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The Journal ofof the Community Practitioners’ and Health Visitors’ AssociationAssociation DEC/JANDEC/JAN 2018 VOLUMEVOLUME 90 / NO.NO. 1212 ALL BY MYSELF Has loneliness become an epidemic? The health divide Staying strong Period poverty Life expectancy remains Why resilience Tackling the social a postcode lottery is important and fi nancial taboo communitypractitioner.co.uk | unitetheunion.org/cphva CR.indd 1 21/12/2017 0:5 «¬ #CPHVA18 ANNUAL PROFESSIONAL CONFERENCE 17-18 October 2018, Bournemouth International Centre Register your interest at: cphvaconference.co.uk p02.CPJAN2018.indd 2 11/12/2017 11:05 Contents Volume 90 Number 12 24 34 EDITORIAL 5 We take a look at some of the content in this issue NEWS 6 A round-up of the latest stories in public health 10 The most recent research from the professions 12 Exploring the changing attitudes to ‘physical discipline’ for children OPINION 16 Royal recognitions for Unite 34 Could a treatment for members from the Queen’s LAST WORD peanut allergies be 48 Professor Ivan Nursing Institutes on the horizon? Robertson explains the importance of 18 The fi rst of regular updates 36 There are still clear gaps in resilience for both from the CPHVA Executive life expectancy and health health and work, and depending on where you how to strengthen it 19 Head of health Sarah live – what’s going on? Carpenter looks back on 2017 and ahead to an 40 Being unable to afford the NHS milestone in 2018 basic necessity of sanitary protection is sadly a reality 20 John Bird, co-founder for many girls in the UK 29 of The Big Issue empire explains how we can truly lift people out of poverty FEATURES 22 How to stay healthy in January and beyond 24 Loneliness doesn’t COVER 40 STORY discriminate, but has been labelled an epidemic, RESEARCH reports Phil Harris 44 The eff ectiveness of a 20 service which attempts to 29 Digestive disorders are tackle second pregnancies common, yet the symptoms among teenagers who can be confusing already have a child December/January 2018 Community Practitioner 3 3 Cnens.indd 3 21/12/2017 0:5 NEW NUTRITION CPD MODULE NUTRITIONAL VALUE OF THE WEANING DIET The CPD module will: • Nutritional value of the weaning diet • What do infants and young children really eat? • The latest research on nutrition • Dietary concerns • Portion sizes Visit: communitypractitioner.co.uk for further information on the module. Wp04.CPJAN2018.indd 4 11/12/2017 11:07 EDITORIAL Sticking together... Unite-CPHVA Existing Unite-CPHVA members with queries Welcome to our December/January issue. relating to their membership should contact 0845 850 4242 or see unitetheunion.org/ contact_us.aspx for further details. To join Unite-CPHVA, see Loneliness was once a plight highlighted at certain times of year such as Christmas, or as unitetheunion.org being mostly about elderly members of the community. But as we see on page 24, and Unite-CPHVA is based at 128 Theobald’s Road as you may have observed in your own professional practice, no one is immune from London loneliness, nor is it just a seasonal affl iction. Despite the persisting public misconceptions, WC1X 8TN 020 3371 2006 a person of any age can feel lonely, even when they’re surrounded by loved ones. It’s also sadly a rising issue among children. We’ve saved the startling stats for the piece itself, but Community Practitioner Unite-CPHVA members receive the journal free suffi ce to say, recognition of the problem and ensuing calls for action, have been gathering each month. Non-members and institutions pace. What’s also clear however, is that there are positive actions we can all take, and it starts may subscribe to the journal to receive it. by checking on your nearest and dearest. Non-member subscription rates Individual (UK) £135.45 In this edition, we also speak to the inspiring John Bird, co-founder of The Big Issue empire. Individual (rest of world) £156.45 On page 20, he talks about fi ghting social injustice, how to truly lift people out of poverty, Institution (UK) £156.45 Institution (rest of world) £208.95 and his future plans to tackle these issues. Subscription enquiries may The rest of the journal is packed with the usual thought-provoking features (are we really be made to Community Practitioner subscriptions still talking about health inequalities? Sadly yes, the need is still very much there – see Redactive Publishing Ltd our report on page 36 and related concerns on page 40). We fi nish on the importance of PO Box 35 Robertsbridge TN32 5WN developing resilience – in your career and for wellbeing. t: 01580 883844 We’d also like to take this opportunity to say a big ‘Happy New Year’ to all of you, and [email protected] to draw your attention to an exciting 2018 and beyond for Community Practitioner. From The journal is published on behalf of Unite-CPHVA by Redactive Media Group, February, your professional journal will have a new look and feel. You’ll fi nd the same quality 78 Chamber Street, London E1 8BL news, research, professional advice and insightful reports as you do now, but it will all be 020 7880 6200 within a refreshed publication. Expect a revamped design, new formats and even Editorial advisory board Obi Amadi, Lucretia Baptiste, a more portable size (270mmx210mm to be precise). The journal will also land 10 times a Toity Deave, Barbara Evans, year, with a summer edition in July/August and a winter edition at the end of the year. Gavin Fergie, Elaine Haycock-Stuart, Brenda Poulton, Janet Taylor We’re also delighted to welcome our new professional editor to the journal, Jillian Taylor, who will now be on board moving forwards. Jillian is a longstanding member of the CPHVA, Editorial team Emma Godfrey-Edwards, managing editor and has previosuly presented her work on these pages. She is currently a lecturer in public Aviva Attias, deputy editor health nursing (health visiting) at the University of the West of Scotland. [email protected] Hollie Ewers, assistant editor As always, if you have any feedback on the articles featured, or you’d like to suggest ideas Jillian Taylor, professional editor for the future (especially given the upcoming refresh) then please get in touch. Whether you Chloe Crisford, picture editor Nicholas Daley, senior designer want to share your practice experiences, you’ve been inspired by a news story, or you have a research paper you’re keen to submit – we want to hear from you. We really want to hear Unite health sector officers National officers: Sarah Carpenter and your thoughts and help drive the journal forward together. Please send an outline of any Colenzo Jarrett-Thorpe proposed features or papers to Aviva Attias at [email protected] Lead professional officers: Obi Amadi; Jane Beach; Gavin Fergie; Dave Munday; and Ethel Rodrigues Until next issue... Advertising queries Alex Edwards The Community Practitioner editorial team [email protected] 020 7324 2735 Production Jane Easterman [email protected] 020 7880 6248 Printed by Warners © 2018 Community Practitioners’ and Health Visitors’ Association ISSN 1462-2815 The views expressed do not necessarily represent those of the editor nor of Unite-CPHVA. Paid advertisements in the journal do not imply endorsement of the products or services advertised. December/January 2018 Community Practitioner 5 5 Editorial.indd 5 02/01/2018 16:20 NEWS ROUND-UP NEWS ROUND-UP A look at the latest in public health UK ENGLAND Welfare reform to push a million WALES Police see surge in more children into poverty sexting cases The number of children living in poverty The poorest parts of the country will see The number of children in England and in the UK will soar to a record 5.2 million the sharpest rise, with the largest increases Wales involved in sexting off ences – – or 37% of all children – over the next in the North East, East Midlands, Wales and sending or possessing sexual images of fi ve years, new research says. Northern Ireland. themselves or others – has more than The Institute for Fiscal Studies (IFS) But poverty rates for working-age adults doubled since 2014-15, police say. They predicts that freezing benefi ts, the without children and for pensioners would recorded more than 6200 incidents this introduction of universal credit and less remain largely unchanged, the IFS fi nds. year, up from 2700 two years ago. generous tax credits will play a major part The report also predicts that the gap Some cases involve children as in pushing one million more children into between rich and poor will widen further, young as 10, though incidents peak poverty by 2021-22. Families already at and that the country can expect four more with 14-year-old boys. But the number greater risk of poverty – including lone years of weak income growth. of children charged has more than parents, those with very young children, See page 36 for our report on health halved due to the new ‘outcome larger families and those with a disability inequalities in the UK. 21’, which allows forces to deal with – will be especially hard-hit. ●Read the IFS report at bit.ly/UK_IFS off ences without criminalising children if there is no evidence of exploitation or malicious intent. Chief constable Simon Bailey, National Police Chiefs’ Council lead for child protection, said: ‘Parents, carers and schools have a crucial role to play in talking to children about what a healthy relationship looks like, their boundaries, consent and the ramifi cations of sharing sexual imagery.’ ● Read more at bit.ly/EW_sexting 6 Community Practitioner December/January 2018 es Rnd.indd 03/01/201 12:35 NEWS ROUND-UP KEY FIGURES £6.87m The money the ACE programme has received WALES Funding boost for 14% ACE programme The percentage of adults in An all-Wales programme to help police deal The three-year award from the Home Offi ce’s Wales who had four or more with vulnerable people via early intervention police transformation fund is a result of a ACEs before reaching 18 and root-cause prevention has received a collaborative bid between Public Health Wales, £6.87m boost.