Health Matters - major public health issues

Health Matters
PHE

• A collection of resources covering facts, resources and information on major public health issues for public health professionals, local authorities and CCG commissioners.
• Includes Guidance which describes barriers to care and information on health inequalities.

Includes:

  
Health matters: preventing cardiovascular disease

PHE 14 February 2021
A professional resource developed by the Cardiovascular Disease Prevention System Leadership Forum (CVDPSLF) that sets to improve the detection and management of atrial fibrillation (AF), high blood pressure and raised cholesterol, and reduce the health inequalities associated with CVD, over the next 10 years. Read the blog, and see the statistics for each STP on PHE Fingertips.
Includes very brief information on health inequalities.

Health matters: reducing health inequalities in mental illness

PHE 18 December 2018

This edition of Health matters brings together in one place the most informative data and the best evidence of what works in removing health inequalities experienced by people living with mental illness.

Health matters: community-centred health and wellbeing approaches

PHE 28 February 2018
Involving and empowering local communities, and particularly disadvantaged groups, is central to local and national strategies in England for both promoting health and wellbeing and reducing health inequalities. This edition of Health matters highlights some of the successful interventions that have been implemented across England.

Health matters: increasing the uptake of HIV testing
PHE 1 December 2016
This professional resource outlines how providers and commissioners can normalise HIV testing and reduce barriers to uptake.

RCGP Health Inequalities Hub - COVID-19

Health Inequalities Hub
RCGP elearning updated 8 March 2021

• Information about health equity and caring for socially vulnerable patients during the COVID-19 pandemic. Includes an interview with Sir Michael Marmot, COVID-19 Q&A, COVID-19 vaccine uptake and resources relating to health and equity for socially vulnerable people during the pandemic. Includes a series of evidence reviews to support vaccine update across a range of vulnerable groups including BAME, migrants, remote communities, disabled, prisoners and carers.

Healthcare for the armed forces community: a forward view

Healthcare for the armed forces community: a forward view
NHS England 4 March 2021

• This guidance is a companion document to the NHS long-term plan, outlining the commitments NHS England and NHS Improvement is making to improve the health and wellbeing of the armed forces community, serving personnel (regulars and reservists), veterans and their families.
• Commitment 7 Identifying and addressing inequalities in access to healthcare

Unemployment by ethnic background

Unemployment by ethnic background
House of Commons Research Briefing, 04 March, 2021

• A summary of trends in unemployment rates and looks at how rates vary by ethnicity, age and gender across the UK.

The health of people from ethnic minority groups in England

The health of people from ethnic minority groups in England
Kings Fund updated 17 September 2021

• This explainer examines the differences in health outcomes for ethnic minority groups, highlighting the variation across groups and conditions, and considers what’s needed to reduce health inequalities. It describes ethnic differences in overall health; maternal and infant mortality, and child health; cardiovascular disease; diabetes; cancer; Covid-19 and determinants of health.

Health and Care of People with Learning Disabilities, Experimental Statistics

Health and Care of People with Learning Disabilities, Experimental Statistics
NHS Digital

• The aim of the publication is to inform users about the key differences in healthcare between those individuals with a learning disability and those without. It contains aggregated data on key health issues for people who are recorded by their GP as having a learning disability.

How to tackle health inequalities in Gypsy, Roma and Traveller communities

How to tackle health inequalities in Gypsy, Roma and Traveller communities
Friends, Families and Travellers, November 2020

• An outline of the health and healthcare access issues identified in different traveller populations.

Access to and interventions to improve maternity care services for immigrant women: a narrative synthesis systematic review

Access to and interventions to improve maternity care services for immigrant women: a narrative synthesis systematic review.
Health Serv Deliv Res 2020;8(14) March 2020

• A review of the available evidence suggests that the experiences of immigrant women in accessing and using maternity care services in the UK are mixed; however, women largely had poor experiences. 
• Contributing factors included a lack of language support, cultural insensitivity, discrimination and poor relationships between immigrant women and HCPs. Furthermore, a lack of knowledge of legal entitlements and guidelines on the provision of welfare support and maternity care to immigrants compounds this.

CQC Maternity services survey 2019

Maternity services survey 2019
CQC 28 January 2020

• Report of a survey which looked at the experiences of women receiving maternity services. (17,151 participants, response rate 36.5%). Includes results by NHS trust and an outliers report.

Caring alone: Why Black, Asian and Minority Ethnic young carers continue to struggle to access support

Caring alone: Why Black, Asian and Minority Ethnic young carers continue to struggle to access support
Barnardo's 25 April 2019

• Research has found that BAME young carers are more likely than other young carers to be isolated from support services.

Which population groups are more likely to delay presentation with cancer symptoms?

Which population groups are more likely to delay presentation with cancer symptoms and are more frequently diagnosed with late stage cancer, and why?
PHE March 2019

• This briefing summarises the evidence on delayed cancer presentation and late stage cancer diagnosis from January 2008 - January 2019.
• Evidence highlights differences relating to age at presentation, racial/ethnic groups, gender and sociodemographic background.

Key messages

• Amongst all the population groups considered, the main reason for delay in presenting with cancer symptoms is lack of knowledge and not recognising cancer symptoms. 

• Opportunities for diagnosing cancer in younger people are frequently missed in primary care. This may in part, be because they fall outside referral guidelines and targeted screening programmes. 

• Black people with colorectal cancer are more likely to present with late stage cancer irrespective of affluence or deprivation. This may be due to factors such as cultural attitudes, beliefs and embarrassment, as well as limited access to healthcare. 

• Stage of cancer at diagnosis varies between different ethnic groups. This may be due to the degree of engagement in health promotion initiatives and screening programmes. 

• Poorer survival outcomes for women with bladder cancer are not explained by delays in presentation and diagnosis alone – biological factors also have an important role to play in survival outcomes. 

• Poverty is associated with an increased risk of late stage melanoma presentation even when adjusted for age, sex, race and rural gradient.

• Women need to present with symptoms for bladder cancer more frequently than men in primary care (more than 3 pre-referral appointments) before being referred to secondary care.

National LGBT Survey 2017: Healthcare amongst lesbian and bisexual women

National LGBT Survey 2017: Healthcare amongst lesbian and bisexual women 
Government Equalities Office 15 March 2019

• Using data from the National LGBT Survey 2017, this report examines differences in disclosure of sexual orientation to healthcare providers and experience of healthcare among different groups of lesbian and bisexual women. 

Executive summary 

Working with Young Carers - website

Young carers stuff http://www.youngcarersstuff.org/

• A suite of learning materials developed specifically for those who will have responsibilities to assess and support young carers and their families, including engagement resources.

Improving LGBT lives: government action since 2010

LGBT Action Plan 2018: Improving the lives of Lesbian, Gay, Bisexual and Transgender people
Government Equalities Office 3 July 2018

• In response to the National LGBT survey, this LGBT Action Plan outlines firm commitments to tackle some of the biggest issues facing LGBT people.
• Actions relating to healthcare include:
• appointment of a National Adviser to lead improvements to LGBT healthcare. The National Adviser will focus on reducing the heath inequalities that LGBT people face, 
• enhance fertility services for LGBT people. 
• support improved monitoring of sexual orientation and gender identity in healthcare services to enable better patient care
• support for LGBT people with learning disabilities.
• See the progress update on the 2011 LGBT action plan: Improving LGBT lives: government action since 2010, Government Equalities Office 3 July 2018

Effective co-production through local Maternity Voices Partnerships: A resource for commissioners

Effective co-production through local Maternity Voices Partnerships: A resource for commissioners
London Clinical Networks 13 June 2018

• This document brings together a range of information and resources and is designed to support commissioners to fulfil their statutory obligations to secure meaningful patient and public involvement in commissioning maternity services and to respond to the recommendations of the National Maternity Review report, Better Births.