Obesity services

The current landscape of obesity services |  The All-Party Parliamentary Group on Obesity 

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Image source: http://www.obesityappg.com

This report presents the findings of an inquiry which sought to gather a body of evidence highlighting the current provision of obesity services, identify the barriers to better provision and sought to establish a consensus around potential solutions.  The report makes a number of recommendations which includes the development of a national obesity strategy.

Key findings of the report: 

  • 88% of people with obesity who took part in the survey have been stigmatised, criticised or abused as a result of their obesity.
  • 94% of all respondents believe that there is not enough understanding about the causes of obesity amongst the public, politicians and other stakeholders.
  • 42% of people with obesity did not feel comfortable talking to their GP about their obesity.
  • More than one third of people with obesity who completed the survey stated that they have not accessed any lifestyle or prevention services.

The report makes a number of recommendations, including:  

  1. A national obesity strategy for both adult and childhood obesity should be developed and implemented by the Government, with input from key stakeholders. This should look to strengthen existing services and replicate best practice across the country.
  2. Obesity/weight management training should be introduced into medical school syllabuses to ensure GPs and other healthcare practitioners feel able and comfortable to raise and discuss a person’s weight, without any stigma or discrimination.
  3. The Government should implement a 9pm watershed on advertising of food and drinks high in fat, sugar and salt to protect children during family viewing time.
  4. The Government should lead or support efforts by the clinical community to investigate whether obesity should be classified as a disease in the UK, and what this would mean for the NHS and other services.
  5. The Government should commission or support the development of a thorough, peer-reviewed cost benefit analysis of earlier intervention and treatment of people with obesity.

Full report: The current landscape of obesity services

Measles outbreaks across England

 Public Health England |May 2018  |Measles outbreaks across England

Public Health England is advising the public to ensure they have had 2 doses of MMR vaccine after outbreaks of measles are confirmed across England. Between 1 January 2018 and 9 May 2018 there have been 440 laboratory confirmed measles cases in England, with London (164), the South East (86), West Midlands (78), South West (42) and West Yorkshire (37) reporting the most cases.

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The increase in measles circulation is mainly associated with travel to and from Europe where there are large ongoing measles outbreaks (Public Health England).

The full news story can be read at Public Health England

Public Health England have also published guidance: UK measles and rubella elimination

Preventing long-term disease in the East Midlands

Public Health England has published two reports following a self-assessment review of progress by providers and CCGs in the East Midlands around The Prevention Challenge.  The tools were developed to help NHS providers and CCGs take action against preventable long-term diseases caused by lifestyle choices.  These reports review progress against the recommendations, including self-identified good practice ‘strengths’ and planned ‘next steps’.

Postural care services: making reasonable adjustments

Public Health England| Postural care services: making  reasonable adjustments |May 2018

A new publication provides information on the importance of postural care support and meeting the needs of people with postural care needs and learning disabilities. This guidance from Public Health England (PHE) is to help health and social care professionals and family carers and supporters learn more about how to support the postural care needs of people with learning disabilities who are at risk of body distortion.

Under the Equalities Act 2010, public sector organisations have to make changes in their approach or provision to ensure that services are accessible to disabled people as well as everybody else. This report is the sixteenth in a series of reports looking at reasonable adjustments in a specific service area . The aim of these reports is to share information, ideas and good practice in relation to the provision of reasonable adjustments.

PHE searched for policy, guidelines and research that relate to postural care for people with learning disabilities. A summary of this information is the following sections. PHE put a request out through a range of networks for people interested in services and care for people with learning disabilities. PHE asked people to send us information about what they have done to support people with learning disabilities who have postural care needs. (PHE)

Introduction 

Easy read summary of the guidance is available here

Postural care and people with learning disabilities 

Resources

Examples of reasonable adjustments and Case studies 

The full range of resources is available from Public Health England here 

Multimorbidity

The Academy of Medical Sciences has published Multimorbidty: a priority for global health research.  This report summarises evidence about the burden, determinants, prevention and treatment of multimorbidity.  It finds causes are poorly understood, strategies for prevention are lacking and concludes that without a better understanding of multimorbidity, it will not be possible to plan future healthcare resources and redesign services effectively.

The Prioritisation Framework: making the most of your budget

A flexible tool to support local authorities make transparent, evidence-based spending decisions across public health programmes | Public Health England

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Local public health teams are facing increasingly complex and challenging decisions over what services to invest in and disinvest from. The Prioritisation Framework is designed to help local authorities conduct a systematic prioritisation exercise, by greatly reducing the burden and complexity of the task.

The approach is based on Multi Criteria Decision Analysis, a recognised decision support technique which has been successfully used in a variety of contexts.

Throughout the tool users are provided with extensive guidance and links to other relevant resources. A supporting materials pack is available from the PHE Health Economics team at healtheconomics@phe.gov.uk.

Housing and health

Housing and health: opportunities for sustainability and transformation partnerships | The King’s Fund

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This short report, supported by the National Housing Federation, is intended to help those leading and contributing to sustainability and transformation partnerships (STPs) and emerging integrated care systems (ICSs) to make the most of the contribution that housing can make to health as they deliver and continue to develop. The authors suggest that housing is one of the core local services that STPs and ICSs need to engage with at a strategic level as they develop population health systems. In particular this report sets out:

  • why housing is important for STPs and emerging ICSs
  • how well housing is currently represented in STPs
  • three priorities: supporting discharge, the use of NHS estates and mental health
  • going further: the broader importance of housing to health across the life-course
  • recommendations for action: maximising opportunities in the short and long term.

Full report: Housing and health: opportunities for sustainability and transformation partnerships

See also: Improving health and care through the home: Memorandum of understanding | Public Health England