Is Anyone Listening?
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THE JOURNAL OF THE COMMUNITY PRACTITIONERS’ AND HEALTH VISITORS’ ASSOCIATION MAY 2018 COMMUNITYPRACTITIONER.CO.UK I waswas bornborn in the wrong body – God made a mistake 14:2727 Don’t worry, it’s just + PLANT POWER a phase...e... you’ll IS A VEGAN DIET grow out of itt RIGHT FOR CHILDREN? 14:36 PARKINSON’S THE ISSUES WHEN DIAGNOSED UNDER 40 HEALTH LITERACY POLICY, PRACTICE AND NEXT STEPS IS ANYONE LISTENING? Trans young people still face stigma & their health is suffering 01 COVER_FINAL.indd 1 27/04/2018 12:21 Cleanse and protect newborn skin from day 1 6SHFLDOO\FUHDWHGIRUGDLO\XVHRQEDE\óVGHOLFDWHVNLQ JOHNSON’S® TOP-TO-TOE®%DE\%DWKLV • Independently proven to be as mild on baby’s skin as water alone, from day one1 • pH balanced so will maintain baby’s natural skin pH • Hypoallergenic* • Free of phthalates, parabens, soap, and dye The JOHNSON’S® TOP-TO-TOE® range also includes Baby Massage Oil, Baby Massage Lotion, Moisturising Baby Cream and Baby Washcloths. The JOHNSON’S® brand is committed to developing safe, PLOGDQGHıHFWLYHEDE\SURGXFWVWKDWFRQWULEXWHWRKHDOWK\ skin development. For more information about taking care of newborn skin please visit http://www.johnsonsbaby.co.uk/skincare/newborn-skin We welcome any feedback, please email us at [email protected] *Formulated to minimise the risk of allergies 1 Lavender T, Bedwell C, Roberts SA, et al. Randomised, controlled trial evaluating a baby wash product on skin barrier function in healthy, term neonates. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2013; 42, 203-214. JOHNSON’S® is a partner in the RCM Alliance Programme UK/JOB/16-8100(2) p02.CPMAY2018.indd 2 25/04/2018 11:30 CONTENTS May 2018 | Vol 91 | No 04 34 COVER STORY 24 ‘Trans’ is considered more respectfulul and inclusive than ‘transgender’ or ‘transsexual’ Trans can refer to anyone whose genderr identity does Epilepsy can affect people not completely matchh the sex in different ways they were assigned at birthh Celebrating unsung NHS heroes 14 40 Is a vegan diet Exploring health suitable for 18 literacy in the UK children? NEWS 14 BIG STORY 20 VOICE OF A STUDENT 27 DIVERSITY IN PRACTICE Reading you loud and Abigail Swindail: I want A focus on Islam and 7 NEWS IN NUMBERS clear? Improving the to question NHS strategy the impact of religion Your at-a-glance guide UK’s health literacy and culture on practice 21 RIGHTS AT WORK 8 PUBLIC HEALTH LATEST OPINION Sarah Carpenter answers 30 CONTINUING A look at what’s new questions on the new HEALTHCARE 17 THE BIG QUESTION NHS pay framework FOR THE ELDERLY 10 PROFESSIONAL UPDATE Will the ‘sugar tax’ have How to determine Your round-up of the desired positive effect PRACTICE eligibility for NHS- professional news on public health? funded extra care 24 CLINICAL 12 GLOBAL RESEARCH 18 FEEDBACK A cerebral matter – a 33 24 HOURS WITH… Recent findings from Windrush 70 awards, and look at epilepsy and its Alimatu Dimonekene, COVER: ISTOCK COVER: around the world a call for new trustees links with deprivation anti-FGM advocate 3 COMMUNITY PRACTITIONER | MAY 2018 3-5 CONTENTS/EDITORIAL.indd 3 27/04/2018 12:22 Dippy eggs now safe for all! Ma^ ?hh] LmZg]Zk]l :`^g\r aZl \hgÛkf^] maZm bml lZ_^ _hk bg_Zgml% \abe]k^g%ik^`gZgmphf^gZg]^e]^keri^hie^mh^Zmma^bk^``lknggr% ^gchrbg`Zeema^`hh]g^llma^r\hgmZbgZlehg`Zlma^raZo^ma^;kbmbla EbhglmZfihg' British Lion eggs are approved by the Food Standards Agency to be served runny, or even raw, to pregnant women, young children and elderly people LgÚf\gmlegj]YZgml:jalak`Dagf]__knakal]__af^g&[g&mc p04.CPMAY2018.indd 4 25/04/2018 11:32 FEATURES 34 COVER STORY Is anyone listening? Young WELCOME trans people face stigma and bullying, and are from Emma, Aviva and Hollie suffering from mental and physical health problems, writes Phil Harris Th e nation celebrated at the end of last month when the third royal baby for William and Kate entered this world. But what kind of world is he entering? One we hope 40 PLANT-POWERED PARENTING with more tolerance and understanding. For this issue, the cover story (page 34) Veganism is no longer a fringe uncovers some startling truths about the diffi culties trans young people are facing, choice – but can children just for being themselves. Th eir physical and mental health is suffering and they’re really be raised healthily on accessing healthcare less often. An alarming 84% of trans young people in the UK a plant-based diet? Radhika have self-harmed. Is there anything you can do as a community practitioner to help Holmström asks a panel of ensure they’re as healthy and happy as they should be? parents and professionals On the topic of raising children – would you, or do you, give your offspring an exclusively vegan diet? Veganism has gone from being an ‘out-there’ option to a RESEARCH mainstream choice, but is it adequate nutritionally for little ones growing up? We cross-examine a panel of specialists on page 40 to help fi nd the answer. 44 ASSISTING YOUNG Health conditions covered this month include epilepsy (page 24) and PEOPLE IN CARE young-onset Parkinson’s (page 48). As our contributor explains, being diagnosed A programme for looked-after with Parkinson’s when children allowed them to you’re mid-career or with increase their self-confidence a young family to support, and build resilience presents a unique set of issues to have to manage. PROFESSIONAL PAUSE Please do let us know what you think of the articles 48 DO I NEED TO TELL MY BOSS? featured, via any of the Writer Tim Carroll highlights channels below, and please the daily struggle of keep on suggesting ideas living with ‘young-onset’ for the future. Parkinson’s, and the role Th ank you in advance... practitioners can play JOIN THE CONVERSATION aviva@ communitypractitioner.co.uk facebook.com/CommPrac twitt er.com/commprac Non-member subscription rates Editorial team Printed by Warners Individual (UK) £135.45 Managing editor Emma Godfrey-Edwards © 2018 Community Practitioners’ and Individual (rest of world) £156.45 Deputy editor Aviva Attias Health Visitors’ Association Institution (UK) £156.45 [email protected] Institution (rest of world) £208.95 Assistant editor Hollie Ewers ISSN 1462-2815 Unite-CPHVA Subscription enquiries may be made to Content sub-editor James Hundleby The views expressed do not necessarily Existing Unite-CPHVA members with Community Practitioner subscriptions Professional editor Jillian Taylor represent those of the editor nor of queries relating to their membership Redactive Publishing Ltd Senior designer Nicholas Daley Unite-CPHVA. should contact 0845 850 4242 or see PO Box 35 Picture editor Chloe Crisford unitetheunion.org/contact_us.aspx for Robertsbridge TN32 5WN Advertising Paid advertisements in the journal do further details. 01580 883844 Sales executive Gordana Jevic not imply endorsement of the products [email protected] or services advertised. To join Unite-CPHVA, see [email protected] unitetheunion.org The journal is published on behalf of 020 7324 2735 Unite-CPHVA by Redactive Media Group, Any Unite-CPHVA member wishing Production to change their address or contact Unite-CPHVA is based at 78 Chamber Street, London E1 8BL Production director Jane Easterman 128 Theobald’s Road London WC1X 8TN 020 7880 6200 details must get in touch with their 020 3371 2006 Unite health sector officers local Unite office. Editorial advisory board National officers Sarah Carpenter and Community Practitioner Obi Amadi Lucretia Baptiste Mandy Brimble Colenzo Jarrett-Thorpe Unite-CPHVA members receive the journal Toity Deave Barbara Evans Gavin Fergie Lead professional officers Obi Amadi free. Non-members and institutions may Elaine Haycock-Stuart Brenda Poulton and Jane Beach Gavin Fergie Dave Munday subscribe to receive it. Sarah Reddington-Bowes and Ethel Rodrigues 5 COMMUNITY PRACTITIONER | MAY 2018 3-5 CONTENTS/EDITORIAL.indd 5 27/04/2018 12:22 p06.CPMAY2018.indd 6 25/04/2018 11:32 ◗ NEWS NEWS IN NUMBERS 1 in 17 elderly residents in long-term care facilities in % Scotland has a healthcare-associated infection 9 (HCAI), according to Health Protection Scotland The drop in the number of school nurses working in Skin and the NHS in England over Respiratory Urine soft tissue the past year, according to NHS Digital statistics. In 2017, there were 2337, 38% 31% 23% compared with 2562 in 2016 and 2675 in 2015 ...infections make up the majority of HCAIs 95% were ‘satisfied’ or ‘very 1860ambulance calls in Wales classed as A Prince’s Trust satisfied’ with Wales’ pilot ‘amber’ or non-life-threatening over non-emergency NHS report found 3 winter months took longer than helpline. In its first six 6 hours to respond to, figures show months, it took 71,000 calls. Now the 111 service will 44% of young people in be rolled out across Wales Northern Ireland say they have experienced a Teenagers in the UK are mental health problem 2x more likely to be obese if they recall seeing junk food adverts every day 68% 33% reported compared with revealed they always those who didn’t they always or oft en see any for over or oft en feel hopeless a month feel stressed Find links to relevant reports and surveys highlighted in the news stories at bit.ly/CP_news_in_numbers 7 COMMUNITY PRACTITIONER | MAY 2018 7 News In Numbers.indd 7 26/04/2018 16:36 NEWS PUBLIC HEALTH LATEST KEY SCHOOLS WARNED OF SURGE IN SCARLET FEVER Video Public Health Wales has SYMPTOMS with trends we have seen writt en to schools and INCLUDE A HIGH over the past few years nurseries across Wales to in Wales’.