Remember the considerable concern at the significant fall in the numbers of District Nurses.? Partly as a result of pressure from the nursing profession they DH published a 'new vision and service model' for district nursing. This was developed by a partnership of the Department of
Health, NHS Commissioning Board Authority, The Queen’s Nursing Institute, and with the District Nurse leaders and practitioners. Its intention was to set out the foundations of
district nursing services. Yet with much of this strategy 'value and practice based' there was no mention of tackling the continuing decline in staff numbers.
New LA excess weight data published by Public Health England confirms 64% of adults overweight or obese. To view information go to PHE Obesity
The total fertility rates of UK-born women increased by around 18% from1.56 in 2001 to1.84 in 2011. The total fertility rates of non-UK born women in England and Wales were the same in 2001 and 2011 (2.21 in both years respectively. In 2011 there were 724,000 live births in England and Wales, a 22% increase on 2001. For full information go to Office of National Statistics
Abuse of Vulnerable Adults in England - 2012-13, Final report,- Safeguarding alerts incr by 20% since last year Physical abuse and neglect were the most common types of abuse reported in referrals, accounting for 28 per cent and 27 per cent respectively of all allegations. Alleged abuse was more likely to occur in the vulnerable adults own home or a care home. These are experimental statistics and the HSCIC is seeking feedback from the public in their development. To view data go to HSCIC
Males accounted for approximately 65% of all alcohol-related deaths in the UK in 2012. Alcohol-related deaths UK.
Twenty areas across England and Wales are being set up as Local Alcohol Action Areas (LAAAs)
Preventing suicide in England: one year on The first annual report on cross-government outcomes strategy to save lives while indicating that suicide rates had shown a slight increase in recent years also stated that the Policy Research Programme is investing £1.5m over three years into six projects:
• Understanding and helping looked-after young people who self-harm
• Understanding lesbian, gay, bisexual and trans adolescents' suicide, self-harm and help-seeking behaviour
• Self-harm in primary care patients: a nationally representative cohort study
examining patterns of attendance, treatment and referral, and risk of self-harm
repetition, suicide and other causes of premature death
• Exploring the use of the Internet in relation to suicidal behaviour and identifying priorities for prevention
• Understanding the role of social media in the aftermath of youth suicides
• Risk and resilience: self-harm and suicide ideation, attempts and completionamong high risk groups and the population as a whole.
To read the full report click on link Preventing suicide in England: One year on
Mental Health Crisis Care Concordat - Improving outcomes for people experiencing mental health crisis
In a month that Gov announced a new concordat to impove outcomes for people experiencing mental health crisis we also read of children being sent many miles from home to be treated in adult mental health beds due to shortages of appropriate care. At the same time the number of people detained in hospital under the Mental Health Act continues to rise as a survey by Community Care showed the severe pressure being placed on mental as health services beds close. See updated Blog for more
HSCIC workforce statistics for Nov 2013 show a national average increase. however this national average disguise sthe fact that on close rinspection in staffing disguise the fact that in 11 out of 13 areas of the country there have been staff reductions. While the largest increase in staffing, over 86%, has been in the new administrative organisations, Special HAs like Health Education England
Securing a health service fit for the future
In early February it was announced that Monitor, NHS England and the NHS Trust Development Authority had agreed to fund a series of projects to help groups of commissioners and providers in 11 'financially challenged areas work together to develop integrated five-year plans that effectively address the particular local challenges they face.
Winter Health Check
The Winter Health Check continues to show increasing pressure on NHS Hospitals compared to previous years with rising emergency admissions. This is despite 2013/14 being a much milder winter. The temptation is to ask is this pressure really to do with winter and somethjng that will pass with the onset of Spring and Summer or is it a signal of a much deeper malaise as community care services are cut and hospitals come under pressure to close beds, discharging increasingly poorly patients earlier into the community and make savings.Continued
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