The Public Health System in England: a Scoping Study
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Prime Ministers Challenge on Dementia 2020
Prime Minister’s Challenge on Dementia 2020 Implementation Plan March 2016 You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government-licence/ © Crown copyright Published to gov.uk, in PDF format only. www.gov.uk/dh Prime Minister’s Challenge on Dementia 2020 Implementation Plan Prepared by the Dementia Policy Team Contents 1 Contents 1. Foreword 3 2. Executive Summary 5 3. Introduction 8 Implementing the Prime Minister’s Challenge on Dementia 2020 8 Reviewing our progress 9 How we engaged on this plan 9 Engaging with people with dementia and carers 9 4. Measuring our progress 11 Metrics and Measurement 11 Public Health England Dementia Intelligence Network 11 NHS England CCG Improvement and Assessment Framework 12 Governance 13 Where we want to be by 2020 13 5. Delivery priorities by theme 16 a) Continuing the UK’s Global Leadership role 17 WHO Global Dementia Observatory 18 World Dementia Council (WDC) 18 New UK Dementia Envoy 18 A global Dementia Friendly Communities movement 18 Dementia Research Institute 19 International Dementia Research 19 Dementia Discovery Fund 19 Integrated development 20 European Union Joint Action on Dementia 20 International benchmarking on prevention, diagnosis, care and support 21 How will we know that we have made a difference? 21 2 Prime Minister’s Challenge on Dementia 2020 b) Risk Reduction 22 Progress since March 2015 23 Key Priorities -
Cardiovascular Disease Prevention (Nice.Org.Uk)
Cardiovascular disease prevention Public health guideline Published: 22 June 2010 www.nice.org.uk/guidance/ph25 © NICE 2021. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights). Cardiovascular disease prevention (PH25) Your responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. © NICE 2021. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- Page 2 of conditions#notice-of-rights). -
The Four Health Systems of the United Kingdom: How Do They Compare?
The four health systems of the United Kingdom: how do they compare? Gwyn Bevan, Marina Karanikolos, Jo Exley, Ellen Nolte, Sheelah Connolly and Nicholas Mays Source report April 2014 About this research This report is the fourth in a series dating back to 1999 which looks at how the publicly financed health care systems in the four countries of the UK have fared before and after devolution. The report was commissioned jointly by The Health Foundation and the Nuffield Trust. The research team was led by Nicholas Mays at the London School of Hygiene and Tropical Medicine. The research looks at how the four national health systems compare and how they have performed in terms of quality and productivity before and after devolution. The research also examines performance in North East England, which is acknowledged to be the region that is most comparable to Wales, Scotland and Northern Ireland in terms of socioeconomic and other indicators. This report, along with an accompanying summary report, data appendices, digital outputs and a short report on the history of devolution (to be published later in 2014), are available to download free of charge at www.nuffieldtrust.org.uk/compare-uk-health www.health.org.uk/compareUKhealth. Acknowledgements We are grateful: to government statisticians in the four countries for guidance on sources of data, highlighting problems of comparability and for checking the data we have used; for comments on the draft report from anonymous referees and from Vernon Bogdanor, Alec Morton and Laura Schang; and for guidance on national clinical audits from Nick Black and on nursing data from Jim Buchan. -
DEMENTIA HEALTH NEEDS ASSESSMENT for DEVON September 2014
DEMENTIA HEALTH NEEDS ASSESSMENT FOR DEVON September 2014 Contents Acknowledgments 3 1 Introduction 4 2 Background 4 3 Dementia and Risk Factors 5 4 Devon Summary 7 Demographics Updated Dementia Strategy for Devon 2013 to 2015 Devon Achievements so far 5 Dementia Characteristics 10 Types and Severity 6 Early Onset Dementia in Devon 12 7 Incidence and Prevalence of late onset Dementia in Devon 14 8 Relevant groups 17 Ethnic minorities, Down’s syndrome, LGBT 9 Projecting Future Need in Devon 20 10 Prescribing trends nationally and locally 23 11 Dementia in Primary Care 24 12 Dementia in Secondary care 27 13 Dementia and End of life care 31 14 Dementia and Social Services available in Devon 32 15 Views of local carer representatives and stakeholders 38 16 Discussions and considerations 44 17 Recommendations 45 Appendices 46 Summary of NICE guidelines / national dementia Strategies Literature review methodology Supplement of Dementia Evidence Review on services in Primary care, Secondary care, End of life care and Social care 2 Acknowledgements I would like to thank the Older People’s Mental Health Working Group and Devon Dementia Partnership Group who took part in the consultative meeting and getting local patients and carers to participate in a survey to enrich this Health Needs Assessment. Dr Nick Cartmell, previously Chair to the Older People’s Mental Health Working Group and Jenny Richards, Dementia Commissioning Manager for reviewing earlier stages of this report and providing information on dementia services locally. The Public Health Directorate; Steve Brown, Assistant Director of Public Health, Public Health Consultants Tina Henry and Mike Wade and Simon Chant, Public Health Intelligence Lead for their support and guidance. -
Mental Health Statistics for England: Prevalence, Services and Funding
BRIEFING PAPER Number 6988, 23 January 2020 Mental health statistics By Carl Baker for England: prevalence, services and funding Contents: 1. How widespread are mental health problems? 2. People in contact with NHS mental health services 3. IAPT: talking therapies for depression and anxiety 4. Other waiting times 5. Funding for mental health services www.parliament.uk/commons-library | intranet.parliament.uk/commons-library | [email protected] | @commonslibrary 2 Mental health statistics for England: prevalence, services and funding Contents Summary 3 1. How widespread are mental health problems? 4 1.1 Depression, anxiety and other common mental disorders 4 1.2 Post-traumatic stress disorder 8 1.3 Bipolar disorder 8 1.4 Psychotic disorder 9 1.5 Suicidal thoughts and self-harm 9 1.6 Mental health and physical health 11 1.7 Children and young people’s mental health 11 2. People in contact with NHS mental health services 12 2.1 Age and gender 12 2.2 Ethnicity 13 2.3 Variation between local authority areas 13 3. IAPT: talking therapies for depression and anxiety 15 3.1 National data on talking therapies 15 3.2 Age, gender, ethnicity and other characteristics 16 3.3 Waiting times: local data 20 3.4 IAPT outcomes: local data 23 3.5 Other local IAPT data 25 4. Other waiting times 26 4.1 Early Intervention in Psychosis 26 4.2 Children and young people’s eating disorder services 27 5. Funding for mental health services 28 Finding data on mental health in England • NHS England’s Mental Health Five Year Forward View Dashboard covers information on funding and service activity, both nationally and locally. -
View 2009/10 Contents
Royal College of Physicians and Surgeons of Glasgow Annual Review 2009/10 Contents CONTENTS President’s Review .................................................................................. 2 Looking Back, Going Forward ................................................................ 5 Chief Operating Officer Registrar’s Review .................................................................................. 6 Treasurer’s Report .................................................................................. 8 COLLEGE UNITS Delivering Excellence ............................................................................ 10 Education and Professional Development Setting Standards ................................................................................. 12 Examinations and Assessment Quality Services .................................................................................... 14 Membership Services SPECIAL FOCUS Changing Lives ..................................................................................... 21 SUPPORTING DISCIPLINES Physicians ............................................................................................ 22 Surgeons .............................................................................................. 23 Dental ................................................................................................... 24 Travel Medicine ..................................................................................... 26 WORKING TOGETHER 28 Intercollegiate Involvement LEADING HEALTHCARE -
Health Equity in England : the Marmot Review 10 Years On
HEALTH EQUITY IN ENGLAND: THE MARMOT REVIEW 10 YEARS ON HEALTH EQUITY IN ENGLAND: THE MARMOT REVIEW 10 YEARS ON HEALTH EQUITY IN ENGLAND: THE MARMOT REVIEW 10 YEARS ON 1 Note from the Chair AUTHORS Report writing team: Michael Marmot, Jessica Allen, Tammy Boyce, Peter Goldblatt, Joana Morrison. The Marmot Review team was led by Michael Marmot and Jessica Allen and consisted of Jessica Allen, Matilda Allen, Peter Goldblatt, Tammy Boyce, Antiopi Ntouva, Joana Morrison, Felicity Porritt. Peter Goldblatt, Tammy Boyce and Joana Morrison coordinated production and analysis of tables and charts. Team support: Luke Beswick, Darryl Bourke, Kit Codling, Patricia Hallam, Alice Munro. The work of the Review was informed and guided by the Advisory Group and the Health Foundation. Suggested citation: Michael Marmot, Jessica Allen, Tammy Boyce, Peter Goldblatt, Joana Morrison (2020) Health equity in England: The Marmot Review 10 years on. London: Institute of Health Equity HEALTH FOUNDATION The Health Foundation supported this work and provided insight and advice. IHE would like to thank in particular: Jennifer Dixon, Jo Bibby, Jenny Cockin, Tim Elwell Sutton, Grace Everest, David Finch Adam Tinson, Rita Ranmal. AUTHORS’ ACKNOWLEDGEMENTS We are indebted to the Advisory Group that informed the review: Torsten Bell, David Buck, Sally Burlington, Jabeer Butt, Jo Casebourne, Adam Coutts, Naomi Eisenstadt, Joanne Roney, Frank Soodeen, Alice Wiseman. We are also grateful for advice and insight from the Collaboration for Health and Wellbeing. We are grateful for advice and input from Nicky Hawkins, Frameworks Institute; Angela Donkin, NFER; and Tom McBride, Early Intervention Foundation for comments on drafts. -
Dementia, Equity and Rights
Dementia Equity and Rights Contents Contributors 1 Foreword 3 Executive summary 4 Overarching themes 5 Introduction 7 Oldest people with dementia 9 Young onset dementia 13 Dementia and disabilities 16 Mental health and dementia 22 Dementia and black and minority ethnic communities 26 Women with dementia 33 Socio-economic status 41 Sexual orientation and gender reassignment 45 Links, resources, and further information 49 References 51 We would like to thank the following organisations for photographs supplied: Jewish Care (page 8); Age UK (page 10); CLS Group (page 12) Contributors Many people contributed to this report, either by supplying a case study, a photograph, or proof reading the document. We are grateful for their help, for without their contribution this unique piece of work would not be complete. The individual chapters were written by the following voluntary and community sector organisations. All the organisations, with exception of Joseph Rowntree Foundation and Young Dementia UK, are members of the Strategic Partners Programme which brings together expertise from the voluntary and community sector. The Programme has 22 programme members, six of which are consortia. Partners work together on key aspects of health, social care, and public health policy with system organisations - Department of Health (DH), Public Health England (PHE) and NHS England (NHSE) - on behalf of patients, service users and the wider public. The strategic partners work directly with policy makers and co-produce specifc projects. This publication is an example of that co-production. Age UK Age UK help people enjoy a better later life by providing life-enhancing services and vital support. -
Emerging Evidence on the NHS Health Check: Findings and Recommendations
Emerging evidence on the NHS Health Check: findings and recommendations A report from the Expert Scientific and Clinical Advisory Panel 2 Emerging evidence on the NHS Health Check: findings and recommendations Contents Foreword 3 Moving forward: ESCAP’s recommendations for action 17 1. NHS Health Check coverage 17 Background 5 2. Take-up 17 The case for action on prevention 6 3. Patients’ perspectives 19 Putting prevention first 6 4. Professionals’ perspectives 19 Preventing CVD 6 5. The programme’s impact 20 An integrated approach to preventing CVD 7 6. Research 21 The continuing case for NHS Health Checks 7 References 22 NHS Health Check: the latest figures 11 Contacts and acknowledgments 25 NHS Health Check programme: rapid evidence synthesis 2016 12 Key findings 12 Foreword 3 Foreword Over the past 20 years we have seen considerable Despite being underpinned by a comprehensive evidence base on the gains in life expectancy, largely due to reductions effectiveness of its component parts, and by National Institute for Health in deaths from cardiovascular disease (CVD) and and Care Excellence (NICE) recommendations, there has been very little cancer. While this is a great achievement it direct evidence on the effectiveness of comparable programmes. This has highlights the lack of similar improvements in understandably led to a degree of criticism and scepticism (3). the number of years spent in ill health due to In 2014, PHE established the NHS Health Check Expert Scientific and these and other non-communicable diseases. Clinical Advisory Panel (ESCAP) explicitly to keep the evidence on the NHS Increasing longevity without corresponding Health Check programme under review. -
Priorities for Tackling the Obesity Crisis in England
Priorities for tackling the obesity crisis in England Expert agreement on what needs to be done October 2016 Obesity- and diet-related diseases are reaching Food Environment Policy Index (Food EPI) catastrophic proportions Food EPI is a tool for evaluating how well food policies are tackling diet- The UK has the second highest rate of related disease in relation to international best practice. It was developed by obesity in Europe. One in four adults is an international network of experts called INFORMAS.* The method has been now obese and half the adult population applied in several countries and described in The Lancet medical journal. It is predicted to be obese by 2050 (1). involves the following steps: Diabetes now affects more than four 1. Documenting all the relevant Food EPI covers all aspects of million people in the UK and this figure policies to produce an Evidence food, including: is projected to rise to five million by Paper, which is checked for – Composition 2025 (2). The majority of cases (90%) accuracy and comprehensiveness – Labelling are type 2, which is strongly associated by government officials. – Promotion with obesity. This diet-driven crisis is 2. Bringing a range of experts – Provision crippling the National Health Service together to rate the policies – Retail (NHS). The costs associated with being in terms of how well they are – Prices overweight or obese are £6.1bn every implemented compared with – Trade and investment year for the NHS and £27bn for the examples of best practice – Leadership wider economy (3). in other countries and – Governance Much more needs to be done identifying gaps. -
Live Well: Diet, Physical Activity and Obesity
Classification: OFFICIAL Live Well: Diet, Physical Activity and Obesity Profile Information Profile title Live Well: Diet, Physical Activity and Obesity Profile owner Knowledge and Intelligence, Public Health, Derby City Council Profile author(s) Leila Pinder Profile information reviewed August 2016 Profile endorsed by JSNA Steering Group Reviewer Andrew Muirhead Current version 24/08/2016 Replaces version N/A Section Lifestyle: Live Well Contents Live Well: Diet, Physical Activity and Obesity ......................................................................................... 1 The importance of diet, physical activity and a healthy weight ............................................................. 4 Living a healthy lifestyle .......................................................................................................................... 4 Recommendations .................................................................................................................................. 5 Diet and Nutrition ................................................................................................................................... 6 Diet and nutrition introduction............................................................................................................... 6 First 1,000 days of life ......................................................................................................................... 6 Reduce sugar, salt and saturated fat intake ...................................................................................... -
MS 353 A1081 Papers of Sir Donald Acheson 1 Close the Gap Committee
1 MS 353 A1081 Papers of Sir Donald Acheson 1 Close the Gap committee: correspondence; World Bank Staff 1993-5 appraisal report on the Republic of Hungary health services and management project, March 5 1993; project proposal `Strengthening public health policy and action'; terms of reference; preliminary report on the health behaviour survey, 94, produced by the Central Statistical Office, Budapest, 1995; `Organizational and operational rules of the Close the Gap committee'; copy of a pamphlet Guidelines for the use of consultants by World Bank borrowers and by the World Bank as executing agency; `Health care in developed countries: what will be the key changes in the 1990s?': paper to the second Hungarian seminar on quality assurance in health care, Jun 1993; off-prints of journal articles; minutes of committee meetings; curricula vitae of committee members; `Is travel prophylaxis worthwhile? An economic appraisal of prophylactic measures against malaria, hepatitis A and typhoid in travellers' by R.H.Behrens and J.A.Roberts 2 Close the Gap committee: correspondence; faxes; Principles of a 1993-4 long-term health promotion policy in Hungary (Budapest, Apr 1994); The programme of the government of the Republic of Hungary, 1994-1998; minutes of committee meetings; paper on progress and issues with regard to the Republic of Hungary health services and management project; papers of the second committee meeting, Budapest, Apr 1994; copy of paper on the North Karelia Project, Finland, by the National Public Health Institute; papers relating