.
They are intended to provide recommendations on the amount of time in a 24-hour
day that young children, under 5 years of age, should spend being physically active or sleeping for their health and wellbeing, and the maximum recommended time these children should spend on screen-based sedentary activities or time restrained.
Recommendations at a glance:
Infants (less than 1 year) should:
Be physically active several times a day in a variety of ways, particularly through interactive floor-based play; more is better. For those not yet mobile, this includes at least 30 minutes in prone position(tummy time) spread throughout the day while awake.
Not be restrained for more than 1 hour at a time (e.g. prams/strollers, high chairs, or strapped on a caregiver’s back). Screen time is not recommended. When sedentary, engaging in reading and storytelling with a caregiver is encouraged.
Have 14–17h (0–3 months of age) or 12–16h (4–11 months of age) of good quality sleep, including naps.
Children 1-2 years of age should:
Spend at least 180 minutes in a variety of types of physical activities at any intensity, including moderate-to-vigorous-intensity physical activity, spread throughout the day; more is better.
Not be restrained for more than 1 hour at a time (e.g., prams/strollers, high chairs, or strapped on a caregiver’s back) or sit for extended periods of time. For 1-year-olds, sedentary screen time (such as watching TV or videos, playing computer games) is not recommended. For those aged 2 years, sedentary screen time should be no more than 1 hour; less is better. When sedentary, engaging in reading and storytelling with a caregiver is encouraged.
Have 11-14 hours of good quality sleep, including naps, with regular sleep and wake-up times.
Children 3-4 years of age should:
Spend at least 180 minutes in a variety of types of physical activities at any intensity, of which at least 60 minutes is moderate- to vigorous intensity physical activity, spread throughout the day; more is better.
Not be restrained for more than 1 hour at a time (e.g., prams/strollers) or sit for extended periods of time. Sedentary screen time should be no more than 1 hour; less is better. When sedentary, engaging in reading and storytelling with a caregiver is encouraged.
Have 10–13h of good quality sleep, which may include a nap, with regular sleep and wake-up times (Source:WHO).
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.
NHS England | January 2019 | Social prescribing and community-based support: Summary guide
NHS England have released Social prescribing and community-based support: Summary guide- the guide is intended for people and organisations leading local implementation of social prescribing.
The Social Prescribing Summary Guide is intended for people and organisations leading local implementation of social prescribing. It enables:
increased understanding of what good social prescribing looks like and why social prescribing improves outcomes and experiences for people, their families and carers, as well as achieving more value from the system
commissioning of local social prescribing connector schemes, enabling all general practices, local authorities and other agencies to refer people with wider social needs to community-based support
collaborative working amongst all local partners at a ‘place-based’ local level, to recognise the value of community groups and assets and to enable people to build or rebuild friendships, community connections and a sense of belonging, as well as accessing existing services.
NHS Improvement | January 2019 | A Model Employer: Increasing black and minority ethnic representation at senior levels across the NHS
NHS Improvement has published A Model Employer– a document that outlines the ambitions set by NHS England and NHS Improvement and reflected in the Long Term Plan, for each NHS organisation to set its own target for black and minority ethnic (BME) representation across its leadership team and broader workforce. The strategy will provide accelerated, intensive support to local NHS organisations on increasing the recruitment of BME staff at senior levels (Source: NHS England).
NHS England | January 2019 | NHS Operational Planning and Contracting Guidance 2019/20
This is the full guidance, building on the first part published in December 2018. It accompanies five-year indicative CCG allocations and sets out the trust financial regime for 2019/20, alongside the service deliverables including those arising from year one of the Long Term Plan. CCGs and trusts should take action from April 2019 to begin implementing the measures set out in the LTP (Source: NHS England).