Professional Documents
Culture Documents
Health Inequalities Bulletin 20 - July-August 2009
Health Inequalities Bulletin 20 - July-August 2009
Aims to draw attention to some of the key documents and reviews of research
in health inequalities that have been published in the two previous months.
Where possible, links to the full text documents are included. If the article is in
a journal, you can contact the Health Library for a copy.
Link to request form: http://www.keele.ac.uk/depts/li/hl/illjournal.htm
[A charge of £2 per request is payable for most copies]
If you need further assistance in obtaining any of the resources listed in the
bulletin or have other information needs, please contact the Outreach
Librarians or the Health Library, details below.
The bulletin can be e-mailed to colleagues who may also find it useful.
A list of websites that are checked in the production of this bulletin are listed
on the first page. Please suggest others that may be useful.
Topics reviewed
Black and Ethnic Minorities
Contact information Breastfeeding
Children and Young People
NHS Outreach Librarians Immunisation/Vaccination
Tel: 07834 115958 [please leave a message] Inequalities
E-mail: jayne.hickton@northstaffs.nhs.uk Lifestyles
Men’s Health
Mental Health
Health Library Nutrition
Tel: 01782 556565 Obesity
Fax: 01782 556582 Older People
E-mail: health.library@keele.ac.uk Oral Health
Partnerships
Physical Activity
Public Health
Screening
Sexual Health
Smoking
Substance Misuse
List of other Public Health and Primary Care update services published in Staffordshire
Title Focus Contact & Tel Email and website
Organisation
Daily Health Bulletin Daily e-mail update on Sheffield Health 0114 271 1167 health.bulletin@sheffield.nhs.uk
new publications from Informatics Service
the DH and NHS Or contact Jayne
Hickton to be added to jayne.hickton@northstaffs.nhs.uk
circulation list
Clinical Effectiveness Bi Monthly update of Jayne Hickton – NHS 07834 115958 jayne.hickton@northstaffs.nhs.uk
Bulletin reviews of evidence on Outreach Library
clinical effectiveness Service North Staffs
HP Source Monthly news and Health Improvement 01782 298193 Issues of HP Source are published on
update on health Library the Health Promotion website:
promotion issues with http://www.hpns.nhs.uk/library-
emphasis on evidence resources/index.htm
based information
Health Management Weekly update of news Kelly Danks-Hyden 01889 571730 kelly.danks-
Bulletin and information relating South Staffs Health hyden@southstaffspct.nhs.uk
to health management Management Library
Public Health Bulletin Weekly update of news Kelly Danks-Hyden 01889 571730 kelly.danks-
and information relating South Staffs Health hyden@southstaffspct.nhs.uk
to public health issues Management Library
Engaging black and minority ethnic (BME) groups with sexual health services: a youth
participation project summary and recommendations
Brook
10 point guide for health professionals aimed at improving access of young people from BME
groups to services.
http://www.brook.org.uk/uploads/Health_pro_BME.pdf
Breastfeeding
Developing a breastfeeding strategy
UNICEF UK Baby Friendly Initiative
This guide is aimed at all those who are tasked with, or who wish to drive forward, the
creation of a breastfeeding strategy.
http://www.babyfriendly.org.uk/page.asp?page=221
The impact of integrated services on children and their families in Sure Start children’s
centres
Ofsted
This report evaluates the impact of integrated services on children, parents and families in 20
children’s centres. The effective integration of services is having a positive impact in terms of
support for children and parents in over half of the centres visited. Three centres were judged
as making an outstanding difference. Challenges remain with onward links with primary
schools, in reaching the most vulnerable families and in developing data on outcomes for
parents and children. The least effective partnership working seen was between the children’s
centres and Jobcentre Plus.
http://www.ofsted.gov.uk/Ofsted-home/Publications-and-research/Browse-all-by/Documents-
by-type/Thematic-reports/The-impact-of-integrated-services-on-children-and-their-families-in-
Sure-Start-children-s-centres
Your child, your schools, our future: building a 21st century schools system
Department for Children, Schools and Families
The document outlines the challenges and changes that schools now face, and describe
reforms that have been made to meet these. These reforms build on the progress of the last
decade and mean that the Government can now take the historic step of setting out new Pupil
and Parent Guarantees. The Pupil Guarantee sets out new entitlements to personalised
support for every child, and the Parent Guarantee for every parent. The White Paper sets out
plans for securing those guarantees across the country, outlining changes to the curriculum,
school partnerships, leadership and responsibilities.
http://publications.dcsf.gov.uk/default.aspx?PageFunction=productdetails&PageMode=public
ations&ProductId=Cm+7588
The Team Around the Child and the Lead Professional: A guide for managers
Department for Children, Schools and Families
This guidance has been updated in order to reflect policy developments and include revisions
identified in consultation with practitioners and managers across the children and young
people’s workforce.
http://publications.everychildmatters.gov.uk/default.aspx?PageFunction=productdetails&Page
Mode=publications&ProductId=IW92%2f0709&
Immunisation/Vaccination
Swine flu vaccination programme
Department of Health
The priority groups who will be first in line for vaccination against swine flu will include
pregnant women, frontline health and social care workers, and everyone in at-risk groups
aged over six months.
http://www.dh.gov.uk/en/Publichealth/Flu/Swineflu/InformationandGuidance/Vaccinationprogr
amme/index.htm
Inequalities
Wellbeing and health inequalities
Health Services Management Centre
HSMC was commissioned by the Department of Health to undertake rapid reviews of the
literature in six clinical areas to provide the evidence base for the Department’s recently
published Transforming Community Service Clinical Guides. The aim of this review was to
identify good practice in these areas which is not already widely implemented in the NHS and
to assess the nature of the available research.
http://www.hsmc.bham.ac.uk/publications/pdfs/transforming-community-
services/Wellbeing_and_health_inequalities_review_.pdf
Lifestyles
involvement. Examples from the field of Staying Healthy are provided to illustrate each part of
the process.
http://www.nhscentreforinvolvement.nhs.uk/docs/Learning%20-%20Resources%20-
%20PPI%20Guides%20-%20Staying%20Healthy%20Guide.pdf
Men’s Health
Mental Health
Guide to providing mental health care support to asylum seekers in primary care
Royal College of General Practitioners
Guidance for primary health care staff involved in the delivery and the development of mental
health care provision to asylum seekers in the UK.
http://www.library.nhs.uk/ETHNICITY/ViewResource.aspx?resID=317721&tabID=288&catID=
13343
Moving on up
Mental Health Foundation
This report reveals the barriers that are preventing patients with mild or moderate depression
from accessing exercise on prescription. They include funding constraints within local
government and PCTs, and that many GPs aren't aware that exercise schemes are available
in their area.
http://www.mentalhealth.org.uk/publications/?entryid5=73298&q=684278%c2%acMoving+on
+up%c2%ac
Happiness matters
St Mungo’s
Despite the many improvements to mental health services in the past decades, St Mungo's
believes that still, even now, homeless people with mental health problems do not get the
services they need. This report looks at access and barriers to services and support for
mental health, the impact of drink and drugs, and emotional wellbeing.
http://www.mungos.org/st_mungos_action_week_5-12_july_09/happiness_matters/
Nutrition
Evaluation of the Phase 2 Snack Right Social Marketing Project – Final Report
Lyn Winters, Liverpool Public Health Observatory
The aims of this project were threefold: to improve the nutritional quality of snacks given to
pre-school children in deprived areas of Cheshire and Merseyside and to gain experience and
build capacity in social marketing throughout Cheshire and Merseyside; to put marketing
theory into practice on a Cheshire and Merseyside footprint; and to disseminate the learning
in social marketing.
http://www.liv.ac.uk/PublicHealth/obs/root/liverpool%20public%20health%20observatory/publi
cations/observatory%20report%20series/Snack_Right_Final_Report2.pdf
Obesity
Older People
Oral Health
Dental commissioning statistics
Department of Health
This data shows the number of Units of Dental Activity (UDAs) commissioned as at 30th June
2009. Key findings are: all 152 Commissioners (PCTs and Care Trusts) returned data, 84.5
million UDAs have been commissioned as at 30th June 2009 and this represents an increase
of 1.1 million (1.4 %) on the UDAs commissioned as at 31st March 2009.
http://nds.coi.gov.uk/Content/Detail.aspx?NewsAreaId=2&ReleaseID=405622&SubjectId=2
Partnerships
Reaching out: community engagement and health
IdeA and NICE
This report explores the importance of engaging communities in health promotion and health
services, and the health benefits that this can bring. It reflects on the government
commitments to engaging the public further in democratic and decision-making processes
and builds on the NICE guidance on community engagement and health.
http://www.idea.gov.uk/idk/aio/8681034
Physical Activity
Children and Young People’s Participation in Organised Sport: Omnibus survey
Department for Children, Schools and Families
This research measured current levels of participation in organised sport among children and
young people aged 5 to 19 in England.
http://www.dcsf.gov.uk/research/programmeofresearch/projectinformation.cfm?projectId=153
28&type=5&resultspage=1
main sections: Section 1 briefly reviews some of the structural and functional changes that
characterise human ageing, section 2 considers the extent to which exercise/physical activity
can influence the ageing process and section 3 summarises the benefits of both long-term
exercise and physical activity and shorter-duration exercise programmes on health and
functional capacity.
http://www.acsm.org/AM/Template.cfm?Section=ACSM_News_Releases&TEMPLATE=/CM/
ContentDisplay.cfm&CONTENTID=13120
Public Health
Informing healthier choices
APHO
Informing Healthier Choices is a Department of Health programme to make public health
intelligence more accessible, useful and timely, and to give people the tools, skills and
knowledge to use it.
http://www.apho.org.uk/default.aspx?QN=IHC_DEFAULT
We’re all in this together: improving the long-term health of the nation
Public Health Commission
This report is the culmination of the work of the Public Health Commission which was
established in 2008 following a request to review a Responsibility Deal to improve public
health.
http://www.publichealthcommission.co.uk/about.html
The public health effect of economic crises and alternative policy responses in Europe:
an empirical analysis
David Stuckler et al
The Lancet, Volume 374, Issue 9686, Pages 315 - 323, 25 July 2009
There is widespread concern that the present economic crisis, particularly its effect on
unemployment, will adversely affect population health. This research investigates how
economic changes have affected mortality rates over the past three decades and identified
how governments might reduce adverse effects.
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61124-7/fulltext
(Article available from the Health Library)
subject to a JP order under the amended Act; and updated local authority powers to protect
public health. Responses are invited by 30 September 2009.
http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_102134
Screening
Effectiveness of cervical screening with age: population based case-control study of
prospectively recorded data
Peter Sasieni
BMJ 2009;339:b2968 (Published 28 July 2009)
Conclusions: Cervical screening in women aged 20-24 has little or no impact on rates of
invasive cervical cancer up to age 30. Some uncertainly still exists regarding its impact on
advanced stage tumours in women under age 30. By contrast, screening older women leads
to a substantial reduction in incidence of and mortality from cervical cancer. These data
should help policy makers balance the impact of screening on cancer rates against its harms,
such as overtreatment of lesions with little invasive potential.
http://www.bmj.com/cgi/content/abstract/339/jul28_2/b2968
(Full text article available with Athens)
Inequalities in reported use of breast and cervical screening in Great Britain: analysis
of cross sectional survey data
Moser K et al
BMJ 2009;338:b2025 (Published 16 June 2009)
CONCLUSIONS: Most (84%) eligible women report having had both breast and cervical
screening, but 3% report never having had either. Some inequalities exist in the reported use
of screening, which differ by screening type; indicators of wealth were important for breast
screening and ethnicity for cervical screening. The routine collection within general practice of
additional sociodemographic information would aid monitoring of inequalities in screening
coverage and inform policies to correct them.
http://www.bmj.com/cgi/content/full/338/jun16_2/b2025?view=long&pmid=19531549
(Full text article available with Athens)
Sexual Health
STI statistics
Health Protection Agency
Latest figures on sexually transmitted infections (STIs) show an 11% decrease in the total
number of new gonorrhoea infections diagnosed in the UK last year from 18,649 infections in
2007 to 16,629 in 2008 - the lowest number of new infections recorded since 1999. Syphilis
also showed a 4% decrease from 2,633 new cases recorded in 2007 to 2,524 new cases in
2008. Syphilis remains a relatively uncommon infection in the UK, although levels are still
considerably higher than 10 years ago. The greatest burden of STIs continues to fall among
young people (aged 16 to 24 years), who are disproportionately affected by STIs. While just
12% of the population are aged 16 to 24 years old, this age group accounts for more than half
of all new STIs diagnosed in the UK.
http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1247816582708?p=12
31252394302
Disturbing symptoms
British Association for Sexual Health and HIV
This report is based on the analysis of responses from commissioners and specialist
clinicians to two short surveys distributed in early 2009. The surveys aim to build a picture of
the impact of national health policies on sexual health and HIV services.
http://www.bashh.org/news/358_disturbing-symptons
Moving forward: progress and priorities - working together for high quality sexual
health: Government response to the Independent Advisory Group’s review of the
Sexual Health and HIV Strategy
Department of Health
This Government response outlines the progress made in improving sexual health since 2001
and responds to each of the national level recommendations put forward by the Independent
Advisory Group.
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidanc
e/DH_103090
A systematic review of lesbian, gay, bisexual and transgender health in the West
Midlands region of the UK compared to published UK research
West Midlands Health Technology Assessment Collaboration
This systematic review presents all available research conducted in the West Midlands on
LGBT health since 2000. Local health research is compared to UK national, peer reviewed
and published LGBT health research in order to determine whether the local results are
unusual compared to national LGBT data, and to routinely collected data on the UK
population, where appropriate, in order to determine whether and where the LGBT population
differ from the general population. Only UK research has been included because there was
no previous UK specific systematic review so it was unclear how generalisable foreign
research would be to the UK.
http://www.library.nhs.uk/PUBLICHEALTH/ViewResource.aspx?resID=318792
Smoking
NHS Stop Smoking Services: England, April 2008 to March 2009
NHS Information Centre
This annual report presents final results from the monitoring of the NHS Stop Smoking
Services (NHS SSS) in England during the period April 2008 to March 2009. This report
includes information on the number of people setting a quit date and the number who
successfully quit at the 4 week follow-up. It also presents in depth analyses of the key
measures of the service including pregnant women, breakdowns by ethnic groups and type of
pharmacotherapy received and regional analyses at Strategic Health Authority (SHA) and
Primary Care Trust (PCT) levels.
http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/nhs-stop-smoking-
services/statistics-on-nhs-stop-smoking-services:-england-april-2008-to-march-2009
Substance misuse
Smoking, drinking and drug use among young people in England in 2008 full report
NHS Information Centre
This report contains results from an annual survey of secondary school pupils in years 7 to 11
(mostly aged 11 to 15). 7,798 pupils in 264 schools in England completed questionnaires in
the autumn term of 2008. The survey report presents information on the percentage of pupils
who have ever smoked, tried alcohol or taken drugs. The report explores the attitudes and
beliefs of school children towards smoking and drinking and where children obtain cigarettes
and alcohol. Relationships between smoking, drinking and drug use are explored along with
the links between smoking, drinking and drug use with other factors such as age, gender,
ethnicity, previous truancy or exclusion, and school policies in these areas.
http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-
surveys/smoking-drinking-and-drug-use-among-young-people-in-england/smoking-drinking-
and-drug-use-among-young-people-in-england-in-2008-full-report
Clinical governance in drug treatment: a good practice guide for providers and
commissioners
National Treatment Agency (NTA) for Substance Misuse
Guidance aiming to improve clinical governance in the commissioning and delivery of drug
misuse treatment.
http://www.nta.nhs.uk/publications/documents/clinicalgovernance0709.pdf
Home Office Statistical Bulletin 12/09: Drug misuse declared - Findings from the 2008-
09 British Crime Survey - England and Wales
Home Office
These statistics cover self-reported drug use for adults and young people in England and
Wales from the 2008-09 British Crime Survey.
http://www.homeoffice.gov.uk/rds/pdfs09/hosb1209.pdf